scholarly journals 02 - Salvage Procedure for Cut-Through After Surgical Fixation of Trochanteric Fractures With Trochanteric Fixation Nail

2019 ◽  
Author(s):  
Lionel Llano ◽  
Jorge Barla ◽  
Guido Carabelli ◽  
Danilo Taype ◽  
Rodrigo Brandariz ◽  
...  
Keyword(s):  
Salvage Procedure ◽  
Trochanteric Fractures ◽  
Surgical Fixation ◽  
Trochanteric Fixation Nail

What is the optimal salvage procedure for cut-out after surgical fixation of trochanteric fractures with the PFNA or TFN?

Injury ◽  
2016 ◽  
Vol 47 (2) ◽  
pp. 432-438 ◽  
Author(s):  
Alexander Brunner ◽  
Markus Büttler ◽  
Uwe Lehmann ◽  
Hans Curd Frei ◽  
Renato Kratter ◽  
...  
Keyword(s):  
Salvage Procedure ◽  
Trochanteric Fractures ◽  
Surgical Fixation

Trochanteric fixation nail in inter trochanteric fractures of femur in adult population

2017 ◽  
Vol 6 (2) ◽  
pp. 27
Author(s):  
RaviKant Jain ◽  
Rajeev Shukla ◽  
Daksh Sharma
Keyword(s):  
Adult Population ◽  
Trochanteric Fractures ◽  
Trochanteric Fixation Nail

Commissurorraphy in the Dog

2017 ◽  
Vol 34 (1) ◽  
pp. 36-40 ◽  
Author(s):  
Corinne Durand
Keyword(s):  
Surgical Procedure ◽  
Intravenous Fluid ◽  
Mandibular Fractures ◽  
Salvage Procedure ◽  
Surgical Fixation

Commissurorraphy is a surgical procedure designed to move the lip commissure rostrally. This procedure may be helpful as a unilateral procedure in cases of unilateral mandibulectomy to support tongue function and improve esthetics. Bilateral commissurorraphy is utilized in cases of radical bilateral mandibulectomy and as a salvage procedure for support of bilateral mandibular fractures in cases where rigid surgical fixation is not feasible. Dehiscence is the most likely complication of commissurorraphy. Tension can be reduced at the rostral extent of the incision by utilizing mattress sutures, intravenous fluid tubing, and/or buttons to prevent tearing through sutures.

Management of isolated greater trochanteric fractures of the hip – Experience from a major trauma centre over a 24-month period

Trauma ◽  
2021 ◽  
pp. 146040862110308
Author(s):  
Sheethal Prasad Patange Subbarao ◽  
Gopikanthan Manoharan ◽  
Philip J Roberts
Keyword(s):  
Major Trauma ◽  
Femur Fracture ◽  
Trauma Centre ◽  
Flow Chart ◽  
Trochanteric Fractures ◽  
Neck Of Femur ◽  
Major Trauma Centre ◽  
Surgical Fixation ◽  
Management Flow ◽  
Neck Of Femur Fracture

Introduction Isolated greater trochanteric fractures (IGTfs) of the femur are uncommon. At least 10% of these fractures have an occult intertrochanteric extension. Mobilisation too early without care can lead to fracture propagation, requiring surgical fixation. There is no definite consensus in the literature on how to manage initially diagnosed IGTf with potential occult intertrochanteric extension. We reviewed the management of IGTf in our major trauma centre (MTC) and propose a management flow chart. Methods The electronic notes and images for all IGTf admitted under or referred to the orthopaedic team at a MTC, from June 2015 to July 2017, were reviewed. Data were collected on fracture pattern and diagnostic imaging modalities. Periprosthetic fractures were excluded. Results 1550 neck of femur fracture patients were admitted over the 2-year period; 790 patients (51%) had a fracture around the intertrochanteric region and 49 (3.2%) were diagnosed with a IGTf on plain radiographs. 98% of patients had further imaging after initial plain film radiographs, and 58% of all IGTf were shown to have an intertrochanteric extension. Overall 16/49 patients (32.7%) needed an operation. Conclusions An IGTf not crossing the medullary canal into the calcar (i.e >50% of the diameter) does not require surgical fixation and can be managed with analgesia and supervised mobilisation. The 30-day mortalities in both operative and non-operative groups were similar at 2% and 2.2%, respectively. Overall mortality is half of the total neck of femur fracture population (4.1%) in our MTC. We propose a management flow chart for this patient cohort.

Endoprothetik des Ellenbogen -gelenkes

2015 ◽  
Vol 35 (02) ◽  
pp. 83-89
Author(s):  
R. Scholz
Keyword(s):  
Salvage Procedure

ZusammenfassungDie endoprothetische Versorgung des Ellenbogengelenkes zählt zu den eher seltenen, technisch anspruchsvollen und komplikationsbehafteten Verfahren in der Kunstgelenkchirurgie. Ihr Einsatz beschränkt sich, von seltenen Ausnahmeindikationen abgesehen, auf die stark schmerzhaften Funktionseinschränkungen bei fortgeschrittenen, zumeist sekundären Cubitalarthrosen und ausgeprägten traumatischen Schäden. Andererseits ist sie bei hochgradiger Gelenkzerstörung nach ausgeschöpfter gelenkerhaltender Therapie weitgehend alternativlos. Hinsichtlich der Implantate werden heute überwiegend halb -gekoppelte Systeme verwendet, wohingegen die in der Vergangenheit in vergleichbarer Anzahl implantierten ungekoppelten Endoprothesensysteme an Bedeutung verloren haben. In den vergangenen Jahren sind erste Ansätze technischer Neuerungen für die Entwicklung modularer Systeme entstanden. Dennoch muss häufiger als an anderen Gelenken nach Versagen der Endoprothese auf individuell angefertigte Sonderimplantate zurückgegriffen werden. Arthrodesen oder Resektions-Interpositions-Arthroplastiken sind als Salvage-Procedure nur selten sinnvoll möglich und oft mit erheblichen funktionellen Einschränkungen verbunden. Sie stellen somit keine wirklichen Alternativen zur Revisions -alloarthroplastik dar. Ein besonders großes Problem ist in einer septischen Lokalsituation zu sehen.

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