Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails / Hany El Zahlawy in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 205-209 Titre : Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails Type de document : texte imprimé Auteurs : Hany El Zahlawy Année de publication : 2019 Article en page(s) : p. 205-209 Langues : Anglais (eng) Mots-clés : Pseudarthrose fémorale  Augmentation de la plaque  Clous orthopédiques Résumé : The aim of this study was to evaluate plate augmentation over previously inserted interlocking nails, combined with iliac bone grafting in treating aseptic femoral shaft non-unions. The research was conducted prospectively on 34 patients. A narrow dynamic compression plate was placed while the nail was retained. All the screws were directed posterior to the nail. There were 25 males and 9 females with mean age of 36.6 years old. The mean operative time was 95 minutes with 320ml blood loss. 28 patients showed solid healing by 6 months postoperatively (82%). By 8 months, all patients showed solid union (mean 6.3 months). Full range was regained in both hips and knees and all patients could walk bearing full weight without supportive devices by 8 months. Where non-union occurs over an interlocking nail, augmenting it with a plate and bone grafting appears to be an effective treatment method to obtain solid union. Permalink : ./index.php?lvl=notice_display&id=92201 [article] Plate augmentation combined with bone grafting for aseptic non-union of femoral shaft fractures following interlocking nails [texte imprimé] / Hany El Zahlawy . - 2019 . - p. 205-209. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 205-209 Mots-clés : Pseudarthrose fémorale  Augmentation de la plaque  Clous orthopédiques Résumé : The aim of this study was to evaluate plate augmentation over previously inserted interlocking nails, combined with iliac bone grafting in treating aseptic femoral shaft non-unions. The research was conducted prospectively on 34 patients. A narrow dynamic compression plate was placed while the nail was retained. All the screws were directed posterior to the nail. There were 25 males and 9 females with mean age of 36.6 years old. The mean operative time was 95 minutes with 320ml blood loss. 28 patients showed solid healing by 6 months postoperatively (82%). By 8 months, all patients showed solid union (mean 6.3 months). Full range was regained in both hips and knees and all patients could walk bearing full weight without supportive devices by 8 months. Where non-union occurs over an interlocking nail, augmenting it with a plate and bone grafting appears to be an effective treatment method to obtain solid union. Permalink : ./index.php?lvl=notice_display&id=92201

Exemplaires (1)

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Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

Solving the enigma of posterolateral tibial plateau fractures, the clue protocol / Radwan G. Metwaly in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 125-136 Titre : Solving the enigma of posterolateral tibial plateau fractures, the clue protocol Type de document : texte imprimé Auteurs : Radwan G. Metwaly ; Zeiad M. Zakaria ; Mohamed A. Elgebeily ; Hany El Zahlawy Année de publication : 2021 Article en page(s) : p. 125-136 Note générale : https://doi.org/10.52628/87.1.16 Langues : Anglais (eng) Mots-clés : Tibial plateau fractures  postero-lateral column  protocol Résumé : The study aim is to evaluate functional and radio- logical outcomes following a suggested protocol based on the four-column classification for management of posterolateral column tibial plateau fractures. A prospective cohort study was performed in level I academic center on 42 patients with mean age of 36 years (22-59). Eleven patients had isolated posterolateral column fractures whereas 31 patients had associated columns fractures. According to the suggested protocol, all cases of isolated posterolateral column fracture started treatment via arthroscopic evaluation of soft tissue injuries (menisci and liga- ments), arthroscopically assisted reduction and inter- nal fixation by rafting screws followed by ORIF if plating was needed. If associated with other columns fractures, columns were fixed sequentially in an anti-clockwise direction starting from anteromedial column. Average follow up was 26 months. Mean time to union was 16.3 (12-22) weeks. No radiological evidence of loss of coronal or sagittal alignment was detected at final follow up. Five patients had an average depression of 5 millimeters that did not need further intervention at this short-term follow up. Mean KOOS was 81 (72- 88). The average knee range of motion was (0° - 127°). One patient had temporary common peroneal nerve injury, one patient had deep infection and two had superficial wound infection. implementing the suggested protocol gives good to excellent radiological and functional results as regard posterolateral tibial plateau fracture. A larger study group with longer follow up is needed. Permalink : ./index.php?lvl=notice_display&id=96596 [article] Solving the enigma of posterolateral tibial plateau fractures, the clue protocol [texte imprimé] / Radwan G. Metwaly ; Zeiad M. Zakaria ; Mohamed A. Elgebeily ; Hany El Zahlawy . - 2021 . - p. 125-136. https://doi.org/10.52628/87.1.16 Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 125-136 Mots-clés : Tibial plateau fractures  postero-lateral column  protocol Résumé : The study aim is to evaluate functional and radio- logical outcomes following a suggested protocol based on the four-column classification for management of posterolateral column tibial plateau fractures. A prospective cohort study was performed in level I academic center on 42 patients with mean age of 36 years (22-59). Eleven patients had isolated posterolateral column fractures whereas 31 patients had associated columns fractures. According to the suggested protocol, all cases of isolated posterolateral column fracture started treatment via arthroscopic evaluation of soft tissue injuries (menisci and liga- ments), arthroscopically assisted reduction and inter- nal fixation by rafting screws followed by ORIF if plating was needed. If associated with other columns fractures, columns were fixed sequentially in an anti-clockwise direction starting from anteromedial column. Average follow up was 26 months. Mean time to union was 16.3 (12-22) weeks. No radiological evidence of loss of coronal or sagittal alignment was detected at final follow up. Five patients had an average depression of 5 millimeters that did not need further intervention at this short-term follow up. Mean KOOS was 81 (72- 88). The average knee range of motion was (0° - 127°). One patient had temporary common peroneal nerve injury, one patient had deep infection and two had superficial wound infection. implementing the suggested protocol gives good to excellent radiological and functional results as regard posterolateral tibial plateau fracture. A larger study group with longer follow up is needed. Permalink : ./index.php?lvl=notice_display&id=96596

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

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