Indicazioni all'impiego dei sistemi di compressione-distrazione in configurazione non-standard nel trattamento delle fratture diafisarie esposte di femore ad alta energia

Translated title of the contribution: Indications to the use of 'non-standard' assemblies of compression- distraction devices in the management of 'high energy' open femoral shaft fractures

R. Mora, L. Pedrotti, A. Belluati, A. Gaudio, M. Porta, R. Martinelli, L. Piovani

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Versatility and stability of compression-distraction systems (or circular external fixators) have favoured their diffusion in the management of tibial fractures. Indications in the treatment of femoral fractures are more limited, owing to the painful intolerance, the difficulty in achieving effective reduction and stable fixation, and the frequent knee joint stiffness. In order to take advantage of circular external fixation in the management of 'high energy' open femoral fractures, some types of 'non- standard' assembly were developed by means of special techniques (use of half-pins instead of wires, variations of the distal part of the device, association with internal osteosynthesis, Novikov reduction pins, double- threaded screws). Methods. Between 1986 and 1996, 10 'high energy' open fractures of the femoral shaft were treated with compression-distraction devices. In 9 cases a 'non-standard' assembly was employed. Results. Healing was obtained in all cases but one, in a mean time of 6 months; in 1 case nonunion was observed. In 3 cases, after the removal of the external fixation device, a knee joint contracture required mobilization under general anesthesia. Conclusions. Good results achieved in this series confirm that compression-distraction devices with the use of some types of 'non-standard' assembly are very effective in the management of 'high energy' open femoral shaft fractures.

Translated title of the contributionIndications to the use of 'non-standard' assemblies of compression- distraction devices in the management of 'high energy' open femoral shaft fractures
Original languageItalian
Pages (from-to)21-24
Number of pages4
JournalMinerva Ortopedica e Traumatologica
Volume51
Issue number1
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Surgery

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