Die operative Behandlung von Übergangsfrakturen der distalen Tibia

Schneidmueller, Dorien; Marzi, Ingo

doi:10.1007/s00064-008-1407-7

Cited by 13 publications

(5 citation statements)

References 8 publications

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“…In addition, in clinical practice, such 3D models can help understand of the ideal surgery and approaches by planning the screw osteosynthesis. The understanding of the fracture is therefore utmost importance for the decision of the treatment [12][13][14]20]. While in some fractures, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…While in some fractures, e.g. the twoplane fracture, an open reduction of the fracture from anterolateral and screw osteosynthesis are mostly the right choice [17,20]. In triplane 1 fractures, there are already two directions for screw osteosynthesis: The more or less standardized anterior-posterior metaphyseal screw and the more oblique from the medial coming screw.…”

Section: Discussionmentioning

confidence: 99%

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Visualization of complicated fractures by 3D-printed models for teaching and surgery: hands-on transitional fractures of the ankle

Neijhoft

Henrich

Mörs

et al. 2022

Eur J Trauma Emerg Surg

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Aims Understanding the orientation of fracture lines and mechanisms is the essential key to sufficient surgical therapy, but there is still a lack of visualization and teaching methods in traumatology and fracture theory. 3D-printed models offer easy approach to those fractures. This paper explains the use of the teaching possibility with 3-dimensional models of transitional fractures of the ankle. Methods and results For generating 3D printable models, already obtained CT data were used and segmented into its different tissues, especially parts concerning the fracture. After the segmentation process, the models were produced with FFF (fused filament fabrication) printing technology. The fracture models then were used for hands-on teaching courses in AO course (Arbeitsgemeinschaft für Osteosynthesefragen) of pediatric traumatology in 2020 in Frankfurt. In the course fracture anatomy with typical fracture lines, approaches, and screw placement could be shown, discussed and practiced. Conclusion The study shows the use of 3D-printed teaching models and helps to understand complicated fractures, in this case, transitional fractures of the ankle. The teaching method can be adapted to numerous other use cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Visualization of complicated fractures by 3D-printed models for teaching and surgery: hands-on transitional fractures of the ankle

Neijhoft

Henrich

Mörs

et al. 2022

Eur J Trauma Emerg Surg

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“…The majority of authors recommend that fractures that are not or only slightly displaced should be treated conservatively. Slight fracture displacement is defined as 2 mm by most authors (14,15,19,20). Interestingly, Schmittenbecher in his report states that 2 mm is an arbitrary value; in contrast, he cites several studies which state that precise anatomical reduction of joints and cartilage in children is of great importance in terms of long-term outcomes and prevention of arthrosis.…”

Section: Discussionmentioning

confidence: 99%

“…The need for cross sectional imaging is the subject of controversial discussion (1,3,6,12,16,17,19). Treatment of this injury is conservative or surgical depending on the degree of displacement (14,15). bicycle accidents (6/24).…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcome after Surgical Treatment of Transitional Fractures of the Distal Tibia in Children

Strohm¹,

Hauschild²,

Reising³

et al. 2011

ACHOT

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PURPOSE OF THE STUDYFractures affecting a partially closed physis are described as transitional fractures. The distal tibia is one of the most common locations for transitional fractures second only to the distal radius. Aim of this retrospective study was to evaluate the clinical and radiological results after surgical treatment of transitional fractures of the distal tibia. PATIENTS AND METHODSFrom May 2003 to March 2009 24 children (median age 14 years) received surgical treatment for transitional fractures of the distal tibia. 89% (21/24) of patients were followed up after 27.5 (range 6 to 72) months to assess functional out come (using the AO Foot and Ankle Score). RESULTSNine girls and 15 boys were included in the study with the girls being younger on average (12.4 ± 0.9 vs. 14.3 ± 1.1 years, p = 0.00013). Two-plane fractures were present in 4 cases, 15 and 5 children sustained tri-plane I and II fractures, respectively. Median preoperative fracture displacement was measured at 4 mm (range 3 to 11 mm). Traumatic supination of the ankle joint during sports activities was the predominant injury mechanism (18/24 cases) followed by bicycle or motorbike accidents (6/24). A satisfactory reduction (1 mm or less) was achieved in all but one patient. In this case revision surgery was necessary to restore anatomical reduction. No perioperative complications occurred in the remaining 23 cases. Metal implants were removed upon fracture consolidation after 8.2 ± 6.7 months. At the time of follow-up none of the children were impaired in activities of daily living and there were no restrictions in sporting activity. All patients scored good or excellent results on the AO Foot and Ankle Score. DISCUSSIONSurgical stabilization can be recommended as a safe and effective treatment strategy in displaced transitional fractures of the distal tibia and will lead to good or excellent mid term results.

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“…Übergangsfrakturen, die sich jedoch wiederum in Ausprägung und Behandlung von typischen Sprunggelenkfrakturen im Erwachsenenalter unterscheiden. Während beim Erwachsenen Länge und Rotation der Fibula wiederhergestellt werden müssen, stehen beim Adoleszenten die primäre Reposition und Schraubenfixation der Tibia an erster Stelle, die Fibula muss selten überhaupt angegangen werden, wie in der aktuellen Arbeit von Schneidmueller & Marzi [8].…”

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Editorial: Operationstechniken in der Kindertraumatologie

Marzi¹,

Blauth²

2008

Orthop Traumatol

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Die operative Behandlung von Übergangsfrakturen der distalen Tibia

Abstract: While short-term results are generally good, data on long-term outcome and possible development of arthrosis is still insufficient.

Cited by 13 publications

References 8 publications

Visualization of complicated fractures by 3D-printed models for teaching and surgery: hands-on transitional fractures of the ankle

Visualization of complicated fractures by 3D-printed models for teaching and surgery: hands-on transitional fractures of the ankle

Clinical Outcome after Surgical Treatment of Transitional Fractures of the Distal Tibia in Children

Editorial: Operationstechniken in der Kindertraumatologie

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