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Comparison of fluoroscopy time in short and long cephalomedullary nailing for 31A2 intertrochanteric hip fractures / Karthik Vishwanathan in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Comparison of fluoroscopy time in short and long cephalomedullary nailing for 31A2 intertrochanteric hip fractures Type de document : texte imprimé Auteurs : Karthik Vishwanathan ; Keyur Akbari ; Amit Patel Année de publication : 2021 Article en page(s) : p. 305-311 Note générale : https://doi.org/10.52628/87.2.15 Langues : Anglais (eng) Mots-clés : radiation exposure fluoroscopy hip fractures intertrochanteric fractures intramedullary nailing cephalomedullary nailing Résumé : There is no study that has compared the radiation exposure during short (Short PFN) and long proximal femoral nailing (Long PFN) for 31A2 intertrochanteric hip fractures. The objective of the present study was to compare the radiation exposure time in short and long proximal femoral nail during the treatment of 31A2 intertrochanteric hip fractures. This prospective cohort study was carried out in a University teaching hospital. Sixty one consecutive patients with 31A2 intertrochanteric femur fracture treated with pro- ximal femoral nail were included in the study. The distal locking in the short PFN was performed using the locking zig and distal locking in the long PFN was performed using the free hand perfect circle technique. The same mobile image intensifier (Multimobil 5E, Siemens, Erlangen, Germany) was used in the entire study. The outcome measure was the fluoroscopy exposure time (seconds) which was measured directly from the image intensifier. Thirty patients underwent fixation with short PFN and 31 patients underwent fixation using long PFN. The mean fluoroscopy exposure time in short PFN cohort was 189.5 seconds ± 26 (range : 150-250 seconds) and the mean fluoroscopy exposure time in long PFN cohort was 283.4 seconds ± 43.8 (range : 200-400 seconds). The mean fluoroscopy exposure time was 93.9 seconds shorter in the short PFN cohort and this difference was statistically significant (p < 0.0001 ; 95% CI : 75.4 to 112.3). The radiation exposure to the operating team is significantly less during treatment with short PFN in 31A2 intertrochanteric fractures. Permalink : ./index.php?lvl=notice_display&id=96665
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 305-311[article] Comparison of fluoroscopy time in short and long cephalomedullary nailing for 31A2 intertrochanteric hip fractures [texte imprimé] / Karthik Vishwanathan ; Keyur Akbari ; Amit Patel . - 2021 . - p. 305-311.
https://doi.org/10.52628/87.2.15
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 305-311
Mots-clés : radiation exposure fluoroscopy hip fractures intertrochanteric fractures intramedullary nailing cephalomedullary nailing Résumé : There is no study that has compared the radiation exposure during short (Short PFN) and long proximal femoral nailing (Long PFN) for 31A2 intertrochanteric hip fractures. The objective of the present study was to compare the radiation exposure time in short and long proximal femoral nail during the treatment of 31A2 intertrochanteric hip fractures. This prospective cohort study was carried out in a University teaching hospital. Sixty one consecutive patients with 31A2 intertrochanteric femur fracture treated with pro- ximal femoral nail were included in the study. The distal locking in the short PFN was performed using the locking zig and distal locking in the long PFN was performed using the free hand perfect circle technique. The same mobile image intensifier (Multimobil 5E, Siemens, Erlangen, Germany) was used in the entire study. The outcome measure was the fluoroscopy exposure time (seconds) which was measured directly from the image intensifier. Thirty patients underwent fixation with short PFN and 31 patients underwent fixation using long PFN. The mean fluoroscopy exposure time in short PFN cohort was 189.5 seconds ± 26 (range : 150-250 seconds) and the mean fluoroscopy exposure time in long PFN cohort was 283.4 seconds ± 43.8 (range : 200-400 seconds). The mean fluoroscopy exposure time was 93.9 seconds shorter in the short PFN cohort and this difference was statistically significant (p < 0.0001 ; 95% CI : 75.4 to 112.3). The radiation exposure to the operating team is significantly less during treatment with short PFN in 31A2 intertrochanteric fractures. Permalink : ./index.php?lvl=notice_display&id=96665 Exemplaires (1)
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Exclu du prêtRadiological and functional outcomes of modified Metaizeau technique in displaced radial neck fractures / Ökkes Bilal in Acta Orthopaedica Belgica, Vol.87/2 (Juin 2021)
[article]
Titre : Radiological and functional outcomes of modified Metaizeau technique in displaced radial neck fractures Type de document : texte imprimé Auteurs : Ökkes Bilal ; Ali Murat Kalender ; Burçin Karsli ; Volkan Kilinçoglu ; Mustafa Kinas ; Nuh Dünar Année de publication : 2021 Article en page(s) : p. 235-241 Note générale : https://doi.org/10.52628/87.2.05 Langues : Anglais (eng) Mots-clés : Radius neck fracture children closed reduction displaced fracture intramedullary nailing Résumé : The management of displaced radial neck fractures in children is still a controversial topic. The objective of this study is to examine the outcomes of modified Metaizeau technique in the children with displaced radius neck fractures.
The retrospective study included 15 children with displaced radial neck fracture with an angulation of more than 30° who were managed with the use of leverage technique by mosquito clamps and internal fixation with elastic stable intramedullary nailing (ESIN). Radiological and functional assessments were performed during follow-up. Additionally, the patients were evaluated using Mayo Elbow Per- formance Score (MEPS).
All the children could be managed with clamp-assisted closed reduction. The average duration of follow up was 25.5 ± 6.1 months (15-36 months). An excellent elbow function was achieved in all but one patient. Based on Metaizeau classification, excellent, good, fair, and poor outcomes were achieved in 11, 1, 2, and 1 patients, respectively. The average postoperative MEPS score was 98.7 ± 5.1 (80-100).
Clamp-assisted closed reduction and fixation with ESIN is a good choice in the children with displaced radial neck fractures. This technique is associated with good functional and radiologic outcomes in the medium-term. Further studies are warranted with larger sample sizes.Permalink : ./index.php?lvl=notice_display&id=96625
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 235-241[article] Radiological and functional outcomes of modified Metaizeau technique in displaced radial neck fractures [texte imprimé] / Ökkes Bilal ; Ali Murat Kalender ; Burçin Karsli ; Volkan Kilinçoglu ; Mustafa Kinas ; Nuh Dünar . - 2021 . - p. 235-241.
https://doi.org/10.52628/87.2.05
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/2 (Juin 2021) . - p. 235-241
Mots-clés : Radius neck fracture children closed reduction displaced fracture intramedullary nailing Résumé : The management of displaced radial neck fractures in children is still a controversial topic. The objective of this study is to examine the outcomes of modified Metaizeau technique in the children with displaced radius neck fractures.
The retrospective study included 15 children with displaced radial neck fracture with an angulation of more than 30° who were managed with the use of leverage technique by mosquito clamps and internal fixation with elastic stable intramedullary nailing (ESIN). Radiological and functional assessments were performed during follow-up. Additionally, the patients were evaluated using Mayo Elbow Per- formance Score (MEPS).
All the children could be managed with clamp-assisted closed reduction. The average duration of follow up was 25.5 ± 6.1 months (15-36 months). An excellent elbow function was achieved in all but one patient. Based on Metaizeau classification, excellent, good, fair, and poor outcomes were achieved in 11, 1, 2, and 1 patients, respectively. The average postoperative MEPS score was 98.7 ± 5.1 (80-100).
Clamp-assisted closed reduction and fixation with ESIN is a good choice in the children with displaced radial neck fractures. This technique is associated with good functional and radiologic outcomes in the medium-term. Further studies are warranted with larger sample sizes.Permalink : ./index.php?lvl=notice_display&id=96625 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