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MUSCULOSKELETAL SURGERY

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01-12-2017 | Original Article

A new approach to local DCO in ankle fracture dislocations: external fixation with diaphyseal unicortical screws applied by local anaesthesia

Authors: F. Lavini, T. Maluta, G. Carpeggiani, C. Dall’Oca, E. Samaila, G. Marconato, B. Magnan

Published in: MUSCULOSKELETAL SURGERY | Issue 3/2017

Abstract

Purpose

Ankle fracture dislocations represent a great threat for soft tissue viability and articular instability. The use of a temporary ankle bridging ExFix plays a fundamental role in the local damage control orthopaedics while waiting for definitive synthesis.

Methods

For this prospective research, we have developed a full application protocol of innovative diaphyseal monocortical screws fixator (Unyco–Orthofix^TM) exclusively under local anaesthesia. Rigid selection criteria allowed us to collect nine patients during a period of almost 2 years. VAS score was analysed for the feasibility of the procedure, and a thorough radiologic evaluation was performed.

Results

Results pointed out that the calcaneus pin insertion (VAS: 3.44) followed by the local anaesthetics injection (VAS: 3.22) was the most painful, without precluding to continue the procedure; fracture temporary stability was achieved in all the cases.

Conclusions

The procedure of monocortical diaphyseal application in bridging external fixation is comparable to the conventional transcalcaneal traction maintaining the advantage in terms of speediness, independence from anaesthetists and feasibility within few minutes from hospital admittance even in patients under anticoagulants therapy, but increasing the stability of the reduction and improving the quality of nursing (so-called portable traction).

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Title: A new approach to local DCO in ankle fracture dislocations: external fixation with diaphyseal unicortical screws applied by local anaesthesia
Authors: F. Lavini
T. Maluta
G. Carpeggiani
C. Dall’Oca
E. Samaila
G. Marconato
B. Magnan
Publication date: 01-12-2017
Publisher: Springer Milan
Published in: MUSCULOSKELETAL SURGERY / Issue 3/2017
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-017-0472-1

At a glance: The STEP trials

Springer Medicine

A new approach to local DCO in ankle fracture dislocations: external fixation with diaphyseal unicortical screws applied by local anaesthesia

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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