Cargando…

Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture

BACKGROUD: When the reduction of long bone shaft fracture fragments is performed by a hexapod external fixator, the collision and interference between bony ends often results in an incomplete reduction and a time-consuming procedure. The purpose of this study was to present and determine the clinica...

Descripción completa

Detalles Bibliográficos
Autores principales: Liu, Yanshi, Wang, Fei, Liu, Kai, Cai, Feiyu, Zhang, Xingpeng, Li, Hong, Zhang, Tao, Yusufu, Aihemaitijiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8905859/
https://www.ncbi.nlm.nih.gov/pubmed/35260138
http://dx.doi.org/10.1186/s12891-022-05172-5
_version_ 1784665282466283520
author Liu, Yanshi
Wang, Fei
Liu, Kai
Cai, Feiyu
Zhang, Xingpeng
Li, Hong
Zhang, Tao
Yusufu, Aihemaitijiang
author_facet Liu, Yanshi
Wang, Fei
Liu, Kai
Cai, Feiyu
Zhang, Xingpeng
Li, Hong
Zhang, Tao
Yusufu, Aihemaitijiang
author_sort Liu, Yanshi
collection PubMed
description BACKGROUD: When the reduction of long bone shaft fracture fragments is performed by a hexapod external fixator, the collision and interference between bony ends often results in an incomplete reduction and a time-consuming procedure. The purpose of this study was to present and determine the clinical effectiveness of staged correction trajectory with hexapod external fixator in the reduction of a long bone shaft fracture. METHODS: A total of 57 patients with tibial shaft fractures treated by hexapod external fixator were retrospectively analyzed from June 2016 to February 2020. Thirty-one cases (Group I) underwent a conventional one-step reduction trajectory from June 2016 to July 2018. Starting in September 2018, the other twenty-six patients (Group II) underwent staged correction trajectory (three key points reduction trajectory of “distraction-derotation-reduction”). The demographic data, residual deformities before and after correction, number of repeated X-rays after the first postoperative X-ray, duration of deformity correction process, and external fixation time were analyzed. Johner-Wruhs criteria were used to evaluate the final clinical outcomes. RESULTS: All the 57 patients achieved satisfactory fracture reduction and bone union. There were no significant differences between the two groups in demographic data, residual deformities before and after correction, external fixation time, and final clinical outcomes (p > 0.05). The average number of repeated X-rays after the first postoperative X-ray and mean duration of deformity correction process in Group II (1.3 times, 2.9 days) were all less than those in Group I (2.3 times, 5.1 days) (p < 0.05). CONCLUSION: Compared with the conventional one-step reduction trajectory, there is no differences in final clinical outcomes, but the staged correction trajectory provides less repeated X-rays and shorter reduction process duration.
format Online
Article
Text
id pubmed-8905859
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-89058592022-03-18 Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture Liu, Yanshi Wang, Fei Liu, Kai Cai, Feiyu Zhang, Xingpeng Li, Hong Zhang, Tao Yusufu, Aihemaitijiang BMC Musculoskelet Disord Research BACKGROUD: When the reduction of long bone shaft fracture fragments is performed by a hexapod external fixator, the collision and interference between bony ends often results in an incomplete reduction and a time-consuming procedure. The purpose of this study was to present and determine the clinical effectiveness of staged correction trajectory with hexapod external fixator in the reduction of a long bone shaft fracture. METHODS: A total of 57 patients with tibial shaft fractures treated by hexapod external fixator were retrospectively analyzed from June 2016 to February 2020. Thirty-one cases (Group I) underwent a conventional one-step reduction trajectory from June 2016 to July 2018. Starting in September 2018, the other twenty-six patients (Group II) underwent staged correction trajectory (three key points reduction trajectory of “distraction-derotation-reduction”). The demographic data, residual deformities before and after correction, number of repeated X-rays after the first postoperative X-ray, duration of deformity correction process, and external fixation time were analyzed. Johner-Wruhs criteria were used to evaluate the final clinical outcomes. RESULTS: All the 57 patients achieved satisfactory fracture reduction and bone union. There were no significant differences between the two groups in demographic data, residual deformities before and after correction, external fixation time, and final clinical outcomes (p > 0.05). The average number of repeated X-rays after the first postoperative X-ray and mean duration of deformity correction process in Group II (1.3 times, 2.9 days) were all less than those in Group I (2.3 times, 5.1 days) (p < 0.05). CONCLUSION: Compared with the conventional one-step reduction trajectory, there is no differences in final clinical outcomes, but the staged correction trajectory provides less repeated X-rays and shorter reduction process duration. BioMed Central 2022-03-08 /pmc/articles/PMC8905859/ /pubmed/35260138 http://dx.doi.org/10.1186/s12891-022-05172-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Liu, Yanshi
Wang, Fei
Liu, Kai
Cai, Feiyu
Zhang, Xingpeng
Li, Hong
Zhang, Tao
Yusufu, Aihemaitijiang
Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture
title Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture
title_full Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture
title_fullStr Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture
title_full_unstemmed Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture
title_short Staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture
title_sort staged correction trajectory with hexapod external fixator for the satisfactory reduction of long bone shaft fracture
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8905859/
https://www.ncbi.nlm.nih.gov/pubmed/35260138
http://dx.doi.org/10.1186/s12891-022-05172-5
work_keys_str_mv AT liuyanshi stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture
AT wangfei stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture
AT liukai stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture
AT caifeiyu stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture
AT zhangxingpeng stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture
AT lihong stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture
AT zhangtao stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture
AT yusufuaihemaitijiang stagedcorrectiontrajectorywithhexapodexternalfixatorforthesatisfactoryreductionoflongboneshaftfracture