1
|
Poirot Seynaeve B, Gentilhomme P, Tran-Minh D, Zran N, Ohl X, Siboni R, Joseph E. Intramedullary nailing of femoral shaft fractures: an analysis of rotational malunions using 3D EOS. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY : ORTHOPEDIE TRAUMATOLOGIE 2024; 34:1893-1899. [PMID: 38451337 DOI: 10.1007/s00590-024-03868-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 02/16/2024] [Indexed: 03/08/2024]
Abstract
PURPOSE Rotational malalignment and leg length discrepancy after intramedullary nailing of femoral shaft are frequent. This study has three objectives: evaluate the rate of femoral rotational malalignment and leg length discrepancy using EOS imaging after antegrade intramedullary nailing of femoral shaft fracture, find a relevant clinical examination to detect malrotation and identified risk factors. METHODS We performed a retrospective single-centre study between January 2014 and January 2022. Fifty-eight patients were clinically and radiographically assessed at a minimum of three months. RESULTS The femoral rotation of the operated side was significantly greater by a mean of 15.4° in internal rotation compared to the healthy side. There was no statically significant difference for the femoral length (p = 0.08). CONCLUSION When using EOS stereography following antegrade intramedullary nailing of post-traumatic diaphyseal femur fractures, a statistically significant difference of more than 15.4° in internal rotation was found for femoral rotation on the operated side compared to the healthy side.Please confirm if the author names are presented accurately and in the correct sequence (given name, middle name/initial, family name). Author 1 Given name: [B. Poirot] Last name [Seynaeve]. Also, kindly confirm the details in the metadata are correct.The last name of the first author was corrected : Given name = B. and last name = Poirot Seynaeve The details in matadata are correct LEVEL OF EVIDENCE: III.
Collapse
Affiliation(s)
- B Poirot Seynaeve
- UFR Médecine, University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France
- Department of Orthopaedic Surgery, Reims University Hospital, Hôpital Maison Blanche, 45 Rue Cognacq-Jay, 51092, Reims, France
| | - P Gentilhomme
- UFR Médecine, University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France
- Department of Orthopaedic Surgery, Reims University Hospital, Hôpital Maison Blanche, 45 Rue Cognacq-Jay, 51092, Reims, France
| | - D Tran-Minh
- UFR Médecine, University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France
- Department of Orthopaedic Surgery, Reims University Hospital, Hôpital Maison Blanche, 45 Rue Cognacq-Jay, 51092, Reims, France
| | - N Zran
- UFR Médecine, University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France
- Department of Orthopaedic Surgery, Reims University Hospital, Hôpital Maison Blanche, 45 Rue Cognacq-Jay, 51092, Reims, France
| | - X Ohl
- UFR Médecine, University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France
- Department of Orthopaedic Surgery, Reims University Hospital, Hôpital Maison Blanche, 45 Rue Cognacq-Jay, 51092, Reims, France
- Biomaterial and Inflammation in Bone Site Laboratory (EA 4691 Bios), University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France
| | - R Siboni
- UFR Médecine, University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France.
- Department of Orthopaedic Surgery, Reims University Hospital, Hôpital Maison Blanche, 45 Rue Cognacq-Jay, 51092, Reims, France.
- Biomaterial and Inflammation in Bone Site Laboratory (EA 4691 Bios), University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France.
| | - E Joseph
- UFR Médecine, University of Reims Champagne Ardenne, 51 Rue Cognacq Jay, 51100, Reims, France
- Department of Orthopaedic Surgery, Reims University Hospital, Hôpital Maison Blanche, 45 Rue Cognacq-Jay, 51092, Reims, France
| |
Collapse
|
2
|
Oh CW, Park KH, Kim JW, Kim DH, Seo I, Lee JH, Kim JW, Yoon SH. Minimally Invasive Derotational Osteotomy of Long Bones: Smartphone Application Used to Improve the Accuracy of Correction. J Clin Med 2023; 12:jcm12041335. [PMID: 36835871 PMCID: PMC9965314 DOI: 10.3390/jcm12041335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 01/22/2023] [Accepted: 02/06/2023] [Indexed: 02/10/2023] Open
Abstract
Correction of rotational malalignments caused by fractures is essential as it may cause pain and gait disturbances. This study evaluated the intraoperative use of a smartphone application (SP app) to measure the extent of corrective rotation in patients treated using minimally invasive derotational osteotomy. Intraoperatively, two parallel 5 mm Schanz pins were placed above and below the fractured/injured site, and derotation was performed manually after percutaneous osteotomy. A protractor SP app was used intraoperatively to measure the angle between the two Schanz pins (angle-SP). Intramedullary nailing or minimally invasive plate osteosynthesis was performed after derotation, and computerized tomography (CT) scans were used to assess the angle of correction postoperatively (angle-CT). The accuracy of rotational correction was assessed by comparing angle-SP and angle-CT. The mean preoperative rotational difference observed was 22.1°, while the mean angle-SP and angle-CT were 21.6° and 21.3°, respectively. A significant positive correlation between angle-SP and angle-CT was observed, and 18 out of 19 patients exhibited complete healing within 17.7 weeks (1 patient exhibited nonunion). These findings suggest that using an SP app during minimally invasive derotational osteotomy can result in accurate correction of malrotation of long bones in a reproducible manner. Therefore, SP technology with integrated gyroscope function represents a suitable alternative for determination of the magnitude of rotational correction when performing corrective osteotomy.
Collapse
Affiliation(s)
- Chang-Wug Oh
- Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, Republic of Korea
| | - Kyeong-Hyeon Park
- Department of Orthopedic Surgery, Severance Children’s Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea
- Correspondence: ; Tel.: +82-53-420-5628
| | - Joon-Woo Kim
- Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, Republic of Korea
| | - Dong-Hyun Kim
- Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, Republic of Korea
| | - Il Seo
- Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, Republic of Korea
| | - Jin-Han Lee
- Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, Republic of Korea
| | - Ji-Wan Kim
- Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea
| | - Sung-Hyuk Yoon
- Department of Orthopedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, Republic of Korea
| |
Collapse
|
3
|
Imaging in Hip Arthroplasty Management-Part 1: Templating: Past, Present and Future. J Clin Med 2022; 11:jcm11185465. [PMID: 36143112 PMCID: PMC9503653 DOI: 10.3390/jcm11185465] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/11/2022] [Accepted: 09/15/2022] [Indexed: 11/17/2022] Open
Abstract
Hip arthroplasty is a frequently used procedure with high success rates. Its main indications are primary or secondary advanced osteoarthritis, due to acute fracture, osteonecrosis of the femoral head, and hip dysplasia. The goals of HA are to reduce pain and restore normal hip biomechanics, allowing a return to the patient’s normal activities. To reach those goals, the size of implants must suit, and their positioning must meet, quality criteria, which can be determined by preoperative imaging. Moreover, mechanical complications can be influenced by implant size and position, and could be avoided by precise preoperative templating. Templating used to rely on standard radiographs, but recently the use of EOS® imaging and CT has been growing, given the 3D approach provided by these methods. However, there is no consensus on the optimal imaging work-up, which may have an impact on the outcomes of the procedure. This article reviews the current principles of templating, the various imaging techniques used for it, as well as their advantages and drawbacks, and their expected results.
Collapse
|
4
|
Adam P, Clavert P. Recent progress in limb traumatology. Orthop Traumatol Surg Res 2022; 108:103371. [PMID: 35870772 DOI: 10.1016/j.otsr.2022.103371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 07/15/2022] [Indexed: 02/03/2023]
Affiliation(s)
- Philippe Adam
- Équipe 12 matériaux multi-échelles et biomécanique, laboratoire iCube, CNRS UMR 7357, 2-4, rue Boussingault, 67000 Strasbourg, France; Pôle LOCOMAX, hôpital Hautepierre 2, 1, avenue Molière, 67098 Strasbourg, France.
| | - Philippe Clavert
- Équipe 12 matériaux multi-échelles et biomécanique, laboratoire iCube, CNRS UMR 7357, 2-4, rue Boussingault, 67000 Strasbourg, France; Faculté de médecine, institut d'anatomie normale, 4, rue Kirschleger, 67085 Strasbourg, France; Pôle LOCOMAX, hôpital Hautepierre 2, 1, avenue Molière, 67098 Strasbourg, France
| |
Collapse
|