Titre : Fractures ouvertes

Fractures ouvertes : Questions médicales fréquentes

Termes MeSH sélectionnés :

Sutures
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?", "url": "https://questionsmedicales.fr/mesh/D005597?mesh_terms=Sutures&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Fractures ouvertes", "description": "Quel est le traitement principal d'une fracture ouverte ?\nDes antibiotiques sont-ils nécessaires ?\nQuelle est l'importance de la rééducation ?\nPeut-on traiter une fracture ouverte sans chirurgie ?\nCombien de temps dure la guérison d'une fracture ouverte ?", "url": "https://questionsmedicales.fr/mesh/D005597?mesh_terms=Sutures&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Fractures ouvertes", "description": "Quelles sont les complications possibles d'une fracture ouverte ?\nComment une infection peut-elle se développer ?\nLes fractures ouvertes peuvent-elles entraîner des problèmes à long terme ?\nQu'est-ce qu'une déformation osseuse ?\nLes complications sont-elles plus fréquentes chez certains patients ?", "url": "https://questionsmedicales.fr/mesh/D005597?mesh_terms=Sutures&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Fractures ouvertes", "description": "Quels sont les principaux facteurs de risque de fractures ouvertes ?\nL'âge influence-t-il le risque de fractures ouvertes ?\nLe sexe joue-t-il un rôle dans le risque de fractures ?\nLes antécédents familiaux augmentent-ils le risque ?\nLes habitudes de vie influencent-elles le risque de fractures ?", "url": "https://questionsmedicales.fr/mesh/D005597?mesh_terms=Sutures&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une fracture ouverte ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un examen physique et des radiographies sont nécessaires pour confirmer la fracture." } }, { "@type": "Question", "name": "Quels signes indiquent une fracture ouverte ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Un os visible, une plaie ouverte et un gonflement autour de la zone touchée sont des signes." } }, { "@type": "Question", "name": "Les examens d'imagerie sont-ils toujours nécessaires ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les examens d'imagerie comme les radiographies sont essentiels pour évaluer la fracture." } }, { "@type": "Question", "name": "Peut-on diagnostiquer une fracture ouverte sans radiographie ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Non, la radiographie est cruciale pour visualiser l'étendue de la fracture." } }, { "@type": "Question", "name": "Quels tests peuvent être effectués en cas de fracture ouverte ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des tests sanguins peuvent être réalisés pour évaluer le risque d'infection." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une fracture ouverte ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Douleur intense, déformation, gonflement et saignement au site de la fracture." } }, { "@type": "Question", "name": "La douleur est-elle toujours présente avec une fracture ouverte ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur est généralement intense et immédiate après la blessure." } }, { "@type": "Question", "name": "Y a-t-il des symptômes associés à une infection ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Rougeur, chaleur, écoulement purulent et fièvre peuvent indiquer une infection." } }, { "@type": "Question", "name": "Comment différencier une fracture ouverte d'une fracture fermée ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Une fracture ouverte présente une plaie visible, tandis qu'une fracture fermée ne l'a pas." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon l'emplacement de la fracture ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier selon l'os touché et la gravité de la fracture." } }, { "@type": "Question", "name": "Comment prévenir les fractures ouvertes ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Évitez les activités à risque, portez des équipements de protection et maintenez une bonne santé osseuse." } }, { "@type": "Question", "name": "Les exercices peuvent-ils aider à prévenir les fractures ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des exercices de renforcement et d'équilibre peuvent réduire le risque de fractures." } }, { "@type": "Question", "name": "L'alimentation joue-t-elle un rôle dans la prévention ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une alimentation riche en calcium et en vitamine D est essentielle pour des os solides." } }, { "@type": "Question", "name": "Les personnes âgées sont-elles plus à risque ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les personnes âgées ont un risque accru de fractures en raison de la fragilité osseuse." } }, { "@type": "Question", "name": "Les sports extrêmes augmentent-ils le risque de fractures ouvertes ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les sports extrêmes comportent un risque élevé de blessures, y compris des fractures ouvertes." } }, { "@type": "Question", "name": "Quel est le traitement principal d'une fracture ouverte ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement inclut la chirurgie pour nettoyer la plaie et stabiliser l'os." } }, { "@type": "Question", "name": "Des antibiotiques sont-ils nécessaires ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antibiotiques sont souvent prescrits pour prévenir les infections." } }, { "@type": "Question", "name": "Quelle est l'importance de la rééducation ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "La rééducation est cruciale pour restaurer la fonction et la force après la guérison." } }, { "@type": "Question", "name": "Peut-on traiter une fracture ouverte sans chirurgie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Rarement, la chirurgie est généralement nécessaire pour traiter efficacement la fracture." } }, { "@type": "Question", "name": "Combien de temps dure la guérison d'une fracture ouverte ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La guérison peut prendre de plusieurs semaines à plusieurs mois selon la gravité." } }, { "@type": "Question", "name": "Quelles sont les complications possibles d'une fracture ouverte ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Infections, retard de guérison, déformation osseuse et complications vasculaires." } }, { "@type": "Question", "name": "Comment une infection peut-elle se développer ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "L'infection peut survenir si des bactéries pénètrent dans la plaie ouverte au site de la fracture." } }, { "@type": "Question", "name": "Les fractures ouvertes peuvent-elles entraîner des problèmes à long terme ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des douleurs chroniques et des limitations fonctionnelles peuvent survenir." } }, { "@type": "Question", "name": "Qu'est-ce qu'une déformation osseuse ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "C'est une malformation de l'os qui peut survenir si la fracture ne guérit pas correctement." } }, { "@type": "Question", "name": "Les complications sont-elles plus fréquentes chez certains patients ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les patients diabétiques ou immunodéprimés ont un risque accru de complications." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque de fractures ouvertes ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les accidents, les sports de contact, l'ostéoporose et les maladies osseuses augmentent le risque." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque de fractures ouvertes ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque augmente avec l'âge en raison de la fragilité osseuse." } }, { "@type": "Question", "name": "Le sexe joue-t-il un rôle dans le risque de fractures ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les femmes post-ménopausées sont plus à risque en raison de la perte osseuse." } }, { "@type": "Question", "name": "Les antécédents familiaux augmentent-ils le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux de fractures peuvent indiquer un risque accru." } }, { "@type": "Question", "name": "Les habitudes de vie influencent-elles le risque de fractures ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme et l'alcoolisme peuvent affaiblir les os et augmenter le risque." } } ] } ] }

Sources (1960 au total)

Comparison of H-Hayman uterine compression suture with conventional vertical sutures: A cross-sectional study in a tertiary center.

To compare H-Hayman, a modified uterine compression suturing technique (UCS) that we describe for the first time in the literature, with conventional vertical UCS techniques.... The H-Hayman technique was used in 14 women and the conventional UCS technique in 21 women. In order to provide standardization in the study, only patients who had developed upper-segment atony during... Bleeding control was achieved in 85.7% (12/14) of the cases using the H-Hayman technique. In the remaining two patients with persistent hemorrhage in this group, bleeding control was provided with bil... We found the H-Hayman technique to be at least as successful as conventional UCS. In addition, patients who underwent suturing with the H-Hayman technique had less blood loss and a lower requirement f...

Two Uncommon Complications Related to Suture Knots After Meniscal All-Inside Suture Repair: A Case Report.

A 17-year-old male patient suffered a radial lateral meniscus tear and underwent an arthroscopic all-inside suture repair. After 7 months, the patient experienced catching. Magnetic resonance imaging ... Suture knot-related complications should be considered while performing meniscal repairs....

Tensile strength of a novel superficial suture pattern compared to traditional suture patterns in a cadaveric human skin model.

The suture material and pattern utilized to maintain the skin edges in proximity allows for successful primary wound healing. No prior studies have evaluated the tensile strength of different suture p... Four skin closure patterns were tested on human cadaveric skin using 3-0 nylon - S, HM, VM, LL - totaling four groups with twelve samples each. A tensioning device applied 1 N of force/second in a lin... The LL stitch had the greatest dehiscence force (198.60 N) and ultimate load to failure force (211.13 N) but was only significantly greater on both outcomes versus HM (104.81 N; 95% confidence interva... The Lindeque Locking stitch demonstrated the greatest dehiscence force and tensile strength. It may decrease the risk of wound dehiscence for high tension wounds....

Improved suture pullout through genipin-coated sutures in human biceps tendons with spatially confined changes in cell viability.

The suture-tendon interface often constitutes the point of failure in tendon suture repair. In the present study, we investigated the mechanical benefit of coating the suture with a cross-linking agen... Freshly harvested human biceps long head tendons were randomly allocated to control (n = 17) or intervention (n = 19) group. According to the assigned group, either an untreated or a genipin-coated su... Tendons stitched with a genipin-coated suture sustained higher forces to failure. Cyclic and ultimate displacement of the tendon-suture construct remained unaltered by the local tissue crosslinking. T... The repair strength of a tendon-suture construct can be augmented by loading the suture with genipin. At this mechanically relevant dosage, crosslinking-induced cell death is confined to a radius of <...

Arthroscopic repair of rotator cuff injury with bioabsorbable suture anchor vs. all-suture anchor: a non-inferiority study.

Compare all-suture anchors to traditional anchors through clinical and radiological evaluation at pre-established end-points.... We performed a two-arms non-inferiority study on all-suture anchor (2.3 iconix™, Stryker) device with respect to traditional anchor (5.5 healix Advance™ BR, Depuy/Mitek) device under unpaired samples ... All-suture anchor approach has been proven to have non-inferior performances with respect to traditional anchor approach, according to questionnaires scores at the 3-month endpoint. We observed 26 pat... All suture devices have clinical and functional results comparable to traditional devices, while they tend to give fewer complications in terms of bone edema, loosening and retear rate. The effectiven...

Functional outcomes of all-inside arthroscopic anterior talofibular ligament repair with loop suture versus free-edge suture.

Anatomic repair of anterior talofibular ligament (ATFL) is used to manage chronic lateral ankle instability (CLAI). However, the optimal suture configuration used to repair the ATFL is not yet determi... To compare the functional outcomes of all-inside arthroscopic ATFL repair using either a loop suture and or a free-edge suture configuration in CLAI patients.... Cohort study; Level of evidence, 3.... This retrospective cohort study included 71 patients with CLAI who had undergone an all-inside arthroscopic ATFL repair procedure with either loop suture (n = 36) or free-edge suture (n = 35) from Feb... There were no postoperative wound complications, implant reactions, or neurological or vascular injuries. Postoperative hospitalization, VAS, AOFAS, KAFS, AJPS and the time of return to sport were sim... All-inside arthroscopic ATFL repair procedure for CLAI treatment provides better ATT and comparable functional outcomes when a loop suture configuration is used instead of a free-edge suture configura...

Soft-tissue fixation is not inferior to suture-anchor fixation in reconstruction of the medial patellofemoral ligament using a nonresorbable suture tape.

Reconstruction of the medial patellofemoral ligament (MPFL-R) with nonresorbable suture tape (FiberTape... In ten human, fresh-frozen knee joint specimens (m/f 6/4; age 74 ± 9 a), the MPFL was identified and dissected near the femoral insertion site. In five knee joints, the MPFL-R using FT was performed w... The mean maximum load to failure in the SG was 395.3 ± 57.9 N. All reconstructions failed by complete tearing off the medial patellar retinaculum from its medial patellar margin, but fixation of the F... Primary stability of soft-tissue MPFL-R using FT was superior to suture-anchor fixation. Both fixation techniques provided sufficient primary stability, superior to previously reported native MPFL ten...

Rotator cuff repairs with all-suture tape anchors: no difference in outcomes between with or without all-suture tape anchors.

This study aimed at comparing the outcomes of medium- to large-sized rotator cuff repairs performed using the suture bridge technique either with or without tape-like sutures, and single row technique... A total of 135 eligible patients with medium to large rotator cuff tears were identified and analyzed retrospectively, from 2017 to 2019. Only repairs using all-suture anchors were included in the stu... DRSB with tapes had the highest re-tear rate of 16% (8/50), but there was no significant difference with the re-tear rates observed in SR (8%, 4/50) and DRSB with conventional sutures (11.4%, 4/35) (n... No clinical difference in functional outcomes and re-tear rates were observed in DRSB with tapes when compared with SR and DRSB using the conventional sutures. Tape-like DRSB suture which was expected... Level III....