检索结果-南通市图书馆

Internal fixator vs external fixator in the management of unstable pelvic ring injuries:A prospective comparative cohort study

引用

World Journal of Orthopedics 2023年第7期14卷 562-571页

作者： Mohamed Abo-Elsoud Mostafa I Awad Mahmoud Abdel Karim Sherif Khaled Mohamed Abdelmoneim Department of Orthopedics and Traumatology Cairo University HospitalsCairo 11562Egypt Department of Trauma and Orthopedics Mataria Teaching HospitalCairo 4540046Egypt

BACKGROUND Reconstruction of the pelvic ring anatomy in unstable anterior pelvic ring injuries is a significant step to reduce the mortality rate associated with these injuries efficiently.There is a debate on using either an anterior subcutaneous pelvis Internal fixator(INFIX)or an anterior supra-acetabular external fixator(EXFIX)to manage an unstable anterior pelvic ring fracture.AIM To compare the functional and radiological outcomes and complications of INFIX vs EXFIX in managing unstable pelvic ring injuries.METHODS A prospective cohort study included 54 patients with unstable pelvic ring fractures.The patients were divided into two groups;the INFIX group,in which 30 cases were fixed by INFIX,and the EXFIX group,in which 24 patients were treated by EXFIX.The average age in the EXFIX group was 31.17 years(16-57 years),while in the INFIX group,it was 34.5 years(17-53 years).The study included 20(66.7%)males and 10(33.3%)females in the INFIX group and 10(41.7%)males and 14(58.3%)females in the EXFIX group.The radiological outcomes were evaluated using Matta and Tornetta's score,and the functional outcomes using the Majeed score.RESULTS The results revealed a statistically significant difference between both groups(P=0.013)regarding radiological outcomes,according to Matta and Tornetta's score in favor of the INFIX group.Sitting,standing,and walking abilities were measured at a 3-mo follow-up visit using Majeed score modules.It was significantly better among the INFIX group than the EXFIX group in all three modules.At the final follow-up,both groups had no statistically significant difference according to the Majeed score;92.35 in the INFIX group and 90.99 in the EXFIX group(P=0.513).A lower surgical site infection rate was noticed in the INFIX group(P=0.007).CONCLUSION Anterior subcutaneous pelvis INFIX is associated with better radiological outcomes and a lower infection rate than anterior supra-acetabular EXFIX in managing patients with unstable anterior pelvic ring fractures.

关键词： Internal fixator External fixator Unstable Anterior Pelvic Injuries

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Results of split depression lateral tibial plateau fractures extending into the posterior column via the modified posterolateral approach

Results of split depression lateral tibial plateau fractures...

引用

2016年浙江省骨科学学术年会

作者：梁文清钱宇绍兴市人民医院

Objective To study the cinical outcome of surgically treated split depression lateral tibial plateau fractures extending into the posterior column via the modified posterolateral approach.Methods 19 patients with split depression lateral tibial plateau fractures extending into the posterior column were treated with open reduction and internal fixation via a modified posterolateral approach with osteotomy of the fibular neck and/no Gerdy tubercle.Quality of articular reduction and limb axis was assessed by follow up radiographs.Functional assessment was determined at last follow up using the Tegner-Lysholm score.Complications pertaining to the surgical approach were recorded.Results The approach was performed in 17 patients with a fibular neck osteotomy alone and 2 patients required a Gerdy’s tubercle osteotomy also.All fractures and osteotomies had united.Anatomical articular reduction was achieved in 16 patients.Radiological limb alignment was restored in all patients except 1 patient with a reversed posterior slope.Arthritic changes were seen in 2 patients.The mean Tegner-Lysholm score was 88.1(range:77-96) at last follow up.No specific complications related to the surgical approach like common peroneal nerve injury and lateral instability of the knee was encountered.Conclusion The modified posterolateral approach offers excellent exposure posterior tibia plateau,to perform articular reduction and fixation achieving satisfactory radiological and functional results in split depression lateral tibial plateau fractures extending into the posterior column and to expand the surgical options for an optimal treatment of this kind of fractures.

关键词： Knee Tibial plateau fractures Internal fixator internal posterolateral approach

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：