Cargando…

EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR

The long-bone fractures occur most frequently in the tibial shaft. Adequate treatment of such fractures avoids consolidation failure, skewed consolidation and reoperation. To classify these fractures, the AO/OTA classification method is still used, but it is worthwhile getting to know the Ellis clas...

Descripción completa

Detalles Bibliográficos
Autores principales: Krüger, Fábio Peng, de Britto, Paulo Sérgio Gérzon, Neto, Lauro Machado, Schwartsmann, Carlos Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799176/
https://www.ncbi.nlm.nih.gov/pubmed/27027007
http://dx.doi.org/10.1016/S2255-4971(15)30236-6
_version_ 1782422289570070528
author Krüger, Fábio Peng
de Britto, Paulo Sérgio Gérzon
Neto, Lauro Machado
Schwartsmann, Carlos Roberto
author_facet Krüger, Fábio Peng
de Britto, Paulo Sérgio Gérzon
Neto, Lauro Machado
Schwartsmann, Carlos Roberto
author_sort Krüger, Fábio Peng
collection PubMed
description The long-bone fractures occur most frequently in the tibial shaft. Adequate treatment of such fractures avoids consolidation failure, skewed consolidation and reoperation. To classify these fractures, the AO/OTA classification method is still used, but it is worthwhile getting to know the Ellis classification method, which also includes assessment of soft-tissue injuries. There is often an association with compartmental syndrome, and early diagnosis can be achieved through evaluating clinical parameters and constant clinical monitoring. Once the diagnosis has been made, fasciotomy should be performed. It is always difficult to assess consolidation, but the RUST method may help in this. Radiography is assessed in two projections, and points are scored for the presence of the fracture line and a visible bone callus. Today, the dogma of six hours for cleaning the exposed fracture is under discussion. It is considered that an early start to intravenous antibiotic therapy and the lesion severity are very important. The question of early or late closure of the lesion in an exposed fracture has gone through several phases: sometimes early closure has been indicated and sometimes late closure. Currently, whenever possible, early closure of the lesion is recommended, since this diminishes the risk of infection. Milling of the canal when the intramedullary nail is introduced is still a controversial subject. Despite strong personal positions in favor of milling, studies have shown that there may be some advantage in relation to closed fractures, but not in exposed fractures.
format Online
Article
Text
id pubmed-4799176
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-47991762016-03-29 EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR Krüger, Fábio Peng de Britto, Paulo Sérgio Gérzon Neto, Lauro Machado Schwartsmann, Carlos Roberto Rev Bras Ortop Original Article The long-bone fractures occur most frequently in the tibial shaft. Adequate treatment of such fractures avoids consolidation failure, skewed consolidation and reoperation. To classify these fractures, the AO/OTA classification method is still used, but it is worthwhile getting to know the Ellis classification method, which also includes assessment of soft-tissue injuries. There is often an association with compartmental syndrome, and early diagnosis can be achieved through evaluating clinical parameters and constant clinical monitoring. Once the diagnosis has been made, fasciotomy should be performed. It is always difficult to assess consolidation, but the RUST method may help in this. Radiography is assessed in two projections, and points are scored for the presence of the fracture line and a visible bone callus. Today, the dogma of six hours for cleaning the exposed fracture is under discussion. It is considered that an early start to intravenous antibiotic therapy and the lesion severity are very important. The question of early or late closure of the lesion in an exposed fracture has gone through several phases: sometimes early closure has been indicated and sometimes late closure. Currently, whenever possible, early closure of the lesion is recommended, since this diminishes the risk of infection. Milling of the canal when the intramedullary nail is introduced is still a controversial subject. Despite strong personal positions in favor of milling, studies have shown that there may be some advantage in relation to closed fractures, but not in exposed fractures. Elsevier 2015-12-06 /pmc/articles/PMC4799176/ /pubmed/27027007 http://dx.doi.org/10.1016/S2255-4971(15)30236-6 Text en © 2011 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Krüger, Fábio Peng
de Britto, Paulo Sérgio Gérzon
Neto, Lauro Machado
Schwartsmann, Carlos Roberto
EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR
title EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR
title_full EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR
title_fullStr EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR
title_full_unstemmed EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR
title_short EVALUATION OF PRESENTATION OF SIGNS AND SYMPTOMS OF FEMOROACETABULAR IMPINGEMENT AFTER EPIPHYSIOLYSIS OF THE PROXIMAL FEMUR
title_sort evaluation of presentation of signs and symptoms of femoroacetabular impingement after epiphysiolysis of the proximal femur
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799176/
https://www.ncbi.nlm.nih.gov/pubmed/27027007
http://dx.doi.org/10.1016/S2255-4971(15)30236-6
work_keys_str_mv AT krugerfabiopeng evaluationofpresentationofsignsandsymptomsoffemoroacetabularimpingementafterepiphysiolysisoftheproximalfemur
AT debrittopaulosergiogerzon evaluationofpresentationofsignsandsymptomsoffemoroacetabularimpingementafterepiphysiolysisoftheproximalfemur
AT netolauromachado evaluationofpresentationofsignsandsymptomsoffemoroacetabularimpingementafterepiphysiolysisoftheproximalfemur
AT schwartsmanncarlosroberto evaluationofpresentationofsignsandsymptomsoffemoroacetabularimpingementafterepiphysiolysisoftheproximalfemur