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Auteur Yunus Imren
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Ajouter le résultat dans votre panier Affiner la rechercheDistal Tibiofibular Malreduction in Ankle Fractures Received Fibula Plate and Syndesmotic Screw Fixation / Ali Yüce in Journal of the American Podiatric Medical Association, vol.113, 05 (Septembre 2023)
[article]
in Journal of the American Podiatric Medical Association > vol.113, 05 (Septembre 2023)
Titre : Distal Tibiofibular Malreduction in Ankle Fractures Received Fibula Plate and Syndesmotic Screw Fixation Type de document : article de périodique Auteurs : Ali Yüce ; Mustafa Yerli ; Yunus Imren ; Süleyman Semih Dedeoglu ; Haluk Cabuk ; Hakan Gürbüz Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures de la cheville:Fractures de la cheville / chirurgie
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Fractures de la cheville
[Thésaurus Mesh]Période postopératoireMots-clés : Malréduction tibiofibulaire distale malréductions postopératoires vis syndesmotique plaque de péroné distal latéral anatomiquement verrouillée Résumé : Background: The aim of the study was to examine the effect of the position of the plate and syndesmotic screw on postoperative tibiofibular joint malreductions in cases where the syndesmotic screw is inserted through the hole of the anatomically locked lateral distal fibula plate.
Methods: Thirty patients (13 female and 17 male patients) with postoperative computed tomographic scans were examined retrospectively. Patient information (eg, tibiofibular congruence measured from postoperative computed tomographic scans, the anterior and posterior tibiofibular distance at axial sections, the presence and orientation of fibular rotation, the presence of tibiofibular intraarticular piece, the angle between the syndesmotic screw and incisural line, the placement of the plate, and the localization of the screw on the fibula in axial images) was recorded.
Results: Those with fibular internal rotation had a lower syndesmotic screw–incisural line angle (SIA) (P = .001).There was a very strong negative significant correlation between the tibiofibular angle and SIA (rho, −0.780; P = .001). The median tibiofibular angle was found to be higher in cases with the fibula plate placed anteriorly (P = .009).The median SIA was found to be lower in cases with the fibula plate placed anteriorly (P = .004).The rate of placement of syndesmotic screw in the anterior third of the fibula was found to be high in cases with the fibula plate placed anteriorly (P = .049).
Conclusions: In ankle fractures treated with insertion of a syndesmotic screw through the plate, the orientation of the syndesmotic screw in the axial plane and the position of the plate may be associated with the incidence of postoperative syndesmosis malreduction.Note de contenu :
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Cote Support Localisation Section Disponibilité aucun exemplaire Mid-term results of minimally invasive plate osteosynthesis and circular external fixation in the treatment of complex distal tibia fractures / Yunus Imren in Journal of the American Podiatric Medical Association, vol. 107, 1 (Janvier-février 2017)
[article]
in Journal of the American Podiatric Medical Association > vol. 107, 1 (Janvier-février 2017) . - p. 3-10
Titre : Mid-term results of minimally invasive plate osteosynthesis and circular external fixation in the treatment of complex distal tibia fractures Type de document : article de périodique Auteurs : Yunus Imren ; [et al.] Année de publication : 2017 Article en page(s) : p. 3-10 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / chirurgie
[Thésaurus Mesh]Fixateurs externes
[Thésaurus Mesh]Fractures du tibia
[Thésaurus HELB]:Paramédical:Fractures distalesRésumé : Background: The treatment of pilon tibia fractures is challenging. Anatomical reduction of the joint surface is essential. Excessive soft-tissue dissection may interfere with the blood supply and can result in nonunion. We sought to compare the outcomes of distal tibia fractures treated with medial locking plates versus circular external fixators. Methods: We retrospectively evaluated 41 consecutive patients with closed pilon tibia fractures treated with either minimally invasive locking plate osteosynthesis (n ¼ 21) or external fixation (EF) (n ¼ 20). According to the Ruedi and Allgower classification, 23 fractures were type B and 18 were type C. Soft-tissue injury was evaluated according to the Oestern and Tscherne classification. Time to fracture union, complications, and functional outcomes were assessed annually for 3 years with the American Orthopaedic Foot and Ankle Society (AOFAS) ankle score. Results: Mean 6 SD values in the plate group were as follows: age, 42.4 6 14 years; union time, 19.4 6 2.89 weeks (range, 12–26 weeks); and AOFAS ankle scores, 86.4 6 2.06, 79.5 6 1.03, and 77.9 6 0.80 at 1, 2, and 3 years, respectively. Four patients in the plate group needed secondary bone grafting during follow-up. In the EF group (mean 6 SD age, 40.7 6 12.3 years), all of the patients achieved union without secondary bone grafting at a mean 6 SD of 22.1 6 1.7 weeks (range, 18–24 weeks). In the EF group, mean 6 SD AOFAS ankle scores were 86.6 6 1.69, 82.1 6 0.77, and 79.7 6 1.06 at 1, 2, and 3 years, respectively. There were no major complications. However, there were soft-tissue infections over the medial malleolus in five patients in the plate group and grade 1-2 pin-tract infections in 13 patients and grade 3 pin-tract infections in one patient in the EF group. Post-traumatic arthritis was detected in eight plate group patients and seven EF group patients. Conclusions: Minimally invasive plating and circular EF methods have favorable union rates with fewer complications Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible