Cargando…

Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma

OBJECTIVE: This study was performed to evaluate the clinical outcomes in adult polytraumatized patients with thoracic injury and femoral shaft fractures treated with double-plating fixation. METHODS: From November 2010 to October 2014, 15 polytraumatized patients with femoral shaft fractures were en...

Descripción completa

Detalles Bibliográficos
Autores principales: Cheng, Tao, Xia, Ronggang, Yan, Xiaoyu, Luo, Congfeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011299/
https://www.ncbi.nlm.nih.gov/pubmed/28758848
http://dx.doi.org/10.1177/0300060517720317
_version_ 1783333778577424384
author Cheng, Tao
Xia, Ronggang
Yan, Xiaoyu
Luo, Congfeng
author_facet Cheng, Tao
Xia, Ronggang
Yan, Xiaoyu
Luo, Congfeng
author_sort Cheng, Tao
collection PubMed
description OBJECTIVE: This study was performed to evaluate the clinical outcomes in adult polytraumatized patients with thoracic injury and femoral shaft fractures treated with double-plating fixation. METHODS: From November 2010 to October 2014, 15 polytraumatized patients with femoral shaft fractures were enrolled in this retrospective study. Radiographic findings and functional outcomes were assessed at 1, 3, 6, and 12 months postoperatively. RESULTS: Fourteen (93%) of the 15 femoral shaft fractures achieved bony union, with a mean time to union of 9.2 months. The mean Nonarthritic Hip Score and Lysholm Knee Score was 89.4 and 87.2 points, respectively. The range of motion of the knee joint was comparable between the injured and uninjured legs (116° and 121°, respectively). CONCLUSIONS: Our findings suggest that lower limb function returns to normal after orthogonal double-plating fixation, which is an alternative technique to intramedullary nailing for femoral diaphyseal fractures in patients with severe chest injury.
format Online
Article
Text
id pubmed-6011299
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-60112992018-06-25 Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma Cheng, Tao Xia, Ronggang Yan, Xiaoyu Luo, Congfeng J Int Med Res Clinical Report OBJECTIVE: This study was performed to evaluate the clinical outcomes in adult polytraumatized patients with thoracic injury and femoral shaft fractures treated with double-plating fixation. METHODS: From November 2010 to October 2014, 15 polytraumatized patients with femoral shaft fractures were enrolled in this retrospective study. Radiographic findings and functional outcomes were assessed at 1, 3, 6, and 12 months postoperatively. RESULTS: Fourteen (93%) of the 15 femoral shaft fractures achieved bony union, with a mean time to union of 9.2 months. The mean Nonarthritic Hip Score and Lysholm Knee Score was 89.4 and 87.2 points, respectively. The range of motion of the knee joint was comparable between the injured and uninjured legs (116° and 121°, respectively). CONCLUSIONS: Our findings suggest that lower limb function returns to normal after orthogonal double-plating fixation, which is an alternative technique to intramedullary nailing for femoral diaphyseal fractures in patients with severe chest injury. SAGE Publications 2017-07-31 2018-01 /pmc/articles/PMC6011299/ /pubmed/28758848 http://dx.doi.org/10.1177/0300060517720317 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Clinical Report
Cheng, Tao
Xia, Ronggang
Yan, Xiaoyu
Luo, Congfeng
Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma
title Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma
title_full Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma
title_fullStr Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma
title_full_unstemmed Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma
title_short Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma
title_sort double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma
topic Clinical Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011299/
https://www.ncbi.nlm.nih.gov/pubmed/28758848
http://dx.doi.org/10.1177/0300060517720317
work_keys_str_mv AT chengtao doubleplatingfixationofcomminutedfemoralshaftfractureswithconcomitantthoracictrauma
AT xiaronggang doubleplatingfixationofcomminutedfemoralshaftfractureswithconcomitantthoracictrauma
AT yanxiaoyu doubleplatingfixationofcomminutedfemoralshaftfractureswithconcomitantthoracictrauma
AT luocongfeng doubleplatingfixationofcomminutedfemoralshaftfractureswithconcomitantthoracictrauma