Abstract:
INTRODUCTION:The damage control orthopedics (DCO) concept is a sequential surgical management strategy indicated when ideal primary treatment is not possible or suitable. DCO principles are routinely applied to hand traumas in wartime practice, but could also be useful in a civilian setting when immediate specialized management cannot be carried out. METHODS:The authors report three typical observations of soldiers treated for a complex hand trauma on the field by orthopedic surgeons from the French Military Health Service (FMHS). Application of the hand DCO concept is analyzed and discussed considering the literature and the FMHS experience. RESULTS:With regards to treating the hand, DCO necessitates a meticulous debridement with precise wound assessment, the frequent use of a primary definitive internal fixation by K-wires, and the possibility of a temporary coverage. These simple and fast procedures help avoid infection and prepare the hand for secondary repair. CONCLUSION:Hand DCO can be applied by any surgeon in various situations: in association with polytrauma, complex injuries requiring multiple reconstructions, or delayed transfer to a specialized center.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Choufani C,Barbier O,Grosset A,Murison JC,Ollat D,Rigal S,Mathieu Ldoi
10.1007/s00264-017-3439-9subject
Has Abstractpub_date
2017-09-01 00:00:00pages
1771-1775issue
9eissn
0341-2695issn
1432-5195pii
10.1007/s00264-017-3439-9journal_volume
41pub_type
杂志文章abstract::Uncemented, threaded acetabular components with smooth surface treatment were widely used in continental Europe in the 1970s and 1980s for primary total hip arthroplasty (THA). Previously published studies showed high failure rates in the mid-term. In a consecutive series of 116 patients, 127 threaded cups with smooth...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0844-8
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Severe glenoid bone loss remains a surgical challenge. This condition is known to be associated with high rates of glenoid component failure. PURPOSE:The objective of this study was to evaluate clinical and radiological outcomes of a lateralized metal-backed 15.2-mm keeled baseplate prolonged by a thin 24.8...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4249-4
更新日期:2019-09-01 00:00:00
abstract:PURPOSE:The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. METHODS:A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2626-1
更新日期:2015-03-01 00:00:00
abstract::In 53 patients with a mean age of 38 (17-73) years, 71 high tibial osteotomies were performed. Twenty-three patients had no radiological signs of osteoarthrosis (Ahlbäck grade 0), whereas 26 patients had primary and 22 patients secondary osteoarthritis. Follow-up was 10.5 (5.8-16.6) years. The patients without radiolo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100244
更新日期:2001-01-01 00:00:00
abstract::Thirty six patients with a chronic slip of the capital femoral epiphysis and a femoral headneck angle of more than 30 degrees, as measured in a lateral radiograph, were treated by intertrochanteric osteotomy. The patients had an abnormal gait, an average age of 14.1 years and symptoms for an average of 14.5 months. Th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180203
更新日期:1992-01-01 00:00:00
abstract:PURPOSE:We have previously reported that a cylindrical bioabsorbable synthetic polymer scaffold made of poly (DL-lactide-co-glycolide) (PLG) can be used to repair osteochondral defects without using cultured cells in a rabbit model. This cylindrical scaffold has a solid and pre-formed design, which limits its widesprea...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2253-2
更新日期:2014-11-01 00:00:00
abstract::We report on two cases of patients in whom hypocalcemic seizures during hemodialysis led to right scapular body fracture in one and bilateral femoral neck fractures in the other. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050377
更新日期:1999-01-01 00:00:00
abstract::A 12-year-old boy with osteosarcoma in the proximal tibia underwent a successful limb-saving operation with preservation of the epiphyseal and articular cartilage of the proximal tibia as a result of his remarkable response to chemotherapy. There was no evidence of tumour invasion to the adjacent physis, as demonstrat...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050272
更新日期:1998-01-01 00:00:00
abstract::Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2968-3
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:The purpose of this study was to analyze the occurrence of PE after intra-operative O-arm navigation-assisted surgery and determine whether the post-operative PE incidence could be decreased by using O-arm navigation as compared to conventional free-hand technique. METHODS:A cohort of 27 patients with spinal d...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3889-8
更新日期:2018-09-01 00:00:00
abstract::Synovial fluid from a loose prosthesis may act as a vehicle for factors that regulate bone turnover. The effect of such synovial fluid on osteoblasts has been studied. Synovial fluid obtained from patients who underwent revision hip arthroplasty because of aseptic prosthesis loosening was studied regarding the effect ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0533-z
更新日期:2009-06-01 00:00:00
abstract::A randomized, double blind study of low level laser treatment of chondromalacia of the patella in 40 patients has been undertaken. Chondromalacia was established by arthroscopy and was related to subjective symptoms. Eight treatments were given during five weeks by a physiotherapist with the use of a GAAS pulsed laser...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF00186879
更新日期:1991-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183364
更新日期:1990-01-01 00:00:00
abstract::We evaluated the pre- and postoperative neurological state of 3 patients with lumbar intradural lipoma. Total resection of the lipoma in the cauda equina was impossible, and partial resection and expansive laminoplasty was carried out. Subsequent neural involvement may depend on the duration of symptoms rather than th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050147
更新日期:1997-01-01 00:00:00
abstract::The mechanoreceptors in the collateral ligaments of the knee joint in rat hindlimbs were studied. In group II (n=10) the femoral and obturator nerves were sectioned. In both groups III and V (n=20) the sciatic nerve was sectioned. In group V (n=10) the sectioned sciatic nerve was sutured 4 weeks after sectioning. In g...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050338
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Intercondylar humerus fractures (AO type 13C), though less common (less than 1%), are increasing over the last few years. Open reduction and internal fixation (ORIF) of these fractures are now well recognised and preferred management. These fractures are principally approached from posterior side and various...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04785-6
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:The aim of this study was to compare the results of primary total knee arthroplasty with or without patelloplasty. METHODS:We retrospectively reviewed 89 patients who had received total knee arthroplasty. In patelloplasty, the patellar cartilage was resected using a tangential saw cut, and in the traditional t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2366-2
更新日期:2014-08-01 00:00:00
abstract:PURPOSE:Our aim was to evaluate quality of life (QoL) and functional outcome of patients with tibial nonunions after completion of surgical treatment with an average follow-up of five years. METHODS:The following data of 64 patients were retrospectively evaluated: fracture type, type and duration of surgical therapy, ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2629-y
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:The goal of total hip endoprosthesis is to achieve painless and functional hip for long term. Accurate reconstruction of hip anatomy largely depends on the implant design. In order to select an implant in correspondence with the native hip, the proximal femoral morphology has been in focus of many studies in th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-021-04942-5
更新日期:2021-01-13 00:00:00
abstract:BACKGROUND:Surgical management of humeral fractures associated with radial nerve palsy remains controversial. Some advocate surgical treatment in emergency while others recommend nonoperative treatment. PURPOSE:The aim of the study was to assess nerve recovery in a series of patients treated with open reduction and in...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2745-3
更新日期:2015-08-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-016-3143-1
更新日期:2016-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04583-0
更新日期:2020-09-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04534-9
更新日期:2020-05-01 00:00:00
abstract::We describe a patient with acute compression of the spinal cord by a spontaneous extra-dural haematoma. This rare condition is often misdiagnosed. We believe that an urgent MRI scan is indicated in patients presenting with progressive neurological deficit following spinal trauma. This allows the diagnosis of extra-dur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050103
更新日期:1996-01-01 00:00:00
abstract::Traumatic thumb defects significantly affect the function and appearance of the hand; thus, thumb reconstruction is very important in clinical practice. In our report, three reconstruction strategies of toe-to-thumb transplantation, based on the amputation level of the thumb, were used for immediate thumb reconstructi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1044-2
更新日期:2011-04-01 00:00:00
abstract::High tibial wedge osteotomies are often followed by transient neurological complications. From a retrospective study of 132 patients it appears that the incidence of this troublesome complication can be reduced after osteotomy with external fixation by using a technique of making consecutive drill holes of increasing ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00178347
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:Anterior shoulder dislocation can be associated with many lesions such as Bankart lesions, rotator cuff tears (RCT), Hill-Sachs lesions or greater tuberosity fractures. It has been documented that early management of the associated injury affords better recovery of shoulder function. The aim of this study was t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2862-z
更新日期:2016-03-01 00:00:00
abstract:PURPOSE:Plating non-unions of the tibial diaphysis often presents the technical problem of poor purchase of screws due to osteoporosis. To improve the stabilization, insertion of one or more screws through the plate across the tibio-fibular space to the fibula (fibula-pro-tibia plating) has been practiced. The aim of t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1211-0
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:Although diabetes mellitus (DM) has an adverse effect on complication rates in orthopaedic surgery, neither the effect of DM nor the association between haemoglobin A1C (HbA1C) and outcomes after shoulder arthroplasty (SA) has been studied. METHODS:A retrospective review of 406 SAs (70 HAs, 188 total shoulder ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3874-2
更新日期:2018-08-01 00:00:00
abstract::Joint arthroplasty registries show an increased rate of aseptic loosening in uncemented acetabular components as compared to cemented acetabular components. Since loosening is associated with particulate wear debris, we postulated that uncemented acetabular components demonstrate a higher polyethylene wear rate than c...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-012-1738-8
更新日期:2013-01-01 00:00:00