0000000000463815
AUTHOR
Valentina Russi
THE CHALLENGE OF OPEN TIBIAL SHAFT FRACTURES: WHEN TOMANAGE WITH EXTERNAL FIXATION AND WHEN TO USEINTRAMEDULLARY NAILING?
Treatment of open tibial shaft fractures is challenging. External fixation (EF) is comparatively safe in treating these open injuries with the main advantages of easy application, minimal additional disruption, and convenient subsequent soft tissue repair. Tibial intramedullary nailing (IM) is optimal for the treatment of open tibial fractures. This study aims to report the outcomes of our multi-center experience in the management of open tibial shaft fractures, evaluating the efficacy and safety of using either the external fixation (EF) or intramedullary nailing (IM).In this study, clinical-radiographic results were evaluated in 26 cases of open fractures treated with an external fixator …
Supracondylar femoral fracture with an incidental enchondroma of the tibial plateau
The enchondroma is a benign tumor of the endosteal cartilage and it is common in young-adult patients. These tumors are usually diagnosed when a pathologic fracture occurs at the site of the lesion or when they are accidentally discovered during investigations performed for other reasons. This report describes the case of a patient with an enchondroma of the external tibial plateau. Diagnosis was made treating an ipsilateral supracondylar femoral fracture caused by a traffic accident
SUPRACONDYLAR FEMORAL FRACTURE WITH AN INCIDENTAL ENCHONDROMA OF THE TIBIAL PLATEAU
The enchondroma is a benign tumor of the endosteal cartilage and it is common in young-adult patients. These tumors are usually diagnosed when a pathologic fracture occurs at the site of the lesion or when they are accidentally discovered during investigations performed for other reasons. This report describes the case of a patient with an enchondroma of the external tibial plateau. Diagnosis was made treating an ipsilateral supracondylar femoral fracture caused by a traffic accident.
Continuous Femoral Catheter for Postoperative Analgesia After Total Knee Arthroplasty
Introduction Postoperative pain management in the total knee replacement (TKR) represent a fundamental step for a positive outcome, allowing rapid mobilization, already on the first day. Further, continuous peripheral nerve block techniques have been reported to allow effective and safe control of acute postoperative pain, ensuring the implementation and completion of an accurate and intensive joint rehabilitation program. Aim The aim of this study was to assess early mobility and compliance of patients that underwent TKR surgery using the femoral block. Methods For the study, all patients that underwent TKR from 2015 to 2018 with ASA score between II-III was evaluated. Patients underwent v…
Emergent and delayed hybrid external fixation management of tibial pilon fractures: A multicentric retrospective analysis of 80 patients
Objective: To report our experience with the hybrid external fixator in emergency. Methods: We assessed 80 cases of pilon fracture treated with the external fixator during the period of January 2009 and December 2016:55 men (69%) and 30 women (33%) with a mean age of 40 years (range between 16 and 70). About 45 occurred as isolated trauma, 35 instead were politrauma. Each patient underwent standard radiographic examination and a CT examination. There were 28 open fractures (35%), (Gustilo type 1, 2 and 3) while closed fractures showed soft tissue involvement of various grade (2-3 Tscherne classification). In all cases, the external fixation, sometimes associated with other reduction and syn…