Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system
Abstract Background Although many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the bridge-link type combined fixation system (BCF...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01929-7 |
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| author | Liangqi Kang Hui Liu Zhenqi Ding Yiqiang Ding Wei Hu Jin Wu |
| author_facet | Liangqi Kang Hui Liu Zhenqi Ding Yiqiang Ding Wei Hu Jin Wu |
| author_sort | Liangqi Kang |
| collection | DOAJ |
| description | Abstract Background Although many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the bridge-link type combined fixation system (BCFS) and evaluate functional outcomes in treating patients with these complex fractures. Patients and methods We retrospectively reviewed 14 cases of ipsilateral proximal and shaft femoral fractures treated from January 2012 to December 2016. All cases were treated by BCFS combined with minimally invasive percutaneous plate osteosynthesis (MIPPO). Clinical and radiographic data were collected during regular post-operative follow-up visits. Functional outcomes were determined according to the Friedman and Wyman scoring system. Results The proximal femoral fractures were emergency diagnoses in 11 cases and delayed diagnoses in 3 cases. The delay time was 5–6 days, with an average of 5.3 days. The mean operation time was 179.6 min (range 135–231 min) with a blood loss volume that ranged from 430 to 535 ml (average 483.6 ml). Follow-up was conducted in 13 cases between 9 and 30 months post-operation, with an average follow-up time of 17.3 months. The proximal femoral fractures were united in 12 cases at the final follow-up. One case had nonunion 13 months after the operation, underwent valgus intertrochanteric osteotomy, and healed 6 months later. The femoral shaft fractures obtained rigid union at the latest follow-up in 12 cases. One case endured nonunion 12 months after the operation. After the revision surgery and iliac bone grafting, the fracture healed 6 months later. Eight of the cases had good functional results, 4 had fair results, and results were poor in 1 case at the final follow-up. Conclusions The treatment of ipsilateral proximal femoral and shaft fractures with BCFS in combination with MIPPO demonstrated a high likelihood of union for both fractures and good functional results. |
| first_indexed | 2024-04-13T07:44:00Z |
| format | Article |
| id | doaj.art-9d5eecbad0be4340b364bb508e84319f |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T07:44:00Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-9d5eecbad0be4340b364bb508e84319f2022-12-22T02:55:46ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-09-0115111010.1186/s13018-020-01929-7Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation systemLiangqi Kang0Hui Liu1Zhenqi Ding2Yiqiang Ding3Wei Hu4Jin Wu5Department of Orthopedics, The Affiliated Southeast Hospital of Xiamen UniversityDepartment of Orthopedics, The Affiliated Southeast Hospital of Xiamen UniversityDepartment of Orthopedics, The Affiliated Southeast Hospital of Xiamen UniversityThe Affiliated Southeast Hospital of Xiamen UniversityThe Affiliated Southeast Hospital of Xiamen UniversityDepartment of Orthopedics, The Affiliated Southeast Hospital of Xiamen UniversityAbstract Background Although many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the bridge-link type combined fixation system (BCFS) and evaluate functional outcomes in treating patients with these complex fractures. Patients and methods We retrospectively reviewed 14 cases of ipsilateral proximal and shaft femoral fractures treated from January 2012 to December 2016. All cases were treated by BCFS combined with minimally invasive percutaneous plate osteosynthesis (MIPPO). Clinical and radiographic data were collected during regular post-operative follow-up visits. Functional outcomes were determined according to the Friedman and Wyman scoring system. Results The proximal femoral fractures were emergency diagnoses in 11 cases and delayed diagnoses in 3 cases. The delay time was 5–6 days, with an average of 5.3 days. The mean operation time was 179.6 min (range 135–231 min) with a blood loss volume that ranged from 430 to 535 ml (average 483.6 ml). Follow-up was conducted in 13 cases between 9 and 30 months post-operation, with an average follow-up time of 17.3 months. The proximal femoral fractures were united in 12 cases at the final follow-up. One case had nonunion 13 months after the operation, underwent valgus intertrochanteric osteotomy, and healed 6 months later. The femoral shaft fractures obtained rigid union at the latest follow-up in 12 cases. One case endured nonunion 12 months after the operation. After the revision surgery and iliac bone grafting, the fracture healed 6 months later. Eight of the cases had good functional results, 4 had fair results, and results were poor in 1 case at the final follow-up. Conclusions The treatment of ipsilateral proximal femoral and shaft fractures with BCFS in combination with MIPPO demonstrated a high likelihood of union for both fractures and good functional results.http://link.springer.com/article/10.1186/s13018-020-01929-7Femoral shaft fracturesFemoral proximal fracturesBridge-link type combined fixation system (BCFS)MIPPO |
| spellingShingle | Liangqi Kang Hui Liu Zhenqi Ding Yiqiang Ding Wei Hu Jin Wu Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system Journal of Orthopaedic Surgery and Research Femoral shaft fractures Femoral proximal fractures Bridge-link type combined fixation system (BCFS) MIPPO |
| title | Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system |
| title_full | Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system |
| title_fullStr | Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system |
| title_full_unstemmed | Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system |
| title_short | Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system |
| title_sort | ipsilateral proximal and shaft femoral fractures treated with bridge link type combined fixation system |
| topic | Femoral shaft fractures Femoral proximal fractures Bridge-link type combined fixation system (BCFS) MIPPO |
| url | http://link.springer.com/article/10.1186/s13018-020-01929-7 |
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