The Experts below are selected from a list of 5256 Experts worldwide ranked by ideXlab platform
Thanapong Waitayawinyu - One of the best experts on this subject based on the ideXlab platform.
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Comminuted Rolando’s Fractures: Treatment with Modified Wrist External Fixator and Transmetacarpal Pinning
2015Co-Authors: Sunyarn Niempoog, Thanapong WaitayawinyuAbstract:Background: For comminuted Rolando’s Fracture, External Fixation with early mobilization is the treatment of choice however, there is controversy in this treatment. Low-profile or mini External fixator can be used, but expense and availability of this kind of implant in Thailand has resulted in using various techniques of surgery. The purpose of this retrospective study was to present the authors ’ alternative technique with modi-fied implants and the outcome in the management of comminuted Rolando’s Fracture. Material and Method: The patients with comminuted Rolando’s Fracture were treated by using External Fixation across the wrist (mostly by locally-made implants) between the radius and the first metacarpal and transmetacarpal K-wire Fixation from the first to the second metacarpal. Results: Between 1999 and 2005, six patients with a mean age of 25 years (range, 19-33 years) were studied. The average follow-up period was four months. Satisfactory reductions were achieved in all Fractures. The average operation time was 27.5 minutes. All closed Fractures united within six weeks and had satisfactory results, which was normal range of motion of thumbs and wrists and with no complications. Only one opened Fracture caused by a gun shot injury was healed in eight weeks and had a mild degree of reflex sympathetic dystrophy. Conclusion: Closed reduction and External Fixation with modified wrist External fixator and transmetacarpal pinning is simple, safe, fast, and effective for the treatment of comminuted Rolando’s Fractures
Sunyarn Niempoog - One of the best experts on this subject based on the ideXlab platform.
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Comminuted Rolando’s Fractures: Treatment with Modified Wrist External Fixator and Transmetacarpal Pinning
2015Co-Authors: Sunyarn Niempoog, Thanapong WaitayawinyuAbstract:Background: For comminuted Rolando’s Fracture, External Fixation with early mobilization is the treatment of choice however, there is controversy in this treatment. Low-profile or mini External fixator can be used, but expense and availability of this kind of implant in Thailand has resulted in using various techniques of surgery. The purpose of this retrospective study was to present the authors ’ alternative technique with modi-fied implants and the outcome in the management of comminuted Rolando’s Fracture. Material and Method: The patients with comminuted Rolando’s Fracture were treated by using External Fixation across the wrist (mostly by locally-made implants) between the radius and the first metacarpal and transmetacarpal K-wire Fixation from the first to the second metacarpal. Results: Between 1999 and 2005, six patients with a mean age of 25 years (range, 19-33 years) were studied. The average follow-up period was four months. Satisfactory reductions were achieved in all Fractures. The average operation time was 27.5 minutes. All closed Fractures united within six weeks and had satisfactory results, which was normal range of motion of thumbs and wrists and with no complications. Only one opened Fracture caused by a gun shot injury was healed in eight weeks and had a mild degree of reflex sympathetic dystrophy. Conclusion: Closed reduction and External Fixation with modified wrist External fixator and transmetacarpal pinning is simple, safe, fast, and effective for the treatment of comminuted Rolando’s Fractures
Shiping Zhang - One of the best experts on this subject based on the ideXlab platform.
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External fixator combined with double layer vsd for open calcaneal Fracture and its effect on maryland foot score and wound healing time
国际医药卫生导报, 2019Co-Authors: Xuezhu Gao, Shiping ZhangAbstract:Objective To explore the effect of External Fixation combined with double-layer VSD in the treatment of open calcaneal Fracture and the impact on Maryland foot score and wound healing time. Methods Ninety patients with calcaneal Fracture treated at our hospital from March, 2017 to March, 2018 were randomly divided into a control group and an observation group. Both groups were treated with External Fixation with a reduction surgery. The control group were treated with normal dressing, and the observation group with double-layer VSD. The imaging data, wound healing time, prognosis, and Maryland score were compared between the two groups. The levels of inflammatory factors and oxidative stress were measured and compared between the two groups. Results The imaging indicators of the two groups were significantly improved after the operation (all P<0.05). One month after the operation, the Bohler angle, Gissane angle, and calcaneus height were higher and the medial shortening rate was significantly lower in the observation group than in the control group [(25.73±0.98) ° vs. (22.01±1.24) °, (125.45±1.02) ° vs. (120.58±1.56) °, (60.46±1.54) mm vs. (57.44±1.41) mm, and (14.37±0.54)% vs. (20.56±1.64)%, all P<0.05]. The wound healing time, incision infection rate, and the proportion of the patients undergoing flap transfer were significantly lower in the observation group than in the control group [(26.63±3.24) d vs. (43.48±5.67) d, 6.67% vs. 24.44%, and 0.00% vs. 11.11%, all P<0.05]. The levels of inflammatory factors were significantly increased in the two groups (all P<0.05). The serum levels of CPR and TNF-α were significantly lower in the observation group than in the control group [(39.67±2.93) pg/ml vs. (48.45±5.25) pg/ml and (26.97±3.43) pg/ml vs. (32.21±3.97) pg/ml, both P<0.05]. The serum level of MDA was significantly lower and the serum level of SOD and Maryland foot score were significantly higher in the observation group than in the control group [(4.54±0.86) nmol/ml vs. (5.04±0.90) nmol/ml, (51.76±4.87) U/ml vs. (46.87±4.67) U/ml, and (90.37±5.12) vs. (78.43±4.63), all P<0.05]. Conclusions External Fixation combined with double-layer VSD for open calcaneal Fracture has a better effect, and can improve the Maryland foot score and wound healing and can effectively reduce the inflammatory response and oxidative stress. Key words: Calcaneal Fracture; External Fixation; Negative pressure drainage; Foot function
Xuezhu Gao - One of the best experts on this subject based on the ideXlab platform.
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External fixator combined with double layer vsd for open calcaneal Fracture and its effect on maryland foot score and wound healing time
国际医药卫生导报, 2019Co-Authors: Xuezhu Gao, Shiping ZhangAbstract:Objective To explore the effect of External Fixation combined with double-layer VSD in the treatment of open calcaneal Fracture and the impact on Maryland foot score and wound healing time. Methods Ninety patients with calcaneal Fracture treated at our hospital from March, 2017 to March, 2018 were randomly divided into a control group and an observation group. Both groups were treated with External Fixation with a reduction surgery. The control group were treated with normal dressing, and the observation group with double-layer VSD. The imaging data, wound healing time, prognosis, and Maryland score were compared between the two groups. The levels of inflammatory factors and oxidative stress were measured and compared between the two groups. Results The imaging indicators of the two groups were significantly improved after the operation (all P<0.05). One month after the operation, the Bohler angle, Gissane angle, and calcaneus height were higher and the medial shortening rate was significantly lower in the observation group than in the control group [(25.73±0.98) ° vs. (22.01±1.24) °, (125.45±1.02) ° vs. (120.58±1.56) °, (60.46±1.54) mm vs. (57.44±1.41) mm, and (14.37±0.54)% vs. (20.56±1.64)%, all P<0.05]. The wound healing time, incision infection rate, and the proportion of the patients undergoing flap transfer were significantly lower in the observation group than in the control group [(26.63±3.24) d vs. (43.48±5.67) d, 6.67% vs. 24.44%, and 0.00% vs. 11.11%, all P<0.05]. The levels of inflammatory factors were significantly increased in the two groups (all P<0.05). The serum levels of CPR and TNF-α were significantly lower in the observation group than in the control group [(39.67±2.93) pg/ml vs. (48.45±5.25) pg/ml and (26.97±3.43) pg/ml vs. (32.21±3.97) pg/ml, both P<0.05]. The serum level of MDA was significantly lower and the serum level of SOD and Maryland foot score were significantly higher in the observation group than in the control group [(4.54±0.86) nmol/ml vs. (5.04±0.90) nmol/ml, (51.76±4.87) U/ml vs. (46.87±4.67) U/ml, and (90.37±5.12) vs. (78.43±4.63), all P<0.05]. Conclusions External Fixation combined with double-layer VSD for open calcaneal Fracture has a better effect, and can improve the Maryland foot score and wound healing and can effectively reduce the inflammatory response and oxidative stress. Key words: Calcaneal Fracture; External Fixation; Negative pressure drainage; Foot function
Rivera Francisco - One of the best experts on this subject based on the ideXlab platform.
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Minimally invasive management of traumatic lung herniation
'Oxford University Press (OUP)', 2017Co-Authors: Pérez Castro Pablo, Undurraga Machicao Felipe, Santolaya Cohen Raimundo, Berrios Silva Raúl, Rivera FranciscoAbstract:Post-traumatic pulmonary hernia can occur immediately after thoracic trauma or it may also appear months or even years after the onset. We report a case of a seventeen year-old male patient with thoracic blunt trauma secondary to high energy bicycle accident. Chest CT shows moderate hemothorax and pneumothorax, displaced Fracture of the fifth left rib, and protusion of pulmonary tissue through a chest wall defect. In the Emergency Room the patient presents with chest pain (7/10 in Visual Analog Scale) and respiratory distress. Video-assisted thoracic surgery approach was chosen. Hernia reduction, non-anatomic lingular resection and rib Fracture External Fixation using a titanium plate was performed. Traumatic pulmonary hernia is an uncommon complication of thoracic trauma which may constitute an emergency for the trauma or thoracic surgeon. The early management of this injury can be developed by minimally invasive approach with excellent results
