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One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?

BACKGROUND: Open tibial fractures are mostly the result of high-energy traumas and often involve severe injuries with extensive bone and soft tissue loss, damage of muscles and neurovascular structures. Over recent years, the growth of Ortho-Plastic teams, as a well-coordinated bone, joint and soft...

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Autores principales: Pari, Carlotta, Raggini, Filippo, Paderni, Stefania, Bettinelli, Giulia, Salini, Vincenzo, Vicenti, Giovanni, Belluati, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420821/
https://www.ncbi.nlm.nih.gov/pubmed/34313664
http://dx.doi.org/10.23750/abm.v92iS3.11736
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author Pari, Carlotta
Raggini, Filippo
Paderni, Stefania
Bettinelli, Giulia
Salini, Vincenzo
Vicenti, Giovanni
Belluati, Alberto
author_facet Pari, Carlotta
Raggini, Filippo
Paderni, Stefania
Bettinelli, Giulia
Salini, Vincenzo
Vicenti, Giovanni
Belluati, Alberto
author_sort Pari, Carlotta
collection PubMed
description BACKGROUND: Open tibial fractures are mostly the result of high-energy traumas and often involve severe injuries with extensive bone and soft tissue loss, damage of muscles and neurovascular structures. Over recent years, the growth of Ortho-Plastic teams, as a well-coordinated bone, joint and soft tissue treatment, contributed to change the approach to these fractures and to achieve higher successful results in lower limb salvage. Unfortunately, many hospitals cannot benefit of a combined team in emergency, and the orthopedic surgeon is forced to manage personally these kinds of traumas. METHODS: We retrospectively reviewed all the open tibial fractures treated at our Orthopaedic Department over the last 10 years, in order to assess the treatments performed (one-stage fixation with Intramedullary Nailing or Open Reduction Internal Fixation – ORIF, versus two/multiple-stage fixation with temporary External Fixation followed by nailing or ORIF) and the differences in the outcome between the different methods. PURPOSE: Based on our experience and review of the literature, the purpose of this paper is to define what cases can be managed by a single-stage orthopaedic approach, and when the orthopaedist should lay down his arms in favor of other specialties. (www.actabiomedica.it)
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spelling pubmed-84208212021-09-22 One-stage procedure for open tibial fractures: feasible without orthoplastic surgery? Pari, Carlotta Raggini, Filippo Paderni, Stefania Bettinelli, Giulia Salini, Vincenzo Vicenti, Giovanni Belluati, Alberto Acta Biomed Original Article BACKGROUND: Open tibial fractures are mostly the result of high-energy traumas and often involve severe injuries with extensive bone and soft tissue loss, damage of muscles and neurovascular structures. Over recent years, the growth of Ortho-Plastic teams, as a well-coordinated bone, joint and soft tissue treatment, contributed to change the approach to these fractures and to achieve higher successful results in lower limb salvage. Unfortunately, many hospitals cannot benefit of a combined team in emergency, and the orthopedic surgeon is forced to manage personally these kinds of traumas. METHODS: We retrospectively reviewed all the open tibial fractures treated at our Orthopaedic Department over the last 10 years, in order to assess the treatments performed (one-stage fixation with Intramedullary Nailing or Open Reduction Internal Fixation – ORIF, versus two/multiple-stage fixation with temporary External Fixation followed by nailing or ORIF) and the differences in the outcome between the different methods. PURPOSE: Based on our experience and review of the literature, the purpose of this paper is to define what cases can be managed by a single-stage orthopaedic approach, and when the orthopaedist should lay down his arms in favor of other specialties. (www.actabiomedica.it) Mattioli 1885 2021 2021-07-26 /pmc/articles/PMC8420821/ /pubmed/34313664 http://dx.doi.org/10.23750/abm.v92iS3.11736 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Pari, Carlotta
Raggini, Filippo
Paderni, Stefania
Bettinelli, Giulia
Salini, Vincenzo
Vicenti, Giovanni
Belluati, Alberto
One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?
title One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?
title_full One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?
title_fullStr One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?
title_full_unstemmed One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?
title_short One-stage procedure for open tibial fractures: feasible without orthoplastic surgery?
title_sort one-stage procedure for open tibial fractures: feasible without orthoplastic surgery?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420821/
https://www.ncbi.nlm.nih.gov/pubmed/34313664
http://dx.doi.org/10.23750/abm.v92iS3.11736
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