Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures / Omer Karatoprak in Acta Orthopaedica Belgica, Vol. 81/1 (Mars 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 65-71 Titre : Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures Type de document : texte imprimé Auteurs : Omer Karatoprak, Auteur ; Sinan Karaca, Auteur ; Mehmet Nuri Erdem, Auteur Année de publication : 2015 Article en page(s) : p. 65-71 Langues : Anglais (eng) Mots-clés : Distal radius  Fracture  Osteoporosis  Colles Résumé : Distal radius fractures are the most common fractures in the elderly, yet the treatment is controversial and still debated in the literature. Twenty four patients aged older than sixty with distal radial fractures were treated by dorsal nail plate. We compared them with twenty four similar matched patients treated by percutaneous Kirschner wiring surgical method . The patients were operated on by a surgeon experienced in carrying out hand surgery. The purpose of this retrospective review was to compare the clinical and radiological outcomes in elderly patients with displaced distal radial fractures who were treated with either the dorsal nail plate or percutaneous Kirschner wiring surgical procedures. Both groups had high union rates and low complication rates for the treatment of displaced distal radius fractures in elderly patients. However, better functional results can be expected in dorsal nail plate. Permalink : ./index.php?lvl=notice_display&id=36000 [article] Dorsal nail plate versus percutaneous k-wire fixation in the treatment of displaced distal radius fractures [texte imprimé] / Omer Karatoprak, Auteur ; Sinan Karaca, Auteur ; Mehmet Nuri Erdem, Auteur . - 2015 . - p. 65-71. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/1 (Mars 2015) . - p. 65-71 Mots-clés : Distal radius  Fracture  Osteoporosis  Colles Résumé : Distal radius fractures are the most common fractures in the elderly, yet the treatment is controversial and still debated in the literature. Twenty four patients aged older than sixty with distal radial fractures were treated by dorsal nail plate. We compared them with twenty four similar matched patients treated by percutaneous Kirschner wiring surgical method . The patients were operated on by a surgeon experienced in carrying out hand surgery. The purpose of this retrospective review was to compare the clinical and radiological outcomes in elderly patients with displaced distal radial fractures who were treated with either the dorsal nail plate or percutaneous Kirschner wiring surgical procedures. Both groups had high union rates and low complication rates for the treatment of displaced distal radius fractures in elderly patients. However, better functional results can be expected in dorsal nail plate. Permalink : ./index.php?lvl=notice_display&id=36000

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Radiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up / Sinan Karaca in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 247-252 Titre : Radiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up Type de document : texte imprimé Auteurs : Sinan Karaca Année de publication : 2019 Article en page(s) : p. 247-252 Langues : Anglais (eng) Mots-clés : Vis pédiculaires  Les patients ostéoporotiques  Augmentation de ciment  Ostéoporose  Desserrage de la vis  Fusion intersomatique  Les patients ostéoporotiques âgés  Extracteur de vis Résumé : T55 patients with cement-augmented pedicle screw were retrospectively analyzed. All patients underwent computed tomography at a minimum of 2 years after index operation. Computed tomography scans were analyzed to determine pedicle screw loosening, cement leakage, and fusion rates at augmented levels. The purpose of this study was to analyze the efficacy and complications of cement augmentation in elderly patients. Screw loosening occurred at fused levels in all patients, except one patient with pseudoarthrosis. All cases of screw loosening occurred at levels without interbody fusion. Extravasation of cement was performed in 7 (12.7%) patients and three (5.4%) patients had asymptomatic pulmonary cement emboli. Three (5.4%) patients had deep wound infection, and they were treated successfully with debridement and antibiotic therapy without need for instrument removal. Cement augmentation of PSs in elderly osteoporotic patients prevents screw pull-out. However, a very low rate of screw loosening may be seen at the levels without interbody fusion. Permalink : ./index.php?lvl=notice_display&id=92205 [article] Radiologic and clinical outcome of the cement augmented pedicle screws after a minimum 2-year follow-up [texte imprimé] / Sinan Karaca . - 2019 . - p. 247-252. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 247-252 Mots-clés : Vis pédiculaires  Les patients ostéoporotiques  Augmentation de ciment  Ostéoporose  Desserrage de la vis  Fusion intersomatique  Les patients ostéoporotiques âgés  Extracteur de vis Résumé : T55 patients with cement-augmented pedicle screw were retrospectively analyzed. All patients underwent computed tomography at a minimum of 2 years after index operation. Computed tomography scans were analyzed to determine pedicle screw loosening, cement leakage, and fusion rates at augmented levels. The purpose of this study was to analyze the efficacy and complications of cement augmentation in elderly patients. Screw loosening occurred at fused levels in all patients, except one patient with pseudoarthrosis. All cases of screw loosening occurred at levels without interbody fusion. Extravasation of cement was performed in 7 (12.7%) patients and three (5.4%) patients had asymptomatic pulmonary cement emboli. Three (5.4%) patients had deep wound infection, and they were treated successfully with debridement and antibiotic therapy without need for instrument removal. Cement augmentation of PSs in elderly osteoporotic patients prevents screw pull-out. However, a very low rate of screw loosening may be seen at the levels without interbody fusion. Permalink : ./index.php?lvl=notice_display&id=92205

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