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Searching for a New Parameter in the Healing of Tibia Pilon Fractures Fracture Area Measurement / Batuhan Gencer in Journal of the American Podiatric Medical Association, vol. 112, 04 (Juillet 2022)
[article]
in Journal of the American Podiatric Medical Association > vol. 112, 04 (Juillet 2022)
Titre : Searching for a New Parameter in the Healing of Tibia Pilon Fractures Fracture Area Measurement Type de document : article de périodique Auteurs : Batuhan Gencer ; Özgür Dogan ; Volkan Igdir ; Ahmet Çulcu ; Emrah Caliskan ; Ali Biçimoglu Année de publication : 2022 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / chirurgie
[Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / complications
[Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / thérapie
[Thésaurus Mesh]Fractures du tibiaMots-clés : Consolidation de fracture Résumé : Background: Tibia pilon fractures are associated with high complication rates, decreased quality of life, and low patient satisfaction. Although many factors such as reduction quality and softtissue coverage have been identified, researchers continue to investigate the factors that affect healing in tibia pilon fractures. Our objective was to investigate the effect of initial fracture crack width and displacement degree on clinical functional results in tibia pilon fractures. Methods: In this retrospective cohort study, 40 patients with Arbeitsgemeinschaft für Osteosynthesefragen and Orthopaedic Trauma Association type 43B and 43C tibia pilon fractures and operated on through the extensile anteromedial approach were analyzed. The demographic data of the patients, injury mechanisms, fracture type, reduction quality, clinical results, and postoperative complications were recorded. To evaluate the objective quantity of initial fracture crack width and displacement, a new parameter was defined: “fracture area.” All measurements were conducted using a feature from the picture archiving and communication system on anteroposterior and lateral radiographs taken separately in standard fashion. Results: With an average follow-up period of 29.2 months (range, 24–40 months), 34 patients (85%) had excellent or good results, whereas only two patients (5%) had poor clinical results. Age, injury mechanism, and reduction quality have a significant relationship with Maryland Foot Score (P , .001, P , .037, and P , .001, respectively). Preoperative fracture area, measured on both the anteroposterior and the lateral views, are significantly related to both Ovadia-Beals Score and Maryland Foot Score (P , .001 for each). Conclusions: Preoperative fracture area measurement has a major effect on healing of tibia pilon fractures. Increased initial fracture area is correlated with poor clinical functional results. High-energy injuries, older age, and poor reduction quality are also related to worse clinical outcomes. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Tibia Fracture in Staged Limb Salvage Using External Ring Fixation and Intramedullary Nailing : A Report of Two Cases / Nicholas S Powers in Journal of the American Podiatric Medical Association, vol. 110, 03 (Mai-juin 2020)
[article]
in Journal of the American Podiatric Medical Association > vol. 110, 03 (Mai-juin 2020)
Titre : Tibia Fracture in Staged Limb Salvage Using External Ring Fixation and Intramedullary Nailing : A Report of Two Cases Type de document : article de périodique Auteurs : Nicholas S Powers ; Jason St John ; Patrick Burns Année de publication : 2020 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / chirurgie
[Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / complications
[Thésaurus Mesh]Arthropathie nerveuse
[Thésaurus Mesh]Fixateurs externes
[Thésaurus Mesh]Fractures du tibiaMots-clés : diaphyse tibiale fixation intramédullaire Résumé : Limb salvage for Charcot's neuroarthropathy has been shown to have high complication and failure rates. The aim of our report of two cases it to present a unique complication encountered with staged limb salvage for Charcot's neuroarthropathy. In two cases, patients developed delayed tibial shaft fracture associated with previous wire placement despite insertion of locked intramedullary nail fixation that spanned the delayed fracture. Both patients experienced fractures following advancement of weight after definitive fixation. In both patients, there was noted complication with the sites of the pins and revision of external fixation before fracture. In each case, the fracture was within the construct of the intramedullary fixation and successfully treated with an extended course of nonweightbearing. Complications of external fixation and intramedullary fixation are well reported within the literature; however, tibia fracture is rare. Based on these cases, it would seem prudent to recognize the risk of delayed pin-site complications and ensure adequate length of intramedullary fixation to span the potential areas of stress. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire