clinical-efficacy-chess-shaped-polymethyl-methacrylateilizarov

Clinical Efficacy of Chess-Shaped Polymethyl Methacrylate&#8211;Ilizarov Technology for Severe Composite Tibial and Soft-Tissue Defects

This study evaluated the effectiveness of a combination technique for managing severe composite tibial and soft-tissue defects, without requiring complex ...

Soochow University

Wuxi Ninth People's Hospital Affiliated to Soochow University

Despite advances in microsurgical techniques of flap transfer, complex upper extremity trauma reconstruction remains a challenge for surgeons. This study aimed to present the outcomes in using flaps in the subacute reconstruction of complex upper extremity injuries.

Subacute reconstruction using flap transfer for complex defects of the upper extremity.

Grade III open fractures of the lower extremity are serious injuries and are difficult to reconstruct. The optimal treatment for such injuries is unclear. We aimed to determine the safety and efficacy of orthoplastic reconstruction, using a primary free anterolateral thigh flap combined with the Masquelet technique and internal fixation for Gustilo grade IIIB/C open tibial fractures.

"Primary free-flap tibial open fracture reconstruction with the Masquelet technique" and internal fixation.

The application of free skin flaps to repair severe peri-knee soft tissue defects is a common clinical approach. This article aims to investigate clinical efficacy and precautions of using a free anterolateral thigh flap with the descending genicular vessels as a recipient pedicle for repairing Gustilo IIIB and IIIC soft tissue defects around the knee.

Repair of severe peri-knee soft tissue defect using an anterolateral thigh flap with the descending genicular vessels as the recipient pedicle: a case series of 14 patients.

To evaluate the feasibility and clinical effect of Krackow suturing combined with the suture bridge technique for the treatment of acute inferior pole patella fracture.

Treatment of inferior pole patella fracture using Krackow suturing combined with the suture bridge technique.

Complex lower extremity trauma reconstruction remains a challenge. This study used an internal fixation composite structure of antibiotic cement plates as a temporary fixation to treat lower extremity Grade III open fractures; thus, reducing the treatment period and complications of external fixation. We aimed to assess the safety and efficacy of this technique in the initial surgery stage. Between January 2018 and March 2021, 20 patients with Gustilo grade IIIB/C open fractures received an antibiotic cement-coated locking plate as a temporary internal fixator during initial surgery. Thorough debridement and temporary internal fixation were performed with a 3.5-mm system antibiotic cement-coated locking plate. Ten patients required free bone fragment removal, followed by bone cement packing. The final stage involved internal fixation and wound repair with a free anterolateral thigh flap. Clinical and imaging results were retrospectively analysed. The repair time ranged 1-7 days. All flaps survived. Two patients experienced wound infection, and one developed severe bone infection 3 months after three-stage bone graft surgery. Autologous cancellous bone grafting was performed on 10 patients with bone defects 6 weeks after surgery. Bone union was universally achieved after 1 year. This method proved safe and effective, successfully repairing Grade III open fractures of the lower extremity 1-7 days post-treatment.

A novel primary antibiotic cement-coated locking plate as a temporary fixation for the treatment of open tibial fracture.

The treatment of completely displaced midshaft clavicle fractures is still controversial, especially Robinson 2B fractures. Titanium elastic nail (TEN) fixation is a good option for simple fractures, but no reports exist on its use in complex fractures. This study aimed to present a surgical method using the Nice knot-assisted TEN fixation to treat Robinson 2B midshaft clavicular fractures.

Clinical effect of nice knot-assisted minimally invasive titanium elastic nail fixation to treat Robinson 2B midshaft clavicular fracture.

The treatment of bone and soft-tissue defects after open fractures remains challenging. This study aimed to evaluate the clinical efficacy of the Masquelet technique combined with the free-flap technique (MFFT) versus the Ilizarov bone transport technique (IBTT) for the treatment of severe composite tibial and soft-tissue defects.

Article	Year
Subacute reconstruction using flap transfer for complex defects of the upper extremity. Journal of orthopaedic surgery and research\| PubMed ID: 32264917	2020
"Primary free-flap tibial open fracture reconstruction with the Masquelet technique" and internal fixation. Injury\| PubMed ID: 33097199	2020
Repair of severe peri-knee soft tissue defect using an anterolateral thigh flap with the descending genicular vessels as the recipient pedicle: a case series of 14 patients. Annals of palliative medicine\| PubMed ID: 34107699	2021
Treatment of inferior pole patella fracture using Krackow suturing combined with the suture bridge technique. Archives of orthopaedic and trauma surgery\| PubMed ID: 35767037	2023
A novel primary antibiotic cement-coated locking plate as a temporary fixation for the treatment of open tibial fracture. Scientific reports\| PubMed ID: 38082020	2023
Clinical effect of nice knot-assisted minimally invasive titanium elastic nail fixation to treat Robinson 2B midshaft clavicular fracture. BMC musculoskeletal disorders\| PubMed ID: 38216916	2024
Masquelet combined with free-flap technique versus the Ilizarov bone transport technique for severe composite tibial and soft-tissue defects. Injury\| PubMed ID: 38584076	2024

Yongqiang Kang

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