The importance of medial support in complex distal femur fractures: an expert survey of AO trauma Italy members and evidence-based treatment recommendations

Nenhuma Miniatura disponível
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
EDIZIONI MINERVA MEDICA
Autores
BERLUSCONI, Marco
CHIODINI, Federico
MENOZZI, Margherita
CARROZZO, Massimiliano
SANTOLINI, Emmanuele
COLASUONNO, Giulia
BUONO, Claudio
ABBATICCHIO, Andrea Michele
MANCINI, Maria Lucia
Citação
MINERVA ORTHOPEDICS, v.74, n.5, p.416-421, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
BACKGROUND: Distal femur fractures (DFFs) are quite common injuries, accounting for 1% of all fractures and 3-6% of femoral fractures. This type of fracture has grown increasingly alarming as the world's population ages. The aim of this study was to examine and interpret the results of a survey that we submitted to Italian orthopedic surgeons to establish an algorithm for treating both these fractures and complications related and also to enhance the real importance of medial support in distal femur fractures.METHODS: A webinar survey developed from the current literature was emailed to 101 Italian orthopedic doctors who were members of the AO/OTA and AUOT associations. Several questions were asked to the surgeons regarding medial support in distal femur fractures, their experience with several types of treatment, stability principles, complications, and rehabilitation procedures.RESULTS: According to literature and to the results of this survey, double plate (lateral + medial) is considered the most stable technique, despite many Italian surgeons (71.29%) use only lateral LCP. In case of metaphyseal comminution, osteoporotic bone, non-unions and periprosthetic fractures medial support it is recommended by using medial plate in order to guarantee bone vascularization respecting ""the safe zone.""CONCLUSIONS: Guidelines are required not only for surgical treatment, but also to avoid or treat the percentage of non-union related to this fracture pattern.
Palavras-chave
URI
https://observatorio.fm.usp.br/handle/OPI/57720
Referências
  1. Al Farii H, 2022, EUR J ORTHOP SURG TR, V32, P211, DOI 10.1007/s00590-021-02945-x
  2. Aprato A, 2018, MINERVA ORTOP TRAUMA, V69, P112, DOI 10.23736/S0394-3410.18.03895-X
  3. Bologna MG, 2020, J ORTHOP, V18, P76, DOI 10.1016/j.jor.2019.09.022
  4. Ebraheim NA, 2013, ORTHOP SURG, V5, P46, DOI 10.1111/os.12017
  5. Gangavalli AK, 2016, ORTHOP CLIN N AM, V47, P85, DOI 10.1016/j.ocl.2015.08.011
  6. Hake ME, 2019, J AM ACAD ORTHOP SUR, V27, pE867, DOI 10.5435/JAAOS-D-17-00706
  7. Henderson CE, 2011, J ORTHOP TRAUMA, V25, pS8, DOI 10.1097/BOT.0b013e3182070127
  8. Lettich T, 2008, MINERVA ORTOP TRAUMA, V59, P61
  9. Narin C, 2008, MINERVA ORTOP TRAUMA, V59, P379
  10. Panagiotis M, 2005, INJURY, V36, pS30, DOI 10.1016/j.injury.2005.10.008
  11. Peschiera V, 2018, INJURY, V49, pS2, DOI 10.1016/j.injury.2018.10.001
  12. Rosa MA, 2002, Minerva Ortop Traumatol, V53, P173
  13. Shah JK, 2020, INJURY, V51, P1062, DOI 10.1016/j.injury.2020.02.043
  14. Shin YE, 2018, MINERVA ORTOP TRAUMA, V69, P7, DOI 10.23736/S0394-3410.17.03843-7
  15. Tripathy SK, 2022, INDIAN J ORTHOP, V56, P183, DOI 10.1007/s43465-021-00489-0

Coleções
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41