Development of the Italian fractures registry (RIFra): A call for action to improve quality and safety

Vicenti, Giovanni; Bizzoca, Davide; Pascarella, R; Delprete, Ferdinando; Chiodini, F.; Daghino, Walter; Casiraghi, Alessandro; Maccauro, Giulio; Liuzza, Francesco; Boero, Emanuele; Belluati, Alberto; Pari, Carlotta; Berlusconi, M.; Randelli, Filippo; Bove, Federico; Sabbetta, Ettore; Carrozzo, M; Solarino, Giuseppe; Moretti, Biagio

doi:10.1016/j.injury.2020.10.052

Cited by 7 publications

(1 citation statement)

References 36 publications

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“…Hip fractures are the most treated fractures around the world [1]. Out of these, intertrochanteric fractures account for almost 50% of these injuries, while subtrochanteric fractures account for approximately 7 to 34% and have a bimodal distribution [2][3][4][5][6]. If young patients are generally involved in high-energy traumatic events (e.g.…”

Section: Introductionmentioning

confidence: 99%

Use of the 95-degree angled blade plate with biological and mechanical augmentation to treat proximal femur non-unions: a case series

Vicenti

Solarino

Bizzoca

et al. 2022

BMC Musculoskelet Disord

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Background Intertrochanteric and subtrochanteric non-union are rare but challenging complications. In the present study, we investigate the use of a 95° blade, in association with biological and mechanical augmentation, in the management of intertrochanteric and subtrochanteric femoral non-unions. Methods Between October 2015 and February 2021, a retrospective cohort study was conducted at our institution to investigate the use of a 95° blade, in association with biological and mechanical augmentation, in the management of intertrochanteric and subtrochanteric femoral non-unions, following the mechanical failure of the first device. All the patients underwent a clinical and radiographic follow-up at 6 weeks, 3, 6, 9, 12 and 18 months; at each follow-up, a plain radiograph of the femur was performed and patients were assessed using Harris Hip Score (HHS) and the Short Form-12 (SF-12) questionnaire. Results From October 2015 and February 2021, 40 proximal femur non-unions were managed at our Institution. Fifteen patients out of forty (37.5%) met the inclusion criteria. The main data of the study are summarized in Table 1; patients’ mean was 57 years old (range 19–83); 10 males and 5 females were included in the study. All the patients completely healed clinically and radiologically at an average of 6.1 months (range 4–13). All these patients returned to their pre-injury mobility status. During an average follow-up period of 25 months (range 8–60), the observed complications included wound dehiscence, which was treated with a superficial surgical debridement, a below-the-knee deep vein thrombosis, and a blade plate failure 3 months after the first revision surgery. Conclusions This study shows the treatment of inter-and sub-trochanteric non-unions with a 95° blade plate, medial strut allograft, and bone autograft obtained with RIA system, together with a varus malalignment correction, leads to a high percentage of bone healing, with a low incidence of complications and good clinical outcome.

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