Ipsilateral Proximal and Shaft Femoral Fractures Treated With Bridge-Link type combined fixation system

Autor: Wei Hu, Yiqiang Ding, Zhenqi Ding, Jin Wu, Liangqi Kang, Hui Liu
Rok vydání: 2020
Předmět:
Male
Percutaneous
lcsh:Diseases of the musculoskeletal system
Radiography
Bridge-link type combined fixation system (BCFS)
Bone Nails
0302 clinical medicine
lcsh:Orthopedic surgery
Fracture Fixation
Orthopedics and Sports Medicine
Femur
030212 general & internal medicine
030222 orthopedics
biology
Femur Neck
Bone Malalignment
Middle Aged
Fracture Fixation
Intramedullary
Treatment Outcome
Female
Femoral Fractures
Research Article
Adult
medicine.medical_specialty
Femoral proximal fractures
Adolescent
Nonunion
MIPPO
Young Adult
03 medical and health sciences
Fixation (surgical)
Blood loss
medicine
Humans
Minimally Invasive Surgical Procedures
Femoral shaft fractures
Aged
Retrospective Studies
business.industry
Retrospective cohort study
biology.organism_classification
medicine.disease
Femoral Neck Fractures
Surgery
Valgus
lcsh:RD701-811
Fluoroscopy
Orthopedic surgery
lcsh:RC925-935
business
Follow-Up Studies
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 15, Iss 1, Pp 1-10 (2020)
Journal of Orthopaedic Surgery and Research
DOI: 10.21203/rs.3.rs-30949/v2
Popis: BackgroundAlthough many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the bridge-link type combined fixation system (BCFS) and evaluate functional outcomes in treating patients with these complex fractures.Patients and methodsWe retrospectively reviewed 14 cases of ipsilateral proximal and shaft femoral fractures treated from January 2012 to December 2016. All cases were treated by BCFS combined with minimally invasive percutaneous plate osteosynthesis (MIPPO). Clinical and radiographic data were collected during regular post-operative follow-up visits. Functional outcomes were determined according to the Friedman and Wyman scoring system.ResultsThe proximal femoral fractures were emergency diagnoses in 11 cases and delayed diagnoses in 3 cases. The delay time was 5–6 days, with an average of 5.3 days. The mean operation time was 179.6 min (range 135–231 min) with a blood loss volume that ranged from 430 to 535 ml (average 483.6 ml). Follow-up was conducted in 13 cases between 9 and 30 months post-operation, with an average follow-up time of 17.3 months. The proximal femoral fractures were united in 12 cases at the final follow-up. One case had nonunion 13 months after the operation, underwent valgus intertrochanteric osteotomy, and healed 6 months later. The femoral shaft fractures obtained rigid union at the latest follow-up in 12 cases. One case endured nonunion 12 months after the operation. After the revision surgery and iliac bone grafting, the fracture healed 6 months later. Eight of the cases had good functional results, 4 had fair results, and results were poor in 1 case at the final follow-up.ConclusionsThe treatment of ipsilateral proximal femoral and shaft fractures with BCFS in combination with MIPPO demonstrated a high likelihood of union for both fractures and good functional results.
Databáze: OpenAIRE
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