Novel management of distal tibial and fibular fractures with Acumed fibular nail and minimally invasive plating osteosynthesis technique
Novel management of distal tibial and fibular fractures with Acumed fibular nail and minimally invasive plating osteosynthesis technique
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Acumed 腓骨钉和微创钢板接骨技术治疗远端胫骨和腓骨骨折的新方法
DOI：
10.1097/md.0000000000006482
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发表时间：
2017-03
期刊：
影响因子：
1.6
通讯作者：
Baochang Qi
中科院分区：
文献类型：
--
作者：
Tiejun Wang;Weina Ju;Baochang Qi
理由：解剖学特征，例如皮下位置和最小的肌肉覆盖，导致胫骨和腓骨远端三分之一骨折的复杂性。软组织的严重损伤和不稳定性确保骨延迟愈合的高风险。以及伤口并发症，如不愈合、感染和坏死。患者关注点：本病例报告讨论了一名 54 岁女性左胫骨和腓骨远端三分之一骨折的治疗，并伴有上覆软组织损伤（肿胀和水泡）。钢板被认为是此类骨折的首选，因为它可以确保准确复位和牢固固定，但这会增加并发症的风险..诊断：左侧胫骨和腓骨远端三分之一的闭合性骨折（AO：43-A3）..干预措施：肿胀减轻后，对患者进行闭合复位并用Acumed腓骨钉固定。以及微创钢板接骨术（MIPO），确保更小的切口和最小的软组织解剖。.结果：在1年随访中，患者恢复良好，治疗肢体已恢复满意的功能。左脚踝的Kofoed评分为95。教训：根据本例的经验，肿胀减轻后即可安全进行手术。微创技术是最好的方法。考虑到本例的优点和良好的疗效，我们推荐使用 Acumed 腓骨钉和 MIPO 技术治疗远端胫骨和腓骨骨折。
Rationale: Anatomical characteristics, such as subcutaneous position and minimal muscle cover, contribute to the complexity of fractures of the distal third of the tibia and fibula. Severe damage to soft tissue and instability ensure high risk of delayed bone union.and wound complications such as nonunion, infection, and necrosis..Patientconcerns: This case report discusses management in a 54-year-old woman who sustained fractures of the distal third of.the left tibia and fibula,with damage to overlying soft tissue(swelling and blisters).Plating is accepted as the first choice for this type of fracture as it ensures accurate reduction and rigid fixation, but it increases the risk of complications..Diagnosis: Closed fracture of the distal third of the left tibia and fibula (AO: 43-A3)..Interventions: After the swelling was alleviated, the patient underwent closed reduction and fixation with an Acumed fibular nail.and minimally invasive plating osteosynthesis (MIPO), ensuring a smaller incision and minimal soft-tissue dissection..Outcomes: At the 1-year follow-up, the patient had recovered well and had regained satisfactory function in the treated limb. The.Kofoed score of the left ankle was 95..Lessons: Based on the experience from this case, the operation can be undertaken safely when the swelling has been alleviated..The minimal invasive technique represents the best approach. Considering the merits and good outcome in this case, we.recommend the Acumed fibular nail and MIPO technique for treatment of distal tibial and fibular fractures.
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影响因子：
0.3
作者：
Appleton, Paul;McQueen, Margaret;Court-Brown, Charles
通讯作者：
Court-Brown, Charles
影响因子：
2.7
作者：
Lee, Yih-Shiunn;Huang, Hui-Ling;Huang, Chien-Rae
通讯作者：
Huang, Chien-Rae
影响因子：
--
作者：
Paluvadi, Siddhartha Venkata;Lal, Hitesh;Vidyarthi, Kandarp
通讯作者：
Vidyarthi, Kandarp
影响因子：
2.7
作者：
Anderson, Sarah A.;Li, Xinning;Wixted, John J.
通讯作者：
Wixted, John J.
影响因子：
2.3
作者：
Lamontagne, J;Blachut, PA;Meek, RN
通讯作者：
Meek, RN