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https://www.readbyqxmd.com/read/27900703/the-treatment-of-distal-third-humeral-diaphyseal-fractures-is-there-still-a-place-for-the-external-fixation
#1
N Tartaglia, G Vicenti, M Carrozzo, A Abate, F Rifino, G Picca, G Solarino, B Moretti
INTRODUCTION: The treatment for humeral diaphyseal fractures is still controversial. The purpose of this study was to evaluate the clinical and radiographic outcomes of treating humeral distal third diaphyseal fractures by using external fixation technique. MATERIALS AND METHODS: We retrospectively review 65 cases of diaphyseal humeral fractures (31 type A, 23 type B and 11 type C of the AO/OTA classification) treated with external fixation (Orthofix FAD small) between 2008 and 2013...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27890218/-is-external-or-internal-distraction-useful-for-treating-distal-radial-fractures
#2
M Rongières
The use of external fixation or internal plating to bridge communitive fractures of the distal radius is discussed based on a review of prospective and meta-analysis studies. Distraction by an external fixator is not advised (ligamentotaxis) because of the high incidence of complex regional pain syndrome and the destabilization of bone and ligaments surrounding the intra-articular fracture site. The external fixator must be used as a neutralization device and supplemented with K-wire or volar plate fixation...
December 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27484831/hybrid-external-fixation-in-the-treatment-of-tibial-pilon-fractures-a-retrospective-analysis-of-162-fractures
#3
Vito N Galante, Giovanni Vicenti, Gianfranco Corina, Claudio Mori, Antonella Abate, Girolamo Picca, Vito Conserva, Domenico Speciale, Lorenzo Scialpi, Nicola Tartaglia, Vincenzo Caiaffa, Biagio Moretti
OBJECTIVES: To determine the efficacy of hybrid external fixation in the treatment of tibial pilon fractures. DESIGN: Retrospective, multicentre study. PATIENTS/PARTICIPANTS: Adult patients with tibial pilon fractures treated with hybrid external fixation. INTERVENTION: Fracture reduction with ligamentotaxis and fixation with XCaliber hybrid external fixator. MAIN OUTCOME MEASUREMENTS: Fracture union, complications, functional outcome (Mazur Ankle Score)...
July 30, 2016: Injury
https://www.readbyqxmd.com/read/27441179/the-reverse-thomas-position-for-thoracolumbar-fracture-height-restoration-relative-contribution-of-patient-positioning-in-percutaneous-balloon-kyphoplasty-for-acute-vertebral-compressions
#4
Jonathan P Ng, Derek T Cawley, Suzanne M Beecher, Joseph F Baker, John P McCabe
BACKGROUND: Standard positioning for percutaneous balloon kyphoplasty requires placing a patient prone with supports under the iliac crests and upper thorax. The authors believe that hip hyperextension maximises pelvic anteversion creating anterior longitudinal ligamentotaxis, thus facilitating restoration of vertebral height. METHODS: Radiographic imaging including pre-operative, post-positioning, post balloon tamp inflation and post-operative lateral radiographs were analysed for anterior and posterior column height, wedge angle of the affected vertebra and 3-level Cobb angle in patients with recent fractures of T11-L1...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27261705/posterior-distraction-and-instrumentation-cannot-always-reduce-displaced-and-rotated-posterosuperior-fracture-fragments-in-thoracolumbar-burst-fracture
#5
Xiao-Bin Wang, Guo-Hua Lü, Jing Li, Bing Wang, Chang Lu, Kevin Phan
STUDY DESIGN: A retrospective clinical study. OBJECTIVE: To determine the imaging features that can be used to predict failure of reduction of a retropulsed fracture fragment by posterior ligamentotaxis in thoracolumbar burst fractures. SUMMARY OF BACKGROUND DATA: Posterior instrumentation and distraction with ligamentotaxis has been successfully used to shift retropulsed fragments anteriorly in thoracolumbar burst fractures. However, posterior longitudinal ligament rupture can lead to treatment failure...
June 3, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26994520/surgical-outcomes-of-temporary-short-segment-instrumentation-without-augmentation-for-thoracolumbar-burst-fractures
#6
Hiroyuki Aono, Hidekazu Tobimatsu, Kenta Ariga, Masayuki Kuroda, Yukitaka Nagamoto, Shota Takenaka, Masayuki Furuya, Motoki Iwasaki
BACKGROUND: Short-segment posterior spinal instrumentation for thoracolumbar burst fracture provides superior correction of kyphosis by an indirect reduction technique, but it has a high failure rate. We investigated the clinical and radiological results of temporary short-segment pedicle screw fixation without augmentation performed for thoracolumbar burst fractures with the goal of avoiding treatment failure by waiting to see if anterior reconstruction was necessary. METHODS: We studied 27 consecutive patients with thoracolumbar burst fracture who underwent short-segment posterior instrumentation using ligamentotaxis with Schanz screws and without augmentation...
June 2016: Injury
https://www.readbyqxmd.com/read/26917022/role-of-joshi-s-external-stabilization-system-with-percutaneous-screw-fixation-in-high-energy-tibial-condylar-fractures-associated-with-severe-soft-tissue-injuries
#7
Ashish-Kumar Gupta, Rahul Sapra, Rakesh Kumar, Som-Prakash Gupta, Devwart Kaushik, Sahil Gaba, Mahesh Chand Bansal, Ratan Lal Dayma
PURPOSE: The treatment of high-energy tibial condylar fractures which are associated with severe soft tissue injuries remains contentious and challenging. In this study, we assessed the results of Joshi's external stabilization system (JESS) by using the principle of ligamentotaxis and percutaneous screw fixation for managing high-energy tibial condylar fractures associated with severe soft tissue injuries. METHODS: Between June 2008 and June 2010, 25 consecutive patients who were 17e71 years (mean, 39...
2015: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/26894133/osteosynthesis-in-distal-radius-fractures-with-conventional-bridging-external-fixator-tips-and-tricks-for-getting-them-right
#8
Vamshi Krishna Chilakamary, Maheshwar Lakkireddy, Kiran Kumar Koppolu, Shivaprasad Rapur
BACKGROUND: Distal radius fractures are the commonest fractures occurring in the upper extremity, accounting for 15-20% of patients treated in emergency department. Although distal radial fractures were described 200 years ago, they still remain as unsolved fractures with no clear guidelines. It is often reported that anatomical reduction has a bearing on the functional outcome. AIM: To study the management of distal end radius fracture by utilizing the principle of ligamentotaxis where in the reduction obtained by closed means is maintained by external fixator till solid bony union occurs...
January 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26359858/proximal-interphalangeal-joint-fractures-treated-with-a-dynamic-external-fixator-a-multicenter-and-retrospective-study-of-88-cases
#9
MULTICENTER STUDY
P Pélissier, F Gobel, H Choughri, J-M Alet
Ligamentotaxis is now a well-established treatment method for proximal interphalangeal (PIP) joint fractures. Despite satisfactory results, the technique is considered complex and the devices cumbersome. The aim of this study was to evaluate a miniaturized dynamic external fixator (Ligamentotaxor(®)) for the management of these fractures. Eighty-six patients with 88 fractures of the PIP joint were treated at 10 European hand surgery centers. The device was applied within eight days of the injury and was removed 40-45 days after the injury...
October 2015: Chirurgie de la Main
https://www.readbyqxmd.com/read/26056129/treatment-of-fracture-subluxations-of-the-proximal-interphalangeal-joint-using-a-ligamentotaxis-device-a-multidisciplinary-approach
#10
R J MacFarlane, S Gillespie, F Cashin, A Mahmood, G Cheung, D J Brown
Complex fracture subluxations of the proximal interphalangeal joint are often difficult to treat and their outcome variable. A number of methods for treatment of these injuries have been described. We have used a ligamentotaxis device (Ligamentotaxor, Arex, Palaiseau Cedex, France) since 2008. We performed 28 operations in 28 patients with complex proximal interphalangeal joint injuries over a 3-year period. Patients followed a standardized postoperative rehabilitation regime, including fixator adjustment as necessary...
October 2015: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/25945290/perilunate-dislocations-treated-with-external-fixation-and-percutaneous-pinning
#11
Olga D Savvidou, Michael Beltsios, Vasileios I Sakellariou, Panayiotis J Papagelopoulos
UNLABELLED: Background The purpose of this study was to review clinical and radiographic outcomes of perilunate dislocations (PLDs) and fracture-dislocations (PLFDs) treated with external fixation and Kirschner wires (K-wires). Materials and Methods Twenty patients (18 males and 2 females) with a mean age of 38 years (range 18-59) with an acute PLD or PLFD were treated with external fixator and K-wires. There were 12 PLDs and seven transscaphoid and one transstyloid PLFDs. The median time from trauma to operation was 8 hours (range 2-12 hours)...
May 2015: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/25694902/technical-note-resolution-of-spontaneous-electromyographic-discharge-following-disk-space-distraction-during-lateral-transpsoas-interbody-fusion
#12
Michael Neil Woodall, Basheer Shakir, Adam Smitherman, Haroon Choudhri
PURPOSE: The lateral transpsoas interbody fusion (LTIF) is an increasingly popular minimally invasive technique for lumbar interbody fusion. Although a posterior approach to the lumbar spine has traditionally been favored for the treatment of canal stenosis and neural foraminal stenosis, a growing body of evidence suggests that indirect decompression of the spinal canal and neural foramen can be achieved using a lateral transpsoas approach to the lumbar spine. We present 2 cases that may suggest a role for spontaneous electromyography (s-EMG) monitoring in assessing the adequacy of decompression during LTIF...
2013: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/25457321/temporary-bridging-external-fixation-in-distal-tibial-fracture
#13
F Lavini, C Dall'Oca, S Mezzari, T Maluta, E Luminari, F Perusi, E Vecchini, B Magnan
Fractures that involve the distal area of the tibia are associated with a high percentage of complications. Soft tissue oedema, swelling, blisters, skin abrasions and open wounds could compromise the outcome of these lesions. The waiting time before surgery with ORIF is mostly due to soft tissue conditions. Early application of a simple joint-spanning external fixator would achieve the initial goal of stability and the respect of soft tissue, thereby decreasing the time necessary for definitive treatment. A total of 40 consecutive patients (22 male and 18 female) with a mean age of 52 years (range 17-82 years) with distal tibial fracture treated between January 2010 and January 2013 were evaluated...
December 2014: Injury
https://www.readbyqxmd.com/read/25353197/posterior-distraction-and-instrumentation-cannot-always-reduce-displaced-and-rotated-posterosuperior-fracture-fragments-in-thoracolumbar-burst-fracture
#14
Xiao-Bin Wang, Guo-Hua Lü, Jing Li, Bing Wang, Chang Lu, Kevin Phan
STUDY DESIGN: A retrospective clinical study. OBJECTIVE: To determine the imaging features that can be used to predict failure of reduction of a retropulsed fracture fragment by posterior ligamentotaxis in thoracolumbar burst fractures. SUMMARY OF BACKGROUND DATA: Posterior instrumentation and distraction with ligamentotaxis has been successfully used to shift retropulsed fragments anteriorly in thoracolumbar burst fractures. However, posterior longitudinal ligament rupture can lead to treatment failure...
October 28, 2014: Journal of Spinal Disorders & Techniques
https://www.readbyqxmd.com/read/25301167/use-of-external-fixation-for-perilunate-dislocations-and-fracture-dislocations
#15
Olga D Savvidou, Michael Beltsios, Vasileios I Sakellariou, Andreas F Mavrogenis, Michael Christodoulou, Panayiotis J Papagelopoulos
The purpose of this study was to review clinical and radiographic outcomes of perilunate dislocations and fracture dislocations treated with external fixation and K-wire fixation. Twenty patients (18 males and two females) with a mean age of 38 years (range 18-59) who had an acute dorsal perilunate dislocation or fracture dislocation were treated with the use of wrist external fixator and K-wires. The injuries included 12 perilunate dislocations, seven trans-scaphoid perilunate fracture dislocations, and one trans-styloid perilunate fracture dislocation...
November 2014: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/24258689/distal-radius-fixation-through-a-mini-invasive-approach-of-15-mm-part-1-a-series-of-144-cases
#16
Frédéric Lebailly, Ahmed Zemirline, Sybille Facca, Stéphanie Gouzou, Philippe Liverneaux
The volar Henry approach is becoming the gold standard for distal radius fracture fixation. It decreases the incidence of nonunion, limits complications especially complex regional pain syndrome (CRPS) type I, and allows early mobilization of the wrist. Nonetheless, it has some disadvantages such as the size of the incision, which is not esthetically pleasing, and the loss of ligamentotaxis. This is why some authors have developed a mini-invasive approach. The aim of this work was to evaluate the feasibility of the anterior mini-invasive approach of 15 mm in a clinical series of 144 cases of distal radius fracture...
August 2014: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/24253958/distal-radius-fixation-through-a-mini-invasive-approach-of-15-mm-part-1-feasibility-study
#17
A Zemirline, K Naito, F Lebailly, S Facca, P Liverneaux
The aim of this study was to determine the feasibility of a mini-approach for distal radius volar plating. A 15-mm incision was made in 11 cadaver wrists. A 41 mm length and 24 mm width plate was placed deep to the pronator quadratus then fixed using 2 K-wires. The 2 central epiphyseal screws were placed before pin removal, the lateral screws followed and finally the proximal ones. The number of control views needed was on average 1.9 mm, and the position of the plate was good in 10 cases and average in 1 case...
August 2014: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/23839022/prospective-study-of-posterior-lumbar-interbody-fusion-with-either-interbody-graft-or-interbody-cage-in-the-treatment-of-degenerative-spondylolisthesis
#18
A Sivaraman, Farhaan Altaf, Azal Jalgaonkar, Rahul Kakkar, P B R Sirigiri, A Howieson, Robert J Crawford
STUDY DESIGN: A prospective study of 2 different fusion techniques for the treatment of single-level degenerative spondylolisthesis. OBJECTIVE: To determine whether the addition of an intervertebral cage improves the clinical outcome and fusion rate of patients undergoing posterior lumbar interbody fusion (PLIF) after decompression for degenerative spondylolisthesis. SUMMARY OF BACKGROUND DATA: The surgical approach that should be used for degenerative spondylolisthesis is a controversial issue...
October 2015: Journal of Spinal Disorders & Techniques
https://www.readbyqxmd.com/read/23672907/efficiency-of-ligamentotaxis-using-pll-for-thoracic-and-lumbar-burst-fractures-in-the-load-sharing-classification
#19
Won-Ju Jeong, Joon-Woo Kim, Dong-Kyo Seo, Hyun-Joo Lee, Jun-Young Kim, Jong-Pil Yoon, Woo-Kie Min
The use of pedicle screws for short-segment implants has been known to be dangerous in patients who score a 7 or higher on McCormack's classification. The efficiency of ligamentotaxis of the posterior longitudinal ligament (PLL) and short-segment implants and fusion in relation to McCormack's classification has not been proven. The purpose of this study was to compare the clinical and radiological results of indirect decompression using PLL ligamentotaxis between patients with a high- (score of 7 or higher) or low-grade (score of 6 or less) fracture...
May 2013: Orthopedics
https://www.readbyqxmd.com/read/23652534/thoracolumbar-compression-fractures-experimental-study-and-clinical-case-analysis
#20
Piotr Cieślik, Anna Floriańczyk, Krzysztof Kwiatkowski, Anna Dąbrowska-Tkaczyk, Konstanty Skalski
BACKGROUND: Epiphyseal stabilisation and reduction with the use of ligamentotaxis are employed in the surgical treatment of compression fractures of the spine. The mechanism of ligamentotaxis has not been fully elucidated. Therefore, it is fundamental to analyse various clinical data to determine the study area relevant to the elucidation of this mechanism. MATERIAL AND METHODS: We developed criteria for data selection from patient medical records for a newly-created database regarding cases of thoracolumbar vertebral body fractures...
March 2013: Ortopedia, Traumatologia, Rehabilitacja
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