Management of Lower Extremity Long-bone Fractures in Spinal Cord Injury Patients
| Autor: | Jason E Kappa, Leah M Schulte, Ryan D Scully |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty medicine.medical_treatment Long bone 03 medical and health sciences Fixation (surgical) Fracture Fixation Internal Fractures Bone 0302 clinical medicine Bones of Lower Extremity Fracture fixation medicine Internal fixation Humans Orthopedics and Sports Medicine Leg Bones Ao classification Spinal cord injury Spinal Cord Injuries business.industry medicine.disease Muscle atrophy Surgery medicine.anatomical_structure Amputation medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | The Journal of the American Academy of Orthopaedic Surgeons. 25(9) |
| ISSN: | 1940-5480 |
| Popis: | The AO classification system, used as a guide for modern fracture care and fixation, follows a basic philosophy of care that emphasizes early mobility and return to function. Lower extremity long-bone fractures in patients with spinal cord injury often are pathologic injuries that present unique challenges, to which the AO principles may not be entirely applicable. Optimal treatment achieves healing without affecting the functional level of the patient. These injuries often result from low-energy mechanisms in nonambulatory patients with osteopenic bone and a thin, insensate soft-tissue envelope. The complication rate can be high, and the outcomes can be catastrophic without proper care. Satisfactory results can be obtained through various methods of immobilization. Less frequently, internal fixation is applied. In certain cases, after discussion with the patient, amputation may be suitable. Prevention strategies aim to minimize bone loss and muscle atrophy. |
| Databáze: | OpenAIRE |
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