scholarly journals Spinopelvic Dissociation: Comparison of Outcomes of Percutaneous versus Open Fixation Strategies

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Jeffrey M. Pearson ◽  
Thomas E. Niemeier ◽  
Gerald McGwin ◽  
Sakthivel Rajaram Manoharan
Keyword(s):  
Blood Loss ◽  
Open Reduction ◽  
Surgical Site Infections ◽  
Open Reduction Internal Fixation ◽  
Percutaneous Fixation ◽  
Treatment Groups ◽  
Technological Advances ◽  
Spinopelvic Fixation ◽  
Spinopelvic Dissociation ◽  
Open Fixation

Introduction. Spinopelvic dissociation injuries are historically treated with open reduction with or without decompressive laminectomy. Recent technological advances have allowed for percutaneous fixation with indirect reduction. Herein, we evaluate outcomes and complications between patients treated with open reduction versus percutaneous spinopelvic fixation. Methods. Retrospective review of patients undergoing spinopelvic fixation from a single, level one trauma center from 2012 to 2017. Patient information regarding demographics, associated injuries, and treatment outcome measures was recorded and analyzed. All fractures were classified via the AO Spine classification system. Results. Thirty-one spinopelvic dissociations were identified: 15 treated with open and 16 with percutaneous techniques. The two treatment groups had similar preoperative characteristics including spinopelvic parameters (pelvic incidence and lumbar lordosis). Compared to open reduction internal fixation, percutaneous fixation of spinopelvic dissociation resulted in statistically significantly lower blood loss (171 cc versus 538 cc; p=0.0013). There were no significant differences in surgical site infections (p=0.48) or operating room time (p=0.66). Conclusion. Percutaneous fixation of spinopelvic dissociation is associated with significantly less blood loss. Treatment outcomes in terms of infection, length of stay, operative cost, and final alignment between the open and percutaneous group were similar.

scholarly journals A Comparison of DASH Scores Resulting from Different Treatment Options for the Intra-articular Distal Radius Fracture in the Geriatric Population

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Himanshu Wagh ◽  
Akshay Jakkidi Reddy
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Open Reduction ◽  
Treatment Options ◽  
Percutaneous Treatment ◽  
Open Reduction Internal Fixation ◽  
Geriatric Population ◽  
Treatment Groups ◽  
Score Analysis ◽  
Better Than

There exist three main methods of treating distal radius fractures: closed reduction, open reduction internal fixation, and percutaneous fixation. 10 studies in the geriatric population comparing closed reduction and ORIF, and ORIF and methods of percutaneous treatment were found. DASH and PRWE scores from these studies at 1 year followup were compiled and means were compared via independent T tests. DASH scores in the ORIF and percutaneous treatment groups were better than the open reduction, although ORIF and percutaneous treatment groups were not significantly different. PRWE score analysis revealed a significant advantage of ORIF compared to percutaneous treatment, and percutaneous treatment over closed reduction and casting.

Intrawound Antibiotic Powder in Acetabular Fracture Open Reduction Internal Fixation Does Not Reduce Surgical Site Infections

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kyle H Cichos ◽  
Clay A Spitler ◽  
Jonathan H Quade ◽  
Brent A Ponce ◽  
Gerald McGwin ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Acetabular Fracture ◽  
Open Reduction ◽  
Surgical Site Infections ◽  
Open Reduction Internal Fixation ◽  
Antibiotic Powder

scholarly journals Evaluation of Factors Driving Cost Variation for Distal Humerus Open Reduction Internal Fixation

2020 ◽  
Author(s):  
Michelle Zeidan ◽  
Andrew R. Stephens ◽  
Chong Zhang ◽  
Angela P. Presson ◽  
Andrew R. Tyser ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Distal Humerus ◽  
Open Reduction Internal Fixation ◽  
Cost Variation

scholarly journals Comparison of Minimally Invasive Percutaneous Plate Osteosynthesis and Open Reduction Internal Fixation on Proximal Humeral Fracture in Elder Patients: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Wei Zhao ◽  
Yuhui Zhang ◽  
Dongni Johansson ◽  
Xingyu Chen ◽  
Fang Zheng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Humeral Fracture ◽  
Plate Osteosynthesis ◽  
Meta Analysis ◽  
Humeral Fracture ◽  
Open Reduction Internal Fixation ◽  
Elder Patients

Objective. The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. Method. PubMed, Medline, EMbase, Ovid, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wangfang, and VIP Database for Chinese Technical Periodicals were searched to identify all relevant studies from inception to October 2016. Data were analyzed with Cochrane Collaboration’s Review Manage 5.2. Results. A total of 630 patients from 8 publications were included in the systematic review and meta-analysis. The pooled results showed that MIPO was superior to ORIF in the treatment of proximal humeral fracture in elder patients. It was reflected in reducing blood loss, operation time, postoperative pain, or fracture healing time of the surgery and in improving recovery of muscle strength. Concerning complications, no significant difference was seen between MIPO and ORIF. Conclusion. The MIPO was more suitable than ORIF for treating proximal humeral fracture in elder patients.

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