scholarly journals Clinical Results of Surgical Treatment with Minimally Invasive Percutaneous Plate Osteosynthesis for Displaced Intra-articular Fractures of Calcaneus

2020 ◽  
Vol 24 (2) ◽  
pp. 87-93
Author(s):  
Jae Wan Suh ◽  
Jong Heon Yang ◽  
Hyun-Woo Park
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Clinical Results ◽  
Articular Fractures

Operative Management of Distal Tibial Extra-articular Fractures – Intramedullary Nail Versus Minimally Invasive Percutaneous Plate Osteosynthesis

2017 ◽  
Vol 19 (6) ◽  
pp. 537-541 ◽  
Author(s):  
Iftikhar H. Wani ◽  
Naseem ul Gani ◽  
Mohammad Yaseen ◽  
Adil Bashir ◽  
Mohammad Shahid Bhat ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Callus Formation ◽  
Plate Osteosynthesis ◽  
Controlled Study ◽  
Articular Fractures ◽  
Foot Function Index ◽  
Function Index ◽  
Foot Function ◽  
One Year

Background. The ideal treatment of distal tibial extra articular fractures remains controversial. Minimally invasive percutaneous plate osteosynthesis and intramedullary nailing are the two most commonly used methods. We did a prospective randomized controlled study to assess the functional outcome of distal tibial extra articular tibial fractures by comparing these treatment methods. Materials and methods. Sixty patients with distal tibial extra articular fractures were randomly assigned to an IMN (intramedullary nailing) group and a MIPPO (minimally invasive percutaneous plate osteosynthesis) group. All patients were followed up for a period of one year. At final follow-up, clinical and radiological outcome was assessed by foot function index. Malunion, infection, implant removal, time to union and secondary interventions were compared between the two groups. The comparison of continuous variables was performed by using the Student t-test or Mann-Whitney U test in accordance with normality testing. A value of p less than 0.05 was considered statistically significant. Results. All patients were followed up for a period of one year. Time to callus formation was equal in both groups. There was no non-union in our series. Malunion was more common in the nailing group. The foot function index was similar in both groups. Conclusion. MIPPO and intramedullary nailing are effective treatment options in the management of distal tibial extra particular fractures, with comparable functional outcomes.

scholarly journals Treatment of intra-articular calcaneus fractures – a review of current treatment options

2020 ◽  
Vol 86 (2) ◽  
pp. 44-49
Author(s):  
Andrzej Bargiel ◽  
◽  
Mirosław Falis
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Operative Treatment ◽  
Minimally Invasive Techniques ◽  
Calcaneal Fractures ◽  
Poor General Health ◽  
Articular Fractures ◽  
Sinus Tarsi Approach ◽  
The Stability ◽  
Invasive Techniques

Treatment of calcaneal fractures remains a challenge for the orthopedic surgeon and is still controversial. There is no consensus on whether surgery is a better option that non-operative treatment. The indications for non-operative treatment are non-displaced extra-articular fractures and intra-articular fractures with fragment displacement of less than 2 mm on CT image (Sanders type 1) This type of treatment should be considered in patients with peripheral vascular disease, uncontrolled diabetes mellitus, uncooperative patients and in poor general health. Open repositioning and internal stabilization with LCP plateand screws is now considered the gold standard in the surgical treatment of DIACF. Despite the atraumatic surgical technique and modification of operational approach (limited-incision sinus tarsi approach [STA]) the risk of local complications is as high as 18 percent. Hence the observed constant development of minimally invasive methods. Their aim is to reduce the number of complications in relation to the ORIF method while ensuring anatomical reposition and equally stable osteosynthesis. The most popular minimally invasive techniques include closed reposition using the Westhus method and stabilisation with Kirschner wires, cannulated screws, treatment with external fixators or percutaneous balloon plasty. Each of the techniques listed above can be successfully used to treat transarticular fractures as early as the first few days after injury. The problem is the stability of the union, the quality of reduction and its maintenance until union is achieved and the long period of required weight relief of the operated limb.The methods using intramedullary nails offer new possibilities among minimally invasive techniques. The technique of surgery and implant designs differ significantly, but the possibility of correct reposition, the stability of osteosynthesis and the results of treatment obtained, according to the authors of the studies, are promising. Ultimately, the choice of the method of surgical treatment of calcaneal fractures should be selected taking into account the type of fracture, comorbidities, local condition of periarticular tissues as well as the experience and preferences of the operator. It seems that due to the development of imaging techniques and the lower number of complications after minimally invasive procedures, further development of these techniques should be expected.

scholarly journals METHODS OF TREATMENT OF POST-NECROCTIC PANCREATIC CYSTS: MODERN LOOK AT THE PROBLEM (LITERATURE REVIEW)

2017 ◽  
Vol 2 (5) ◽  
pp. 147-154
Author(s):  
Igor Noskov ◽  
Igor Noskov
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Diagnostic Algorithm ◽  
Clinical Results ◽  
Pancreatic Cysts ◽  
Invasive Treatment ◽  
Clear Trend ◽  
Wide Range ◽  
Few Data ◽  
Methods Of Treatment

The problem of choosing the method of surgical treatment of postnecrotic pancreatic cysts remains extremely urgent these days. With the development of technology, recently there has been a clear trend towards improving diagnostic capabilities and the emergence of an increasing number of minimally invasive methods of treatment, while traditional methods of surgical treatment do not lose their relevance, but recent studies optimize the indications for their implementation, which in turn reduces the frequency of the nearest and distant postoperative complications. In the article the questions concerning conservative therapy of postnecrotic cysts, indications and choice of a method of surgical treatment are considered. The methods of minimally invasive surgery are widely covered, the application of which allows achieving excellent clinical results of treatment. Particular attention is paid to the recent tendency of using several methods of minimally invasive treatment, the combination of minimally invasive internal and external drainage has shown its effectiveness, it should be noted that a good clinical result can be achieved by performing intervention data from the position of pathogenetic treatment. There are only a few data on the success of combined drainage of postnecrotic cysts, which requires confirmation by a large number of publications. Thus, the high incidence of acute pancreatitis, the lack of a diagnostic algorithm and clear indications for a wide range of existing methods of surgical treatment of postnecrotic pancreatic cysts leaves a field for subsequent studies and observations.

scholarly journals Evaluation of minimally invasive plate osteosynthesis of distal femoral fracture by mini-open technique with femoral distractor and traction table: a prospective review of 26 cases

2020 ◽  
Vol 6 (6) ◽  
pp. 1192
Author(s):  
Tapas Kumar Ghosh ◽  
Rajeeb Banik ◽  
Bijoy Bhattacharjya
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Femoral Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Joint Movement ◽  
Non Union ◽  
Excellent Outcome ◽  
Articular Fractures ◽  
Invasive Techniques ◽  
Mean Time

<p class="abstract"><strong>Background:</strong> Different methods exist for fracture reduction and submuscular plating in distal femur intra-articular and metaphyseal extra-articular fractures. Apart from knee flexion, femoral distractor and traction table are commonly used for alignment of fractures in minimally invasive techniques.</p><p class="abstract"><strong>Methods:</strong> 26 distal femoral fractures (all closed fractures) were operated (14 cases in traction table, 12 cases in femoral distractor). Partial articular/unicondylar fractures were excluded from our study. Mean patient age was 42 years (range 18 to 60 years). Evaluation was done by knee society score (KSS).<strong></strong></p><p class="abstract"><strong>Results:</strong> Mean time of radiological union was 23.2 weeks (range 20-28 weeks). 23 fractures united uneventfully, one patient had wound infection, and 2 cases had non-union with implant failure. Debridement in infected implant and re-fixation with long plate and bone grafting were done for fracture union in these two cases. According to KSS, excellent outcome were seen in 6 patients, 10 had good, 8 had fair and 2 had poor outcome.</p><p class="abstract"><strong>Conclusions:</strong> Distraction by traction table or femoral distractor helps us to reduce the fracture by overcoming the pull of gastrocnemius in 2 week old fracture correcting hyperextension/recurvatum deformity. This method can be used as viable alternative in minimally invasive plating causing less chance of infection preserving maximal joint movement.</p><p class="abstract"> </p>

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