Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results

Bouzid, Yassine Ben; Bassir, Rida-Allah; Boufettal, Monsef; Mekkaoui, Jalal; Kharmaz, Mohamed; Lamrani, Moulay Omar; Berrada, Mohamed Saleh

doi:10.1155/2023/1272490

Cited by 3 publications

(3 citation statements)

References 27 publications

(25 reference statements)

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“…Also, due to the above-described features, complications such as soft tissue necrosis, infection, malunion, and nonunion often occur in the short-term and long-term periods [6]. To prevent these complications, we designed this new device Robo -HEX for minimally invasive fracture reduction and minimally invasive fixation [22].…”

Section: Discussionmentioning

confidence: 99%

Hybrid Robotic System (Robo - HEX) for Robot-Assisted Pilon Fracture Reduction

Aubakirova,

Zhanaspayev,

Azamatov

et al. 2024

Preprint

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Intra-articular fractures of the distal tibia are complex with a high risk of complications before and after surgical treatment. Tibial pilon fractures are rare but present a serious challenge for orthopedic surgeons. There is still no universally accepted treatment protocol for pilon fracture. In traditional, the reduction of fractures has some drawbacks such as the risk of infection, low accuracy, and high radiation for surgeons. Particularly complex intra-articular fractures require a lot of force. To solve such problems, a detachable hybrid robotic system has been developed that combines a detachable parallel mechanism with a drive mode. This article describes the mechanism in detail, analyses the method of fracture reduction, presents the surgical manipulation, and verifies the reduction by experiments with bone models. The article presents the results of research to solve problems of pilon fracture management.

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Section: Discussionmentioning

confidence: 99%

Hybrid Robotic System (Robo - HEX) for Robot-Assisted Pilon Fracture Reduction

Aubakirova,

Zhanaspayev,

Azamatov

et al. 2024

Preprint

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“…However, the mini-incision group had a notably lower rate of requiring allogenic transfusions compared to the control group (8.8% vs. 28.6%; p = 0.02) [45]. Furthermore, minimally invasive surgeries reduce infection and pseudarthrosis risks by conserving the body's biological resources during bone healing, preserving the fracture hematoma, and avoiding periosteal stripping [46].…”

Section: Minimal Invasive Proceduresmentioning

confidence: 99%

An Outline on the Advancements in Surgical Management of Osteoporosis-Associated Fractures

Hakami

2024

Cureus

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“…When bone repair does not take place in the injured area, the lesion will be filled with fibrous connective tissue and the tissue will not recover its original functionality [1,12,13]. In cases where one of these factors cannot be preserved, biomaterials can be used to recompose the bone tissue [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Photobiomodulation Therapy Improves Repair of Bone Defects Filled by Inorganic Bone Matrix and Fibrin Heterologous Biopolymer

Vigliar,

Marega,

Duarte

et al. 2024

Bioengineering

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Biomaterials are used extensively in graft procedures to correct bone defects, interacting with the body without causing adverse reactions. The aim of this pre-clinical study was to analyze the effects of photobiomodulation therapy (PBM) with the use of a low-level laser in the repair process of bone defects filled with inorganic matrix (IM) associated with heterologous fibrin biopolymer (FB). A circular osteotomy of 4 mm in the left tibia was performed in 30 Wistar male adult rats who were randomly divided into three groups: G1 = IM + PBM, G2 = IM + FB and G3 = IM + FB + PBM. PBM was applied at the time of the experimental surgery and three times a week, on alternate days, until euthanasia, with 830 nm wavelength, in two points of the operated site. Five animals from each group were euthanized 14 and 42 days after surgery. In the histomorphometric analysis, the percentage of neoformed bone tissue in G3 (28.4% ± 2.3%) was higher in relation to G1 (24.1% ± 2.91%) and G2 (22.2% ± 3.11%) at 14 days and at 42 days, the percentage in G3 (35.1% ± 2.55%) was also higher in relation to G1 (30.1% ± 2.9%) and G2 (31.8% ± 3.12%). In the analysis of the birefringence of collagen fibers, G3 showed a predominance of birefringence between greenish-yellow in the neoformed bone tissue after 42 days, differing from the other groups with a greater presence of red-orange fibers. Immunohistochemically, in all experimental groups, it was possible to observe immunostaining for osteocalcin (OCN) near the bone surface of the margins of the surgical defect and tartrate-resistant acid phosphatase (TRAP) bordering the newly formed bone tissue. Therefore, laser photobiomodulation therapy contributed to improving the bone repair process in tibial defects filled with bovine biomaterial associated with fibrin biopolymer derived from snake venom.

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Minimally Invasive Technique in the Management of Tibial Pilon Fractures: New Approach and Promising Results

Cited by 3 publications

References 27 publications

Hybrid Robotic System (Robo - HEX) for Robot-Assisted Pilon Fracture Reduction

Hybrid Robotic System (Robo - HEX) for Robot-Assisted Pilon Fracture Reduction

An Outline on the Advancements in Surgical Management of Osteoporosis-Associated Fractures

Photobiomodulation Therapy Improves Repair of Bone Defects Filled by Inorganic Bone Matrix and Fibrin Heterologous Biopolymer

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