Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-01-01 DOI:10.5005/jp-journals-10080-1551

Konstantins Plotnikovs, Jevgenijs Movcans, Leonid Solomin

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引用次数: 2

Abstract

Introduction: The presence of massive soft tissue loss in open tibial fractures is a challenging problem. Acute limb shortening is an alternative solution in situations where the use of flaps is limited.

Materials and methods: A review was conducted following the Preferred Reported Items for Systematic Reviews and Meta-analyses checklist (PRISMA) guidelines. A complete search of PubMed, EMBASE and MEDLINE was undertaken. Twenty-four articles related to closure of soft tissue defects through acute limb shortening were identified and included in this review.

Results: All report on restoration of limb function without or with minimal residual shortening. The authors note a decrease in the need for microsurgery. The external fixation devices used for deformity correction after closure of the soft tissue defect by acute shortening, angulation and rotation were the Ilizarov apparatus and circular fixator hexapods mainly.

Conclusion: Acute shortening is an alternative to microsurgical techniques. A ring external fixator is useful for restoring limb alignment after closing the soft tissue defect through creating a temporary deformity. The use of circular fixator hexapods can enable accurate correction of complex multicomponent deformities without the need to reassembly of individual correction units.

How to cite this article: Plotnikovs K, Movcans J, Solomin L. Acute Shortening for Open Tibial Fractures with Bone and Soft Tissue Defects: Systematic Review of Literature. Strategies Trauma Limb Reconstr 2022;17(1):44-54.

查看原文本刊更多论文

开放性胫骨骨折伴骨及软组织缺损的急性短缩:文献系统回顾。

引言:开放性胫骨骨折中存在大量软组织丢失是一个具有挑战性的问题。急性肢体缩短是一种替代的解决方案，在情况下使用皮瓣是有限的。材料和方法:按照系统评价和荟萃分析清单(PRISMA)指南的首选报告项目进行综述。对PubMed、EMBASE和MEDLINE进行了完整的检索。本综述收录了24篇与通过急性肢体缩短治疗软组织缺损相关的文章。结果:所有报告的肢体功能恢复无或最小的残余缩短。作者指出，对显微手术的需求有所减少。急性缩短、成角、旋转缝合软组织缺损后用于畸形矫正的外固定装置主要为Ilizarov器械和圆形固定器六足。结论:急性缩短是显微外科技术的替代选择。环形外固定架可用于通过造成暂时性畸形关闭软组织缺损后恢复肢体的排列。使用圆形固定器六足可以精确矫正复杂的多部件畸形，而不需要重新组装单个矫正单元。[1]李建军，李建军，李建军，等。胫骨开放性骨折伴骨组织缺损的短缩治疗。创伤肢体重建2022;17(1):44-54。

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来源期刊

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.