scholarly journals The Clinical Effect of Manual Reduction Combined with Internal Fixation Through Wiltse Paraspinal Approach in the Treatment of Thoracolumbar Fracture

2021 ◽  
Author(s):  
Yongzhen Li ◽  
Yukun Du ◽  
Aiyu Ji ◽  
Qizun Wang ◽  
Luxue Li ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Clinical Effect ◽  
Thoracolumbar Fracture ◽  
Manual Reduction ◽  
Paraspinal Approach

A Comparative Analysis of Outcome of Open Reduction and Internal Fixation of Mandibular Fracture With or Without Intermaxillary Fixation

2021 ◽  
Vol 15 (8) ◽  
pp. 2181-2183
Author(s):  
Sadiq Ali ◽  
Ashfaq-ur- Rahim ◽  
Muhammad Nauman ◽  
Tannaza Qayyum ◽  
Urooj Kirmani ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Posterior Arch ◽  
Intermaxillary Fixation ◽  
Mandible Fracture ◽  
Manual Reduction ◽  
Severity Scores ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Aim: To evaluate the difference and functional outcome between open reduction and internal fixation (ORIF) and intermaxillary fixation (IMF) in mandibular fractures. Study Design: Retrospective study. Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Faryal Dental College, Sheikhupura, Lahore from 1st February 2019 to 31st January 2021. Methodology: One hundred and fifty seven patients treated for fractures of mandible and reviewed their prognosis based on use of intermaxillary fixation after reduction of fracture. The patients were divided into two groups; Manual reduction group without the intermaxillary fixation and the intermaxillary fixation group. Results: Good results have been obtained in most patients after mandible fracture reduction. However, complications occurred in 19 (27.5%) patients in group 2 after surgery. 6 patients had an infection, 4 patients had a wound dehiscence, and 4 patients had osteomyelitis. No loosening of the mounting bolts and/or crack of the mounting plates was observed. Correct occlusion was achieved using posterior arch wires and elastic rings in 2 malocclusion patients. Occlusion failed in two patients in Group 1 due to osteomyelitis, and the second operation was performed under general anaesthesia. The mean complication severity scores for Group 1 and Group 2 were 1.37 and 1.38, respectively, with no significant difference. Conclusion: Among the patients treated with manual reduction, 2 patients had malocclusion and 1 patient required a new surgery. Such a simple mandible fracture can give good results even with manual reduction without intermaxillary fixation. For a simple mandible fracture, only manual reduction without intermaxillary fixation or intermaxillary fixation was recommended for a short time. Key words: Complication, Fracture, Internal fixation, Mandible

Clinical Effect of Vertebral Column Decancellation Osteotomy Combined with Ponte Osteotomy in Elderly Patients with Old Thoracolumbar Fracture Combined with Kyphosis Deformity

2021 ◽  
Vol 7 (5) ◽  
pp. 3878-3887
Author(s):  
Tongtong Zhang ◽  
Chao Kong ◽  
Xiangyao Sun ◽  
Wei Wang ◽  
Shudong Jiang ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Cobb Angle ◽  
Vertebral Column ◽  
Clinical Effect ◽  
Life Quality ◽  
Thoracolumbar Fracture ◽  
Thoracolumbar Kyphosis ◽  
Ponte Osteotomy ◽  
Vas Score

Objective. The purpose of this study was to investigate the clinical effect of vertebral column decancellation (VCD) osteotomy combined with Ponte osteotomy in elderly patients withold thoracolumbar fracture combined with kyphosis deformity.Methods.36 elderly patients with old thoracolumbar fracture combined with kyphosis deformity admitted to our hospital from August 2015 to November 2018 were selected as the study subjects, and all of them were treated with VCDosteotomy combined with Ponte osteotomy.The Cobb angle of thoracolumbar kyphosis, sagittal vertical axis (SVA), visual analog scale (VAS) score.Oswestry disability index (ODI) and life quality were compared at 1 week before and after surgery as well as at the last follow-up. Results. ® All the 36 patients underwent the surgery successfully without serious complications, with the average duration of surgery of (5.13±0.62) h, average blood loss of (821.58±142.67) ml and average hospital stay of (14.02±2.43) d. (2) The Cobb angle of thoracolumbar kyphosis and SVA at 1 week after surgery and at the last follow-up were smaller than those at 1 week before surgery (P < 0.01), but the Cobb angle of thoracolumbar kyphosis and SVA at the last follow-up were slightly larger than those at 1 week after surgery (P < 0.01). (3) The VAS score and ODI score at 1 week after surgery and at the last follow-up were lower than those before surgery (P < 0.01), and the VAS score and ODI score at the last follow-up were lower than those at 1 week after surgery (P < 0.01). @ The scoliosis research society 22-item (SRS-22) score at the last follow-up was higher than that before surgery (P < 0.01). Conclusion. VCD osteotomy combined with Ponte osteotomy in the treatment of old thoracolumbar fracture combined with kyphosis deformity in the elderly can reduce the Cobb angle of thoracolumbar kyphosis, improve sagittal balance, reduce pain symptoms and functional disorders, and improve patents’ life quality, having a good clinical effect.

scholarly journals Characteristics and management of iatrogenic proximal humeral fracture during manual reduction of shoulder dislocation

2019 ◽  
Author(s):  
Yan Zhou ◽  
Jianghua Ming ◽  
Shiqing Liu
Keyword(s):  
Internal Fixation ◽  
Revision Surgery ◽  
Shoulder Dislocation ◽  
Functional Outcomes ◽  
Proximal Humeral Fracture ◽  
Humeral Fracture ◽  
Anterior Shoulder Dislocation ◽  
Manual Reduction ◽  
The Mean ◽  
First Time

Abstract Purpose This study aimed to investigate the characteristics, management and patient outcomes of iatrogenic proximal humeral fracture during manual reduction of shoulder dislocation. Methods A retrospective chart review from January 2014 to June 2017 identified 10 patients of iatrogenic proximal humeral fracture during shoulder dislocation reduction. The sex and age of patients, associated injuries and location, first-time or habitual shoulder dislocation, the type of anesthesia, the time from injury to revision surgery as well as functional outcomes were analyzed. Results There were 1 male and 9 females (female/male ratio 9:1) with an average age of 66.9 years (range, 50-77 years). All patients presented with first-time anterior shoulder dislocation, and 7 patients (70%) associated with greater tuberosity fractures (GTF). Four patients (40%) underwent reduction under general anesthesia and 6 reduction (60%) under propofol sedation. The revision surgery was performed by open reduction and internal fixation. The mean follow-up period was 18.2 months (range, 12–36 months). The mean visual analog score (VAS) was 3.0 ± 1.6 (range, 1-6), and the mean Neer scores were 82.1 ± 6.5 (range, 71-93). Significant differences were observed in the Neer score and VAS with the time (more or less 8 h) from injury to revision surgery (P < 0.05). Conclusion A high risk of iatrogenic proximal humeral fracture is present in first-time anterior shoulder dislocation with GTF in senile female. Effective reduction and internal fixation performed timely may help to improve functional outcomes in case of iatrogenic injury.

scholarly journals Posterior internal fixation plus vertebral bone implantation under navigational aid for thoracolumbar fracture treatment

2013 ◽  
Vol 6 (1) ◽  
pp. 152-158 ◽  
Author(s):  
WEI ZHOU ◽  
WEIQING KONG ◽  
BIZHEN ZHAO ◽  
YISHAN FU ◽  
TAO ZHANG ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Thoracolumbar Fracture ◽  
Fracture Treatment ◽  
Vertebral Bone ◽  
Navigational Aid

Analysis of Clinical Effect of Interbody Fusion and Internal Fixation on Degenerative Scoliosis

2021 ◽  
Vol 7 (5) ◽  
pp. 1373-1377
Author(s):  
Lei Sun ◽  
Xiaoren Wang ◽  
Haifeng Guo ◽  
Dongwei Yang
Keyword(s):  
Internal Fixation ◽  
Cobb Angle ◽  
Interbody Fusion ◽  
Clinical Effect ◽  
Clinical Symptoms ◽  
Linear Regression Analysis ◽  
Adjacent Segment ◽  
Degenerative Lumbar Scoliosis ◽  
Degenerative Scoliosis

In this study, we analyzed the clinical effect of interbody fusion and internal fixation on degenerative scoliosis. Methods: After degenerative lumbar scoliosis (DLS) surgery, patients were retrospectively evaluated using VAS (Visual Analogue Scale) and ODI (Oswestry Disability Index) to evaluate clinical efficacy. All patients underwent posterior lumbar decompression laminectomy, pedicle screw internal fixation and posterolateral bone graft fusion.Imaging measurements include scoliosis Cobb angle, fusion Cobb angle, intervertebral angle (AIA), sagittal intervertebral angle (SIA), and lumbar lordosis angle. The relationship between these parameters was tested by binary Pearson analysis and linear regression analysis. Results: Before surgery, the Cobb angle of the scoliosis segment was 15.3°, and it dropped to 10.1° immediately after the operation (P <0.05). Compared with preoperative and postoperative values (2.4°2.7 and 2.1 °2.3, respectively; P <0.05), AIA increased significantly (4.3°3.3) at the last follow-up. However, scoliosis Cobb angle and AIA were not related to VAS or ODI scores. At the final follow-up, no patients developed pseudoarthritis or internal device-related complications. Conclusion: Intervertebral bone fusion and internal fixation resulted in limited DLS correction, and the correction effect decreased over time. The AIA between the upper adjacent segment and the proximal fusion vertebrae continues to increase after surgery, but it does not worsen the clinical symptoms, which is reflected in the lower reoperation rate of the adjacent level of repair recurrence rate.

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