History of external fixation for treatment of fractures

Hernigou, Philippe

doi:10.1007/s00264-016-3324-y

Cited by 32 publications

(19 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to the risks of delayed wound healing, open fractures in smokers should be treated with external fixation. 64 Complications associated with smoking are particularly problematic after flaps performed for fractures in orthopaedic surgery. Hwang et al 65 analyzed the association between smoking and flap survival in 113 papers.…”

Section: Local Risk: Skin Bone Fixation and Prevention Of Infectionmentioning

confidence: 99%

Tobacco and bone fractures

Hernigou

Schuind

2019

Bone & Joint Research

View full text Add to dashboard Cite

Objectives The aim of this study was to review the impact of smoking tobacco on the musculoskeletal system, and on bone fractures in particular. Methods English-language publications of human and animal studies categorizing subjects into smokers and nonsmokers were sourced from MEDLINE, The Cochrane Library, and SCOPUS. This review specifically focused on the risk, surgical treatment, and prevention of fracture complications in smokers. Results Smokers have an increased risk of fracture and experience more complications with delayed bone healing, even if they have already stopped smoking, because some adverse effects persist for a prolonged period. Some risks can be reduced during and after surgery by local and general prevention, and smoking cessation is an important factor in lessening this risk. However, if a patient wants to stop smoking at the time of a fracture, the cessation strategies in reducing tobacco use are not easy to implement. The patient should also be warned that using e-cigarettes or other tobaccos does not appear to reduce adverse effects on health. Conclusion The evidence reviewed in this study shows that smoking has a negative effect in terms of the risk and treatment of fractures. Cite this article: J. Hernigou, F. Schuind. Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know. Bone Joint Res 2019;8:255–265. DOI: 10.1302/2046-3758.86.BJR-2018-0344.R1.

show abstract

Section: Local Risk: Skin Bone Fixation and Prevention Of Infectionmentioning

confidence: 99%

Tobacco and bone fractures

Hernigou

Schuind

2019

Bone & Joint Research

View full text Add to dashboard Cite

show abstract

“…After surgery, the pinning channel was kept clean and dry, and wiped with ethanol 18 , once in the morning and once in the evening. The pinning site was wrapped with gauze to prevent infection.…”

Section: Methodsmentioning

confidence: 99%

Effects of Taylor Spatial Frame on tumors and tumor-like lesions with pathological fractures of lower extremities

et al. 2018

View full text Add to dashboard Cite

Objective:We aimed to evaluate the clinical effects of Taylor spatial frame (TSF) on tumors and tumor-like lesions complicated with pathological fractures of the lower extremities.Methods:Eighty-two patients admitted from September 2013 to January 2015 were selected. Forty-two cases were included in Group-A to receive TSF fixation and forty were included in Group-B to receive locking plate fixation. The surgical time, intraoperative blood loss, postoperative healing rate of primary incision, incidence rate of complications, hospitalization stay length, and fracture healing time as well as rate of excellent and good Enneking scores one year after surgery were compared.Results:The intraoperative blood losses of Group-A and Group-B were (150.0±6.5) ml and (201.9±7.4) ml respectively (P<0.05). The surgical times were (77.3±8.9) minutes and (96.5±5.9) minutes respectively (P<0.05). The postoperative rates of complications in the two groups (4.76% vs. 10.00%) were similar (P>0.05). The primary incision healing rates of Group-A and Group-B were 97.62% and 82.50% respectively. The hospitalization stays were (15.7±0.9) days and (15.2±0.7) days respectively (P>0.05). The fracture healing times were (30.1±2.1) weeks and (32.4±2.2) weeks respectively (P<0.05). The rate of excellent and good Enneking scores one year after surgery was 97.61% in Group-A and 95.00% in Group-B (P>0.05).Conclusions:Tumors and tumor-like lesions complicated with pathological fractures of the lower extremities can be effectively treated by TSF.

show abstract

“…External xation can help to retain the microenvironment of fracture healing and achieve good results in the treatment of bone nonunion, osteomyelitis and other diseases [3][4][5][6] . External xation had been described for the treatment of transverse patellar fractures as early as 1843 7 . However, because of the limited theory and technology at that time, external xation treatment frequently received dissatis ed e cacy and complications.…”

Section: Introductionmentioning

confidence: 99%

Marker-3D Measurement Versus Traditional Radiograph Measurement in the Treatment of Tibiofibular Fracture Using Taylor Spatial Frame

Liu

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: The Taylor Spatial Frame (TSF) has been widely used for tibiofibular fractures. However, traditional radiograph measurement method is complicated and the reduction accuracy is not high enough for correcting residual deformities. We proposed the marker-3D measurement method to solve these problems. This study aimed to compare the reduction accuracy of the traditional radiograph measurement method and the marker-3D measurement method in tibiofibular fracture treated with TSF.Methods: From January 2016 to June 2019, A retrospective analysis was performed based on the patients with tibiofibular fracture treated with TSF in our department. 41 patients were qualified for this study, including 21 patients in the marker-3D measurement group (experimental group) and 20 patients in the traditional radiograph measurement group (control group). In the experimental group, CT scan was performed for 3D reconstruction with 6 markers installed on the TSF, to determine the adjusting plan. In the control group, the anteroposterior (AP) and lateral radiographs were performed for the deformity parameters. X-rays were taken to measure the residual deformities after correction.Results: All patients reached functional reduction. The residual displacement deformity (RDD) in AP radiograph was 0.5 (0, 1.72) mm in experimental group and 1.74 (0.43, 3.67) mm in control group. The residual angle deformity (RAD) in AP radiograph was 0 (0, 1.25) ° in experimental group and 1.25 (0.62, 1.95) °in control group. As to the Lateral radiograph, the RDD was 0 (0, 1.22) mm in experimental group and 2.02 (0, 3.74) mm in control group. The RAD was 0 (0, 0) ° in experimental group and 1.42 (0, 1.93) ° in control group. Significant differences in all above comparisons were found between the groups (AP radiograph RDD: P = 0.024, RAD: P = 0.020; Lateral radiograph RDD: P = 0.016, RAD: P = 0.004). Conclusions: Both groups achieved satisfactory fracture reduction. However, the residual deformities in the experimental group were significantly smaller. This study proved that the marker-3D measurement method could further improve the reduction accuracy.

show abstract

History of external fixation for treatment of fractures

Cited by 32 publications

References 8 publications

Tobacco and bone fractures

Tobacco and bone fractures

Effects of Taylor Spatial Frame on tumors and tumor-like lesions with pathological fractures of lower extremities

Marker-3D Measurement Versus Traditional Radiograph Measurement in the Treatment of Tibiofibular Fracture Using Taylor Spatial Frame

Contact Info

Product

Resources

About