The Double-Frame External Fixator

Vidal, J; J, Melka

doi:10.1007/978-3-642-68448-7_7

Cited by 2 publications

(3 citation statements)

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“…Ankle stiffness and implant irritation were by a margin the most numerous complications in our study. Ankle stiffness was comparable in both groups, whereas implant irritation was found to be significantly higher in the 4.5 mm implant group [8], compared to the 3.5 group [5]. This can be explained by the lower profile of the 3.5 mm anatomically pre-shaped plates.…”

Section: Discussionmentioning

confidence: 80%

“…Closed reduction using ligamentotaxis [5] and minimally invasive plating requires detailed pre-operative planning since it is inherently more difficult than open reduction internal fixation. In order to reduce operative times, spare the extraosseous blood supply and achieve sufficient stability lower profile, pre-shaped, anatomical plates have been developed.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Two Different Plate Types in the Minimally Invasive Percutaneous Plate Osteosynthesis of Distal Tibia Fractures

Nastov,

Bekteshi,

Todorov

et al. 2023

JMS

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Distal tibia fractures present a unique challenge for the surgeon due to the subcutaneous position of the tibia with a thin soft tissue envelope. The development of the technique for minimally invasive percutaneous plate osteosynthesis (MIPPO) is a well-accepted step towards this direction.In our study we explore the benefits and shortcomings of two different plate types used with this technique: the 3.5 mm anatomically pre-shaped titanium plate, and the 4.5 mm LC-DCP.The study was a prospectiveretrospective clinical intervention case control study of 100 patients with closed, unstable, extraarticular and partially articular fractures of the distal tibia and fibula, classified as AO type 43A1, 43A2 and 43А3. Patients were divided in two groups of 50 patients. Group A were patients prospectively treated with a 3.5 mm pre-shaped plate, and Group B were patients with retrospectively collected data treated with a 4.5 mm LC-DCP.Patietns age was 38.15 years with 68 male and 32 female patients. Operation duration in Group A was 57.14 ± 8.30 and 66.67 ± 5.55, in Group B which was statistically significant. Partial and full weight bearing, as well as time to union in both groups was achieved within a similar timeframe. Functional according to Johner and Wruh's criteria and showed that most patients in both groups (61) had excellent results (Group A: 32, Group B: 29) and 21 had good results (Group A: 10, Group B:11).Rate of complications were comparable between the two groups, in regard to superficial infection, deep infection and ankle stiffness. Only complication parameter which showed a significant difference between the two groups was rate of implant irritation, which was higher in the 4.5 mm LC-DCP group. Both 3.5 mm and 4.5 mm plates are reliable when used with a MIPPO technique.This method is minimally invasive, preserves the periosteal blood supply and ensures optimal conditions for biological repair of distal tibia fractures, regardless of the type of plate used.

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Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Comparison of Two Different Plate Types in the Minimally Invasive Percutaneous Plate Osteosynthesis of Distal Tibia Fractures

Nastov,

Bekteshi,

Todorov

et al. 2023

JMS

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“…The external fixation technique is reliable for maintaining anatomic reduction longitudinally as well as of radial length. Vidal et al showed that comminuted intraarticular fractures, which have dorsoulnar fracture fragments, can be reduced with sustained ligamentotaxis [22] .…”

Section: Ligamentotaxis By External Fixatormentioning

confidence: 99%

Functional outcome of intraarticular distal end radius fractures in adults fixed with external fixators: A modality of management

Mantri

2023

Int. J. Orthop. Sci.

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Distal radius fractures are a common orthopaedic injury that can be challenging to treat, particularly when they are caused by severe high-energy trauma and involve intra-articular comminution. Conservative methods, such as immobilization in a cast, may not be sufficient for intra-articular fractures due to the complex anatomy of the wrist joint and the high rates of complications associated with these injuries. Therefore, there is a growing interest in exploring innovative treatment options that can improve outcomes for patients with intra-articular fractures of the distal end of the radius. The aim of this study is to evaluate the functional outcome of the wrist in the management of comminuted intra-articular distal end radius fractures by external fixators. The use of external fixators has been found to be particularly effective in severely comminuted fractures, with minimal complications. The present study aimed to assess the outcomes achieved through external fixation for comminuted intra-articular distal end radius fractures, with a focus on functional outcomes and postoperative complications. The study involved a total of 50 patients who were treated with external fixation and followed up for a minimum of 12 months. The outcomes assessed included range of motion, grip strength, radiographic measures of articular congruity, and the presence of post-operative complications. The results of this study suggest that external fixation is an effective method for treating comminuted intra-articular distal end radius fractures, with good outcomes achieved in terms of functional recovery and prevention of deformity and disability due to malunion. The technique was found to allow for early mobilization and rehabilitation, with a relatively short duration of immobilization required. In addition, the technique was associated with minimal post-operative complications. The study thus highlights the importance of careful consideration of the choice of fixation method in the treatment of distal radius fractures and the potential benefits of external fixators. The use of novel technologies, such as 3D-printed patient-specific implants and advanced imaging techniques, may offer new treatment options for patients with distal radius fractures. Further studies are also needed to evaluate the long-term outcomes and cost-effectiveness of different treatment modalities, including external fixation, to ensure that patients receive the best possible care.

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The Double-Frame External Fixator

Cited by 2 publications

References 0 publications

Comparison of Two Different Plate Types in the Minimally Invasive Percutaneous Plate Osteosynthesis of Distal Tibia Fractures

Comparison of Two Different Plate Types in the Minimally Invasive Percutaneous Plate Osteosynthesis of Distal Tibia Fractures

Functional outcome of intraarticular distal end radius fractures in adults fixed with external fixators: A modality of management

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