The experience of treatment of 76 injured with fractures of two or more extremities in combination with affection of other anatomical areas (head, abdomen, breast, pelvis) was summarized. The extrafocal osteosynthesis was preferable because this method is characterized by low traumatism, minimal blood loss, adequate reposition, stable immobilization and possibility of early load in the apparatus of external fixation. Immersed osteosynthesis is used with great caution as it can cause the development of fat embolism. One-stage operations were performed in 26.3% victims. Their treatment periods were significantly shorter than during the multi-stage operations. One-stage operations for polytrauma have the following advantages over the multi-stage operations: single narcosis, simplified treatment in reanimation department, one post-operation period, quick rehabilitation and economic benefit. The extrafocal osteosynthesis causes less purulent complications.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
MATHEMATICAL JUSTIFICATION OF THE CHOICE OF RODS FOR EXTERNAL FIXATION DEVICES FOR POLYSTRUCTURAL PELVIC INJURIES.
Georgian Med News
November 2023
1Kharkiv National Medical University, Ukraine.
Aim - In order to fulfill the purpose of biomechanical substantiation for extrafocal pelvic osteosynthesis in osteoporosis we studied the stress-strain state (SSS) of LEG under conditions of external fixation by apparatuses with cylindrical and conical rods. Studies of the stress-strain state of the lower extremity belt by the finite element method were carried out under conditions of external fixation by devices with cylindrical and conical rods. In the finite element method, the approximate solution is constructed as a superposition of approximating functions.
View Article and Find Full Text PDFModified Kapandji technique in pediatric displaced distal radius fractures: results in 195 patients.
Eur J Orthop Surg Traumatol
January 2024
Department of Orthopaedic Surgery and Traumatology, HFR Fribourg - Cantonal Hospital, University of Fribourg, Chemin des Pensionnats 2 - 6, 1700, Fribourg, Switzerland.
Purpose: The modified Kapandji technique has been proposed for fracture reduction in pediatric displaced distal radius fractures (DDRFs), but evidence is sparse. The purpose of this study was to evaluate our outcomes and complications, critically and systematically, when performing the modified Kapandji technique in pediatric DDRFs. Using this technique since 2011, we asked: (1) What is the quality of fracture reduction using this technique? (2) How stable is fracture alignment with this technique? (3) What are the postoperative complications and complication rates?
Methods: Retrospective observational study of 195 pediatric patients treated with the modified Kapandji technique.
Objective: The aim: To improve the results of treatment of patients with multiple gunshot fractures of long bones by developing the technology of fixation method conversion with combined autoplasty and postoperative telemedical control (loading +ROM (range of motion).
Patients And Methods: Materials and methods: Two comparison groups were formed: the main (84 patients) and the control (62 patients). For the patients of this group all elements of the restorative treatment system were used (DCO, extrafocal osteosynthesis (including hinged), ultrasonic cavitation, NPWT, biochemical indicators of blood, conversion technology with usage of regenerative technologies, rehabilitation program) and telemedical control with applications (ROM+weight bearing).
Comparison of five percutaneous pinning methods for unstable extra-articular distal radius fractures: A mechanical study using sawbones.
Jt Dis Relat Surg
May 2021
Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 17100 Çanakkale, Türkiye.
Objectives: This study aims to mechanically compare five different extra-focal bi-cortical pin configurations (using two and three pins) employed for fixation of a simulated unstable extra-articular distal radius fracture with dorsal comminution using a sawbone model.
Materials And Methods: This in vitro mechanical study was conducted between June 2019 and July 2019. A standard fracture model (Arbeitsgemeinschaft für Osteosynthesefragen [AO] type 23-A3.
Articular fracture of the base of the thumb metacarpal: Comparative study between direct open fixation and extrafocal pinning.
Chir Main
June 2015
Service de chirurgie ostéo-articulaire B4, CHU Hassan II, immeuble 87, appartement 4, rue Sidney, Hay Ouafae 2, Narjiss, Fès, Morocco.
The treatment of intra-articular fractures of the base of the first metacarpal bone should aim to anatomically reduce the articular surface, restore the initial length of the first metacarpal and preserve the opening of the first web space. These objectives appear to be achievable with a well-conducted surgical treatment. In a retrospective study, we reviewed a series of 38 cases, which compared open reduction and internal fixation (ORIF) and extrafocal pinning to determine which option provided the best reduction and functional recovery in young, manual workers.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!