The importance of medial support in complex distal femur fractures: an expert survey of AO trauma Italy members and evidence-based treatment recommendations

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Marco BERLUSCONI, Federico CHIODINI, Margherita MENOZZI, Kodi KOJIMA, Massimiliano CARROZZO, Emmanuele SANTOLINI, Giulia COLASUONNO, Claudio BUONO, Andrea Michele ABBATICCHIO, Maria Lucia MANCINI, Enricomaria LUNINI, Giovanni VICENTI
{"title":"The importance of medial support in complex distal femur fractures: an expert survey of AO trauma Italy members and evidence-based treatment recommendations","authors":"Marco BERLUSCONI, Federico CHIODINI, Margherita MENOZZI, Kodi KOJIMA, Massimiliano CARROZZO, Emmanuele SANTOLINI, Giulia COLASUONNO, Claudio BUONO, Andrea Michele ABBATICCHIO, Maria Lucia MANCINI, Enricomaria LUNINI, Giovanni VICENTI","doi":"10.23736/s2784-8469.23.04332-8","DOIUrl":null,"url":null,"abstract":"BACKGROUND: Distal femur fractures (DFFs) are quite common injuries, accounting for 1% of all fractures and 3-6% of femoral fractures. This type of fracture has grown increasingly alarming as the world’s population ages. The aim of this study was to examine and interpret the results of a survey that we submitted to Italian orthopedic surgeons to establish an algorithm for treating both these fractures and complications related and also to enhance the real importance of medial support in distal femur fractures.METHODS: A webinar survey developed from the current literature was emailed to 101 Italian orthopedic doctors who were members of the AO/OTA and AUOT associations. Several questions were asked to the surgeons regarding medial support in distal femur fractures, their experience with several types of treatment, stability principles, complications, and rehabilitation procedures.RESULTS: According to literature and to the results of this survey, double plate (lateral + medial) is considered the most stable technique, despite many Italian surgeons (71.29%) use only lateral LCP. In case of metaphyseal comminution, osteoporotic bone, non-unions and periprosthetic fractures medial support it is recommended by using medial plate in order to guarantee bone vascularization respecting “the safe zone.”CONCLUSIONS: Guidelines are required not only for surgical treatment, but also to avoid or treat the percentage of non-union related to this fracture pattern.","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23736/s2784-8469.23.04332-8","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 1

Abstract

BACKGROUND: Distal femur fractures (DFFs) are quite common injuries, accounting for 1% of all fractures and 3-6% of femoral fractures. This type of fracture has grown increasingly alarming as the world’s population ages. The aim of this study was to examine and interpret the results of a survey that we submitted to Italian orthopedic surgeons to establish an algorithm for treating both these fractures and complications related and also to enhance the real importance of medial support in distal femur fractures.METHODS: A webinar survey developed from the current literature was emailed to 101 Italian orthopedic doctors who were members of the AO/OTA and AUOT associations. Several questions were asked to the surgeons regarding medial support in distal femur fractures, their experience with several types of treatment, stability principles, complications, and rehabilitation procedures.RESULTS: According to literature and to the results of this survey, double plate (lateral + medial) is considered the most stable technique, despite many Italian surgeons (71.29%) use only lateral LCP. In case of metaphyseal comminution, osteoporotic bone, non-unions and periprosthetic fractures medial support it is recommended by using medial plate in order to guarantee bone vascularization respecting “the safe zone.”CONCLUSIONS: Guidelines are required not only for surgical treatment, but also to avoid or treat the percentage of non-union related to this fracture pattern.
内侧支持在复杂股骨远端骨折中的重要性:意大利创伤组织成员的专家调查和循证治疗建议
背景:股骨远端骨折是非常常见的损伤,占所有骨折的1%,股骨骨折的3-6%。随着世界人口老龄化,这种类型的骨折越来越令人担忧。本研究的目的是检查和解释我们提交给意大利骨科医生的一项调查结果,以建立治疗这些骨折和相关并发症的算法,并提高股骨远端骨折内侧支撑的真正重要性。方法:通过电子邮件向101名意大利骨科医生进行网络研讨会调查,这些医生都是AO/OTA和AUOT协会的成员。关于股骨远端骨折的内侧支持、几种治疗方法的经验、稳定性原则、并发症和康复程序,向外科医生提出了几个问题。结果:根据文献和本次调查的结果,双钢板(外侧+内侧)被认为是最稳定的技术,尽管许多意大利外科医生(71.29%)只使用外侧LCP。对于干骺端粉碎、骨质疏松、骨不连和假体周围骨折,建议使用内侧钢板进行内侧支撑,以保证骨血管的“安全区”。结论:不仅需要指导手术治疗,而且需要指导避免或治疗与该骨折类型相关的不愈合百分比。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信