Intraoperative control of axes, rotation and length in femoral and tibial fractures technical note

Krettek, Christian; Miclau, Theodore; Schandelmaier, P.; Tscherne, H.

doi:10.1016/s0020-1383(98)95006-9

Cited by 276 publications

(165 citation statements)

References 12 publications

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“…The mean number of radiation exposures was 12 (range, [8][9][10][11][12][13][14][15][16]. The mean time to full weight bearing was 11 (range, [8][9][10][11][12][13][14][15][16][17][18][19] weeks. The mean follow-up period was 25 (range, 18-30) months.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Rohilla

Singh

Magu

et al. 2008

J Orthop Surg (Hong Kong)

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Purpose. To review the results of indirect reduction and mini-incision dynamic condylar screw (DCS) fixation for comminuted subtrochanteric femoral fractures. Methods. 29 men and 14 women aged 25 to 65 (mean, 44) years with comminuted subtrochanteric femoral fractures underwent indirect reduction and mini-incision DCS fixation. Fractures were classified according to the AO classification (10 type 32B and 33 type 32C) and Seinsheimer classification (6 type III, 15 type IV, and 22 type V). Functional outcomes were assessed using the Harris hip score and Merle d'Aubigne score. Results. The mean time to full weight bearing was 11 (range, 8-19) weeks. The mean time to union was 16 (range, 13-22) weeks. There were no cases of non-union or implant failure after a mean follow-up period of 25 (range, 18-30) months. Seven patients had a mean limb length discrepancy of 1.5 (range, 1-2) cm. Two patients had coxa vara and persistent limp. Conclusion.Results of indirect reduction and miniincision DCS fixation for comminuted subtrochanteric femoral fractures are favourable. Proper planning and execution of the technique is required to achieve good functional outcomes and avoid complications. Preservation of vascularity of the medial fragments leads to rapid callus formation and early union and hence avoids implant failure and secondary bone grafting.

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Section: Resultsmentioning

confidence: 99%

“…Proper placement of the plate, frontal and rotational alignments, and leg length were checked. 18 The plate was placed on the distal fragment and fixed with 3 to 4 screws. The compression screw was tightened over the condylar lag screw.…”

Section: Methodsmentioning

confidence: 99%

Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Rohilla

Singh

Magu

et al. 2008

J Orthop Surg (Hong Kong)

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“…Improvements in intraoperative reduction assessment have been made. [7][8][9][10] The use of less-invasive operative techniques demands outstanding skill in closed reduction. The reduction must be done prior to implant application and must be maintained during fixation.…”

Section: Introductionmentioning

confidence: 99%

Forces and torques during fracture reduction: Intraoperative measurements in the femur

Gösling

Westphal

Faulstich

et al. 2006

Journal Orthopaedic Research

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Reduction is a crucial step in fracture treatment. We determined intraoperative peak forces and torques during fracture reduction in seven patients with eight fractures of the femoral shaft. All fractures were temporarily stabilized by external fixation. Force and torque measurements were performed during the subsequent intramedullary nailing procedure. A three-dimensional load cell was attached to the distal femur fragment using two Schanz screws. All forces and torques were registered on-line during the reduction process. The maximum resulting force was 411 N, the maximum resulting torque 74 N Á m. The highest force was observed along the shaft axis with 396 N for distraction. The maximum torque value was measured around the frontal axis, being 74 N Á m for antecurvature. These results may assist the development of new reduction techniques and devices.

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“…A diferença de largura dos fragmentos no nível da fratura é uma técnica bastante utilizada nas fraturas diafisárias, principalmente nas osteossínteses minimamente invasivas (23) .…”

Section: Discussionunclassified

Desvios rotacionais na fratura supracondiliana do úmero em crianças: novo método de avaliação

Filho¹,

Veloso²,

Akkari³

et al. 2011

Rev. bras. ortop.

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RESUMOObjetivo: Descrever um novo método para identificar e quantificar os desvios rotacionais da fratura supracondiliana do úmero. Métodos: O estudo foi realizado usando modelos sintéticos de úmero, serrando-o perpendicular ao seu longo eixo, na região da fossa olecraniana, fixando-o com diferentes desvios rotacionais, e então uma radiografia das peças foi obtida. Foi realizada uma análise descritiva da sensibilidade e especificidade do método de visualização do "esporão metafisário" com o teste não paramétrico de Kruskal-Wallis. A análise de regressão linear foi utilizada para identificar uma relação entre tamanho do esporão e o grau de desvio rotacional da fratura. Resultados: A sensibilidade e a especificidade do método foram de 100% a partir de 15 graus de desvio rotacional e houve uma relação estatisticamente significante entre o tamanho do esporão e o grau do desvio rotacional. Conclusão: O método demonstrou ser de fácil aplicação, confiável e reprodutível neste trabalho. Descritores - INTRODUÇÃOAs fraturas do cotovelo correspondem cinco a 10% de todas as fraturas nas crianças (1) . Dentre estas, as fraturas supracondilianas do úmero são responsáveis por até 50 a 70% dos casos (2)(3)(4) , acometendo principalmente crianças na faixa etária entre cinco e sete anos de idade (5) . As lesões ocorrem predominantemente à esquerda, ou do lado não dominante (5-7) .O mecanismo de trauma mais comum é a queda com apoio do membro superior e o cotovelo em extensão completa, levando o olécrano a realizar um fulcro posterior na sua fossa, região de maior fragilidade, provocando uma fratura do tipo em extensão, isto é, com desvio posterior (8,9) . Este tipo de desvio representa cerca de 97% a 99% dos casos (5,8) .Vários métodos de tratamento têm sido descritos,Rev Bras Ortop. 2011;46(Suppl 4):45-50

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Intraoperative control of axes, rotation and length in femoral and tibial fractures technical note

Cited by 276 publications

References 12 publications

Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Mini-Incision Dynamic Condylar Screw Fixation for Comminuted Subtrochanteric Hip Fractures

Forces and torques during fracture reduction: Intraoperative measurements in the femur

Desvios rotacionais na fratura supracondiliana do úmero em crianças: novo método de avaliação

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