Search results for "Open fracture"
showing 4 items of 4 documents
Closed versus open reduction of facial fractures in children and adolescents: A systematic review and meta-analysis
2020
Background Treatment of facial fractures in children and adolescents has always been a challenge for oral surgeon. The choice of treatment type must take into account several factors. This systematic review aimed to evaluate closed versus open reduction of facial fractures for pediatric facial fractures. Material and Methods A systematic review of the literature was conducted in three databases (PubMed/MEDLINE, Embase and The Cochrane Library) in accordance with the PRISMA statement. The PICO question was: Conservative treatment is more appropriate than surgical treatment for reducing facial fractures in children and adolescents? The full papers of 41 references were analyzed in detail. Ele…
Emergent and delayed hybrid external fixation management of tibial pilon fractures: A multicentric retrospective analysis of 80 patients
2017
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…
Clavicle aseptic nonunion: is there a place for cortical allogenic strut graft?
2017
Abstract We investigated functional and radiological outcome in 57 cases of midshaft clavicle nonunion treated with open reduction and internal fixation with plate and screws over a 13 year-period. Intercalary bone graft was used in 42 patients; opposite autologous strut graft was used in 31 cases to provide mechanical support to the host bone. Patients were analysed using chart and radiological review and assessed with DASH questionnaire obtained at the latest follow-up. 37 patients were male while 20 were females, with a mean age of 35 years (63–17). All cases were of nonunion, 35 atrophic and 22 hypertrophic. The dominant side was injured in 32 cases and the non dominant in 25 cases. Pri…
Le muscle est-il la meilleure couverture pour les fractures ouvertes de jambe Gustillo IIIb ?
2008
Resume La couverture des fractures ouvertes de jambe reste dans la tradition chirurgicale francaise soumise au dogme de la couverture par un tissu richement vascularise : le muscle. L’avenement des lambeaux fasciocutanes depuis plus de 15 ans et des lambeaux perforateurs nous conduit a nous reposer la question de la nature du tissu de couverture pour les fractures ouvertes de jambe. Depuis plusieurs annees, pour des patients fragiles, nous n’hesitons plus devant une configuration locale favorable a proceder a des reconstructions par lambeaux non musculaires. Le but de ce travail est de comparer les reconstructions avec tissus fasciocutanes aux reconstructions classiques par lambeaux muscula…