Comment diagnostiquer une fracture nécessitant une fixation ?

Un examen clinique et des radiographies sont essentiels pour diagnostiquer une fracture.

Quels signes indiquent une fracture ?

Douleur intense, déformation, œdème et incapacité à bouger la zone touchée sont des signes.

Quels examens sont utilisés pour évaluer la stabilité osseuse ?

Les examens d'imagerie comme l'IRM ou le scanner peuvent évaluer la stabilité osseuse.

Quand une fixation externe est-elle nécessaire ?

Une fixation externe est souvent nécessaire pour les fractures ouvertes ou complexes.

Comment évaluer la nécessité d'une chirurgie orthopédique ?

L'évaluation dépend de la gravité de la fracture et de la réponse au traitement conservateur.

Quels symptômes indiquent une mauvaise fixation ?

Douleur persistante, gonflement accru et mobilité anormale peuvent indiquer une mauvaise fixation.

Comment reconnaître une infection après fixation ?

Rougeur, chaleur, écoulement et fièvre sont des signes d'infection post-fixation.

Quels symptômes nécessitent une consultation urgente ?

Une douleur intense, une déformation soudaine ou une perte de sensation nécessitent une consultation urgente.

Quels signes de complication peuvent survenir ?

Des signes comme une douleur accrue, une fièvre ou une décoloration de la peau peuvent survenir.

Comment évaluer la douleur après une fixation ?

Utiliser une échelle de douleur pour évaluer l'intensité et la localisation de la douleur.

Comment prévenir les fractures ?

Maintenir une bonne santé osseuse par une alimentation équilibrée et de l'exercice régulier.

Quels exercices renforcent les os ?

Les exercices de résistance et de poids, comme la musculation, renforcent les os.

Comment éviter les chutes chez les personnes âgées ?

Aménager l'environnement, utiliser des aides à la mobilité et faire des exercices d'équilibre.

Quel rôle joue la vitamine D dans la santé osseuse ?

La vitamine D aide à l'absorption du calcium, essentielle pour la santé osseuse.

Comment évaluer le risque de fractures ?

Des outils d'évaluation comme le FRAX peuvent estimer le risque de fractures chez les patients.

Quels types d'appareils de fixation existent ?

Les types incluent les plaques, vis, clous intramédullaires et fixateurs externes.

Comment se déroule la chirurgie de fixation ?

La chirurgie implique l'anesthésie, l'incision, la mise en place de l'appareil et la fermeture.

Quel est le rôle des fixateurs externes ?

Les fixateurs externes stabilisent les fractures ouvertes et permettent un accès chirurgical.

Comment se passe la rééducation après fixation ?

La rééducation inclut des exercices de mobilité et de renforcement pour récupérer la fonction.

Quels médicaments sont utilisés après une fixation ?

Des analgésiques et des anti-inflammatoires sont souvent prescrits pour gérer la douleur.

Quelles sont les complications possibles après une fixation ?

Les complications incluent l'infection, la non-union et la mal-union des fractures.

Comment gérer une infection post-opératoire ?

Un traitement antibiotique et, si nécessaire, un drainage chirurgical sont requis.

Qu'est-ce que la non-union ?

La non-union est l'absence de guérison d'une fracture malgré un traitement approprié.

Quels sont les signes d'une mal-union ?

Une déformation ou une douleur persistante au site de la fracture peuvent indiquer une mal-union.

Comment prévenir les complications après une chirurgie ?

Suivre les instructions post-opératoires et surveiller les signes d'infection ou de douleur.

Quels facteurs augmentent le risque de fractures ?

L'âge avancé, l'ostéoporose, le tabagisme et une mauvaise nutrition augmentent le risque.

Comment le tabagisme affecte-t-il la guérison osseuse ?

Le tabagisme réduit la circulation sanguine et retarde la guérison des fractures.

Quel rôle joue l'alimentation dans la santé osseuse ?

Une alimentation riche en calcium et en vitamine D est cruciale pour la santé osseuse.

Comment l'activité physique influence-t-elle le risque de fractures ?

L'activité physique régulière renforce les os et réduit le risque de fractures.

Quels médicaments peuvent affecter la santé osseuse ?

Les corticostéroïdes et certains anticonvulsivants peuvent augmenter le risque de fractures.

Appareils de fixation orthopédique - Informations médicales vérifiées

Point-of-Care Orthopedic Oncology Device Development.

29 Dec 2023

DOI: 10.3390/curroncol31010014 PMID: 38248099

The triad of 3D design, 3D printing, and xReality technologies is explored and exploited to collaboratively realize patient-specific products in a timely manner with an emphasis on designs with meta-(... A case study on pelvic reconstruction after oncological resection (osteosarcoma) was selected and conducted to evaluate the applicability and performance of an inter-epistemic workflow and the feasibi... Image-based diagnosis and treatment at the PoC can be readily deployed to develop orthopedic devices for pre-operative planning, training, intra-operative navigation, and bone substitution.... Inter-epistemic symbiosis between orthopedic surgeons and (bio)mechanical engineers at the PoC, fostered by appropriate quality management systems and end-to-end workflows under suitable scientificall...

Can an Orthopedic Hip Fracture Simulator Advance Orthopedic Residents' Hip Fracture Fixation Skills to an Expert Level?

29 Dec 2023

DOI: 10.1016/j.jsurg.2023.11.008 PMID: 38160109

This study was undertaken to evaluate hip fracture simulator training and orthopedic resident skill attainment. We hypothesized that after 6 training sessions, improvement in post-training scores in j... Thirty orthopedic residents from a single institution completed 6 training sessions. Sessions included a pretest, 9 training modules, and post-test. An expert score was obtained from the average score... A single academic institution.... Orthopedic residents (postgraduate years [PGYs] 1-5).... Twenty-six residents completed the study. The mean overall post-training score was 87% of the expert level. Factors associated with post-training score changes were additional training sessions (4.2% ... Differences in trends between training levels suggest this simulator is a useful adjunct to a 5-year orthopedic residency training program....

Etiologies of Orthopedic Implant Removal Among Patients Who Underwent Orthopedic Fixation Surgeries in King Abdulaziz Medical City.

Aug 2023

DOI: 10.7759/cureus.43809 PMID: 37731419

Hardware removal surgeries are considerably common. However, the justifications for these surgeries are debatable. The indications may vary from pain, surgical site infection, or failure of osteosynth... This was a retrospective chart review study. We included all patients aged 17-86 years who underwent hardware removal surgery in the orthopedic surgery department of King Abdulaziz Medical City, Riyad... A total of 244 medical records were reviewed with a mean patient age of 34 years. Out of the total, 190 patients (77.9%) were male. The femur was the most common location of hardware removal, in 50 ca... Hardware removal procedures are commonly performed worldwide for various reasons, including infection, pain, and loosening. In this study, we have outlined the reasons for implant removal, the locatio...

Fixation devices for anterior shoulder instability.

04 May 2023

DOI: 10.1186/s40634-023-00610-2 PMID: 37140841

Over the past 40 years, advances in the development of anchors and sutures have contributed to the improvement in surgical outcomes for treatment of shoulder instability. Important choices in surgery ... A literature review was conducted to evaluate the history of instability of the shoulder and the results of specific fixation techniques including bony and soft tissue reconstructions as well as knott... As knotless suture anchors have continued to grow in popularity since their development in 2001, many studies have compared this newer technique to that of the standard knotted suture anchors. In gene... In each surgery performed for shoulder instability, it is vitally important that we try to restore normal anatomy. The normal anatomy is best established by knotted mattress sutures. However, loop lax...

Worrying Presence of Asymptomatic Bacterial Colonisation on Implanted Orthopedic Devices.

Aug 2024

DOI: 10.7759/cureus.68126 PMID: 39347164

Background Bacterial infection after hardware implantation in orthopedic and trauma surgery is devastating, resulting in increased hospital costs and stays, multiple revision surgeries, and prolonged ...

External Fixators as a Tool for Damage Control Orthopedics in Severely Injured or Polytrauma Patients.

Sep 2024

DOI: 10.7759/cureus.69255 PMID: 39398797

The purpose of this study is to explore the use of damage control techniques in the emergency surgical management of polytrauma patients - those with traumatic injuries affecting at least two anatomic...

Highly Adhesive Antimicrobial Coatings for External Fixation Devices.

08 Aug 2023

DOI: 10.3390/gels9080639 PMID: 37623093

Pin site infections arise from the use of percutaneous pinning techniques (as seen in skeletal traction, percutaneous fracture pinning, and external fixation for fracture stabilization or complex defo...

Temperature change during orthopedic drilling procedures: An experimental surgical internal fixation simulation study.

Dec 2023

DOI: 10.1016/j.jor.2023.10.013 PMID: 37942216

The purpose of this experimental surgical internal fixation simulation study was to analyze four drilling parameters as a whole, use a thermal camera to observe the temperature, and then determine how... Four separate experimental models were examined in terms of the impacts of four drilling parameters, defined as the drill, drill bit diameter, drill bit design, and the material drilled during drillin... The temperature was observed to be affected by the drill used, a change in the drill bit diameter, drill bit design, and the characteristics of the material drilled (p < 0.041, p < 0.001, p < 0.001, a... The findings of the present research demonstrated that the four parameters investigated were related to the temperature formed during drilling. Of the parameters examined, the parameter which increase...

Outcomes in orthopedic device infections due to Streptococcus agalactiae: a retrospective cohort study.

22 Apr 2024

DOI: 10.1186/s12879-024-09175-6 PMID: 38649829

Group B streptococci (Streptococcus agalactiae) (GBS) is a rare cause of prosthetic joint infection (PJI) occurring in patients with comorbidities and seems to be associated with a poor outcome. Depic... A retrospective survey in 2 referral centers for bone joint infections was done Patients with a history of PJI associated with GBS between 2014 and 2019 were included. A descriptive analysis of treatm... We included 61 patients. Among them, 41 had monomicrobial (67%) infections. The median duration of follow-up was 2 years (interquartile range 2.35) Hypertension, obesity, and diabetes mellitus were th... The results show that S. agalactiae PJIs are associated with high rates of comorbidities and a high treatment failure rate with no optimal treatment so far....

If we should remove internal fixation devices for rib fractures?

04 Jul 2023

DOI: 10.1186/s13019-023-02330-1 PMID: 37403105

Internal fixation for rib fractures has been widely carried out worldwide, and its surgical efficacy has been recognized. However, there is still controversy about whether implant materials need to be... A retrospective analysis was conducted on 143 patients undergoing removal of internal fixation for rib fractures from 2020 to 2021 in our center. The implant-related complications, postoperative compl... In this study, a total of 143 patients underwent removal of internal fixation, among which 73 suffered from preoperative implant-related complications (foreign-body sensation, pain, wound numbness, se... For patients with internal fixation for rib fractures, removal of internal fixation can be considered in the case of implant-related complications after surgery. The corresponding symptoms can be reli...

Humans Rib Fractures Retrospective Studies Reproducibility of Results Internal Fixators +2 autres

Appareils de fixation orthopédique : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Fixateurs externes

Fixateurs internes

Plâtres chirurgicaux

Attelles

Clous orthopédiques

Plaques orthopédiques

Vis orthopédiques

Fils métalliques

Ancres de suture

Vis pédiculaires

Auteurs principaux

Sources (10000 au total)