scholarly journals Real-World Infection and Non-Union Rates Associated With Closed or Open Fractures of the Tibial Shaft Requiring Open Reduction and Internal Fixation

2018 ◽  
Vol 21 ◽  
pp. S176-S177
Author(s):  
AS Chitnis ◽  
M Vanderkarr ◽  
C Sparks ◽  
J McGlohorn ◽  
CE Holy
Keyword(s):  
Internal Fixation ◽  
Real World ◽  
Open Reduction ◽  
Open Fractures ◽  
Tibial Shaft ◽  
Non Union

scholarly journals Complications in type III open tibial shaft fractures treated with open reduction and internal fixation

2019 ◽  
Vol 8 (11) ◽  
pp. 907-915
Author(s):  
Abhishek S Chitnis ◽  
Mollie Vanderkarr ◽  
Charisse Sparks ◽  
Jonathan McGlohorn ◽  
Chantal E Holy
Keyword(s):  
Internal Fixation ◽  
Generalized Linear Models ◽  
Open Reduction ◽  
Linear Models ◽  
Emergency Room Visit ◽  
Tibial Shaft ◽  
Type Iii ◽  
Healthcare Burden ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

Aim: To estimate rates of fracture-related infection (FRI) and nonunion and assess the healthcare burden associated with FRI among patients with open reduction and internal fixation (ORIF) for Type III open tibial shaft fractures (TSFs). Methods: Patients with type III TSF requiring ORIF were identified using MarketScan® Database. Healthcare utilization and total costs were compared using generalized linear models. Results: The rates of FRI and nonunion were 35.99 and 36.94%, respectively, at 365 days. Patients with FRI had a significantly higher rate of readmission, emergency room visit and total healthcare costs compared with patients without FRI. Conclusion: Patients with an ORIF procedure for Type III TSF have a high risk of FRI and nonunion and; FRI significantly increased the healthcare burden.

A Clinical Study of Comminuted Fractures of the Tibial Shaft Treated by Open Reduction and Internal Fixation with D.C.P.

1988 ◽  
Vol 23 (2) ◽  
pp. 371
Author(s):  
Ik Dong Kim ◽  
Soo Young Lee ◽  
Poong Taek Kim ◽  
Byung Chul Park ◽  
Young Wook Choi ◽  
...  
Keyword(s):  
Clinical Study ◽  
Internal Fixation ◽  
Open Reduction ◽  
Tibial Shaft ◽  
Comminuted Fractures

scholarly journals Non -Union of Lateral Hoffa Fracture - A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Amit Supe ◽  
Shubham Atal ◽  
Neetin P Mahajan ◽  
Prasanna Kumar. G S ◽  
Amey Sadar ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Femoral Condyle ◽  
Left Knee ◽  
X Rays ◽  
Non Union ◽  
Hoffa Fracture ◽  
History Of ◽  
Missed Diagnosis

Introduction: Hoffa is a coronal fracture of the femoral condyle. It is an uncommon injury easily missed on X-rays, which later presents as a non-union. Computed tomography (CT) scan knee helps in diagnosing undisplaced fractures and planning the management. Case Report: A 24-year-old male patient presented to us with complaints of pain, decreased range of knee movements, difficulty in walking and clicking sound at the left knee for 9 years. The patient had a history of trauma 9 years back. X-ray of the left knee showed the non-union of left lateral Hoffa fracture, which was managed with open reduction and internal fixation with CC screws using the lateral para patellar approach. At present 1.5 years follow-up, the patient is comfortable with no pain and having a complete knee range of motion. Conclusion: Although Hoffa fracture is rare, clinical suspicion, along with radiological investigations, is essential to diagnose Hoffa fracture. A missed diagnosis can lead to malunion or non-union, which predisposes to knee arthritis. Timely and proper management of Hoffa non-union with open reduction, stable internal fixation and early knee mobilization help in getting a better outcome. Keywords: Lateral Hoffa fracture, non-union, internal fixation, functional outcome.

scholarly journals Protocol of BRICS: Brazilian multicentric pragmatic randomised trial of surgical interventions for displaced diaphyseal clavicle fracture study: MIPO versus ORIF for the treatment of displaced midshaft clavicle fractures

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e052966
Author(s):  
Adriano Fernando Mendes Jr. ◽  
Rodrigo Fleury Curado ◽  
Jair Moreira Dias Jr. ◽  
José Da Mota Neto ◽  
Oreste Lemos Carrazzone ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Skin Irritation ◽  
Randomised Trial ◽  
Implant Failure ◽  
Minimally Invasive Osteosynthesis ◽  
Non Union ◽  
Clavicle Fractures

IntroductionFractures of the diaphysis of the clavicle are common; however, treatment guidelines for this condition are lacking. Surgery is associated with a lower risk of non-union and better functional outcomes but a higher risk of complications. Open reduction and internal fixation with plates and screws are the most commonly performed techniques, but they are associated with paraesthesia in the areas of incisions, extensive surgical exposure and high rates of implant removal. Minimally invasive techniques for treating these fractures have a lower rate of complications. The aim of this study is to evaluate which surgical treatment option (minimally invasive osteosynthesis or open reduction and internal fixation) has better prognosis in terms of complications and reoperations.Methods and analysisThe study proposed is a multicentric, pragmatic, randomised, open-label, superiority clinical trial between minimally invasive osteosynthesis and open reduction and internal fixation for surgical treatment of patients with displaced fractures of the clavicle shaft. In the proposed study, 190 individuals with displaced midshaft clavicle fractures, who require surgery as treatment, will be randomised. The assessment will occur at 2, 6, 12, 24 and 48 weeks, respectively. The primary outcome of the study will be the number of complications and reoperations. For sample size calculation, a moderate effective size between the techniques was considered in a two-tailed test, with 95% confidence and 90% power. Complications include cases of infection, hypertrophic scarring, non-union, refracture, implant failure, hypoesthesia, skin irritation and shoulder pain. Reoperations are defined as the number of surgeries for pseudoarthrosis, implant failure, infection and elective removal of the implant.Ethics and disseminationStudy approved by the institutional ethics committee (number 34249120.9.0000.5505—V.3). The results will be disseminated by publications in peer-reviewed journals and presentations in medical meetings.Trial registration numberRBR-3czz68)/UTN U1111-1257-8953.

scholarly journals Functional and radiological assessment of displaced midshaft clavicle fractures treated through open reduction and internal fixation surgery using pre-contoured locking compression plates

2020 ◽  
Vol 7 (7) ◽  
pp. 2261
Author(s):  
Rohil Singh Kakkar ◽  
Deepak Mehta ◽  
Ankit Sisodia
Keyword(s):  
Internal Fixation ◽  
Functional Outcomes ◽  
Open Reduction ◽  
Radiological Assessment ◽  
Fracture Union ◽  
Contact Loading ◽  
Non Union ◽  
Locking Compression Plates ◽  
Clavicle Fractures

Background: Fractures of the clavicle constitute approximately 2.6% of all the fractures and nearly 44-66% of fractures around shoulder.Methods: This particular study is intended to assess the functional and radiological outcomes in a series of 32 patients with closed displaced midshaft clavicle fractures treated through open reduction and internal fixation surgery using pre-contoured clavicle locking compression plates.Results: All 32 patients achieved fracture union within 6 months follow up period. As per Constant-Murley scoring, 56.25% cases had excellent results, 34.37% cases had good, 6.25% cases had fair and 3.12% of the cases had poor results respectively.Conclusions: Open reduction and internal fixation surgery with pre-contoured locking compression plates in the displaced midshaft clavicle fractures restores the anatomy, biomechanics and contact loading characteristics of the clavicle and significantly reduces the incidence of non-union with improved functional outcomes resulting in better patient satisfaction.

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