Minimally Invasive Reduction and Fixation in Orthopedic Trauma

Zhang, Yingze

doi:10.4103/0366-6999.192773

Cited by 13 publications

(9 citation statements)

References 14 publications

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“…If trauma occurs with rib fracture and pneumothorax at the same time, this is an associated injury. Secondary injury is a term used to describe the destructive and self‐propagating biological changes in cells and tissues that lead to their dysfunction or death over hours to weeks after the primary injury, for example, clotting mechanism changes after multiple fractures, leading to venous thrombosis. Multiple injuries are caused by one single cause but result in several injuries; for example, a traffic accident caused humerus and femur fractures at the same time.…”

Section: Discussionmentioning

confidence: 99%

Retracted: An Often Easily Missed Injury in the Presence of Orthopaedic Trauma: A Case Series of Derived Injury

Deng

Wang

Zhu

et al. 2020

Orthopaedic Surgery

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Derived disaster is a common concept in emergencies such as earthquakes. With the progress of society, the incidence of fractures caused by high‐energy trauma has increased year by year. After the first injury, the possibility of derived injury caused by the original injury also increases rapidly. Orthopaedic surgeons, especially trauma orthopaedic surgeons, lack sufficient understanding and recognition of this kind of injury. The purpose of this article is to present a case series of an often missed injury pattern that is associated with an original injury. The diagnosis of derived injury may go unrecognized in a considerable number of cases and delayed treatment decreases the success rate of soft tissue repairing; therefore, a high index of suspicion and a proper early diagnosis is of paramount importance. We also describe the current surgical management used by the authors, and propose the concept of “derived injury”, studying its clinical significance in traumatic orthopaedics.

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Section: Discussionmentioning

confidence: 99%

Retracted: An Often Easily Missed Injury in the Presence of Orthopaedic Trauma: A Case Series of Derived Injury

Deng

Wang

Zhu

et al. 2020

Orthopaedic Surgery

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“…Although operation is usually recommended for midshaft clavicle fractures under certain circumstances [17], it has been realized that surgery is the main reason of infection or nonunion because of extensive soft tissue dissection around the fracture site [18]. In order to reduce the complications of open reduction and internal xation, minimally invasive plating technique was developed and widely used to treat long bone shaft fractures and has received good clinical results, especially for comminuted fractures [19,20]. Because of technical di culties of closed reduction and its complex anatomical features (S-shaped curvature) which makes it hard to be tightly t, performing plate xation in midshaft clavicle fractures using minimally invasive technique is more di cult.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive plating of midshaft clavicle fractures with distal clavicle anatomic locking plate

Liu

Dong

Mao

et al. 2022

Preprint

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Background: Minimally invasive plating has been widely applied to treat long bone shaft fractures. But it was rarely used in clavicle fractures because of the technical difficulties of closed reduction and fixation. We report our improved techniques of minimally invasive treatment for midshaft clavicle fractures using distal clavicle anatomic locking plate and compare its result with that of open reduction and internal fixation.Materials and methods: A retrospective comparative study was performed in our institution from Jan 2019 to May 2020. Patients with acute midshaft clavicle fractures that were treated with minimally invasive technique or open reduction and internal fixation using distal clavicle anatomic locking plate were included. According to the included and excluded criteria, a total of 58 patients were included and divided into two groups based on the operation technique. We compared the two groups in surgical duration, fracture reduction, time for union, Constant-Murley score, cosmetic result and other complications.Results: There was no signiﬁcant difference in quality of reduction between the two groups. The mean surgical duration in minimally invasive group was longer than that in open group (59.5±8.9 min vs. 52.2±7.2 min, P< 0.05). The mean incision length in minimally invasive group was shorter than that in open group (2.1±0.5 cm vs. 11.6±2.0 cm, P< 0.05). In minimally invasive group the mean union time was 3.3±1.1months, no patient complained of paresthesia on subclavicular region, and all patients were satisfied with the cosmesis of the wounds and showed excellent shoulder joint function with a mean Constant-Murley score of 93.8±3.8 at sixth month after the operation. In open reduction group the mean union time was 4.3±0.8months, 8 patients complained of paresthesia on subclavicular region, and only 5 patients were satisfied with the cosmesis of the wounds with a mean Constant-Murley score of 90.6±4.0 at sixth month after the operation. There was a significant difference in statistic by comparing union time, cosmetic result, Constant-Murley score and other complications (P＜0.05).Conclusion: Minimally invasive surgery using distal clavicle anatomic locking plate seems to be a good option for the treatment of midshaft clavicle fractures with satisfactory cosmetic result and excellent return to function.

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“…At present, how to achieve high-quality minimally invasive fracture reduction is still a di cult problem for orthopedic surgeons. Homeopathic fracture reduction theory has been successfully applied in adult orthopedic trauma cases in recent years [9]. The theory includes ve essential elements: the traction force is consistent with the axis of the limb; (2) the tractive force conforms to the trajectory of soft tissue and bone; (3) using the muscle, ligament, joint capsule and other soft tissue around the fracture envelope effects the traction, causing extrusion and aggravation of the fracture; (4) bone-to-bone bidirectional traction, mutual reactions, and direct action on the bone result in large and balanced forces; and irritation and iatrogenic injury to soft tissue are reduced, contributing to minimally invasive treatment.…”

Section: Discussionmentioning

confidence: 99%

Application of a Custom-designed External Fixation Restorer for Pediatric Femoral Fractures

Liu

Yuan

et al. 2021

Preprint

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Background: Closed reduction of pediatric femoral shaft fractures is one of the most difficult types of partial fracture reductions. Open reduction increases the harm to children. Although smaller invasive open reduction is mostly used at present, it has an impact on the microenvironment around the fracture and results in increased intraoperative bleeding, an increased risk of postoperative infection and surgical scarring, which has a great psychological impact on children. Methods: Given the above challenges, we propose another intraoperative reduction method. The technique described involves closed reduction and internal fixation for pediatric femoral shaft fractures using a new type of intraoperative fixator. Result: This technique brings hope that the success rate of closed reduction for pediatric femoral shaft fractures can reach 100%. Conclution: The method is demonstrated in a patient.

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Minimally Invasive Reduction and Fixation in Orthopedic Trauma

Cited by 13 publications

References 14 publications

Retracted: An Often Easily Missed Injury in the Presence of Orthopaedic Trauma: A Case Series of Derived Injury

Retracted: An Often Easily Missed Injury in the Presence of Orthopaedic Trauma: A Case Series of Derived Injury

Minimally invasive plating of midshaft clavicle fractures with distal clavicle anatomic locking plate

Application of a Custom-designed External Fixation Restorer for Pediatric Femoral Fractures

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