Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides

Schaefer, Raymond O.; Eberlein, Sophie C.; Bastian, Johannes Dominik; Hecker, Andreas

doi:10.1016/j.tcr.2022.100723

Cited by 1 publication

(1 citation statement)

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“…Comminuted fractures occur when a bone is under extreme stress or receives a high-force impact sufficient to cause multiple disruption in bone structure continuity ( 11 ). Fractures of this magnitude occur after high-impact trauma, such as in sports injuries or vehicle accidents, due to the considerable force required to break the bone ( 12 ).…”

Section: Introductionmentioning

confidence: 99%

Assessing the risks of children with preoperative comorbidities undergoing comminuted fracture surgery

Cheng

Yang²,

Liu³

2023

Front. Pediatr.

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IntroductionComminuted fractures are characterized by bones broken in at least two places, destabilizing the bone and requiring surgery. Children whose bones are still developing and maturing tend to have a higher risk of sustaining comminuted fractures as the result of trauma. Trauma is a major cause of death in children and constitutes a major issue in orthopedics because of the unique properties of children's bones compared to adult bones and the associated complications.MethodsThis retrospective, cross-sectional study aimed to refine the association between comorbid disease and comminuted fractures in pediatric subjects using a large, national database. All data were extracted from the National Inpatient Sample (NIS) database from 2005 to 2018. Logistic regression analysis was used to evaluate associations between comorbidities and comminuted fracture surgery and between various comorbidities and LOS or unfavorable discharge.ResultsA total of 2,356,483 patients diagnosed with comminuted fractures were selected initially, of whom 101,032 patients aged younger than 18 years who underwent surgery for comminuted fractures were included. Study results suggest that patients with any comorbidities undergoing orthopedic surgery for comminuted fracture appear to have longer LOS and a higher proportion of discharge to long-term care facilities.DiscussionAlmost all comorbidities were significantly associated with poor in-hospital outcomes and longer LOS. The analysis of comminuted fractures in children may provide useful information to help first responders and medical personnel evaluate and manage comminuted fractures appropriately.

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Section: Introductionmentioning

confidence: 99%