Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for pelvic Day type II crescent fracture-dislocation: case-control study

Abstract Objective To investigate the clinical outcomes of percutaneous cross screws internal fixation for pelvic Day type II crescent fracture-dislocation. Methods We reviewed 66 consecutive patients undergoing surgical treatment for Day type II crescent fracture-dislocation from June 2005 to December 2017. Percutaneous cross screws internal fixation was performed in 40 patients, and open reduction and internal fixation was performed in 26 patients. The patient characteristics, surgical complications, radiographic and clinical outcomes and were compared. Results There was no statistically difference on the mean time from injury to surgery between the two groups. The time of operation, the amount of blood loss, the length of incision, and the hospital stay were significantly shorter in the percutaneous cross screws internal fixation group. No significant difference on Matta scores and Majeed scores between the two groups. The open reduction and internal fixation group resulted in a higher rate of intraoperative hemorrhage, nerve injury, discomfort, and pain. Conclusion Percutaneous cross screws internal fixation for Day II type pelvic crescent fracture-dislocation was safe and effective. Minimally invasive fixation had the advantages of short operation and hospitalization time, less intraoperative bleeding, and surgical trauma.

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Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for pelvic Day type II crescent fracture-dislocation: Case-control study

10.21203/rs.3.rs-27908/v2 ◽

2020 ◽

Author(s):

Guangheng Xiang ◽

Xiaoyu Dong ◽

Xingan Jiang ◽

Leyi Cai ◽

Jianshun Wang ◽

...

Keyword(s):

Internal Fixation ◽

Clinical Outcomes ◽

Open Reduction ◽

Patient Characteristics ◽

Fracture Dislocation ◽

Surgical Trauma ◽

Type Ii ◽

Fixation Group ◽

Significant Difference ◽

Minimally Invasive Fixation

Abstract Objective: To investigate the clinical outcomes of percutaneous cross screws internal fixation for pelvic Day type II crescent fracture-dislocation.Methods: We reviewed 66 consecutive patients undergoing surgical treatment for Day type II crescent fracture-dislocation from June 2005 to December 2017. Percutaneous cross screws internal fixation was performed in 40 patients, and open reduction and internal fixation was performed in 26 patients. The patient characteristics, surgical complications, radiographic and clinical outcomes and were compared.Results: There was no statistically difference on the mean time from injury to surgery between the two groups. The time of operation, the amount of blood loss, the length of incision and the hospital stay were significantly shorter in the percutaneous cross screws internal fixation Group. No significant difference on Matta scores and Majeed scores between the two groups. The open reduction and internal fixation Group resulted in a higher rate of intraoperative hemorrhage, nerve injury, discomfort and pain.Conclusion: Percutaneous cross screws internal fixation for Day Ⅱ type pelvic crescent fracture-dislocation was safe and effective. Minimally invasive fixation had the advantages of short operation and hospitalization time, less intraoperative bleeding and surgical trauma.

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Comparison of percutaneous cross screw fixation versus open reduction and internal fixation for Day type II crescent fracture-dislocation: Case-control study

10.21203/rs.3.rs-27908/v1 ◽

2020 ◽

Author(s):

Guangheng Xiang ◽

Xiaoyu Dong ◽

Xingan Jiang ◽

Leyi Cai ◽

Jianshun Wang ◽

...

Keyword(s):

Internal Fixation ◽

Clinical Outcomes ◽

Open Reduction ◽

Operation Time ◽

Patient Characteristics ◽

Fracture Dislocation ◽

Surgical Trauma ◽

Type Ii ◽

Significant Difference ◽

Minimally Invasive Fixation

Abstract Objective: To investigate the clinical outcomes of percutaneous cross screws internal fixation (PCSIF) for Day type II crescent fracture-dislocation (CFD). Methods: We reviewed 66 consecutive patients undergoing surgical treatment for Day type II CFD from June 2005 to December 2017. PCSIF was performed in 40 patients, and open reduction and internal fixation (ORIF) was performed in 26 patients. The patient characteristics, surgical complications, radiographic and clinical outcomes and were compared. Results: There was no statistically difference on the mean time from injury to surgery between the two groups. The time of operation, the amount of blood loss, the length of incision and the hospital stay were significantly shorter in the PCSIF Group. No significant difference on Matta scores and Majeed scores between the two groups. The ORIF Group resulted in a higher rate of intraoperative hemorrhage, nerve injury, discomfort and pain. Conclusion: PCSIF for Day Ⅱ type pelvic CFD was safe and effective. Minimally invasive fixation had the advantages of short operation time and hospitalization time, less intraoperative bleeding and less surgical trauma.

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Arthrodesis or Open Reduction Internal Fixation for Lisfranc Injuries: A Meta-analysis

Foot & Ankle Specialist ◽

10.1177/1938640020971419 ◽

2020 ◽

pp. 193864002097141

Author(s):

Christopher J. Levy ◽

David Yatsonsky ◽

Muhammad Z. Moral ◽

Jiayong Liu ◽

Nabil A. Ebraheim

Keyword(s):

Internal Fixation ◽

Revision Surgery ◽

Complication Rate ◽

Open Reduction ◽

Meta Analysis ◽

Open Reduction Internal Fixation ◽

T Test ◽

Fracture Dislocation ◽

Significant Difference ◽

Vas Scores

The purpose of this study is to determine if arthrodesis, compared with open reduction and internal fixation (ORIF), produces favorable American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores, and to determine if differences in complication, revision surgery, and secondary arthrodesis rates exist for patients with Lisfranc fracture/dislocation injuries. Searches were performed in PubMed using the keywords “Lisfranc fracture,” “metatarsal fracture,” “ORIF,” “open reduction internal fixation,” “arthrodesis,” and “fusion.” These criteria left 183 articles for review. Exclusions left 21 articles and 2 translations of Chinese abstracts. Data analysis was performed using Student’s 2-sample t test for samples of equal variance, and chi-square test for goodness of fit. The t test revealed a significant difference ( P = .03) between the average AOFAS score for patients who underwent primary arthrodesis (84.7 ± 6.14) compared with those who were treated with ORIF (78.9 ± 5.09). There was no significant difference for the average VAS scores ( P = .33) of the arthrodesis and ORIF groups. The complication rate of arthrodesis patients was significantly lower than ORIF patients ( P = .04), and the rates of revision surgery ( P = .22) and secondary arthrodesis ( P = .53) were not significant between the groups. The results of this study indicate that arthrodesis may be a better surgical option than ORIF, due to the higher functional scores and the lower complication rate. Levels of Evidence: Level III: A meta-analysis

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Comparative Study of Open Reduction and Internal Fixation and Primary Subtalar Arthrodesis for Sanders Type IV Intra-articular Calcaneal Fractures

Foot & Ankle Orthopaedics ◽

10.1177/2473011417s000411 ◽

2017 ◽

Vol 2 (3) ◽

pp. 2473011417S0004

Author(s):

Seunghun Woo ◽

Hyung Jin Chung ◽

Su-Young Bae ◽

Tae Sik Goh

Keyword(s):

Patient Satisfaction ◽

Internal Fixation ◽

Clinical Outcomes ◽

Open Reduction ◽

Calcaneal Fractures ◽

Subtalar Arthrodesis ◽

Type Iv ◽

Significant Difference ◽

The Mean

Category: Trauma Introduction/Purpose: To compare clinical outcome of Sanders type IV intra-articular calcaneal fracture treated with open reduction and internal fixation (ORIF) versus ORIF and primary subtalar arthrodesis (PSTA). Methods: Between March 2003 and November 2013, 22 patients with 22 Sanders type IV intra-articular calcaneal fractures were included in this study. Of these, 11 feet were treated with ORIF (ORIF group), 11 feet were treated with ORIF and PSTA (PSTA group). The mean follow-up periods was 34.6 months (range, 18-72 months). Clinical outcomes were assessed along with the American Orthopaedic Foot and Ankle Society’s Ankle-Hindfoot Scale (AOFAS score), the Visual Analog Scale Pain score (VAS score) at 6-, 12 month, and last follow-up. The patient satisfaction, returning to previous occupation and postoperative complications were also investigated. Results: Complete bone union were achieved in all patients. No statistical difference was found between the results for ORIF compared with PSTA: the mean preoperative Bohler angle were, respectively, -3.2±9.2 and -6.6±12.7 degrees (p=0.475); the mean last follow-up AOFAS scores were 73.8±14.9 and 80.5±4.6 (p=0.795); the mean VAS last follow-up VAS scores were 29.7±20.6 and 23.4±10.0 (p=0.986). Secondary subtalar arthrodesis were conducted in 5 patients (45.5%) of ORIF group due to subtalar osteoarthritis symptom within 2 years, postoperatively. Conclusion: We were unable to demonstrate a significant difference of clinical outcomes between ORIF and PSTA however, the patient satisfaction was higher in the PSTA group. PSTA may be considerable choice for patients who need fast recovery to daily activity and to prevent the need for secondary subtalar arthrodesis.

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Biodegradable pins for lateral condylar fracture of the humerus with an early delayed presentation in children: a retrospective study of biodegradable pin vs. Kirschner wire

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03774-5 ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Jin Li ◽

Saroj Rai ◽

Yun Gao ◽

Renhao Ze ◽

Xin Tang ◽

...

Keyword(s):

Internal Fixation ◽

Clinical Outcomes ◽

Open Reduction ◽

Kirschner Wire ◽

Good Alternative ◽

Delayed Presentation ◽

Condylar Fracture ◽

Fishtail Deformity ◽

Significant Difference

Abstract Background The clinical outcome of open reduction and internal fixation (ORIF) for delayed lateral condylar fracture of the humerus (LCFH) varies in different studies, but ORIF for LCFH with an early-delayed presentation usually resulted in significant improvement of elbow function. Early delayed presentation is defined as a period of 3 to 12 weeks from the injury. This study aims to compare the clinical outcomes of biodegradable pin (BP) vs. Kirschner wire (KW) in the treatment of LCFH with an early delayed presentation. Methods LCFH with an early-delayed presentation treated with KW or BP were retrospectively reviewed in our hospital. The patients were divided into two groups KW (n = 17) and BP group (n = 26). Baseline information, including sex, age, operative side, duration from injury to surgery, and implant choice, was reviewed. Radiographs and medical records were collected from the Hospital Database. Results In all, 17 patients (male/female, 9/8) in KW and 26 patients (male/female,13/13) in the BP group were included. The age showed no statistically significant difference between the KW (52.3 ± 10.2, month) and the BP (56.1 ± 10.7, month), (P = 0.258). At the last follow-up, there existed no statistically significant difference between the two groups concerning Baumann’s angle (P = 0.272) and carrying angle (P = 0.911). The MEPS at the last follow-up was better in the KW group (91.1 ± 2.7) than the BP group (89.2 ± 3.0), (P = 0.048). There was no case of nonunion or malunion in both groups. The incidence of fishtail deformity was (8/17, 47.1%) in KW and (13/26, 50%) in the BP group. The incidence of lateral prominence was (5/17, 29.4%) in the KW and (7/26, 26.9%) in the BP group. Furthermore, the incidence of implant prominence was higher in KW (12/17, 70.6%) than BP (0) (P < 0.001). Conclusion Open reduction and internal fixation for LCFH with an early-delayed presentation produced satisfactory outcomes. Biodegradable pin is a good alternative to Kirschner wire, with comparable clinical outcomes.

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Clinical Outcomes of 20 Schatzker Type II Tibial Plateau Fractures after Open Reduction, Internal Fixation and Bone Grafting

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v3i10.51 ◽

2015 ◽

Author(s):

Imtiyaz Hussain Dar ◽

◽

Mohammad Mussa ◽

Sulaiman Sath ◽

Munir Farooq ◽

...

Keyword(s):

Internal Fixation ◽

Clinical Outcomes ◽

Bone Grafting ◽

Open Reduction ◽

Tibial Plateau ◽

Open Reduction Internal Fixation ◽

Tibial Plateau Fractures ◽

Type Ii ◽

Schatzker Type

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Nascent Malunion of an Isolated Intraarticular Fracture of the Ulnar Head

Journal of Wrist Surgery ◽

10.1055/s-0039-1698453 ◽

2019 ◽

Vol 09 (03) ◽

pp. 240-243

Author(s):

Frank Nienstedt ◽

Markus Mariacher ◽

Günther Stuflesser ◽

Wilhelm Berger

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Excellent Result ◽

Corrective Osteotomy ◽

Fracture Dislocation ◽

Intraarticular Fracture ◽

Ulnar Head ◽

Ulnar Styloid Fracture ◽

Palmar Approach

Abstract Background Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature. Case Description We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively. An associated displaced intraarticular fracture of the ulnar head has been overlooked. He presented late in our clinic with a symptomatic nascent malunion of the ulnar head fracture. A corrective osteotomy by a palmar approach was performed. Fixation by screws was used with an excellent result at 7-year follow-up. Literature Review The rare cases of isolated ulnar head fractures reported in literature were treated by open reduction and internal fixation only in case of fracture dislocation. Clinical Relevance The authors highlight the fact that even a nascent malunion of an isolated intraarticular fracture of the ulnar head may be treated successfully by open reduction and internal fixation.

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Results of Treatment of Chronic Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joints of the Fingers

Journal of Hand Surgery (European Volume) ◽

10.1016/s0266-7681(98)80101-0 ◽

1998 ◽

Vol 23 (6) ◽

pp. 798-801 ◽

Cited By ~ 11

Author(s):

O. ISHIDA ◽

Y. IKUTA

Keyword(s):

Articular Cartilage ◽

Internal Fixation ◽

Open Reduction ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Fracture Dislocation ◽

Results Of Treatment ◽

Palmar Plate ◽

Fracture Dislocations

We reviewed 20 cases of chronic dorsal fracture-dislocation of the proximal interphalangeal joint, with a mean follow-up period of 74 months. In patients without comminuted palmar fragments, open reduction and internal fixation or osteotomy of the malunited fragment provided good results. In treating patients with damaged articular cartilage or with comminuted palmar fragments by palmar plate arthroplasty, poor results were obtained because of secondary osteoarthritic changes.

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Transtrapezial Peritrapezoidal Transcapital Axial Radial Fracture Dislocation of the Carpus

Hand ◽

10.1007/s11552-009-9171-1 ◽

2009 ◽

Vol 4 (3) ◽

pp. 319-322 ◽

Cited By ~ 3

Author(s):

Jürg Häcki ◽

Ladislav Nagy ◽

Andreas Schweizer

Keyword(s):

Internal Fixation ◽

Range Of Motion ◽

Open Reduction ◽

Dislocation Line ◽

Fracture Dislocation ◽

Radial Fracture ◽

Unique Pattern

We report a unique pattern of an axial radial fracture dislocation of the carpus. The fracture dislocation line runs transtrapezial peritrapezoidal transcapital transmetacarpal III/IV. Open reduction and internal fixation was performed 11 days after the accident. The result at 9 months is moderate, with a range of motion of 63% and strength of 46% compared to the opposite side.

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