Cargando…

The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability

BACKGROUND: Over the last 20 years, the incidence of pediatric femoral shaft fractures was increased, due to changes in the children’s daily activities. The healing times are different according to the chosen treatment and to other factors such as age, type of fracture, the involvement of the soft t...

Descripción completa

Detalles Bibliográficos
Autores principales: Bisaccia, Michele, Rollo, Giuseppe, Carrafa, Auro, Gomez-Garrido, David, Popkov, Dmitry, Rinonapoli, Giuseppe, Ibáñez-Vicente, Cristina, Herrera-Molpeceres, Juan Antonio, Cazzella, Niki, Meccariello, Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477092/
https://www.ncbi.nlm.nih.gov/pubmed/34487101
http://dx.doi.org/10.23750/abm.v92i4.10387
_version_ 1784575770649165824
author Bisaccia, Michele
Rollo, Giuseppe
Carrafa, Auro
Gomez-Garrido, David
Popkov, Dmitry
Rinonapoli, Giuseppe
Ibáñez-Vicente, Cristina
Herrera-Molpeceres, Juan Antonio
Cazzella, Niki
Meccariello, Luigi
author_facet Bisaccia, Michele
Rollo, Giuseppe
Carrafa, Auro
Gomez-Garrido, David
Popkov, Dmitry
Rinonapoli, Giuseppe
Ibáñez-Vicente, Cristina
Herrera-Molpeceres, Juan Antonio
Cazzella, Niki
Meccariello, Luigi
author_sort Bisaccia, Michele
collection PubMed
description BACKGROUND: Over the last 20 years, the incidence of pediatric femoral shaft fractures was increased, due to changes in the children’s daily activities. The healing times are different according to the chosen treatment and to other factors such as age, type of fracture, the involvement of the soft tissues, and concomitance with other injuries. The Bisaccia and Meccariello technique (Intramedullary titanium nail Osteosynthesis Linked External-fixator -IOLE) was born to prevent rotationally and lengthening malunion or nonunion in the treatment of pediatric femoral shaft fractures. HYPOTHEIS: The aim or the objective of this paper is to compare the IOLE with the two most used methods for the treatment of femoral fractures in children. METHODS: From 2000 to 2016, 58 pediatric patients with femoral shaft fractures were surgically treated and enrolled in the study. The ranged age of the patients was between 3 and 15 years. Twenty-two patients were treated with endomedullary titanium nails (TEN), 22 with external axial or modular external fixators and 14 patients treated with IOLE technique. The IOLE technique, in brief, is the hybridization of titanium intramedullary nails with a modular external fixator. It is divided into three phases, the first revenue given the length of the femur with the external fixator; the second, the rotations are dominated by the elastic nails; and the third finally they are hybridized on the external fixator. Comparing the three groups, radiographic images were taken to assess fracture reduction and consolidation. RESULTS: At the final follow-up, statistically significant differences in not weight-bearing times were found in favor of the IOLE group. There were no statistical differences between three groups in terms of significant rotation defects, angulation, growth, and/or nonunion. CONCLUSIONS: The Bisaccia- Meccariello technique (IOLE) showed to lead to healing the pediatric femoral shaft fracture of the femur but allows an early weight-bearing to these patients and normal life like that.
format Online
Article
Text
id pubmed-8477092
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Mattioli 1885
record_format MEDLINE/PubMed
spelling pubmed-84770922021-10-08 The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability Bisaccia, Michele Rollo, Giuseppe Carrafa, Auro Gomez-Garrido, David Popkov, Dmitry Rinonapoli, Giuseppe Ibáñez-Vicente, Cristina Herrera-Molpeceres, Juan Antonio Cazzella, Niki Meccariello, Luigi Acta Biomed Original Article BACKGROUND: Over the last 20 years, the incidence of pediatric femoral shaft fractures was increased, due to changes in the children’s daily activities. The healing times are different according to the chosen treatment and to other factors such as age, type of fracture, the involvement of the soft tissues, and concomitance with other injuries. The Bisaccia and Meccariello technique (Intramedullary titanium nail Osteosynthesis Linked External-fixator -IOLE) was born to prevent rotationally and lengthening malunion or nonunion in the treatment of pediatric femoral shaft fractures. HYPOTHEIS: The aim or the objective of this paper is to compare the IOLE with the two most used methods for the treatment of femoral fractures in children. METHODS: From 2000 to 2016, 58 pediatric patients with femoral shaft fractures were surgically treated and enrolled in the study. The ranged age of the patients was between 3 and 15 years. Twenty-two patients were treated with endomedullary titanium nails (TEN), 22 with external axial or modular external fixators and 14 patients treated with IOLE technique. The IOLE technique, in brief, is the hybridization of titanium intramedullary nails with a modular external fixator. It is divided into three phases, the first revenue given the length of the femur with the external fixator; the second, the rotations are dominated by the elastic nails; and the third finally they are hybridized on the external fixator. Comparing the three groups, radiographic images were taken to assess fracture reduction and consolidation. RESULTS: At the final follow-up, statistically significant differences in not weight-bearing times were found in favor of the IOLE group. There were no statistical differences between three groups in terms of significant rotation defects, angulation, growth, and/or nonunion. CONCLUSIONS: The Bisaccia- Meccariello technique (IOLE) showed to lead to healing the pediatric femoral shaft fracture of the femur but allows an early weight-bearing to these patients and normal life like that. Mattioli 1885 2021 2021-09-02 /pmc/articles/PMC8477092/ /pubmed/34487101 http://dx.doi.org/10.23750/abm.v92i4.10387 Text en Copyright: © 2021 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
Bisaccia, Michele
Rollo, Giuseppe
Carrafa, Auro
Gomez-Garrido, David
Popkov, Dmitry
Rinonapoli, Giuseppe
Ibáñez-Vicente, Cristina
Herrera-Molpeceres, Juan Antonio
Cazzella, Niki
Meccariello, Luigi
The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability
title The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability
title_full The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability
title_fullStr The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability
title_full_unstemmed The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability
title_short The Bisaccia and Meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (IOLE): validity and reliability
title_sort bisaccia and meccariello technique in pediatric femoral shaft fractures withintramedullary titanium nail osteosynthesis linked external-fixator (iole): validity and reliability
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477092/
https://www.ncbi.nlm.nih.gov/pubmed/34487101
http://dx.doi.org/10.23750/abm.v92i4.10387
work_keys_str_mv AT bisacciamichele thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT rollogiuseppe thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT carrafaauro thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT gomezgarridodavid thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT popkovdmitry thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT rinonapoligiuseppe thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT ibanezvicentecristina thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT herreramolpeceresjuanantonio thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT cazzellaniki thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT meccarielloluigi thebisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT bisacciamichele bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT rollogiuseppe bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT carrafaauro bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT gomezgarridodavid bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT popkovdmitry bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT rinonapoligiuseppe bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT ibanezvicentecristina bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT herreramolpeceresjuanantonio bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT cazzellaniki bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability
AT meccarielloluigi bisacciaandmeccariellotechniqueinpediatricfemoralshaftfractureswithintramedullarytitaniumnailosteosynthesislinkedexternalfixatoriolevalidityandreliability