Traitement des pertes de substance osseuse des membres par transport osseux segmentaire

Trigui, Mœz; Ayadi, Kafia; Ellouze, Z.; Gdoura, F.; Zribi, M.; Keskes, Hassib

doi:10.1016/j.rco.2008.02.007

Cited by 12 publications

(3 citation statements)

References 25 publications

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“…[1] reported a complication rate of 5/34 (14.70%) of haemorrhagic and infectious origin, GUICHET JM. et al [4] reported a complication rate of 9/31 (29.03%) of hip subluxation, superficial wound infection or popliteal thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Equalisation of Lower Limb Length in Young Adults Using Internal Osteosynthesis: A Case Report of 22 Patients

Seidou,

Yahaya,

Niandou

et al. 2023

OJO

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Introduction: Inequality in the length of the lower limbs has an impact on the stability and function of the musculoskeletal system because of the imbalance it causes in our bodies. Several treatment modalities were used by practitioners. The aim of this study was to evaluate the anatomical and functional results of length equalisation of the lower limbs using internal osteosynthesis in the Orthopaedic and Traumatological Surgery Department of the Amirou Boubacar Diallo National Hospital in Niamey. Patients and method: This was a retrospective, prospective study of 22 patients from January 2010 to November 2015, a period of 5 years. The patients concerned were aged at least 18 years and had undergone a femoral shortening osteotomy not exceeding 5 cm on the contralateral healthy limb with a screw plate as the internal osteosynthesis device. Results: The average age of our patients was 24.18 years (18 to 48 years). The etiologies of these length inequalities were: vascular 54.55% (n = 12), post-traumatic 27.27% (n = 6), post-infectious 13.64% (n = 3) and neuromuscular 4.54% (n = 1). The mean length inequality of our patients was 4.93 cm, with extremes ranging from 4 to 8 cm. At an average follow-up of 6.5 months (6 to 24 months), our functional results were satisfactory overall. Discussion: Despite the significant nature of our initial inequalities, which were moderate and severe, we ended up with slight inequalities or even total correction for some of our patients. Conclusion: Inequality in the length of the lower limbs is a handicap that requires appropriate management.

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Section: Discussionmentioning

confidence: 99%

Equalisation of Lower Limb Length in Young Adults Using Internal Osteosynthesis: A Case Report of 22 Patients

Seidou,

Yahaya,

Niandou

et al. 2023

OJO

View full text Add to dashboard Cite

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“…The advantages of surgery are not only to promote stability at the level of the fractured hearth, and osteogenesis but also to dry the infection locally in septic cases; so avoid the infections and recurrent pseudarthroses that have been our main complications. Ali Akhtar [12] and Al Shahrani [13] performed pure compression for simple pseudarthroses especially hypertrophic without shortening and the external fixative was maintained until healing.…”

Section: Discussionmentioning

confidence: 99%

Epdemiology and Treatment of Pseudarthrosis of Long Bones in the Servce D Orthopedics-Traumatology of the University Hospital of Donka

Mangué,

Moustapha,

Alhassane

et al. 2024

OJO

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“…Bone defects can occur during and after treatments for bone tumor, osteomyelitis, and severe trauma, and they often lead to significant problems in the clinical setting. Treatments for these bone defects usually require external fixation procedures or microsurgical techniques, including ascension of a corticotomized bone fragment with an Ilizarov fixator [1], a free vascularized fibular flap [2, 3], an osteomyocutaneous flap [4], and Masquelet’s two-stage technique [5]. However, these clinically applicable therapies for bone defects are cumbersome and time-consuming, and treatment options are limited.…”

Section: Introductionmentioning

confidence: 99%

Topical cutaneous application of CO2 accelerates bone healing in a rat femoral defect model

Kuroiwa

Fukui

Takahara³

et al. 2019

BMC Musculoskelet Disord

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Background Bone defects may occur because of severe trauma, nonunion, infection, or tumor resection. However, treatments for bone defects are often difficult and have not been fully established yet. We previously designed an efficient system of topical cutaneous application of carbon dioxide (CO 2 ) using a novel hydrogel, which facilitates CO 2 absorption through the skin into the deep area within a limb. In this study, the effect of topical cutaneous application of CO 2 on bone healing was investigated using a rat femoral defect model. Methods In this basic research study, an in vivo bone defect model, fixed with an external fixator, was created using a rat femur. The affected limb was shaved, and CO 2 was applied for 20 min/day, 5 days/week. In the control animals, CO 2 gas was replaced with air. Radiographic, histological, biomechanical, and genetic assessments were performed to evaluate bone healing. Results Radiographically, bone healing rate was significantly higher in the CO 2 group than in the control group at 4 weeks (18.2% vs. 72.7%). The degree of bone healing scored using the histopathological Allen grading system was significantly higher in the CO 2 group than in the control group at 2 weeks (1.389 ± 0.334 vs. 1.944 ± 0.375). The ultimate stress, extrinsic stiffness, and failure energy were significantly greater in the CO 2 group than in the control group at 4 weeks (3.2 ± 0.8% vs. 38.1 ± 4.8%, 0.6 ± 0.3% vs. 41.5 ± 12.2%, 2.6 ± 0.8% vs. 24.7 ± 5.9%, respectively.). The volumetric bone mineral density of the callus in micro-computed tomography analysis was significantly higher in the CO 2 group than in the control group at 4 weeks (180.9 ± 43.0 mg/cm 3 vs. 247.9 ± 49.9 mg/cm 3 ). Gene expression of vascular endothelial growth factor in the CO 2 group was significantly greater than that in the control group at 3 weeks (0.617 ± 0.240 vs. 2.213 ± 0.387). Conclusions Topical cutaneous application of CO 2 accelerated bone healing in a rat femoral defect model. CO 2 application can be a novel and useful therapy for accelerating bone healing in bone defects; further research on its efficacy in humans is warranted.

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Traitement des pertes de substance osseuse des membres par transport osseux segmentaire

Cited by 12 publications

References 25 publications

Equalisation of Lower Limb Length in Young Adults Using Internal Osteosynthesis: A Case Report of 22 Patients

Equalisation of Lower Limb Length in Young Adults Using Internal Osteosynthesis: A Case Report of 22 Patients

Epdemiology and Treatment of Pseudarthrosis of Long Bones in the Servce D Orthopedics-Traumatology of the University Hospital of Donka

Topical cutaneous application of CO2 accelerates bone healing in a rat femoral defect model

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