Wiley also publishes its books in a variety of electronic formats. Fractures– Handbooks, manuals Lecture Notes: Or Netter's concise atlas of orthopaedic. Review of orthopaedic trauma / [edited by] Mark R. Brinker. —- Second Summary: “The second edition of Review of Orthopaedic Trauma covers the entire. Review of Orthopaedic Trauma - Brinker, Mark R - Ebook download as PDF File ( .pdf), Text File .txt) or read book online. ortopedie.
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Mark R. Brinker (ed.): Orthopaedic trauma. 2nd Edition, Wolters tional articles, recent articles and articles of clinical review. The first part treats. Review of Orthopaedic trauma By. Mark R Brinker MD Director of Acute and Reconctructive Trauma Fondren Orthopaedic Group L.L.P. Texas. Review of Orthopaedic Trauma pdf by D. Mark R Brinker MD. Govender et al reviewed even when, an estimated six percent. Our privacy and are awarded a.
Pollak, Bruce H. Levine, Albert J. Lane, Charles N.
Review of Orthopaedic Trauma
Roberts, Gregory E. Rodner, Bruce D.
Brinker, Daniel P. Wiesel, Richard A.
Obremskey, Marc F. Hecht, D.
Whitesides, Jr. Anderson, Brian K. Kwon, Sohail K. Garfin, Frank J. Eismont, Alan M. Levine, Robert A. McGuire, Mark A.
Mark R. Brinker (ed.): Orthopaedic trauma
Cotler, Oren G. Eastlack, Bradford L. Currier, Choll W. Kim, Michael J. Charles Chip Routt, Joel M. Jupiter, Terry S. Axelrod, Mark R. Cohen, Jesse B. Jupiter, Robert Y. Jupiter, James F. McKee, Jesse B. Goulet, Paul E. Lastly, locking plates are amenable to minimally invasive insertion, which helps preserve the vascular supply to the fracture site. Despite the aforementioned benefits, Kubiak et al.
Henderson et al. According to our review, the most common initial treatment reported in patients with nonunion is ORIF with plate fixation. This could simply be due to the high incidence of use of plates to treat the original distal femur fractures in the reports reviewed. In addition, there was significant diversity in the types of plate used.
However, in our review, only five patients with nonunion were initially treated with locking plates. Inadequate stabilization, insufficient blood supply, poor bone quality, troublesome fracture patterns and infection have all been linked to increased risk of nonunion. Lynch et al. According to our review, the most frequently reported risk factor in patients with nonunion is open fractures.
Open fractures are associated with relatively high rates of infection and disruption of the vascular supply, both of which may contribute to nonunion. In the past, ORIF was associated with nonunion because it involved substantial stripping of the periosteum and damage to the bone and surrounding soft tissue.
However, with the advent of minimally invasive plate osteosynthesis, there has been a decrease in complication rates 28 - When treating nonunions of the distal femur, the ultimate goal is to achieve stable reduction while simultaneously preserving sufficient blood flow.
As noted by Chan et al. To illustrate, Nadkarni et al.
Despite the variety of therapeutic options, Hakeos et al. According to our review, the most common definitive treatment employed is fixed angle plating combined with cancellous autografting.
Using this method, bony union was achieved in 75 of 77 patients Of those articles reporting more than two cases, fixed angle plating with bone grafting healed in the shortest average time 7. In a review of nonunions around the knee joint, Chan et al. There are few published reports regarding functional outcomes after treatment of distal femoral nonunions. However, an article by Gardner et al.
They reported an improvement from The overall rate of successful bony healing for all methods was The primary goal of treatment of nonunion is to provide an environment in which new bone can be created by establishing and maintaining mechanical stability and biological conditions that are conducive to new bone formation.
In distal femur fractures, this can be accomplished through a large variety of types of fixation with or without the addition of bone grafts. Selection of a particular technique is based on the type of nonunion and whether or not alignment of the fragments is adequate.
According to an article by Panagiotis, instability is the primary cause of hypertrophic nonunions, which are therefore best treated with stable fixation with minimal vascular disturbance On the other hand, insufficient bone forming cells or blood supply, being the main cause of atrophic nonunions, often necessitate resection of the nonviable bone and fibrous tissue combined with bone grafting.
This review is limited by a lack of published randomized control studies.Where some authors reported nonunion results for individual patients, others reported results for the studied group as a whole. All Emergency Med Craig Crouch, and James B.
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In the past, ORIF was associated with nonunion because it involved substantial stripping of the periosteum and damage to the bone and surrounding soft tissue.
Lastly, locking plates are amenable to minimally invasive insertion, which helps preserve the vascular supply to the fracture site. Gottschalk Section II: Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries Impact of academic collaboration and quality of clinical orthopaedic research
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