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Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle
OBJECTIVE: To evaluate the advantages of double reverse traction closed reduction combined with minimally invasive fixation in treating femoral condylar comminuted fractures. METHODS: We retrospectively enrolled a total of 24 patients with femoral condylar comminuted fractures (AO = 33C3) admitted t...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935693/ https://www.ncbi.nlm.nih.gov/pubmed/36816009 http://dx.doi.org/10.3389/fsurg.2023.1085636 |
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author | Lian, Xiaodong Zhang, Heng Guo, Fan Wang, Zhongzheng Zhao, Kuo Hou, Zhiyong Zhang, Yingze |
author_facet | Lian, Xiaodong Zhang, Heng Guo, Fan Wang, Zhongzheng Zhao, Kuo Hou, Zhiyong Zhang, Yingze |
author_sort | Lian, Xiaodong |
collection | PubMed |
description | OBJECTIVE: To evaluate the advantages of double reverse traction closed reduction combined with minimally invasive fixation in treating femoral condylar comminuted fractures. METHODS: We retrospectively enrolled a total of 24 patients with femoral condylar comminuted fractures (AO = 33C3) admitted to Third Hospital of Hebei Medical University from March 2018 to February 2020. The patients were divided into two groups: experimental group (double reverse traction, n = 12) and control group (conventional surgery, n = 12). Patient demographics, fracture characteristics, operation time, incision length, and postoperative complications were then collected. The Hospital for Special Surgery (HSS) scores were recorded at the last follow-up visit. RESULTS: The average surgical time was 52.2 (41–73) min in the experimental group and 71.2 (45–103) min in the control group. In addition, the mean total incision length was 13.8 (11–17) cm in the experimental group and 16.3 (14–19) cm in the control group. The average HHS scores at the final follow-up were 86.3 (78–93) and 82.7 (76–90) in the experimental group and control group, respectively. CONCLUSION: It was found that double reverse traction closed reduction combined with minimally invasive fixation can provide good repositioning results and functional extremity. Moreover, patients tolerate postoperative functional knee exercises well. |
format | Online Article Text |
id | pubmed-9935693 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99356932023-02-18 Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle Lian, Xiaodong Zhang, Heng Guo, Fan Wang, Zhongzheng Zhao, Kuo Hou, Zhiyong Zhang, Yingze Front Surg Surgery OBJECTIVE: To evaluate the advantages of double reverse traction closed reduction combined with minimally invasive fixation in treating femoral condylar comminuted fractures. METHODS: We retrospectively enrolled a total of 24 patients with femoral condylar comminuted fractures (AO = 33C3) admitted to Third Hospital of Hebei Medical University from March 2018 to February 2020. The patients were divided into two groups: experimental group (double reverse traction, n = 12) and control group (conventional surgery, n = 12). Patient demographics, fracture characteristics, operation time, incision length, and postoperative complications were then collected. The Hospital for Special Surgery (HSS) scores were recorded at the last follow-up visit. RESULTS: The average surgical time was 52.2 (41–73) min in the experimental group and 71.2 (45–103) min in the control group. In addition, the mean total incision length was 13.8 (11–17) cm in the experimental group and 16.3 (14–19) cm in the control group. The average HHS scores at the final follow-up were 86.3 (78–93) and 82.7 (76–90) in the experimental group and control group, respectively. CONCLUSION: It was found that double reverse traction closed reduction combined with minimally invasive fixation can provide good repositioning results and functional extremity. Moreover, patients tolerate postoperative functional knee exercises well. Frontiers Media S.A. 2023-02-03 /pmc/articles/PMC9935693/ /pubmed/36816009 http://dx.doi.org/10.3389/fsurg.2023.1085636 Text en © 2023 Lian, Zhang, Guo, Wang, Zhao, Hou and Zhang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Lian, Xiaodong Zhang, Heng Guo, Fan Wang, Zhongzheng Zhao, Kuo Hou, Zhiyong Zhang, Yingze Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle |
title | Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle |
title_full | Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle |
title_fullStr | Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle |
title_full_unstemmed | Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle |
title_short | Clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle |
title_sort | clinical effect of closed reduction minimally invasive fixation in intra-articular comminuted fractures of the femoral condyle |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935693/ https://www.ncbi.nlm.nih.gov/pubmed/36816009 http://dx.doi.org/10.3389/fsurg.2023.1085636 |
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