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Minimally invasive percutaneous elastic plate osteosynthesis as a treatment option for tibial diaphyseal fracture in skeletally immature dogs.
Open Vet J
December 2023
AniCura Jeløy Dyresykehus, Moss, Norway.
Background: Pediatric fractures are relatively common in dogs, and several treatment options exist, particularly for fractures in the distal extremities. Regardless of the choice of treatment, the overall goal is rapid restoration and excellent long-term functional recovery, with minimal discomfort and morbidity during healing. This case series aims to report the long-term outcome after minimally invasive percutaneous elastic plate osteosynthesis (MIPEPO) in the treatment of pediatric tibial fractures in dogs and compare this to other treatment options, where all techniques emphasize biological osteosynthesis.
View Article and Find Full Text PDFBone allografting: an original method for biological osteosynthesis and bone reinforcement in children with osteogenesis imperfecta.
Int Orthop
July 2023
Department of Pediatric Orthopaedics Surgery, Necker Hospital, Assistance Publique Hopitaux de Paris, Université Paris-Cité, 149 rue de Sèvres, 75015, Paris, France.
Purpose: Osteogenesis imperfecta (OI) is a genetic disorder responsible for various symptoms including deformities and frequent fractures. Bone allografting is poorly documented in this condition. The objective of this study was to describe our experience and assessments in a consecutive series of OI patients.
View Article and Find Full Text PDFMechanobiology of indirect bone fracture healing under conditions of relative stability: a narrative review for the practicing clinician.
Acta Biomed
March 2022
Traumatology Department, University Medical Centre Ljubljana (Slovenia), Department of Surgery, Faculty of Medicine, University of Ljubljana (Slovenia).
Background And Aim: Mechanical influence on secondary fracture healing remains an incompletely understood phenomenon. This is of special importance in biological osteosynthesis, where stability is sacrificed for the sake of an optimal biological fracture environment. Under condition of relative stability, a wide range of biomechanical conditions can be achieved.
View Article and Find Full Text PDFTreatment of intertrochanteric femur fracture with closed external fixation in high-risk geriatric patients: can it be the most reliable method that reduces mortality to minimum compared to proximal femoral nail and hemiarthroplasty?
Medicine (Baltimore)
January 2022
Sakarya Yenikent State Hospital, Department of Orthopedics and Traumatology, Sakarya, Turkey.
The optimal surgical treatment of intertrochanteric femur fractures (ITF) to minimize the increased mortality in geriatric patients with high anesthetic risk was investigated by comparing closed external fixation (EF), a minimal invasive and biological osteosynthesis technique, proximal femoral nail (PFN) and hemiarthroplasty (HA) methods.Three different surgical methods were performed to 167 patients who were admitted to our clinic for ITF between 2014 and 2020 and considered at high risk (American Society of Anesthesiologists III - American Society of Anesthesiologists IV) by the Anesthesiology and Reanimation Department. Patients with multi-trauma, osteoarthritis, those with malignancies and developmental hip dysplasia were excluded from the study.
View Article and Find Full Text PDFBiologic osteosynthesis in the treatment of benign and malignant bone tumors.
J Surg Oncol
September 2020
Department of Orthopaedic Surgery, Musculoskeletal Oncology Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Background And Objectives: Mechanical augmentation with metal implants in the treatment of bone tumors limits magnetic resonance imaging and computerized tomography scan imaging due to the scattering effect. In addition, modulus of elasticity differences may cause chronic pain. We present a surgical technique in which cortical allografts are used as plates.
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