schliessen

Filtern

 

Bibliotheken

Four pins assisted reduction of complex segmental femoral fractures: a technique for closed reduction

Complex segmental femoral fractures are usually not amenable to closed reduction. The purpose of this study was to evaluate a series of patients who had undergone four pins assisted reduction and intramedullary nail fixation to determine the therapeutic effect of this closed reduction technique. Bet... Full description

Journal Title: Journal of Huazhong University of Science and Technology [Medical Sciences] 2014, Vol.34(6), pp.912-916
Main Author: Zheng, Zhan-le
Other Authors: Yu, Xian , Xu, Guo-qiang , Chen, Wei , Zhang, Ying-ze , Jiao, Zhen-qing
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 1672-0733 ; E-ISSN: 1993-1352 ; DOI: 10.1007/s11596-014-1373-2
Link: http://dx.doi.org/10.1007/s11596-014-1373-2
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: springer_jour10.1007/s11596-014-1373-2
title: Four pins assisted reduction of complex segmental femoral fractures: a technique for closed reduction
format: Article
creator:
  • Zheng, Zhan-le
  • Yu, Xian
  • Xu, Guo-qiang
  • Chen, Wei
  • Zhang, Ying-ze
  • Jiao, Zhen-qing
subjects:
  • fracture
  • closed reduction
  • segmental fracture
  • femur
ispartof: Journal of Huazhong University of Science and Technology [Medical Sciences], 2014, Vol.34(6), pp.912-916
description: Complex segmental femoral fractures are usually not amenable to closed reduction. The purpose of this study was to evaluate a series of patients who had undergone four pins assisted reduction and intramedullary nail fixation to determine the therapeutic effect of this closed reduction technique. Between December 2010 and January 2013, 15 consecutive patients with segmental femoral fractures were treated with four pins assisted reduction at our hospital. The patient was placed in a supine position on a radiolucent fracture table and a gentle traction was attempted on the limb. Usually, the proximal fracture segment exhibited the typical deformity of flexion, external rotation, and abduction, the middle segment exhibited adduction and distal fracture segment exhibited flexion. Four Schanz pins were placed percutaneously to fix one cortex and did not penetrate into the medullary cavity, and the “T” sharp handles were fixed on the Schanz pins. The fragments were then reduced by reversing the deforming forces for segmental fractures by two assistants. And then, the reduction could be easily achieved and intramedullary nail fixation was performed. Radiographs were evaluated for the quality of the reduction and fracture union. Closed reduction was achieved in all patients using the four pins technology. All 15 fractures united uneventfully. No patient had a rotational malunion or limb length discrepancy at the time of the last follow-up. Thirteen of the fifteen (86.7%) patients had anatomic reduction and two of them (13.3%) had minor varus alignment of 3° and 5°. Knee stiffness was observed in 2 patients and no implant failure was observed. Surgical treatment of complex segmental femoral fractures with four pins assisted reduction and intramedullary nail fixation techniques can result in excellent reductions and a high union rate.
language: eng
source:
identifier: ISSN: 1672-0733 ; E-ISSN: 1993-1352 ; DOI: 10.1007/s11596-014-1373-2
fulltext: fulltext
issn:
  • 1993-1352
  • 19931352
  • 1672-0733
  • 16720733
url: Link


@attributes
ID1468602151
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid10.1007/s11596-014-1373-2
sourceidspringer_jour
recordidTN_springer_jour10.1007/s11596-014-1373-2
sourcesystemOther
pqid1634727442
galeid397467849
display
typearticle
titleFour pins assisted reduction of complex segmental femoral fractures: a technique for closed reduction
creatorZheng, Zhan-le ; Yu, Xian ; Xu, Guo-qiang ; Chen, Wei ; Zhang, Ying-ze ; Jiao, Zhen-qing
ispartofJournal of Huazhong University of Science and Technology [Medical Sciences], 2014, Vol.34(6), pp.912-916
identifier
subjectfracture ; closed reduction ; segmental fracture ; femur
descriptionComplex segmental femoral fractures are usually not amenable to closed reduction. The purpose of this study was to evaluate a series of patients who had undergone four pins assisted reduction and intramedullary nail fixation to determine the therapeutic effect of this closed reduction technique. Between December 2010 and January 2013, 15 consecutive patients with segmental femoral fractures were treated with four pins assisted reduction at our hospital. The patient was placed in a supine position on a radiolucent fracture table and a gentle traction was attempted on the limb. Usually, the proximal fracture segment exhibited the typical deformity of flexion, external rotation, and abduction, the middle segment exhibited adduction and distal fracture segment exhibited flexion. Four Schanz pins were placed percutaneously to fix one cortex and did not penetrate into the medullary cavity, and the “T” sharp handles were fixed on the Schanz pins. The fragments were then reduced by reversing the deforming forces for segmental fractures by two assistants. And then, the reduction could be easily achieved and intramedullary nail fixation was performed. Radiographs were evaluated for the quality of the reduction and fracture union. Closed reduction was achieved in all patients using the four pins technology. All 15 fractures united uneventfully. No patient had a rotational malunion or limb length discrepancy at the time of the last follow-up. Thirteen of the fifteen (86.7%) patients had anatomic reduction and two of them (13.3%) had minor varus alignment of 3° and 5°. Knee stiffness was observed in 2 patients and no implant failure was observed. Surgical treatment of complex segmental femoral fractures with four pins assisted reduction and intramedullary nail fixation techniques can result in excellent reductions and a high union rate.
languageeng
source
version9
lds50peer_reviewed
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
backlink$$Uhttp://dx.doi.org/10.1007/s11596-014-1373-2$$EView_full_text_in_Springer_(Subscribers_only)
search
creatorcontrib
0Zheng, Zhan-le
1Yu, Xian
2Xu, Guo-qiang
3Chen, Wei
4Zhang, Ying-ze
5Jiao, Zhen-qing
titleFour pins assisted reduction of complex segmental femoral fractures: a technique for closed reduction
descriptionComplex segmental femoral fractures are usually not amenable to closed reduction. The purpose of this study was to evaluate a series of patients who had undergone four pins assisted reduction and intramedullary nail fixation to determine the therapeutic effect of this closed reduction technique. Between December 2010 and January 2013, 15 consecutive patients with segmental femoral fractures were treated with four pins assisted reduction at our hospital. The patient was placed in a supine position on a radiolucent fracture table and a gentle traction was attempted on the limb. Usually, the proximal fracture segment exhibited the typical deformity of flexion, external rotation, and abduction, the middle segment exhibited adduction and distal fracture segment exhibited flexion. Four Schanz pins were placed percutaneously to fix one cortex and did not penetrate into the medullary cavity, and the “T” sharp handles were fixed on the Schanz pins. The fragments were then reduced by reversing the deforming forces for segmental fractures by two assistants. And then, the reduction could be easily achieved and intramedullary nail fixation was performed. Radiographs were evaluated for the quality of the reduction and fracture union. Closed reduction was achieved in all patients using the four pins technology. All 15 fractures united uneventfully. No patient had a rotational malunion or limb length discrepancy at the time of the last follow-up. Thirteen of the fifteen (86.7%) patients had anatomic reduction and two of them (13.3%) had minor varus alignment of 3° and 5°. Knee stiffness was observed in 2 patients and no implant failure was observed. Surgical treatment of complex segmental femoral fractures with four pins assisted reduction and intramedullary nail fixation techniques can result in excellent reductions and a high union rate.
subject
0fracture
1closed reduction
2segmental fracture
3femur
general
010.1007/s11596-014-1373-2
1English
2Springer Science & Business Media B.V.
3SpringerLink
sourceidspringer_jour
recordidspringer_jour10.1007/s11596-014-1373-2
issn
01993-1352
119931352
21672-0733
316720733
rsrctypearticle
creationdate2014
addtitle
0Journal of Huazhong University of Science and Technology [Medical Sciences]
1Medical Sciences
2J. Huazhong Univ. Sci. Technol. [Med. Sci.]
searchscopespringer_journals_complete
scopespringer_journals_complete
lsr30VSR-Enriched:[pages, pqid, galeid]
sort
titleFour pins assisted reduction of complex segmental femoral fractures: a technique for closed reduction
authorZheng, Zhan-le ; Yu, Xian ; Xu, Guo-qiang ; Chen, Wei ; Zhang, Ying-ze ; Jiao, Zhen-qing
creationdate20141200
facets
frbrgroupid9218914545922369102
frbrtype5
languageeng
creationdate2014
topic
0Fracture
1Closed Reduction
2Segmental Fracture
3Femur
collectionSpringerLink
prefilterarticles
rsrctypearticles
creatorcontrib
0Zheng, Zhan-le
1Yu, Xian
2Xu, Guo-qiang
3Chen, Wei
4Zhang, Ying-ze
5Jiao, Zhen-qing
jtitleJournal Of Huazhong University Of Science And Technology [Medical Sciences]
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Zheng
1Yu
2Xu
3Chen
4Zhang
5Jiao
aufirst
0Zhan-le
1Xian
2Guo-qiang
3Wei
4Ying-ze
5Zhen-qing
au
0Zheng, Zhan-le
1Yu, Xian
2Xu, Guo-qiang
3Chen, Wei
4Zhang, Ying-ze
5Jiao, Zhen-qing
atitleFour pins assisted reduction of complex segmental femoral fractures: a technique for closed reduction
jtitleJournal of Huazhong University of Science and Technology [Medical Sciences]
stitleJ. Huazhong Univ. Sci. Technol. [Med. Sci.]
addtitleMedical Sciences
risdate201412
volume34
issue6
spage912
epage916
issn1672-0733
eissn1993-1352
genrearticle
ristypeJOUR
abstractComplex segmental femoral fractures are usually not amenable to closed reduction. The purpose of this study was to evaluate a series of patients who had undergone four pins assisted reduction and intramedullary nail fixation to determine the therapeutic effect of this closed reduction technique. Between December 2010 and January 2013, 15 consecutive patients with segmental femoral fractures were treated with four pins assisted reduction at our hospital. The patient was placed in a supine position on a radiolucent fracture table and a gentle traction was attempted on the limb. Usually, the proximal fracture segment exhibited the typical deformity of flexion, external rotation, and abduction, the middle segment exhibited adduction and distal fracture segment exhibited flexion. Four Schanz pins were placed percutaneously to fix one cortex and did not penetrate into the medullary cavity, and the “T” sharp handles were fixed on the Schanz pins. The fragments were then reduced by reversing the deforming forces for segmental fractures by two assistants. And then, the reduction could be easily achieved and intramedullary nail fixation was performed. Radiographs were evaluated for the quality of the reduction and fracture union. Closed reduction was achieved in all patients using the four pins technology. All 15 fractures united uneventfully. No patient had a rotational malunion or limb length discrepancy at the time of the last follow-up. Thirteen of the fifteen (86.7%) patients had anatomic reduction and two of them (13.3%) had minor varus alignment of 3° and 5°. Knee stiffness was observed in 2 patients and no implant failure was observed. Surgical treatment of complex segmental femoral fractures with four pins assisted reduction and intramedullary nail fixation techniques can result in excellent reductions and a high union rate.
copHeidelberg
pubHuazhong University of Science and Technology
doi10.1007/s11596-014-1373-2
pages912-916
date2014-12