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Treatment and Rehabilitation of Complicated Fractures of Both Lower Limbs: A Case Report.
J Orthop Case Rep
December 2024
Department of Orthopedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan.
Introduction: Few studies have reported the treatment and rehabilitation of combined fractures of the femur, tibia, and ankle in the same lower limb.
Case Report: A 69-year-old man presented to our hospital with a fall injury due to high-energy trauma after falling from a 5 m ladder while painting and landing on both feet. Examination revealed right femoral supracondylar; left tibial plateau; right calcaneal; left ankle crush; first and third lumbar vertebrae burst; sacral; C7, Th1, and Th9 compression; and bilateral acetabular fractures.
Outcomes of Infected Non-unions of Distal Femur Managed with the Masquelet Method and Ilizarov Ring Fixator.
Indian J Orthop
December 2024
Orthopaedics Department, Bangalore Medical College and Research Institute, Bengaluru, India.
Background: Distal femur infected non-union management is very challenging especially when there is late presentation and after multiple intervention. Various methods have been described and studied in the literature for infected non-union of femur which includes bone transport by fixators (ring fixators/monolateral frames) and by Masquelet method.
Objectives: To study the clinical and radiological outcomes and study the effect on quality of life by patient-reported outcomes (EQ5D5L) and VAS (Visual Analog Scale) score in patients of infected non-union of distal femur managed with combination of Masquelet method and Ilizarov ring fixator.
Ilizarov method combined with accordion technique for treating long bone defects in the lower limbs: a systematic review.
J Orthop Surg Res
November 2024
Department of Orthopedics, Affiliated Hospital of Southwest Medical University, Lu Zhou, 646000, People's Republic of China.
Article Synopsis
- The Ilizarov method is a key technique for treating bone defects and nonunion, often enhanced by additional methods like the accordion maneuver, but there's limited research on its combined use for long bones in the lower limbs.
- This study aims to systematically review the effectiveness of combining the Ilizarov method with the accordion technique specifically for treating deficiencies in long bones of the lower limbs, following PRISMA guidelines.
- Analyzing data from eight studies involving 80 patients, the review assessed bone healing rates, functional outcomes, and complications, finding that 24% of patients had femoral defects.
Integrating 3D-printed customized guides with hemicorticotomy bone transport: clinical outcomes in chronic osteomyelitis management.
BMC Musculoskelet Disord
November 2024
Department of Orthopedic Surgery, The Fourth Affiliated Hospital of Xinjiang Medical University, Traditional Chinese Medicine Hospital of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang, P.R. China.
Purpose: Chronic osteomyelitis with large bone defects remains a challenging condition in orthopedic surgery. This study aimed to evaluate the clinical efficacy of hemicorticotomy bone transport assisted by 3D-printed customized guides in the treatment of chronic osteomyelitis with bone defects.
Methods: A retrospective analysis was conducted on 21 patients with chronic osteomyelitis treated with hemicorticotomy bone transport with 3D-printed guide assistance between January 2015 and January 2021.
[Preliminary application of ulnar cortex transverse transport technique in treatment of upper extremity thromboangiitis obliterans].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
October 2024
Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563003, P. R. China.
Article Synopsis
- - The study aimed to evaluate the feasibility and effectiveness of the ulnar cortex transverse transport technique for treating upper extremity thromboangiitis obliterans (TAO) in 7 male patients aged 32 to 50, all suffering from severe symptoms including finger ulcers.
- - A retrospective analysis of pre- and post-operative data showed successful healing of ulcers within an average of 17.3 days, with no complications or recurrence of ulcers noted during the 1-year follow-up.
- - Patients reported significant pain relief, with the disappearance of rest pain taking an average of 12.1 days, and serum IL-6 levels were measured to assess inflammation before and after the procedure.
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