Clamshell Osteotomy for Acute Fractures in the Malunion Setting: A Technical Note.
| Autor: | Pires RE; Department of the Locomotor Apparatus, Federal University of Minas Gerais and Felicio Rocho Hospital, Belo Horizonte, Brazil., Gausden EB; Orthopedic Trauma Service, Hospital for Special Surgery and New York Presbyterian Hospital, New York, NY., Sanchez GT; Department of Orthopedics and Traumatology, Federal University of São Paulo, São Paulo, Brazil., Wajnsztejn A; Department of Orthopedics and Traumatology, Federal University of São Paulo, São Paulo, Brazil., Teixeira TM; Department of Orthopedics and Traumatology, Florianopolis Hospital, Florianopolis, Brazil., Soares MDS; Department of Orthopedics and Traumatology, Florianopolis Hospital, Florianopolis, Brazil., Pesantez R; Department of Orthopaedic Surgery, Fundación Santafé de Bogotá, Bogotá, Colombia., Lorich DG; Deceased author.; Orthopedic Trauma Service, Hospital for Special Surgery and New York Presbyterian Hospital, New York, NY. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal of orthopaedic trauma [J Orthop Trauma] 2018 Oct; Vol. 32 (10), pp. e415-e420. |
| DOI: | 10.1097/BOT.0000000000001257 |
| Abstrakt: | Surgical management of lower extremity malunions and acute fractures in the setting of lower extremity deformities presents a unique challenge for orthopaedic surgeons. The objective of this study was to evaluate the outcomes of using the clamshell osteotomy in patients with acute fractures involving a malunion or deformity. A retrospective review of the cases performed by various orthopaedic traumatologists at 4 different trauma centers was performed to identify cases using the clamshell osteotomy from January 2012 to January 2016. Nine clamshell osteotomy cases were identified, 4 presenting fractures in the setting of previous malunions. All osteotomies healed within 15 months (average 6.8 ± 4.4 SD). In this multicenter case series, we demonstrate that using clamshell osteotomies can result in excellent outcomes for permitting intramedullary nailing of acute fractures in patients with lower extremity deformity. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|