scholarly journals External fixation-assisted reduction for the treatment of neglected hip dislocations with limb discrepancy: a retrospective study of 13 cases.

2019 ◽  
Author(s):  
Pengyu Li ◽  
Wenhao Song ◽  
Jinlei Dong ◽  
Daodi Qiu ◽  
Dongsheng Zhou
Keyword(s):  
External Fixation ◽  
Open Reduction ◽  
Acetabular Fractures ◽  
External Fixators ◽  
Residual Limb ◽  
Leg Length ◽  
Second Stage ◽  
Reduction Methods ◽  
Hip Function ◽  
Improved Function

Abstract Abstract Background: The purpose of this study is to evaluate a new method for treating obsolete acetabular dislocation with limb discrepancy by external fixation assisted pre-reduction. Methods: Thirteen patients admitted from January 2010 to February 2018 with a mean duration from injury to surgery of 5.0±2.1 months and an average preoperative leg-length discrepancy of 7.7±2.3 cm were enrolled in this study. The dislocation and associated acetabular fracture type, clinical outcomes and residual limb equality were evaluated. Results: All patients were posterior dislocations and nine presented with acetabular fractures and were followed-up at least 12 months. The average traction duration of external fixators was 28.8±8.0 days and all patients received second-stage open reduction and internal fixation. Six patients showed residual limb discrepancy within 2 cm. Patients showed significant improvement in hip function and pain relief. Complications including avascular femoral head necrosis and osteoarthritis occurred in 3 patients. Conclusion: Effective correction of limb discrepancy and improved function showed in patients with obsolete acetabular dislocations and limb equality using traction by external fixation combined with second-stage open reduction. The long-term outcomes need continued follow-up.

scholarly journals External fixation assisted reduction in the treatment for obsolete hip dislocations with limb discrepancy

2019 ◽  
Author(s):  
Pengyu Li ◽  
Wenhao Song ◽  
Jinlei Dong ◽  
Daodi Qiu ◽  
Dongsheng Zhou
Keyword(s):  
External Fixation ◽  
Open Reduction ◽  
Acetabular Fractures ◽  
External Fixators ◽  
Residual Limb ◽  
Leg Length ◽  
Second Stage ◽  
Reduction Methods ◽  
Hip Function ◽  
Improved Function

Abstract Abstract Background: The purpose of this study is to evaluate a new method for treating obsolete acetabular dislocation with limb discrepancy by external fixation assisted pre-reduction. Methods: Thirteen patients admitted from January 2010 to February 2018 with a mean duration from injury to surgery of 5.0±2.1 months and an average preoperative leg-length discrepancy of 7.7±2.3 cm were enrolled in this study. The dislocation and associated acetabular fracture type, clinical outcomes and residual limb equality were evaluated. Results: All patients were posterior dislocations and nine presented with acetabular fractures and were followed-up at least 12 months. The average traction duration of external fixators was 28.8±8.0 days and all patients received second-stage open reduction and internal fixation. Six patients showed residual limb discrepancy within 2 cm. Patients showed significant improvement in hip function and pain relief. Complications including avascular femoral head necrosis and osteoarthritis occurred in 3 patients. Conclusion: Effective correction of limb discrepancy and improved function showed in patients with obsolete acetabular dislocations and limb equality using traction by external fixation combined with second-stage open reduction. The long-term outcomes need continued follow-up.

scholarly journals External fixation-assisted reduction for the treatment of neglected hip dislocations with limb length discrepancy: a retrospective study of 13 cases

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Pengyu Li ◽  
Fulin Tao ◽  
Wenhao Song ◽  
Jinlei Dong ◽  
Daodi Qiu ◽  
...  
Keyword(s):  
External Fixation ◽  
Open Reduction ◽  
Hip Dislocation ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Acetabular Fractures ◽  
External Fixators ◽  
Residual Limb ◽  
Second Stage ◽  
Length Discrepancy

Abstract Background The purpose of this study was to evaluate a new method for treating neglected hip dislocation with limb length discrepancy by using external fixation-assisted pre-reduction. Methods Thirteen patients admitted between January 2010 to February 2018 with a mean duration from injury to surgery of 5.0 ± 2.1 months and an average preoperative leg-length discrepancy of 7.7 ± 2.3 cm were enrolled in this study. The dislocation and associated acetabular fracture type, clinical outcomes and residual limb length discrepancy were evaluated. Results All patients had posterior dislocations, and nine patients presented with acetabular fractures and were followed-up for at least 12 months. The average traction duration of external fixators was 28.8 ± 8.0 days and all patients received second-stage open reduction and internal fixation. Six patients showed residual limb length discrepancy within 2 cm. Patients showed significant improvement in hip function and pain relief. Complications including avascular femoral head necrosis and osteoarthritis occurred in three patients. Conclusion Effective correction of limb length discrepancy and improved function were observed in patients with neglected hip dislocations and limb equality using traction by external fixation combined with second-stage open reduction. Further follow-up is required to determine long-term outcomes.

scholarly journals External fixation-assisted reduction for the treatment of neglected hip dislocations with limb length discrepancy: a retrospective study of 13 cases.

2019 ◽  
Author(s):  
Pengyu Li ◽  
Wenhao Song ◽  
Jinlei Dong ◽  
Daodi Qiu ◽  
Dongsheng Zhou
Keyword(s):  
External Fixation ◽  
Open Reduction ◽  
Hip Dislocation ◽  
Limb Length Discrepancy ◽  
Limb Length ◽  
Acetabular Fractures ◽  
External Fixators ◽  
Residual Limb ◽  
Second Stage ◽  
Length Discrepancy

Abstract Background: The purpose of this study was to evaluate a new method for treating neglected hip dislocation with limb length discrepancy by using external fixation-assisted pre-reduction. Methods: Thirteen patients admitted between January 2010 to February 2018 with a mean duration from injury to surgery of 5.0±2.1 months and an average preoperative leg-length discrepancy of 7.7±2.3 cm were enrolled in this study. The dislocation and associated acetabular fracture type, clinical outcomes and residual limb equality were evaluated. Results: All patients had posterior dislocations, and nine patients presented with acetabular fractures and were followed-up for at least 12 months. The average traction duration of external fixators was 28.8±8.0 days and all patients received second-stage open reduction and internal fixation. Six patients showed residual limb length discrepancy within 2 cm. Patients showed significant improvement in hip function and pain relief. Complications including avascular femoral head necrosis and osteoarthritis occurred in three patients. Conclusion: Effective correction of limb length discrepancy and improved function were observed in patients with neglected hip dislocations and limb equality using traction by external fixation combined with second-stage open reduction. Further follow-up is required to determine long-term outcomes. Keywords: neglected hip dislocation, limb length discrepancy, external fixatio

scholarly journals Infected non-union of sub-trochanteric fracture of femur treated by Ilizarov and AO external fixation: a case report

2019 ◽  
Vol 5 (5) ◽  
pp. 986
Author(s):  
Godhasiri Ponugoti ◽  
Harshad Mohanlal Shah ◽  
Sandeep Reddy ◽  
Navale Venkatesh Murthy Vishal
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
External Fixation ◽  
Open Reduction ◽  
Trochanteric Fracture ◽  
The Body ◽  
Bladder Rupture ◽  
External Fixators ◽  
Non Union

<p class="abstract">Infected non-union of fractures of the shaft of proximal femur in paediatric age group is rare. They pose a formidable challenge to the treating orthopaedic surgeon. Concomitant infections elsewhere in the body are a risk factor for infection of fractures treated by open reduction. In our patient the infected non-union was secondary to urinary tract infection. A 12 year old boy sustained an open pelvic injury with bladder rupture and left closed sub-trochanteric fracture. Open reduction and internal fixation (ORIF) was done initially which got infected due to concomitant urinary tract infection due to bladder injury. He was treated by Ilizarov external fixation and later by AO external fixator and the functional outcome is evaluated. This patient had to undergo multiple surgeries with external fixations to control infection &amp; achieve union which took a long period of 8 months. Primary external fixators in complicated cases and in cases prone for infection reduce the need for multiple surgeries.</p>

scholarly journals Midterm surgical treatment outcomes of unstable distal radius fractures

2019 ◽  
Vol 26 (1) ◽  
pp. 17-26
Author(s):  
K. A Yeghiazaryan ◽  
A. P Ratiev ◽  
A. V Grigoriev ◽  
A. V Germanov ◽  
M. A Danilov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
External Fixation ◽  
Distal Radius ◽  
Conflict Of Interest ◽  
Open Reduction ◽  
Wrist Joint ◽  
Plate Fixation ◽  
Young Patients ◽  
Second Stage ◽  
Radiocarpal Joint

Background. Fracture of the distal radius is the most common injures bones of the forearm. Multifragmentary articular injures have occupied a special place among all fractures of the distal radius This factor due to the severity of the injury wrist joint, young patients and difficult rehabilitation. Purpose of study: Improvement results surgical treatment unstable fractures of the distal radius. Patients and methods. All patients were depended into two groups: The first group consisted of 34 patients. The first stage of treatment include close reduction and external fixations. If after external fixation we have persisting fractures dislocation, we take conversion external fixation, open reduction and plate fixation. The second group were included 30 person. In this group we take open reduction and plate fixation. Results. 6 or 12 month after surgery in 1 group we have receiver 87% excellent results. In the the second group we have received 77% excellent results. In the first group 2 cases have slow fractures consolidation, infection complication not found. In the second group we have 2 complication: CRPS and infection. Conclusion. Results in two groups of patients are assessed as good and excellent. The results of the study showed that external fixation in first stage of treatment allows to achieved better restoration radiocarpal joint anatomy (except for type B fractures), and without secondaly displacement tendency. The last fact is very important for patient with delayed the second stage of treatment. This patients with multiple injuries, open fractures and presence of an infected wound and etc. The second stage of treatment consisted of open reduction and plate fixation. Achieved full anatomy restoration radiocarpal joint with possible early rehabilitation. Conflict of interest: the authors state no conflict of interest Funding: the study was performed with no external funding

Treatment of Nasofrontal Ethmoidal Complex Fractures

1981 ◽  
Vol 89 (4) ◽  
pp. 587-593 ◽  
Author(s):  
Leslie K. Williamson ◽  
Robert H. Miller ◽  
Roy B. Sessions
Keyword(s):  
External Fixation ◽  
Frontal Sinus ◽  
Open Reduction ◽  
Complex Fractures ◽  
Successful Reduction

Successful reduction of severely telescoped nasofrontal ethmoidal fractures is difficult to achieve. In an effort to improve the results, a technique involving open reduction and external fixation was performed on three patients. These cases, along with ten other nasofrontal ethmoidal fractures treated between 1971 and 1980, are presented, with special emphasis in methods of reduction, stabilization, and results. The method of open reduction using an osteoplastic frontal sinus flap with external fixation gave the best overall results.

scholarly journals Intramedullary Nailing for Paediatric Diaphyseal Forearm Bone Fracture

2012 ◽  
Vol 9 (3) ◽  
pp. 198-202 ◽  
Author(s):  
N P Parajuli ◽  
D Shrestha ◽  
D Dhoju ◽  
G R Dhakal ◽  
R Shrestha ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Open Reduction ◽  
Forearm Fracture ◽  
Skin Irritation ◽  
Pediatric Age Group ◽  
Superficial Skin ◽  
Reduction Methods ◽  
Forearm Bone

Background Though most of the pediatric diaphyseal forearm bone fracture can be treated with closed reduction and cast application, indications for operative intervention in pediatric both-bone forearm fractures include open fractures, irreducible fractures, and unstable fractures. Controversy exists as to what amount of angulation, displacement, and rotation constitutes an acceptable reduction. Objective To review union time and functional outcome of pediatric diaphyseal forearm bone fracture managed with intramedullary rush pin by closed or open reduction. Methods Fifty patients with both bone fracture of forearm were treated with intramedullary rush pin by closed or open reduction were included in the study and followed up for minimum six months for radilological and functional outcome. Results Out of 50 patients, 31 underwent closed reduction and 19 underwent open reduction. All fractures maintained good alignment post operatively. Forty seven patients had excellent results with normal elbow range of motion and normal forearm rotation and three patients had good results. In all patients good radiological union was seen in three months time. Eight patients had minor complications including skin irritation over prominent hardware, backing out of ulnar pin, superficial skin break down with exposed hardware. Twenty-three (46%) patients had undergone implant removal at an average of 6 months (range 4-8 months) under regional or general anesthesia Conclusion Fixation with intramedullary rush pin for forearm fracture is an effective, simple, cheap, and convenient way for treatment in pediatric age group. DOI: http://dx.doi.org/10.3126/kumj.v9i3.6305 Kathmandu Univ Med J 2011;9(3):198-202 

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