Interventional revascularization prior to operative fixation of fractures below the knee. A retrospective case series

Aigner, René; Am, König; Mahnken, Andreas H.; Ck, Boese; Ruchholtz, Steffen; Frink, Michael

doi:10.1016/j.injury.2021.04.039

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…These comorbidities have high impact on the treatment decision and treatment complications ( 8 ). Especially in geriatric patients, during the clinical examination, pulses have to be palpated, and Doppler and duplex sonography of peripheral arteries is recommended ( 9 ). In case the pulses are not palpable, the Doppler sonography or the ankle-brachial index is pathologic, and a CT angiography is recommended ( 9 ).…”

Section: Diagnosticsmentioning

confidence: 99%

“…Especially in geriatric patients, during the clinical examination, pulses have to be palpated, and Doppler and duplex sonography of peripheral arteries is recommended ( 9 ). In case the pulses are not palpable, the Doppler sonography or the ankle-brachial index is pathologic, and a CT angiography is recommended ( 9 ). If the CT angiography reveals relevant vascular stenosis which negatively affects limb perfusion, a percutaneous transluminal angioplasty either stand-alone or combined with stent implantation should be performed prior to the surgical fracture fixation to improve limb perfusion and reduce the likelihood of postoperative complications ( 9 ).…”

Section: Diagnosticsmentioning

confidence: 99%

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Ankle fractures of the geriatric patient: a narrative review

et al. 2023

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The present narrative review provides a summary of current concepts for the treatment of ankle fractures in elderly patients. Despite a high complication rate, open reduction and internal fixation is the gold standard for operative care. However, individual patient-based treatment decision considering the soft-tissue status, the fracture pattern, as well as the patient’s mobility and comorbidities is mandatory to achieve sufficient patient outcomes. Due to high complication rates after surgery in the past, techniques such as fibular nails or minimal invasive techniques should be considered.

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Section: Diagnosticsmentioning

confidence: 99%

Section: Diagnosticsmentioning

confidence: 99%

Ankle fractures of the geriatric patient: a narrative review

et al. 2023

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Endovascular Treatment Before Operations in Clinic of Traumatology and Orthopaedics

Prozorov,

Ivanov,

Zadneprovsky

2023

Vrach

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The surgical treatment of arterial injury due to blunt trauma, heterotopic ossification, hemangiomas, aneurysmal bone cysts of skeleton, primary and metastatic bone tumors can lead to uncontrolled life-threating haemorrhage and blood loss. The aim of the present review is to analyze reports of the use and effectiveness of endovascular methods – preoperative embolization and stent graft implantation to reduce surgery risks in clinic of traumatology and orthopaedics.

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Interventional revascularization prior to operative fixation of fractures below the knee. A retrospective case series

Cited by 2 publications

References 22 publications

Ankle fractures of the geriatric patient: a narrative review

Ankle fractures of the geriatric patient: a narrative review

Endovascular Treatment Before Operations in Clinic of Traumatology and Orthopaedics

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