O Schaefer, Raymond; Eberlein, Sophie C; Klenke, Frank M; Bastian, Johannes D; Hecker, Andreas (2022). Staged treatment of a comminuted femoral fracture with Masquelet technique and 3D printed reposition guides. Trauma case reports, 42(100723), p. 100723. Elsevier 10.1016/j.tcr.2022.100723
|
Text
1-s2.0-S2352644022001194-main.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (1MB) | Preview |
Background
Comminuted femoral fractures pose a challenge to the trauma surgeon due to the absence of bony references during surgery. Therefore, malalignment of length and axis can occur and necessitate revision surgery. During the last decade, 3D-planning has evolved as a surgical aid in difficult cases.
Case report
An 18-year-old male patient suffered a polytrauma following a motorcycle accident. This report is about the treatment of a 3rd degree open and comminuted fracture of the left distal femur. The fracture was treated with Masquelet's two-staged technique. With the intent of avoiding malalignment, the second stage surgery was performed with the aid of 3D-planned reduction guides. Despite complex fracture pattern, complete fracture union was achieved with acceptable final alignment (side-to-side comparison of length, axis and femoral torsion).
Conclusion
In this case, performing Masquelet's two-staged surgery with the aid of 3D-printed reposition guides yielded favorable results in regards to rotational malalignment. The malrotation of the femur was reduced after the second operation to a clinically acceptable side-to-side difference (10°). This technique remains technically challenging due to soft tissue tension and limited possibility of soft tissue release.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Ogiemwonyi-Schaefer, Raymond, Eberlein, Sophie Charlotte, Klenke, Frank M., Bastian, Johannes Dominik, Hecker, Andreas |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2352-6440 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
31 Oct 2022 08:26 |
Last Modified: |
05 Dec 2022 16:27 |
Publisher DOI: |
10.1016/j.tcr.2022.100723 |
PubMed ID: |
36303888 |
Uncontrolled Keywords: |
3D Comminution Femoral fracture Malrotation Malunion Reposition guides |
BORIS DOI: |
10.48350/174253 |
URI: |
https://boris.unibe.ch/id/eprint/174253 |
Actions (login required)
 |
Edit item |