Fractures around Trochanteric Nails: The 'Vergilius Classification System'
| Autor: | Giovanni Landi, Antonio Toro, Giampiero Calabrò, Giuseppe Toro, Annalisa De Cicco, Nicola Tammaro, Nicola Gagliardo, Vincenzo Monaco, Alfredo Schiavone Panni, Pasquale Florio, Adriano Braile, G. Bruno, Giovanni Iolascon, Antonio Medici, Michele Gison, Antimo Moretti, Bruno Di Maggio, Raffaele Pezzella, Antonio Siano, Antonio Benedetto Cecere, Ciro Di Fino, Umberto Tarantino, Achille Pellegrino, Daniele Ambrosio, Giacomo Negri |
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| Přispěvatelé: | Toro, Giuseppe, Moretti, Antimo, Ambrosio, Daniele, Pezzella, Raffaele, De Cicco, Annalisa, Landi, Giovanni, Tammaro, Nicola, Florio, Pasquale, Cecere, Antonio Benedetto, Braile, Adriano, Medici, Antonio, Siano, Antonio, Di Maggio, Bruno, Calabrò, Giampiero, Gagliardo, Nicola, Di Fino, Ciro, Bruno, Gaetano, Pellegrino, Achille, Negri, Giacomo, Monaco, Vincenzo, Gison, Michele, Toro, Antonio, Schiavone Panni, Alfredo, Tarantino, Umberto, Iolascon, Giovanni |
| Rok vydání: | 2020 |
| Předmět: |
Orthopedic surgery
030222 orthopedics medicine.medical_specialty Article Subject business.industry Steering committee Periprosthetic Unmet needs 03 medical and health sciences 0302 clinical medicine Physical therapy Medicine Treatment strategy Orthopedics and Sports Medicine 030212 general & internal medicine business RD701-811 Research Article |
| Zdroj: | Advances in Orthopedics Advances in Orthopedics, Vol 2021 (2021) |
| ISSN: | 2090-3464 |
| Popis: | Introduction. The fractures that occurred around trochanteric nails (perinail fractures, PNFs) are becoming a huge challenge for the orthopaedic surgeon. Although presenting some specific critical issues (i.e., patients’ outcomes and treatment strategies), these fractures are commonly described within peri-implant ones and their treatment was based on periprosthetic fracture recommendations. The knowledge gap about PNFs leads us to convene a research group with the aim to propose a specific classification system to guide the orthopaedic surgeon in the management of these fractures. Materials and Methods. A steering committee, identified by two Italian associations of orthopaedic surgeons, conducted a comprehensive literature review on PNFs to identify the unmet needs about this topic. Subsequently, a panel of experts was involved in a consensus meeting proposing a specific classification system and formulated treatment statements for PNFs. Results and Discussion. The research group considered four PNF main characteristics for the classification proposal: (1) fracture localization, (2) fracture morphology, (3) fracture fragmentation, and (3) healing status of the previous fracture. An alphanumeric code was included to identify each characteristic, allowing to describe up to 54 categories of PNFs, using a 3- to 4-digit code. The proposal of the consensus-based classification reporting the most relevant aspects for PNF treatment might be a useful tool to guide the orthopaedic surgeon in the appropriate management of these fractures. |
| Databáze: | OpenAIRE |
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