Efficacy of a compliant semicircular Ilizarov pin fixator module for treating infected nonunion of the femoral diaphysis
Percutaneous transosseous Ilizarov wiring, whilst preferred in the tibia because of its unique properties, carries a high risk of complications in the femur. The aim of this work was to evaluate the efficacy of a more patient-friendly semicircular pin external fixator module built up from parts of t...
Gespeichert in:
| Veröffentlicht in: | Strategies in trauma and limb reconstruction 2014-08, Vol.9 (2), p.101-109 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 109 |
|---|---|
| container_issue | 2 |
| container_start_page | 101 |
| container_title | Strategies in trauma and limb reconstruction |
| container_volume | 9 |
| creator | Khanfour, Ashraf A. El-Sayed, Mohamed M. |
| description | Percutaneous transosseous Ilizarov wiring, whilst preferred in the tibia because of its unique properties, carries a high risk of complications in the femur. The aim of this work was to evaluate the efficacy of a more patient-friendly semicircular pin external fixator module built up from parts of the Ilizarov fixator components and its use in managing diaphyseal femoral nonunions. A group of 20 patients with infected diaphyseal nonunions of the femur after internal osteosynthesis were included in this study. The mean age of the patients at the time of surgery was 46 years (range 16–60, SD 15.6). The mean morbidity time since the original trauma was 10.2 months (range 6–15, SD 2.5). All the cases were fixed by the described external fixator module. Bony union with resolution of infection occurred in 18 (94.7 %) out of 19 cases after a mean period in the fixator of 11.2 months (range 8–18 SD 2.9). After a mean follow-up period of 3.5 years (range 2–9, SD 2.6), there were 14 excellent, 3 good, 1 fair and 1 poor results from radiological evaluation and 10 excellent, 7 good, 1 fair and 1 poor results from functional assessment. In conclusion, the described semi-circular pin fixator module is patient-friendly and effective in managing infected nonunions of the femoral diaphysis. |
| doi_str_mv | 10.1007/s11751-014-0199-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4122683</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1551828521</sourcerecordid><originalsourceid>FETCH-LOGICAL-c536t-479918324beee8ff3f21a21fabe95bbc4005c66e17fce65ded538334b15680e13</originalsourceid><addsrcrecordid>eNqNUk2LFDEQDaK46-gP8CIBL15aU-lOOn0RZFl1YcGLnkM6XZnJ0p2MSfeys7_eNLOOHyB4CCmoV-_VxyPkJbC3wFj7LgO0AioGTXldV8lH5BwUV5XquHp8imt5Rp7lfMOYkArap-SMC9YyodpzcnfpnLfGHmh01FAbp_3oTZhpxslbn-wymkSvRn9vUrylex-o83dmjolOcVhGpK6Ec0Iz-7ClPji0Mw40xLAEH8NKO-8KCqeYzEgHb_a7Q_b5OXnizJjxxcO_Id8-Xn69-Fxdf_l0dfHhurKilnPVtF0HquZNj4jKudpxMByc6bETfW-bMpSVEqF1FqUYcBC1quumhzIrQ6g35P2Rd7_0Ew4Ww1z60PvkJ5MOOhqv_8wEv9PbeKsb4FwWqg1580CQ4vcF86wnny2OowkYl6yLEAOmZKv-AyrWkwi-tvX6L-hNXFIom9AcgMsO2nrVhiPKpphzQnfqG5heLaCPFtDFAnq1gJal5tXvA58qft68APgRkEsqbDH9kv436w9dG75y</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2112691733</pqid></control><display><type>article</type><title>Efficacy of a compliant semicircular Ilizarov pin fixator module for treating infected nonunion of the femoral diaphysis</title><source>Springer Nature OA Free Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Khanfour, Ashraf A. ; El-Sayed, Mohamed M.</creator><creatorcontrib>Khanfour, Ashraf A. ; El-Sayed, Mohamed M.</creatorcontrib><description>Percutaneous transosseous Ilizarov wiring, whilst preferred in the tibia because of its unique properties, carries a high risk of complications in the femur. The aim of this work was to evaluate the efficacy of a more patient-friendly semicircular pin external fixator module built up from parts of the Ilizarov fixator components and its use in managing diaphyseal femoral nonunions. A group of 20 patients with infected diaphyseal nonunions of the femur after internal osteosynthesis were included in this study. The mean age of the patients at the time of surgery was 46 years (range 16–60, SD 15.6). The mean morbidity time since the original trauma was 10.2 months (range 6–15, SD 2.5). All the cases were fixed by the described external fixator module. Bony union with resolution of infection occurred in 18 (94.7 %) out of 19 cases after a mean period in the fixator of 11.2 months (range 8–18 SD 2.9). After a mean follow-up period of 3.5 years (range 2–9, SD 2.6), there were 14 excellent, 3 good, 1 fair and 1 poor results from radiological evaluation and 10 excellent, 7 good, 1 fair and 1 poor results from functional assessment. In conclusion, the described semi-circular pin fixator module is patient-friendly and effective in managing infected nonunions of the femoral diaphysis.</description><identifier>ISSN: 1828-8936</identifier><identifier>EISSN: 1828-8928</identifier><identifier>DOI: 10.1007/s11751-014-0199-6</identifier><identifier>PMID: 25070587</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Biocompatibility ; Biomedical materials ; Complications ; Diaphysis ; Femur ; Ilizarov frame ; Medicine ; Medicine & Public Health ; Morbidity ; Nonunion ; Original ; Original Article ; Orthopedics ; Osteosynthesis ; Patients ; Surgery ; Surgical Orthopedics ; Tibia ; Trauma ; Traumatic Surgery ; Wiring</subject><ispartof>Strategies in trauma and limb reconstruction, 2014-08, Vol.9 (2), p.101-109</ispartof><rights>The Author(s) 2014</rights><rights>Strategies in Trauma and Limb Reconstruction is a copyright of Springer, (2014). All Rights Reserved. © 2014. This work is published under Type="OpenAccess" Version="4.0"> Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-479918324beee8ff3f21a21fabe95bbc4005c66e17fce65ded538334b15680e13</citedby><cites>FETCH-LOGICAL-c536t-479918324beee8ff3f21a21fabe95bbc4005c66e17fce65ded538334b15680e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122683/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122683/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,41119,42188,51575,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25070587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khanfour, Ashraf A.</creatorcontrib><creatorcontrib>El-Sayed, Mohamed M.</creatorcontrib><title>Efficacy of a compliant semicircular Ilizarov pin fixator module for treating infected nonunion of the femoral diaphysis</title><title>Strategies in trauma and limb reconstruction</title><addtitle>Strat Traum Limb Recon</addtitle><addtitle>Strategies Trauma Limb Reconstr</addtitle><description>Percutaneous transosseous Ilizarov wiring, whilst preferred in the tibia because of its unique properties, carries a high risk of complications in the femur. The aim of this work was to evaluate the efficacy of a more patient-friendly semicircular pin external fixator module built up from parts of the Ilizarov fixator components and its use in managing diaphyseal femoral nonunions. A group of 20 patients with infected diaphyseal nonunions of the femur after internal osteosynthesis were included in this study. The mean age of the patients at the time of surgery was 46 years (range 16–60, SD 15.6). The mean morbidity time since the original trauma was 10.2 months (range 6–15, SD 2.5). All the cases were fixed by the described external fixator module. Bony union with resolution of infection occurred in 18 (94.7 %) out of 19 cases after a mean period in the fixator of 11.2 months (range 8–18 SD 2.9). After a mean follow-up period of 3.5 years (range 2–9, SD 2.6), there were 14 excellent, 3 good, 1 fair and 1 poor results from radiological evaluation and 10 excellent, 7 good, 1 fair and 1 poor results from functional assessment. In conclusion, the described semi-circular pin fixator module is patient-friendly and effective in managing infected nonunions of the femoral diaphysis.</description><subject>Biocompatibility</subject><subject>Biomedical materials</subject><subject>Complications</subject><subject>Diaphysis</subject><subject>Femur</subject><subject>Ilizarov frame</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Nonunion</subject><subject>Original</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Osteosynthesis</subject><subject>Patients</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Tibia</subject><subject>Trauma</subject><subject>Traumatic Surgery</subject><subject>Wiring</subject><issn>1828-8936</issn><issn>1828-8928</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNUk2LFDEQDaK46-gP8CIBL15aU-lOOn0RZFl1YcGLnkM6XZnJ0p2MSfeys7_eNLOOHyB4CCmoV-_VxyPkJbC3wFj7LgO0AioGTXldV8lH5BwUV5XquHp8imt5Rp7lfMOYkArap-SMC9YyodpzcnfpnLfGHmh01FAbp_3oTZhpxslbn-wymkSvRn9vUrylex-o83dmjolOcVhGpK6Ec0Iz-7ClPji0Mw40xLAEH8NKO-8KCqeYzEgHb_a7Q_b5OXnizJjxxcO_Id8-Xn69-Fxdf_l0dfHhurKilnPVtF0HquZNj4jKudpxMByc6bETfW-bMpSVEqF1FqUYcBC1quumhzIrQ6g35P2Rd7_0Ew4Ww1z60PvkJ5MOOhqv_8wEv9PbeKsb4FwWqg1580CQ4vcF86wnny2OowkYl6yLEAOmZKv-AyrWkwi-tvX6L-hNXFIom9AcgMsO2nrVhiPKpphzQnfqG5heLaCPFtDFAnq1gJal5tXvA58qft68APgRkEsqbDH9kv436w9dG75y</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Khanfour, Ashraf A.</creator><creator>El-Sayed, Mohamed M.</creator><general>Springer Milan</general><general>Jaypee Brothers Medical Publishers Ltd</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140801</creationdate><title>Efficacy of a compliant semicircular Ilizarov pin fixator module for treating infected nonunion of the femoral diaphysis</title><author>Khanfour, Ashraf A. ; El-Sayed, Mohamed M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-479918324beee8ff3f21a21fabe95bbc4005c66e17fce65ded538334b15680e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Biocompatibility</topic><topic>Biomedical materials</topic><topic>Complications</topic><topic>Diaphysis</topic><topic>Femur</topic><topic>Ilizarov frame</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Nonunion</topic><topic>Original</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Osteosynthesis</topic><topic>Patients</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Tibia</topic><topic>Trauma</topic><topic>Traumatic Surgery</topic><topic>Wiring</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khanfour, Ashraf A.</creatorcontrib><creatorcontrib>El-Sayed, Mohamed M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Strategies in trauma and limb reconstruction</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khanfour, Ashraf A.</au><au>El-Sayed, Mohamed M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of a compliant semicircular Ilizarov pin fixator module for treating infected nonunion of the femoral diaphysis</atitle><jtitle>Strategies in trauma and limb reconstruction</jtitle><stitle>Strat Traum Limb Recon</stitle><addtitle>Strategies Trauma Limb Reconstr</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>9</volume><issue>2</issue><spage>101</spage><epage>109</epage><pages>101-109</pages><issn>1828-8936</issn><eissn>1828-8928</eissn><abstract>Percutaneous transosseous Ilizarov wiring, whilst preferred in the tibia because of its unique properties, carries a high risk of complications in the femur. The aim of this work was to evaluate the efficacy of a more patient-friendly semicircular pin external fixator module built up from parts of the Ilizarov fixator components and its use in managing diaphyseal femoral nonunions. A group of 20 patients with infected diaphyseal nonunions of the femur after internal osteosynthesis were included in this study. The mean age of the patients at the time of surgery was 46 years (range 16–60, SD 15.6). The mean morbidity time since the original trauma was 10.2 months (range 6–15, SD 2.5). All the cases were fixed by the described external fixator module. Bony union with resolution of infection occurred in 18 (94.7 %) out of 19 cases after a mean period in the fixator of 11.2 months (range 8–18 SD 2.9). After a mean follow-up period of 3.5 years (range 2–9, SD 2.6), there were 14 excellent, 3 good, 1 fair and 1 poor results from radiological evaluation and 10 excellent, 7 good, 1 fair and 1 poor results from functional assessment. In conclusion, the described semi-circular pin fixator module is patient-friendly and effective in managing infected nonunions of the femoral diaphysis.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>25070587</pmid><doi>10.1007/s11751-014-0199-6</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1828-8936 |
| ispartof | Strategies in trauma and limb reconstruction, 2014-08, Vol.9 (2), p.101-109 |
| issn | 1828-8936 1828-8928 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4122683 |
| source | Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Biocompatibility Biomedical materials Complications Diaphysis Femur Ilizarov frame Medicine Medicine & Public Health Morbidity Nonunion Original Original Article Orthopedics Osteosynthesis Patients Surgery Surgical Orthopedics Tibia Trauma Traumatic Surgery Wiring |
| title | Efficacy of a compliant semicircular Ilizarov pin fixator module for treating infected nonunion of the femoral diaphysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T18%3A52%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efficacy%20of%20a%20compliant%20semicircular%20Ilizarov%20pin%20fixator%20module%20for%20treating%20infected%20nonunion%20of%20the%20femoral%20diaphysis&rft.jtitle=Strategies%20in%20trauma%20and%20limb%20reconstruction&rft.au=Khanfour,%20Ashraf%20A.&rft.date=2014-08-01&rft.volume=9&rft.issue=2&rft.spage=101&rft.epage=109&rft.pages=101-109&rft.issn=1828-8936&rft.eissn=1828-8928&rft_id=info:doi/10.1007/s11751-014-0199-6&rft_dat=%3Cproquest_pubme%3E1551828521%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2112691733&rft_id=info:pmid/25070587&rfr_iscdi=true |