scholarly journals Clinical Study on Different Methods of Internal Fixation for Treatment of Lisfranc Joint Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Songtao Jin ◽  
Lei Wang ◽  
Shiwei Zhou
Keyword(s):  
Internal Fixation ◽  
Kirschner Wire ◽  
Treatment Method ◽  
Steel Plates ◽  
Lisfranc Joint ◽  
Joint Injury ◽  
Foot Function ◽  
Bridge Type ◽  
Lisfranc Joints ◽  
The Stability

The Lisfranc joints are mainly used to connect the forefoot and midfoot and maintain the stability of the arch of the foot. It is an important part of the arch of the foot. If the Lisfranc joints injury is not treated in time, it will cause poor walking, pain in the back of the foot, and even deformity or disability of the forefoot. The common treatment method is to select the Kirschner wires, screws, or steel plates for incisional repositioning internal fixation surgery. In our study, we used different materials to perform fixation surgery on Lisfranc joint injury patients. We measured the joint recovery, pain condition, complications, and biomechanical indexes of different groups of patients after the operation. The results of the study showed that compared with Kirschner wire and screw internal fixation, the use of shaped arch bridge-type microsteel plate internal fixation for the treatment of metatarsotarsal joint injury patients has better foot function recovery, fewer complications, and more reliable biomechanical strength.

Stabilization of a Physeal Fracture Using an Orthofix® Partially-threaded Kirschner Wire

1999 ◽  
Vol 12 (02) ◽  
pp. 88-91 ◽  
Author(s):  
D. D. Lewis ◽  
Susan M. Newell ◽  
O. I. Lanz
Keyword(s):  
Internal Fixation ◽  
Successful Treatment ◽  
Kirschner Wire ◽  
Clinical Results ◽  
Rigid Internal Fixation ◽  
Physeal Fracture ◽  
Type Iv ◽  
Salter Harris ◽  
Condylar Fractures

Successful treatment of humeral condylar fractures requires accurate reduction and rigid internal fixation which can be difficult to achieve in toy and/or miniature breed dogs. Stabilization of a Salter-Harris type IV physeal fracture of the numeral condyle was simplified by using Orthofix® partially-threaded Kirschner wire and provided excellent clinical results in a 1.5 kg miniature pinscher

Staged Management of Severely Displaced Calcaneal Fractures With Transarticular Pinning: A Damage Control Strategy

2021 ◽  
pp. 107110072110130
Author(s):  
Kyeong-Hyeon Park ◽  
Chang-Wug Oh ◽  
Joon-Woo Kim ◽  
Hee-June Kim ◽  
Dong-Hyun Kim ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Kirschner Wire ◽  
Wound Complications ◽  
Calcaneal Fractures ◽  
Simple Method ◽  
Wire Fixation ◽  
The Mean ◽  
Radiographic Union

Background: Severely displaced calcaneal fractures can result in considerable morphology derangement and may be accompanied by soft tissue compromise. Delayed operative restoration of the calcaneal morphology may result in acute retensioning of the damaged soft tissue with associated wound-related complications. In this study, we describe a staged treatment of displaced intra-articular calcaneal fractures that uses temporary transarticular Kirschner wire (K-wire) fixation and staged conversion to definite fixation. Methods: We identified all of the patients who were treated at our institution for calcaneal fractures between 2015 and 2019. A total of 17 patients with 20 calcaneal fractures were selectively treated with 2-stage management. Temporary transarticular K-wire fixation was performed 24 hours after the injury to restore calcaneal morphology and the surrounding soft tissue. After the soft tissue was considered safe, delayed open reduction and internal fixation was performed. The time to definite surgery, radiographic alignment, wound complications, time to radiographic union, and hindfoot American Orthopaedic Foot & Ankle Society (AOFAS) scores were recorded. Results: The average follow-up period was 17 months (range, 12-43). The average Böhler angle increased from a mean of −22 degrees (range, −109 to 25) to 25 degrees (range, 0 to 47) after temporary transarticular K-wire fixation. The mean time from temporary pinning to conversion to definite internal fixation was 20 (range, 10-32) days. There were no immediate postoperative complications. The average time to radiographic union was 13.7 (range, 10-16) weeks. The mean AOFAS score was 87 (range, 55-100). No infections or wound complications were reported during the follow-up period. Conclusion: Temporary transarticular pinning for staged calcaneal fracture treatment is safe and effective in restoring the calcaneal morphology. This novel and relatively simple method may facilitate delayed operation and decrease wound-related complications. Level of Evidence: Level IV, retrospective case series.

A Biomechanical Evaluation of Three Forms of Internal Fixation Used in Ankle Arthrodesis

1994 ◽  
Vol 15 (6) ◽  
pp. 297-300 ◽  
Author(s):  
Michael P. Dohm ◽  
James B. Benjamin ◽  
Jeffrey Harrison ◽  
John A. Szivek
Keyword(s):  
Internal Fixation ◽  
Plate Fixation ◽  
Ankle Arthrodesis ◽  
Biomechanical Study ◽  
The Other ◽  
Fixation Failure ◽  
Plate Group ◽  
Biomechanical Evaluation ◽  
The Stability ◽  
Fibular Strut

A biomechanical study was undertaken to evaluate the relative stability of three types of internal fixation used for ankle arthrodesis. Crossed screw fixation, RAF fibular strut fixation, and T-plate fixation were tested in 30 cadaver ankles using an MTS machine. T-plate fixation consistantly provided the stiffest construct when compared with the other types of fixation. Failure occurred by distraction of bony surfaces, posterior to the plane of fixation, in the crossed screw and RAF groups. In contrast, failure in the T-plate group occurred through compression of bone anterior to the midcoronal plane of the tibia. Although the stability of fixation is only one factor in determining the success or failure of ankle arthrodesis, the results of this study would support T-plate fixation over the other forms tested.

scholarly journals Tratamento da fratura-luxação de Lisfranc: relato de caso

2019 ◽  
Vol 8 (7) ◽  
Author(s):  
Gustavo Pazoto Nakamura ◽  
Amanda Oliva Spaziani ◽  
Talita Costa Barbosa ◽  
Beatriz Silva Ferrari ◽  
Raissa Silva Frota ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Randomized Study ◽  
Sao Paulo ◽  
Prospective Randomized Study ◽  
São Paulo ◽  
Lisfranc Joint ◽  
Joint Injuries ◽  
Tarsometatarsal Joint ◽  
De Medicina

A fratura-luxação da articulação tarsometatársica é rara, tendo incidência em torno de 1 para 55.000 pessoas por ano, recebe o nome Lisfranc em homenagem ao médico que descreveu uma amputação desta articulação. Considerando isso, esse estudo visa relatar um caso de fratura-luxação de Lisfranc e seu tratamento em um paciente sexo masculino, 21 anos, sem comorbidades. Vítima de acidente motociclistico; trazido pelo SAMU com imobilização por talas em pé direito, em bom estado geral e Glasgow 15. Exame físico do pé direito: dor, edema em região dorsal, pele íntegra, pulsos presentes, sem alterações neurológicas ou vasculares. Após raio-x e tomografia computadorizada do pé, foi diagnosticado com fratura-luxação de Lisfranc. Nove dias após, foi submetido a osteossíntese com passagem de fio de kirschnner em base da falange proximal do hálux e redução e fixação da cabeça do segundo metatarso. Passagem de 2 parafusos corticais do cubóide para base do segundo metatarso e do terceiro para a cuneiforme medial e imobilização com tala em pé. Paciente evoluiu bem e seguiu com alta hospitalar e seguimento ambulatorial. A fratura-luxação de Lisfranc é uma lesão grave que apresenta complicações incapacitantes, sendo a mais importante delas a osteoartrose pós-traumática, que pode evoluir com dor e limitação funcional. É importante manter a qualidade da redução, assim como o tratamento cirúrgico precoce visa prevenir a síndrome compartimental do pé, complicação aguda mais frequente.Descritores: Fraturas Ósseas; Fixação Interna de Fraturas; Pé.ReferênciasHebert SK, Barros Filho TEP, Xavier R, Pardini Júnior AG. Ortopedia e traumatologia: princípios e prática. 5. ed. São Paulo: Artmed; 2016.Ly TV, Coetzee JC. Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study. J Bone Joint Surg Am 2006;88(3):514-20.Kuo RS, Tejwani NC, Digiovanni CW, Holt SK, Benirschke SK, Hansen ST Jr et al. Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Joint Surg Am 2000; 82(11):1609-18.Garcia-Renedo RJ, Carranza-Bencano A, Leal-Gomez R, Cámara-Arrigunaga F. Análisis de las complicaciones en pacientes con fractura-luxación de Lisfranc. Acta ortop mex. 2016;30(6):284-90.5-Sangeorzan BJ, Veith RG, Hansen ST Jr. Salvage of Lisfranc’s tarsometatarsal joint by arthrodesis. Foot Ankle. 1990;10(4):193-200.Pereira CJ, Canto RST, Tramontini JL, Canto FRT. Fratura-Luxação Tarsometatarsiana (Lisfranc). Projeto Diretrizes. Associação Médica Brasileira e Conselho Federal de Medicina. Sociedade Brasileira de Ortopedia e Traumatologia; 2007.Pina-Vaz J. Fractura de Lisfranc: controvérsias do diagnóstico e tratamento [dissertação]. Porto: Faculdade de Medicina da Universidade do Porto; 2012.Rodrigues CS. Patologia aguda da articulação de Lisfranc. Uma entidade complexa e frequentemente esquecida. Faculdade de Medicina da Universidade de Lisboa. Clínica Universitária de Ortopedia; 2016.Velázquez-Vélez D, Durán-Martínez N, Peñafort-García JA, Romero-Peña A. Control de daño de extremidad pélvica en lesión compleja del pie: Reporte de un caso. Acta ortop mex. 2015;29(5):275-79.Sobrado MF, Saito GH, Sakaki MH, Pontin PA, Santos ALG, Fernandes TD. Estudo epidemiológico sobre lesões lisfrancas. Acta ortop. bras. 2017;25(1):44-7.

scholarly journals Outcome of Internal Fixation of Metacarpal Fractures of Hand at a Tertiary Care Hospital, Kathmandu

2019 ◽  
Vol 21 (1) ◽  
pp. 35-39
Author(s):  
Praphulla Shrestha ◽  
SR Paudel ◽  
P Chalise
Keyword(s):  
Pain Relief ◽  
Internal Fixation ◽  
Tertiary Care ◽  
Kirschner Wire ◽  
The Body ◽  
Care Hospital ◽  
Metacarpal Fractures ◽  
Active Flexion ◽  
Hand Fractures

Hand fractures are different from other fractures elsewhere in the body. Functional impairment of hand leads to a prominent issue to the patient. We have a common practice of treatment of hand fractures by using kirschner wire(s). The internal fixation using plates and screws for metacarpal fractures of the hand is technically demanding but it is beneficial to the patients as it permits early mobilization and better pain relief. We studied the outcome of this type of internal fixation of the metacarpal fractures at Nepal Medical College. We included 26 patients above 18years with isolated extraarticular, closed and open Swanson I metacarpal fractures of the hand. Fractures with rotation of the digit and unacceptable angulation, shortening and unstable fractures were included. Pain was evaluated by visual analogue scale and function using American Society for Surgery of hand Total Active Flexion (ASSHTAF) score. The mean pain score (VAS) was 0.27 at 12 weeks. The ASSHTAF score showed excellent results in 92.3% patients at 12 weeks. At the final follow up 92.3% patients had excellent results, 3.8% had good and 3.8% had poor results. Fracture union was seen in all patients at final follow up. The study shows that internal fixation of unstable metacarpal fractures gives significant pain relief to the patient and an excellent functional outcome.

scholarly journals Fine Exploration and Control of Subway Crossing Karst Area

2019 ◽  
Vol 9 (13) ◽  
pp. 2588 ◽  
Author(s):  
Jing Wang ◽  
Liping Li ◽  
Shaoshuai Shi ◽  
Shangqu Sun ◽  
Xingzhi Ba ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Treatment Method ◽  
Surrounding Rock ◽  
Karst Area ◽  
Actual Situation ◽  
Construction Process ◽  
Tunnel Stability ◽  
Field Displacement ◽  
The Stability ◽  
And Control

A large number of subway projects need to cross all kinds of disaster sources during the construction process. When a disaster source is unknown and uncertain, it is difficult for tunnel stability analysis to conform to the actual situation, which is likely to cause serious geological disasters. Firstly, the accurate location of the source of the disaster is realized via the geophysical method, and the orientation of the target is determined. Secondly, real imaging of the geological disaster source is realized using fine three-dimensional scanning equipment. Finally, the coupling law of the seepage field, displacement field, and stress field of the tunnel surrounding rock are analyzed. The stability of the tunnel is analyzed, and the reasonable karst treatment method is put forward.

Sign in / Sign up

Export Citation Format

Share Document