Bastian, Johannes D; Ivanova, Silviya; Mabrouk, Ahmed; Biberthaler, Peter; Caba-Doussoux, Pedro; Kanakaris, Nikolaos K (2023). Surgical fixation of ipsilateral femoral neck and shaft fractures: a matter of debate? EFORT open reviews, 8(9), pp. 698-707. The British Editorial Society of Bone & Joint Surgery 10.1530/EOR-23-0006
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Segmental femoral fractures represent a rare but complex clinical challenge. They mostly result from high-energy mechanisms, dictate a careful initial assessment and are managed with various techniques. These often include an initial phase of damage control orthopaedics while the initial manoeuvres of patient and soft tissue resuscitation are employed. Definitive fixation consists of either single-implant (reconstruction femoral nails) or dual-implant constructs. There is no consensus in favour of one of these two strategies. At present, there is no high-quality comparative evidence between the various methods of treatment. The development of advanced design nailing and plating systems has offered fixation constructs with improved characteristics. A comprehensive review of the existing evidence with a step-by-step description of these different definitive fixation strategies based on three case examples was conducted. Furthermore, the rationale for using single vs dual-implant strategy in its case is presented with supportive references. The prevention of complications relies mainly on the strict adherence to basic principles of fracture fixation with an emphasis on careful preoperative planning, the quality of the reduction, and the application of soft tissue-friendly surgical methods.
Item Type: |
Journal Article (Review Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Bastian, Johannes Dominik, Ivanova, Silviya Dimitrova |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2058-5241 |
Publisher: |
The British Editorial Society of Bone & Joint Surgery |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
04 Sep 2023 12:17 |
Last Modified: |
05 Sep 2023 15:37 |
Publisher DOI: |
10.1530/EOR-23-0006 |
PubMed ID: |
37655843 |
Uncontrolled Keywords: |
femur segmental fractures trauma |
BORIS DOI: |
10.48350/185991 |
URI: |
https://boris.unibe.ch/id/eprint/185991 |
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