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Tibia Pathology and Fractures最新文献

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High Tibial Osteotomy 胫骨高位截骨术
Tibia Pathology and Fractures Pub Date : 2020-07-22 DOI: 10.5772/intechopen.92887
Tuna Pehlivanoğlu, K. Yıldırım, T. Beyzadeoğlu
{"title":"High Tibial Osteotomy","authors":"Tuna Pehlivanoğlu, K. Yıldırım, T. Beyzadeoğlu","doi":"10.5772/intechopen.92887","DOIUrl":"https://doi.org/10.5772/intechopen.92887","url":null,"abstract":"To address lower limb malalignment with concomitant medial compartment osteoarthritis, meniscal deficiency, focal chondral defects, and ligamentous instability, high tibia osteotomy (HTO) is a reliable treatment option. In order to achieve a good long-term outcome with HTO, a comprehensive history and physical examination, together with a meticulous patient selection and careful pre-operative planning, and selection of the appropriate fixation technique and rehabilitation protocol are paramount.","PeriodicalId":224505,"journal":{"name":"Tibia Pathology and Fractures","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123113380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Midterm Results of Quality of Life after Surgical Treatment of Tibial Plateau Fractures of Type Moore V Moore型胫骨平台骨折手术治疗后生活质量的中期结果
Tibia Pathology and Fractures Pub Date : 2020-05-08 DOI: 10.5772/intechopen.92062
R. Wirbel
{"title":"Midterm Results of Quality of Life after Surgical Treatment of Tibial Plateau Fractures of Type Moore V","authors":"R. Wirbel","doi":"10.5772/intechopen.92062","DOIUrl":"https://doi.org/10.5772/intechopen.92062","url":null,"abstract":"The midterm restriction of the quality of life should be evaluated and correlated with the objective radiological results in patients with the special tibial plateau fracture of type Moore V. From 2003 to 2012, 36 patients with 38 fractures were registered in a retrospective cohort study. Injury mechanism, surgical treatment, complication rate, and radiological results after a mean follow-up of 37 months and the quality of life (NRS, IKDC-form, and EQ-5D-score) after 68 months were analyzed. There were 27 men and 9 women (mean age 50.8 years) in 30 cases with high impact injury. External fixator was used in 24 cases primarily, single plate fixation was used in 12 cases, and double plate fixation was used in 25 cases. All early complication (21%) could be cured. Mean NRS was 4.53, IKDC-score was 50.46, and the EQ-5D was 7.47. The quality of life was quoted to 44% of the output value before the injury. Osteoarthritis was seen in 36 cases; severe in 19 cases and 4 requiring endoprostheses. Loss of reduction and deviation of axis were seen in 13 and 3 patients, respectively. The tibial plateau of type Moore V is a severe injury resulting in the midterm reduction of the quality of life. There is a correlation of subjective and objective results.","PeriodicalId":224505,"journal":{"name":"Tibia Pathology and Fractures","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116572294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Approaches and Leg Positions for Tibial Plateau Fractures 胫骨平台骨折的手术入路和腿位
Tibia Pathology and Fractures Pub Date : 2020-04-21 DOI: 10.5772/intechopen.92126
Katsimentzas Triantafyllos, Tryfon Ditsios, K. Ditsios
{"title":"Surgical Approaches and Leg Positions for Tibial Plateau Fractures","authors":"Katsimentzas Triantafyllos, Tryfon Ditsios, K. Ditsios","doi":"10.5772/intechopen.92126","DOIUrl":"https://doi.org/10.5772/intechopen.92126","url":null,"abstract":"Tibial plateau fractures are a common orthopedic injury. Epidemiological studies have shown that these injuries appear in younger or older patients with different mechanisms of injury. For better long-term results, it is crucial to achieve successful fracture reduction, thus avoiding the main complication, which is post-traumatic arthritis. Reduction can be achieved by choosing the proper surgical approach. Many approaches that address the fractures of the tibial plateau have been described in international literature. In the past, the direct anterior midline approach was used, which required a large detachment of the soft tissues. Nowadays, the percutaneous approach, the anterolateral approach, the medial approach, the posteromedial approach, the posterolateral approach, and the direct posterior approach are used by orthopedic surgeons to treat these kinds of fractures. In this chapter, we will describe the surgical approaches available for tibial plateau fractures and the possible positions of the affected leg.","PeriodicalId":224505,"journal":{"name":"Tibia Pathology and Fractures","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129592754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Far Proximal and Far Distal Tibial Fractures: Management with Intramedullary Nails 胫骨远近端和远远端骨折:髓内钉治疗
Tibia Pathology and Fractures Pub Date : 2020-01-27 DOI: 10.5772/intechopen.90915
L. Bahamonde, Álvaro Zamorano, Pierluca Zecchetto
{"title":"Far Proximal and Far Distal Tibial Fractures: Management with Intramedullary Nails","authors":"L. Bahamonde, Álvaro Zamorano, Pierluca Zecchetto","doi":"10.5772/intechopen.90915","DOIUrl":"https://doi.org/10.5772/intechopen.90915","url":null,"abstract":"Operative treatment of tibial fractures located at the proximal metaphyseal-epiphyseal and distal metaphyseal-epiphyseal areas, including those with articular extensions, is a technical challenge. Common methods for surgical management include plates (locking and nonlocking), external fixation devices, and intramedullary nails. All these methods have shown satisfactory results in terms of quality of reduction and clinical and radiological outcomes. The authors present some technical methods and strategies that have been useful for the surgical approach, reduction, and fixation of these lesions with the use of locked nails.","PeriodicalId":224505,"journal":{"name":"Tibia Pathology and Fractures","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125548959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Regenerative Effect of Intra-Articular Injection of Autologous Fat Micro-Graft in Treatment of Chronic Knee Osteoarthritis 关节内注射自体脂肪微移植物治疗慢性膝骨关节炎的再生效果
Tibia Pathology and Fractures Pub Date : 2019-07-31 DOI: 10.5772/INTECHOPEN.88220
Sabah S. Moshref, Y. Jamal, A. Al-Hibshi, A. Kaki
{"title":"The Regenerative Effect of Intra-Articular Injection of Autologous Fat Micro-Graft in Treatment of Chronic Knee Osteoarthritis","authors":"Sabah S. Moshref, Y. Jamal, A. Al-Hibshi, A. Kaki","doi":"10.5772/INTECHOPEN.88220","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.88220","url":null,"abstract":"The study started in 2010 to find the effect of autologous fat micrograft for osteoarthritis (OA); the result was published on normal animal’s model, in 10 patients, then in 80 patients with knee osteoarthritis, and the current study in 205 patients. The study was conducted at King Abdulaziz University Hospital (January 2012–October 2015); 80 adult patients were suffering from moderate to severe knee osteoarthritis. About 10–20 mL fat micrograft was prepared with liposuction and injected intra-articularly into the affected knee/s. The results revealed that pain improvement after the fat injection during rest and with activity with the visual analogue scale. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) indicated improvement, both in the three domains (pain, stiffness, and physical function) and in total. The use of intra-articular autologous fat micrograft is simple, safe, and effective for degenerative knee osteoarthritis.","PeriodicalId":224505,"journal":{"name":"Tibia Pathology and Fractures","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129219299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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