The pivotal role of the coronal fracture line for a new three-dimensional CT-based fracture classification of bicondylar proximal tibial fractures

Injury ◽  
2017 ◽  
Vol 48 (10) ◽  
pp. 2214-2220 ◽  
Author(s):  
Robert Pätzold ◽  
Jan Friederichs ◽  
Christian von Rüden ◽  
Stephanie Panzer ◽  
Volker Bühren ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Tibial Fractures ◽  
Fracture Line ◽  
Pivotal Role ◽  
Fracture Classification ◽  
Proximal Tibial Fractures

scholarly journals Evaluation of Letournel and Judet Classification of Acetabular Fracture with Plain Radiographs and Three-Dimensional Computerized Tomographic Scan

2000 ◽  
Vol 8 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Boonyarak Visutipol ◽  
Pornchai Chobtangsin ◽  
Bunyat Ketmalasiri ◽  
Narongchai Pattarabanjird ◽  
Namchai Varodompun
Keyword(s):  
Ct Scan ◽  
Acetabular Fracture ◽  
Interobserver Reliability ◽  
Three Dimensional ◽  
Fracture Line ◽  
3D Ct ◽  
Plain Radiographs ◽  
Intraobserver Reproducibility ◽  
3D Ct Scan

Letournal and Judet classification of acetabular fracture is widely used. The classification is based on the identification of fracture lines on plain radiographs. Three-dimensional CT scan was claimed to give a better view of the fracture line. Our study showed that intraobserver reproducibility and interobserver reliability were almost the same when classification was done by using plain radiographs and 3D-CT scan. And 3D-CT scan did not increase either the interobserver reliability or the intraobserver reproducibility in classifying the fracture.

scholarly journals Classification of proximal tibial fractures in children

2009 ◽  
Vol 3 (3) ◽  
pp. 191-197 ◽  
Author(s):  
Scott J. Mubarak ◽  
Jung Ryul Kim ◽  
Eric W. Edmonds ◽  
Maya E. Pring ◽  
Tracey P. Bastrom
Keyword(s):  
Tibial Fractures ◽  
Fractures In Children ◽  
Proximal Tibial Fractures

The Role of Three-Dimensional Endoanal Ultrasound on Diagnosis and Classification of Sphincter Defects After Childbirth

2019 ◽  
Vol 244 ◽  
pp. 382-388 ◽  
Author(s):  
Patricia Tejedor ◽  
Javier Plaza ◽  
Ignacio Bodega-Quiroga ◽  
Mario Ortega-López ◽  
Damián García-Olmo ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Endoanal Ultrasound ◽  
Sphincter Defects ◽  
Diagnosis And Classification

scholarly journals Economics of open tibial fractures: the pivotal role of length-of-stay and infection

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Harm Hoekstra ◽  
Bart Smeets ◽  
Willem-Jan Metsemakers ◽  
Anne-Cécile Spitz ◽  
Stefaan Nijs
Keyword(s):  
Length Of Stay ◽  
Tibial Fractures ◽  
Pivotal Role ◽  
Open Tibial Fractures

scholarly journals Classification of Proximal Tibial Fractures and Algorithm of Intramedullary Nailing: Efficacy Evaluation

2021 ◽  
Vol 27 (4) ◽  
pp. 42-52
Author(s):  
Anton A. Semenistyy ◽  
Elena A. Litvina ◽  
Andrey N. Mironov
Keyword(s):  
Quality Of Life ◽  
Intramedullary Nailing ◽  
Tibial Fractures ◽  
Fracture Reduction ◽  
Proximal Tibial Fractures ◽  
Sf 36 ◽  
Group 2 ◽  
Group 1

Background. Intramedullary nailing of proximal tibial fractures is challenging due to difficulties with fracture reduction and achievement of stable fixation. Preoperative planning based on proximal fragment length, fracture pattern and bone quality evaluation is a prerequisite for a successful operation. However, there is no classification that could adequately access these factors and guide us towards the most effective methods of fracture reduction and fixation with intramedullary nail. The purpose of this study was to evaluate a classification of extra-articular proximal tibial fractures and algorithm for intramedullary nailing in clinical conditions. Materials and Methods. We compared the treatment outcomes before (Group 1) and after (Group 2) the introduction of the new PFL-TN classification algorithm of intramedullary nailing of proxamal tibial fractures. The group 1 included 43 patients from 18 to 71 years old (males 28; females 15; average age 44.52.0 years). The group 2 included 42 patients from 18 to 72 years old (males 30; females 12; average age 46.12.0 years). The data analysis was carried out after a minimum follow-up period of 12 months. The results were analyzed by the following criteria: reduction quality assesed with reduction quality scale, number of complications, quality of life with SF-36 questionnaire and leg function with LEFS scale. Results. The introduction of the proposed algorithm allowed to reduce the number of late complications by more than 5 times, and the number of required additional surgical interventions by more than 4 times compared to with a control group. The introduction of the proposed algorithm made it possible to improve the functional outcomes 1 year after surgery from 83.58 to 93.29% (p = 0.00002) by the LEFS scale, and the patients quality of life from the 77.501.88 to 86.712.03 points (p = 0.00072) and from the 81.251.88 to 86.842.26 points (p = 0.00116) by the physical and role functioning scales SF-36 questionnaire. Conclusion. The proposed algorithm, based on the new classification, allows to optimize the surgical technique of intramedullary nailing of proximal tibial fractures.

scholarly journals Correlation Between the Fracture Line Plane and Perioperative Deep Vein Thrombosis in Patients with Tibial Fracture

2021 ◽  
Vol 27 ◽  
pp. 107602962110672
Author(s):  
Xiao Cai ◽  
Zhan Wang ◽  
Xiao-long Wang ◽  
Han-zhong Xue ◽  
Zi-jun Li ◽  
...  
Keyword(s):  
Protective Factor ◽  
Distal Segment ◽  
Tibial Fractures ◽  
Fracture Line ◽  
Proximal Segment ◽  
Logistic Regression Models ◽  
Vein Thrombosis ◽  
Distal Shaft ◽  
Deep Vein

Objective To explore the correlation between the fracture line inferior plane and perioperative deep venous thrombosis (DVT) in patients with tibial fractures. Methods Data was collected from the medical records of 536 consecutive patients with tibial fractures at Xi’an Honghui Hospital. The patients were divided into distal, shaft, and proximal segment groups according to the fracture line inferior plane on radiographs. Multivariate logistic regression models were used to identify the role of the inferior plane of the fracture line in perioperative DVT. Results A total of 431 patients were included in the study and 226 patients had perioperative DVT in the lower extremities, including 11 proximal and 215 distal DVTs. Univariate regression analysis showed a significant correlation between the proximal segment and perioperative DVT; however, no correlation was found in the shaft segment group. Additionally, age, coronary heart disease, associated injuries, and time to operation ≥6 days were risk factors for perioperative DVT. However, fixation with intramedullary nails may be a protective factor for perioperative DVT compared with plates. After adjusting for potential confounding factors, the proximal segment group had an increased incidence of perioperative DVT compared to the distal segment group. Conclusions The proximal segment may be correlated with an increased incidence of perioperative DVT by 7.30-fold in patients with tibial fractures compared to that in the distal segment. In clinical practice, surgeons should be vigilant for DVT formation in these patients.

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