Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Lian, Xiaodong, Zhang, Heng, Guo, Fan, Wang, Zhongzheng, Zhao, Kuo, Hou, Zhiyong, Zhang, Yingze
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
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
_version_ 1784890072350326784
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
work_keys_str_mv AT lianxiaodong clinicaleffectofclosedreductionminimallyinvasivefixationinintraarticularcomminutedfracturesofthefemoralcondyle
AT zhangheng clinicaleffectofclosedreductionminimallyinvasivefixationinintraarticularcomminutedfracturesofthefemoralcondyle
AT guofan clinicaleffectofclosedreductionminimallyinvasivefixationinintraarticularcomminutedfracturesofthefemoralcondyle
AT wangzhongzheng clinicaleffectofclosedreductionminimallyinvasivefixationinintraarticularcomminutedfracturesofthefemoralcondyle
AT zhaokuo clinicaleffectofclosedreductionminimallyinvasivefixationinintraarticularcomminutedfracturesofthefemoralcondyle
AT houzhiyong clinicaleffectofclosedreductionminimallyinvasivefixationinintraarticularcomminutedfracturesofthefemoralcondyle
AT zhangyingze clinicaleffectofclosedreductionminimallyinvasivefixationinintraarticularcomminutedfracturesofthefemoralcondyle