Grade 3C Open Femur Fractures With Vascular Repair In Adults / Halil I. Balci in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.274-282 Titre : Grade 3C Open Femur Fractures With Vascular Repair In Adults Type de document : texte imprimé Auteurs : Halil I. Balci, Auteur ; Yavuz SAGLAM, Auteur ; Onur TUNALI, Auteur Année de publication : 2015 Article en page(s) : p.274-282 Langues : Anglais (eng) Mots-clés : Open femur fractures  Gustilo-Anderson  grade 3C open fracture  vascular injury  saphenous graft  ankle brachial index (ABI) Résumé : Grade 3C open femur fractures are challenging injuries with higher rates of complications. This is a retrospective review of grade 3C open femur fractures with vascular repair between 2002 and 2012. Outcomes included initial MESS score, additional injuries, duration of operation, complications, secondary operations or amputations, and social life implications. Thirty-one of 39 total patients were selected for revascularization and fracture fixation based on soft tissue injury and MESS score. The intra-operative approach included temporary arterial shunt replacement, orthopedic fixation, arterial reconstruction venous and/or nerve repair and routine fasciotomies. An external fixation and reverse saphenous vein graft was used in a majority of the patients (respectively; 93.5%, 90.3%). The mean follow up was 5.4 years (range 2.2-10). The decision to amputate versus salvage should be left up to patients and their care teams after discussing options and future possibilities rather than using a scoring system. Permalink : ./index.php?lvl=notice_display&id=40656 [article] Grade 3C Open Femur Fractures With Vascular Repair In Adults [texte imprimé] / Halil I. Balci, Auteur ; Yavuz SAGLAM, Auteur ; Onur TUNALI, Auteur . - 2015 . - p.274-282. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.274-282 Mots-clés : Open femur fractures  Gustilo-Anderson  grade 3C open fracture  vascular injury  saphenous graft  ankle brachial index (ABI) Résumé : Grade 3C open femur fractures are challenging injuries with higher rates of complications. This is a retrospective review of grade 3C open femur fractures with vascular repair between 2002 and 2012. Outcomes included initial MESS score, additional injuries, duration of operation, complications, secondary operations or amputations, and social life implications. Thirty-one of 39 total patients were selected for revascularization and fracture fixation based on soft tissue injury and MESS score. The intra-operative approach included temporary arterial shunt replacement, orthopedic fixation, arterial reconstruction venous and/or nerve repair and routine fasciotomies. An external fixation and reverse saphenous vein graft was used in a majority of the patients (respectively; 93.5%, 90.3%). The mean follow up was 5.4 years (range 2.2-10). The decision to amputate versus salvage should be left up to patients and their care teams after discussing options and future possibilities rather than using a scoring system. Permalink : ./index.php?lvl=notice_display&id=40656

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Is acute compression and distraction superior to segmental bone transport techniques in chronic tibial osteomyelitis ? Comparison of Distraction Osteogenesis Techniques / Levent Eralp in Acta Orthopaedica Belgica, Vol.82/3 (Septembre 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 599-609 Titre : Is acute compression and distraction superior to segmental bone transport techniques in chronic tibial osteomyelitis ? Comparison of Distraction Osteogenesis Techniques Type de document : texte imprimé Auteurs : Levent Eralp ; Halil I. Balci ; Mehmet Kocaoglu ; [et al...] Année de publication : 2016 Article en page(s) : p. 599-609 Langues : Anglais (eng) Mots-clés : tibia  ostéomyélite  chirurgie Résumé : Treatment of tibial osteomyelitis with infected, necrotic, unstable bone segments (Cierny-Mader Type IV local osteomyelitis) includes débridement and segmental resection, which results in long bone defects. Reconstruction may be with distraction osteogenesis. Segmental bone transport and acute compression and distraction techniques are two main distraction osteogenesis techniques used in the treatment of Type IV local tibial osteomyelitis. In this retrospective, four-center study we compared these two techniques during a 15-year period. 29 patients treated using segmental bone transport technique and 45 patients were treated using acute compression and distraction technique. The mean age (p= 0,34) and the mean bone loss with preoperative shortening (P=0,08) and the mean number of previous operation (p=0,06) were not different in these two groups. . At latest followup, functional and radiographic results were evaluated There was no difference between two technique on the Paley’s scoring system ( p=0,33) and in the total number of complication(p=0,16). Mean external fixator index was lower in the second group ( p=0.02 ). Both techniques can be used safely; however, the acute compression distraction technique may provide greater patient satisfaction because of shorter external fixator index, although future studies will be needed to determine whether this is. Permalink : ./index.php?lvl=notice_display&id=47190 [article] Is acute compression and distraction superior to segmental bone transport techniques in chronic tibial osteomyelitis ? Comparison of Distraction Osteogenesis Techniques [texte imprimé] / Levent Eralp ; Halil I. Balci ; Mehmet Kocaoglu ; [et al...] . - 2016 . - p. 599-609. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 599-609 Mots-clés : tibia  ostéomyélite  chirurgie Résumé : Treatment of tibial osteomyelitis with infected, necrotic, unstable bone segments (Cierny-Mader Type IV local osteomyelitis) includes débridement and segmental resection, which results in long bone defects. Reconstruction may be with distraction osteogenesis. Segmental bone transport and acute compression and distraction techniques are two main distraction osteogenesis techniques used in the treatment of Type IV local tibial osteomyelitis. In this retrospective, four-center study we compared these two techniques during a 15-year period. 29 patients treated using segmental bone transport technique and 45 patients were treated using acute compression and distraction technique. The mean age (p= 0,34) and the mean bone loss with preoperative shortening (P=0,08) and the mean number of previous operation (p=0,06) were not different in these two groups. . At latest followup, functional and radiographic results were evaluated There was no difference between two technique on the Paley’s scoring system ( p=0,33) and in the total number of complication(p=0,16). Mean external fixator index was lower in the second group ( p=0.02 ). Both techniques can be used safely; however, the acute compression distraction technique may provide greater patient satisfaction because of shorter external fixator index, although future studies will be needed to determine whether this is. Permalink : ./index.php?lvl=notice_display&id=47190

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

---

1 (1 - 2 / 2)