DOUBLE PLATING FOR FRACTURES IN GIANT ANTEATERS (MYRMECOPHAGA TRIDACTYLA)

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Bruno Watanabe Minto ◽  
Thaís Vendramini Magalhães ◽  
Dayvid Vianêis Farias de Lucena ◽  
Isabela Maciel Soriano ◽  
Guilherme Henrique Fernandes Barranco ◽  
...  
Keyword(s):  
Author(s):  
M. F. Lodde ◽  
M. J. Raschke ◽  
J. Stolberg-Stolberg ◽  
J. Everding ◽  
S. Rosslenbroich ◽  
...  

Abstract Background The optimal treatment strategy for the surgical management of femur fractures and non-unions remains unknown. The aim of this study is to assess union rates, complications and outcome after femoral double plating. Treatment of shaft, distal, periprosthetic fractures and pathological proximal femur fractures as well as femoral non-unions with double plating were evaluated. Methods A systematic review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was conducted. Published literature reporting on the treatment and clinical outcome of femoral fractures and non-unions with double plating was identified. In total, 24 studies with 436 cases of double plating, 64 cases of single plating, 84 cases of intramedullary nailing (IM), and 1 interfragmentary screw treatment met the inclusion criteria of this systematic review. The evaluated literature was published between 1991 and 2020. Results Double plating of femoral fractures achieved high healing rates and few complications were reported. It displayed significantly less intraoperative haemorrhage, shorter surgery time reduced risk of malunion in polytraumatised patients when compared to IM. Fracture healing rate of double-plating distal femoral fractures was 88.0%. However, there were no significant differences regarding fracture healing, complication or functional outcome when compared to single plating. Treatment of periprosthetic fractures with double plating displayed high healing rates (88.5%). Double plating of non-unions achieved excellent osseous union rates (98.5%). Conclusions The literature provides evidence for superior outcomes when using double plating in distal femoral fractures, periprosthetic fractures and femoral non-unions. Some evidence suggests that the use of double plating of femoral fractures in polytraumatised patients may be beneficial over other types of fracture fixation. Level of evidence IV.


2017 ◽  
Vol 51 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Ata C. Atalar ◽  
Onur Tunalı ◽  
Ali Erşen ◽  
Mehmet Kapıcıoğlu ◽  
Yavuz Sağlam ◽  
...  

2012 ◽  
Vol 37 (4) ◽  
pp. 669-672 ◽  
Author(s):  
Rebecca Lim ◽  
Shian Chao Tay ◽  
Andrew Yam

2018 ◽  
Vol 9 ◽  
pp. 215145931879985 ◽  
Author(s):  
Radwan G. Metwaly ◽  
Zeiad M. Zakaria

Introduction: Distal femoral fractures in elderly population had recorded an increase in incidence in the last 2 decades. Lateral distal femoral locking plating is considered one of the best options especially when dealing with comminuted fractures but varus collapse of the medial femoral condyle occurs frequently in patients with osteoporosis. Anatomical reduction of the fracture with stable rigid fixation using double-plating approach allows early mobilization of geriatric population and prevents varus collapse minimizing the comorbidities in such fractures. Patients and Methods: Between September 2014 and January 2017, a prospective study on 23 patients with comminuted osteoporotic distal femoral fractures managed through the double-plating approach through a single parapatellar approach has been conducted. Only osteoporotic geriatric patients with isolated distal femoral fractures were included. Polytraumatized, open fractures, and fracture type 33-A1, 33-A2, and 33-B were excluded. The mean age was 69.6 years (61-80). All patients have been evaluated as regard duration of procedure, time to union, EQ-5D-5L score, the need of autologous bone grafts, range of knee motion, and presence of complications. Results: The average follow-up was 14.1 months. The majority of fractures were type 33-C2 (13 patients). Average procedure time was 148 minutes (117-193 minutes). Mean EQ-5D-5 L score was 83.8 (72-82). Average time to union was 9 months (3-12 months). Four (17.4%) cases needed autologous bone graft after 6 months. No loss of reduction in any of the cases was evident, although 6 (26%) cases had screw breakage or cutout in one of the plate fixation. Two (8.7%) patient developed superficial wound infection and 1 (4.3%) developed DVT. Discussion: This study aimed at evaluation of the success of double plating of distal femoral fractures in geriatric population. different fixation methods were studied for reduction and fixation of such a fracture such as external fixation, intramedullary nails and lateral plating. the quality of fracture reduction, functional and radiological outcomes, time to union, the need for bone grafting and complication are the main debatable issues. Conclusion: Single-incision double-plating approach for distal femoral osteoporotic fractures is effective and provides stable construct without reduction loss allowing early rehabilitation. Delayed union and the need for bone graft are the major drawbacks for this technique.


2007 ◽  
Vol 22 (5) ◽  
pp. 510-517 ◽  
Author(s):  
Hsin-Yi Kathy Cheng ◽  
Chun-Li Lin ◽  
Yu-Hao Lin ◽  
Alvin Chao-Yu Chen

Injury ◽  
2017 ◽  
Vol 48 (10) ◽  
pp. 2260-2265 ◽  
Author(s):  
Ely L. Steinberg ◽  
Jacov Elis ◽  
Yohai Steinberg ◽  
Moshe Salai ◽  
Tomer Ben-Tov

1997 ◽  
Vol 10 (4) ◽  
pp. 778
Author(s):  
Taek Rim Yoon ◽  
Sung Taek Jung ◽  
Hyoung Yeon Seo

2001 ◽  
Vol 30 (2) ◽  
pp. 179-190 ◽  
Author(s):  
Rolfe M. Radcliffe ◽  
Mandi J. Lopez ◽  
Tracy A. Turner ◽  
Jeffrey P. Watkins ◽  
Catherine H. Radcliffe ◽  
...  

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