Intramedullary Steinmann pin nailing of the ulna: an option for the damage control orthopedics treatment of forearm fractures in open injuries in polytraumatized patients – A description of the technique and presentation of a case series

Injury ◽  
2021 ◽  
Author(s):  
Karin Veronica Kollnberger ◽  
Fernando Brandão de Andrade e Silva ◽  
Marcelo Tadeu Caiero ◽  
Marcos de Camargo Leonhardt ◽  
Paulo Roberto dos Reis ◽  
...  
Keyword(s):  
Damage Control ◽  
Case Series ◽  
Forearm Fractures ◽  
Damage Control Orthopedics ◽  
Open Injuries ◽  
Steinmann Pin

scholarly journals Functional outcome of diaphyseal fractures of forearm in adolescents treated with TENS

2019 ◽  
Vol 5 (3) ◽  
pp. 69
Author(s):  
Divyanshu Goyal ◽  
S. L. Sharma ◽  
Laxmikant Meena ◽  
Ravindra Lamoria ◽  
Mahesh Bansal
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Case Series ◽  
Age Group ◽  
Forearm Fractures ◽  
Retrospective Case ◽  
Superficial Infection ◽  
Fractures In Children ◽  
Case Series Study ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> A retrospective case series study was done on forearm diaphyseal fracture in adolescents treated with TENS (titanium elastic nailing system). Purpose of the study was analysis of functional outcome of TENS in forearm diaphyseal fractures in children between 12-18 year age group.</p><p class="abstract"><strong>Methods:</strong> We retrospectively evaluated 30 patients operated by same senior surgeon during the period from March 2014 to February 2015 with closed diaphyseal forearm fractures in age group 12–18 years treated with TENS in whom closed reduction could not be achieved. Nail diameter taken as 33-40% of narrowest diameter of diaphysys were introduced proximally in ulna and distally in radius under image intensifier in closed manner. Postoperatively, patients encouraged for active shoulder, elbow and finger movements and suture removal done after 2 weeks. Patients were followed up for minimum period of one year.  </p><p class="abstract"><strong>Results:</strong> In terms of union and range of motion using Anderson et al criteria 24 patients had excellent results, 4 patients had satisfactory results and one patient had poor result having non-union of ulna. Two patients had superficial infection at the nail entry site which eventually resolved. One patient lost for follow up.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that TENS in both bone forearm fractures in adolescent age group in terms of union and range of motion is a minimally invasive and effective method of fixation.</p>

Mass Casualties and Damage Control Orthopedics

2016 ◽  
pp. 205-215
Author(s):  
Philipp Mommsen ◽  
Christian Macke ◽  
Christian Krettek
Keyword(s):  
Damage Control ◽  
Mass Casualties ◽  
Damage Control Orthopedics

Limb Damage Control Orthopedics

2011 ◽  
pp. 29-41 ◽  
Author(s):  
Madhusudhan Yakkanti ◽  
Cyril Mauffrey ◽  
Craig S. Roberts
Keyword(s):  
Damage Control ◽  
Damage Control Orthopedics

scholarly journals Definitive fixation of pelvic and acetabular fractures – current concepts

2021 ◽  
Vol 86 (3) ◽  
pp. 80-82
Author(s):  
Michał Kułakowski ◽  
◽  
Paweł Reichert ◽  
Karol Elster ◽  
Wojciech Piotrowski
Keyword(s):  
Pelvic Ring ◽  
Damage Control ◽  
Treatment Strategies ◽  
Mortality Rates ◽  
Pelvic Trauma ◽  
Definitive Treatment ◽  
Acetabular Fractures ◽  
Inclusion Criteria ◽  
Damage Control Orthopedics ◽  
Final Treatment

Introduction. The most challenging injury in orthopedic surgery is pelvic trauma. There are different concepts of treatment strategies, specially in final treatment of pelvic ring and acetabular fractures. Objectives. Analysis of recent studies and evaluation of treatment methods. Materials and Methods. Analysis of 22 recent studies. Five papers met our inclusion criteria, that equated 745 patients. Results. Patients hemodynamically unstable need to be resuscitated and „damage control” orthopedics is widely accepted method. Definitive treatment after fourth day should be performed. Some papers show that early, within 48 hours, definitive treatment of pelvic ring and acetabular fractures give similar or better results. Conclusions. Tendency to early definitive treatment is widely observed and decreases mortality rates and complications.

scholarly journals EVALUATION OF DISTAL FOREARM FRACTURES USING THE AO 2018 CLASSIFICATION

2019 ◽  
Vol 27 (4) ◽  
pp. 220-222
Author(s):  
Alysson Figueiredo Nogueira ◽  
Lucas Moratelli ◽  
Marcela dos Santos Martins ◽  
Ricardo Torres Iupi ◽  
Marcos Felipe Marcatto de Abreu ◽  
...  
Keyword(s):  
Case Series ◽  
Tertiary Hospital ◽  
Common Type ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Level Of Evidence ◽  
Ulnar Fracture ◽  
Limb Fractures ◽  
Distal Forearm Fractures ◽  
Age And Sex

ABSTRACT Objective: Distal forearm fractures are among the most common upper limb fractures in all ages, and many classifications have been proposed to describe them. Recently, a new version of AO/OTA classification was proposed. The aim of this study is to use the AO/OTA 2018 classification to report the epidemiology of distal forearm fractures in adults treated at a single center. Methods: A retrospective analysis of the initial radiographs obtained from cases of distal forearm fractures in an orthopedic emergency room at a single tertiary hospital. Results: Three hundred twenty-two cases were studied, aged 50.35 ± 18.98 years, 55.3% were female and 44.7% were right-sided. Type 2R3A, 2R3B and 2R3C fractures corresponded to 32.3%, 18.0% and 48.4% of the cases, respectively. Distal ulnar fracture was present in 41.9%. There was a correlation between age and sex: 78.3% of the subjects aged under 30 years were male, and 80.6% of those aged over 60 years were female (p<0.001). Conclusion: The most common type of radial fractures was 2R3C, and the most common type of ulna fracture was 2U3A1.1. There was a correlation between age and sex. Level of evidence IV, Case-series.

scholarly journals Ulnar Nerve Injuries Post Closed Forearm Fractures in Paediatric Population: A Review of the Literature

2019 ◽  
Vol 13 ◽  
pp. 117955651984187
Author(s):  
Ioannis M Stavrakakis ◽  
Ioannis I Daskalakis ◽  
George E Magarakis ◽  
Zacharias Christoforakis ◽  
Maria S Katsafarou
Keyword(s):  
Ulnar Nerve ◽  
Case Reports ◽  
Case Series ◽  
Paediatric Population ◽  
Forearm Fractures ◽  
Review Of The Literature ◽  
Nerve Injuries ◽  
Fractures In Children ◽  
Ulnar Nerve Injury ◽  
Relative Case

Ulnar nerve injury as a result of closed forearm fractures in children is a rare but disastrous complication, affecting significantly the function of the upper extremity. The management of these injuries is still controversial in the literature. This is a review of small case series and case reports, in which an algorithm of treatment is proposed. A brief description of a relative case, which was treated successfully in our department, is presented as well. This case motivated the authors to perform this study.

STRATEGY OF EARLY DIFFERENTIATED TRAUMATOLOGICAL CARE IN TREATMENT OF VICTIMS WITH SEVERE COMBINED TRAUMA AND POLYTRAUMA WITH LONG TUBULAR BONES FRACTURES

2020 ◽  
pp. 112-118
Author(s):  
Khromov A.A. ◽  
Fadeev D.M. ◽  
Tkachenko A.N.
Keyword(s):  
Intensive Care ◽  
Trauma Care ◽  
Damage Control ◽  
Long Term Results ◽  
Organizational System ◽  
Damage Control Orthopedics ◽  
The Third ◽  
Third Stage ◽  
Tubular Bones

Introduction. With the new organizational system, victims with severe concomitant trauma (TCT) and political injuries are allocated to a separate stream upon admission to the hospital, undergo damage diagnostics in the anti-shock ward, after which they are sent either to the anti-shock operating room when indications for an emergency operation are established or to the intensive care unit and intensive care for prolonged diagnosis and intensive care. Materials and methods. The analysis of the methods of treatment of 413 patients with fractures of long bones with severe concomitant trauma (TCT) and polytrauma, who received treatment using the strategy of "Differentiated early trauma care" and in relation to the treatment of fractures of long tubular bones with TCT and polytrauma of three tactics: 1 ) tactics of early (within 24 hours from the moment of injury) full volume of trauma care "Early total care" (ETC); 2) tactics of programmed multistage surgical treatment of fractures of the DTC "Damage control orthopedics" (DCO); 3) tactics of early individualized volume of trauma care "Early appropriate care" (EAC). Results. In the present study, 189 victims approached the third stage of DCO tactics: of all 413 patients studied with TST and polytrauma of the main array, 158 were performed ETC, 66 victims died - 189 remained. Of these 189 victims, the third stage of DCO tactics was performed by 116 (61.4%), and in 73 patients (38.6%) the third stage of DCO tactics was not performed due to a serious condition or long-term infectious complications. Long-term results of treatment were assessed as positive

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