Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, Radojević G. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis.

Slides:



Advertisements
Similar presentations
Treatment of Reverse Oblique and Transverse Intertrochanteric Fractures with Use of an Intramedullary Nail or a 95° Screw-Plate by Christophe Sadowski,
Advertisements

Complex Regional Pain Syndrome by Thuan-Tzen Koh, Anne Daly, William Howard, Chong Tan, and Andrew Hardidge JBJS Reviews Volume 2(7):e5 July 22, 2014 ©2014.
External Fixation Indications and Techniques
Avoiding Complications in the Treatment of Humeral Fractures by Jeffrey O. Anglen, Michael T. Archdeacon, Lisa K. Cannada, and Dolfi Herscovici J Bone.
Case Examples An isolated injury in an adult, bicycle crash Treatment options?
OSCE EXAM SIMULATION WITH THE IDEAL ANSWER second part
Fractures general management. A high velocity injury should always be treated according to the Advanced Trauma Life Support (ATLS) guidelines with attention.
Mechanism of the Injury (cause)  Fall or hit on to knee cap.
Collar bone Position Reason Duty Patient Action Purpose Of Treatment.
Tibial Stress Fracture after a Graft Has Been Obtained from the Fibula. A Report of Five Cases* by SANFORD E. EMERY, JOHN G. HELLER, CHERYL A. PETERSILGE,
 Type C: 4/5 patients treated successfully by functional bracing  Campbell et al  Type C: 2/3 healed successfully with nonoperative management  Kumar.
A Randomized, Prospective Study of Operative and Non- Operative Treatment of Injuries of the Fibular Collateral Ligaments of the Ankle* by P. POVACZ, F.
Nathan McNeil, MD 11/22/2010.  “a condition in which increased pressure within a limited space compromises the circulation and function of the tissues.
Emergent Management of Pelvic Ring Fractures with Use of Circumferential Compression by Michael Bottlang, James C. Krieg, Marcus Mohr, Tamara S. Simpson,
Operative Treatment of Fractures of the Tibial Plafond. A Randomized, Prospective Study* by BRAD WYRSCH, MARK A. MCFERRAN, MARK MCANDREW, THOMAS J. LIMBIRD,
Open Reduction and Internal Fixation Compared with Circular Fixator Application for Bicondylar Tibial Plateau Fractures by Jeremy A. Hall, Murray J. Beuerlein,
The Trends in Treatment of Femoral Neck Fractures in the Medicare Population from 1991 to 2008 by Benjamin J. Miller, Xin Lu, and Peter Cram J Bone Joint.
Single-Leg-Stance Radiographs in the Diagnosis of Pelvic Instability by Jodi Siegel, David C. Templeman, and Paul Tornetta J Bone Joint Surg Am Volume.
MANAGEMENT OF CONGENITAL PSEUDARTHROSIS OF TIBIA
Tetrafocal Bone Transport of the Tibia with Circular External Fixation by Francesco Guerreschi, Wael Azzam, Marco Camagni, Luigi Lovisetti, and Maurizio.
Percutaneous Autologous Bone-Marrow Grafting for Nonunions by Ph. Hernigou, A. Poignard, F. Beaujean, and H. Rouard J Bone Joint Surg Am Volume 87(7):
TIBIA FRACTURES. The tibia is subcutaneous.
Reverse Shoulder Arthroplasty for the Treatment of Nonunions of the Surgical Neck of the Proximal Part of the Humerus (Type-3 Fracture Sequelae)‏ by Patric.
The Influence of Active Shear or Compressive Motion on Fracture-Healing* by SANG-HYUN PARK, KIM O'CONNOR, HARRY MCKELLOP, and AUGUSTO SARMIENTO J Bone.
External Fixation: How to Make It Work by Bruce H. Ziran, Wade R. Smith, Jeff O. Anglen, and Paul Tornetta J Bone Joint Surg Am Volume 89(7):
Successful Limb Salvage of a “Too-Short Segment” of the Proximal Part of the Femur with Use of a Compression Osseointegration Implant by Raffi S. Avedian,
Computed Tomographic Assessment of Fractures of the Posterior Wall of the Acetabulum After Operative Treatment by Berton R. Moed, Seann E. Willson Carr,
Torn Flexor Digitorum Longus Tendon and Lacerated Posterior Tibial Artery Associated with an Open Hawkins Type-III Talar Neck Fracture by Alexander A.
Surgical Correction of Residual Hip Dysplasia in Two Pediatric Age-Groups by François D. Lalonde, Steven L. Frick, and Dennis R. Wenger J Bone Joint Surg.
Locking Plates: Tips and Tricks by Wade R. Smith, Bruce H. Ziran, Jeff O. Anglen, and Philip F. Stahel J Bone Joint Surg Am Volume 89(10): October.
Dynamic Hip Screw Compared with External Fixation for Treatment of Osteoporotic Pertrochanteric Fractures by Antonio Moroni, Cesare Faldini, Francesco.
Types of Fractures Afrid, Justin, Jonathan. A fracture is a broken bone Bones are rigid, but they do bend from an outside force The severity of a fracture.
Treatment of Closed Tibial Fractures by Andrew H Schmidt, Christopher G. Finkemeier, and Paul Tornetta J Bone Joint Surg Am Volume 85(2): February.
FRACTURE-DISLOCATOCATION OF PROXIMAL INT. PHALANGEAL PIP JOINT INJURY IS THE MOST COMMON INJURY IN THE HAND.
Follow up CT scan on 20 year old male with back pain
1st Zliten Orthopedic Symposium (ZOS) 10th March,2016
Date of download: 10/21/2017 Copyright © ASME. All rights reserved.
Surgry.
Scaphoid fracture. A. Scaphoid fracture nonunion. B
Late results after a two-stage protocol for soft tissue management in the treatment of tibial pilon fractures Obadă B., Șerban Al. O., Costea D., Grasa.
Proximal Tibia Nonunion
Three types of fixation displayed on three different patients
Fig. 3. Radiographs of a 7-year-old male who underwent bilateral femoral lengthening. (A) Prior to external fixator removal (note the lateral shape of.
Splint K wire Lag Screw Plate External Fixator
A series of left anteroposterior tibial radiographs from a 74-yr-old man with Paget's disease of bone in the left tibia. (A) The patient's tenth fracture;
FRACTURES 0F LOWER LIMB BY Vishnu Mohan.
PLACEHOLDERS AND 7TH DIGIT CODE ASSIGNMENTS
Bone Repair Challenge ~Biomedical Engineering~
Managing Bone Deficiency and Nonunions of the Proximal Femur
Tibial plateau fracture
Distal intraarticular femoral fracture
The Biomechanics of Fixation Techniques for Hand Fractures
Case for small group discussion
Vascular injury and concomitant long-bone fracture in war wounds
Case for small group discussion
Case for small group discussion
Case for small group discussion
Case for small group discussion
Case for small group discussion
Case for small group discussion
Cases for small group discussion
Per- and intertrochanteric fractures
Case for small group discussion
Case for small group discussion
Fractures of the tibial diaphysis
Case for small group discussion
Case for small group discussion
Case for small group discussion
Presentation transcript:

Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, Radojević G. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figures 1−14

Figure 1. Proper position of Mitkovic M20 external fixator. Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 1. Proper position of Mitkovic M20 external fixator.

Figure 2. EF for TSF with additional dynamic EF of the ankle joint. Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 2. EF for TSF with additional dynamic EF of the ankle joint.

Figure 3. X-ray showing combined EF with internal fixation. Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 3. X-ray showing combined EF with internal fixation. Figure 4. 13-yrs old patient with bilateral TSF.

Figure 5. Closed reduction and EF in patient with segmental TSF. Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 5. Closed reduction and EF in patient with segmental TSF. X-ray showing segmental TSF (left) and state of lower leg after treatment (right).

Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 8. The same patient shown in Figure 7., after secondary stitches (up) and after Tiersch skin transplant at the end of treatment (down) Figure 6. X-ray showing hemicortical pin of M20 used for additional stabilization. Figure 7. Open TSF type IIIc GA before surgery (up) and after surgery (down).

Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 9. Open TSF type IIIc GA of right lower leg (up) and open fracture type II GA of left ankle joint before surgery (down). Figure 10. Same patient shown in Figure 9. with bilateral EF. EF of TSF of right lower leg (up) and dynamic EF for left ankle (down).

Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 11. X-rays of patient with gunshot injury and open TSF before surgery (left), and after surgery (right).

Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 12. X-ray showing healed fracture (left) and state of lower leg after treatment (right) in same patient shown in Figure 11.

Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 13. Patients with TSF after 13 weeks of treatment. (left) X-ray shows a less bone healing, (right) test of bone healing quality. We continued with using EF for another 6 weeks because of pain in the fracture zone.

Božović A, Grbić R, Milović D, Elek Z, Petrović D, Jakšić L, et al. Treatment of tibial shaft fractures with external fixation type Mitković – Analysis of 100 patients. Srp Arh Celok Lek 2017; OnLine First July 7, 2017; (00): 137–137. [DOI: https://doi.org/10.2298/SARH161206137B] Figure 14. X-rays showing nonunion treated with Mitković compression-distraction device: during treatment (left) and after the treatment we achieved a complete union (right) .