Advertisement

LO SCALPELLO-OTODI Educational

, Volume 29, Issue 1, pp 55–61 | Cite as

Le fratture diafisarie delle ossa lunghe. Correzione delle deformità post-traumatiche

  • R. Mora
  • B. Bertani
  • G. Tuvo
  • L. Pedrotti
Aggiornamenti
  • 82 Downloads

Diaphyseal fractures of the long bones. Correction of post-traumatic deformities

Abstract

Long bone deformities as a result of trauma may lead to complications such as chronic pain, abnormal functional loading, cosmetic abnormality, joint arthritis and, if located at the lower limbs, difficult walking. The introduction of the typical circular external fixation played a prominent role in improving the management of these deformities, and second-generation circular devices (hexapod systems connected to computer planning software), which allow for simultaneous correction of all kinds of deformities in adults and children, further improved versatility, patient tolerability and nursing.

Notes

Conflitto di interesse

Gli autori Redento Mora, Barbara Bertani, Gabriella Tuvo e Luisella Pedrotti dichiarano di non aver alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and animal rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

Bibliografia

  1. 1.
    Pugh KJ, Rozbruch SR (2011) Nonunions and malunions. In: Baumgartner M, Tornetta P (eds) OKU trauma 3. AAOS, Rosemont, pp 115–130 Google Scholar
  2. 2.
    Paley D, Tetsworth K (1993) Deformity correction by the Ilizarov technique. In: Chapman MW (ed) Operative orthopaedics. Lippincott, Philadelphia Google Scholar
  3. 3.
    Marrè Brunenghi G (1997) Deformity realignment of the lower limb: preoperative planning. Gaslini 29:10–15 Google Scholar
  4. 4.
    Paley D (2005) Principles of deformity correction. Springer, Berlin Google Scholar
  5. 5.
    Solomin L (2012) The basic principles of external skeletal fixation using the Ilizarov and other devices. Springer, Berlin CrossRefGoogle Scholar
  6. 6.
    Gladbach B, Pfeil G, Heijens E (1999) Correction of leg deformities. Definition, estimation and realignment of axis deviation and misalignment. Orthopäde 28(12):1023–1033 PubMedGoogle Scholar
  7. 7.
    Herzenberg JE, Smith JD, Paley D (1994) Correcting torsional deformities with Ilizarov’s apparatus. Clin Orthop 302:36–41 Google Scholar
  8. 8.
    Paley D, Tetsworth K (1992) Mechanical axis deviation of the lower limbs: preoperative planning of uniapical angular deformities of the tibia or femur. Clin Orthop 280:48–64 Google Scholar
  9. 9.
    Jayakumar P, Jupiter JB (2014) Reconstruction of malunited diaphyseal fractures of the forearm. Hand 9:265–273 CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Toivanen JA, Nieminen J, Laine HJ et al. (2005) Functional treatment of closed humeral shaft fractures. Int Orthop 29(1):10–13 CrossRefPubMedGoogle Scholar
  11. 11.
    Henderson ER, Egol KA, van Bosse H et al. (2007) Calculation of rotational deformity in pediatric supracondylar humerus fractures. Skelet Radiol 36:229–235 CrossRefGoogle Scholar
  12. 12.
    Carbone M (1997) Torsional deformities of the leg. Gaslini 29:19–23 Google Scholar
  13. 13.
    Mora R, Soldini A, Paparella F et al. (1991) La correzione delle deformità complesse degli arti. G Ital Ortop Trauma Suppl 17:97–99 Google Scholar
  14. 14.
    Paley D, Chaudray M, Pirone AM et al. (1990) Treatment of malunions and mal-nonunions of the femur and tibia by detailed preoperative planning and the Ilizarov techniques. Orthop Clin North Am 21(4):667–691 PubMedGoogle Scholar
  15. 15.
    Ilizarov GA (1992) Transosseous osteosynthesis. Theoretical and clinical aspects of the regeneration and growth of tissue. Springer, Berlin Google Scholar
  16. 16.
    Oganesyan OV (2006) Treatment of bone fractures and joint injuries. External fixation. BKL, Moscow Google Scholar
  17. 17.
    Mora R, Bertani B, Tuvo G et al. (2006) Compression-distraction systems. In: Mora R (ed) Nonunion of the long bones. Diagnosis and treatment with compression-distraction techniques. Springer, New York, pp 77–88 Google Scholar
  18. 18.
    Mora R, Bertani B, Tuvo G et al. (2014) Le deformità degli arti inferiori. Dismetria con deviazioni angolari: correzione sequenziale con fissatore esterno circolare. G Ital Ortop Trauma 40(Suppl 3):82–87 Google Scholar
  19. 19.
    Rozbruch R, Ilizarov S (2007) Limb lengthening and reconstruction surgery. Informa, New York Google Scholar
  20. 20.
    Mora R, Bertani B, Tuvo G et al. (2012) Novità in ortopedia e traumatologia pediatrica: evoluzione nelle tecniche di osteosintesi transossea. Arch Orthop Reumatol 123:3–4 CrossRefGoogle Scholar
  21. 21.
    Gough VE, Whitehall SG (1968) Universal tire test machine. In: Proc FISITA 9th Intern Technical Congress, pp 117–137 Google Scholar
  22. 22.
    Stewart D (1965) A platform with six degrees of freedom. Proc Instn Mech Eng 180:371–386 CrossRefGoogle Scholar
  23. 23.
    Taylor JC (2002) Six axis deformity analysis and correction. In: Paley D (ed) Principles of deformity correction, 1st edn. Springer, Berlin, pp 411–436 Google Scholar
  24. 24.
    Tyulyaev V, Vorontsova TN, Solomin LN et al. (2011) Development history and modern concern of problems of management of extremity injuries by external fixation. Travmatol Ortop Rossii 2:179–189 Google Scholar
  25. 25.
    Mora R, Ceciliani L, Jelmoni GP et al. (1989) Il trattamento delle deformità complesse degli arti con l’impiego degli apparati di compressione-distrazione. Minerva Ortop Traumatol 40:467–469 Google Scholar
  26. 26.
    Catagni M, Malzev V, Kirienko A (1996) Advances in Ilizarov apparatus assembly. Fracture treatment, pseudarthroses, lengthening, deformity correction. Il Quadratino, Milano Google Scholar
  27. 27.
    Ceciliani L, Mora R, Paparella F et al. (1993) Le osteotomie nelle deformità complesse di gamba in età evolutiva. Riv Ital Ortop Traumatol Pediatr 9:103–106 Google Scholar
  28. 28.
    Mora R, Bertani B, Aloj D et al. (2013) Correzione delle deformità di tibia con Taylor Spatial Frame. Smith & Nephew, Agrate Brianza Google Scholar
  29. 29.
    Mora R, Bertani B, Aloj D et al. (2014) Correzione delle deformità di femore con Taylor Spatial Frame. Smith & Nephew, Agrate Brianza Google Scholar

Copyright information

© Springer-Verlag Italia 2015

Authors and Affiliations

  1. 1.Clinica Ortopedica e Traumatologica dell’Università di Pavia c/o Polo Universitario “Istituto Città di Pavia”, Dipartimento di Scienze clinico-chirurgiche, diagnostiche e pediatricheUniversità di PaviaPaviaItalia

Personalised recommendations