Sequential management of tibial fractures using a temporary unicortical external fixator

Russo, Anne-Pauline; Caubère, Alexandre; Ghabi, Ammar; Grosset, Antoine; Mangin, P.; Rigal, Sylvain; Laurent, Michel

doi:10.1051/sicotj/2018035

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…Another option could be the use of a pinless xator 32,33 . Unicortical external xators have also been developed avoiding cortex protrusions and limiting deep infection complications 34 .…”

Section: Discussionmentioning

confidence: 99%

Adequacy of In-Mission Training to Treat Tibial Shaft Fractures in Mars Analog Testing

Manon,

Saint-Guillain,

Pletser

et al. 2023

Preprint

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Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analog astronauts (n=6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2 % repair success, and median completion time was 50.04 minutes. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p>0.05). Similar techniques could be used in LDEM to increase astronauts’ autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.

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“…Another option could be the use of a pinless xator 32,33 . Unicortical external xators have also been developed avoiding cortex protrusions and limiting deep infection complications 34 .…”

Section: Discussionmentioning

confidence: 99%

Adequacy of In-Mission Training to Treat Tibial Shaft Fractures in Mars Analog Testing

Manon,

Saint-Guillain,

Pletser

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Another option could be the use of a pinless fixator 40 , 41 . Unicortical external fixators have also been developed avoiding cortex protrusions and limiting deep infection complications 42 .…”

Section: Discussionmentioning

confidence: 99%

Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing

Manon,

Saint-Guillain,

Pletser

et al. 2023

Sci Rep

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Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analogue astronauts (n = 6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2% repair success, and median completion time was 50.04 min. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p > 0.05). Similar techniques could be used in LDEM to increase astronauts’ autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.

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“…15 The external fixation is advocated for severe open fractures or in unstable polytraumatized patients for whom prolonged operating is harmful in damage control orthopaedics. [14][15][16][17][18][19][20] Safe corridors and zones been advised to prevent neurovascular complications in the external fixation surgery. 16 Pin tract Infection with external fixation of paediatric fractures occurred in 50% of the patients.…”

Section: Introductionmentioning

confidence: 99%

Safe leg surgery: the anatomic principles and techniques

Kumar

Babu

2020

Int Surg J

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The goals of surgical treatment of leg injury are to achieve soft tissue healing, good osseous union and to restore the length of the limb, correct alignment of both bones with their respective joints and normal range of movements of the entire limb at the earliest. Presently, the surgical treatment has been standardised for the tibia fractures for adults and children. Though the surgical progress made in the implants, instruments and techniques, there are considerable surgical complications happening. This article highlights the need of anatomical expertise and safe operative ability for the surgeon.

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Sequential management of tibial fractures using a temporary unicortical external fixator

Cited by 5 publications

References 27 publications

Adequacy of In-Mission Training to Treat Tibial Shaft Fractures in Mars Analog Testing

Adequacy of In-Mission Training to Treat Tibial Shaft Fractures in Mars Analog Testing

Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing

Safe leg surgery: the anatomic principles and techniques

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