Quels sont les facteurs prédictifs d’une complication mécanique après enclouage centromédullaire d’une fracture diaphysaire du tibia ?

Manon, Julie; Detrembleur, Christine; Veyver, Simon Van de; Tribak, Karim; Putineanu, Dan Constantin

doi:10.1016/j.rcot.2019.02.029

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…In this study, our newly developed EZExFix [6,7] is designed to be easy, quick to learn, and accessible to nonsurgeon individuals as a solution for stabilizing tibial shaft fractures, which are one of the most common types of long bone fractures [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

An Easy-To-Use External Fixator for All Hostile Environments, from Space to War Medicine: Is It Meant for Everyone’s Hands?

Manon,

Pletser,

Saint-Guillain

et al. 2023

JCM

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Long bone fractures in hostile environments pose unique challenges due to limited resources, restricted access to healthcare facilities, and absence of surgical expertise. While external fixation has shown promise, the availability of trained surgeons is limited, and the procedure may frighten unexperienced personnel. Therefore, an easy-to-use external fixator (EZExFix) that can be performed by nonsurgeon individuals could provide timely and life-saving treatment in hostile environments; however, its efficacy and accuracy remain to be demonstrated. This study tested the learning curve and surgical performance of nonsurgeon analog astronauts (n = 6) in managing tibial shaft fractures by the EZExFix during a simulated Mars inhabited mission, at the Mars Desert Research Station (Hanksville, UT, USA). The reduction was achievable in the different 3D axis, although rotational reductions were more challenging. Astronauts reached similar bone-to-bone contact compared to the surgical control, indicating potential for successful fracture healing. The learning curve was not significant within the limited timeframe of the study (N = 4 surgeries lasting <1 h), but the performance was similar to surgical control. The results of this study could have important implications for fracture treatment in challenging or hostile conditions on Earth, such as war or natural disaster zones, developing countries, or settings with limited resources.

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Section: Introductionmentioning

confidence: 99%

An Easy-To-Use External Fixator for All Hostile Environments, from Space to War Medicine: Is It Meant for Everyone’s Hands?

Manon,

Pletser,

Saint-Guillain

et al. 2023

JCM

Self Cite

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“…Achieving sufficient stability through orthopaedic treatment is crucial for promoting fracture consolidation along the correct axis, thereby avoiding potential complications like non-union or infection. This can be possible with all classical orthopaedic procedures 24 , 25 , nevertheless, space is more demanding. Amongst others, the external fixator stands as the treatment of choice for space applications, capable of managing all types of fractures in a hostile environment characterized by limited resources and the absence of healthcare facilities to address complications.…”

Section: Introductionmentioning

confidence: 99%

Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing

Manon,

Saint-Guillain,

Pletser

et al. 2023

Sci Rep

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Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analogue astronauts (n = 6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2% repair success, and median completion time was 50.04 min. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p > 0.05). Similar techniques could be used in LDEM to increase astronauts’ autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.

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Mechanical Complications of Osteosynthesis: Frequency and Management at the Orthopedics-Traumatology Department of CHU Ignace DEEN

Camara,

Aboud,

Bangoura

et al. 2024

OJO

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Quels sont les facteurs prédictifs d’une complication mécanique après enclouage centromédullaire d’une fracture diaphysaire du tibia ?

Cited by 3 publications

References 30 publications

An Easy-To-Use External Fixator for All Hostile Environments, from Space to War Medicine: Is It Meant for Everyone’s Hands?

An Easy-To-Use External Fixator for All Hostile Environments, from Space to War Medicine: Is It Meant for Everyone’s Hands?

Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing

Mechanical Complications of Osteosynthesis: Frequency and Management at the Orthopedics-Traumatology Department of CHU Ignace DEEN

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