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Compound fractures of the lower limb require immediate examination, systemic antibiotics, debridement and stabilization, followed by timed soft tissue coverage and extensive rehabilitation.
29 kwi 2024 · Butterfly fragments are large, triangular fracture fragments seen commonly in comminuted long bone fractures. The term is commonly used in orthopedic surgery, and results from two oblique fracture lines meeting to create a large triangular or wedge-shaped fragment located between the proximal and distal fracture fragments, and resembles a ...
Open tibial shaft fractures with a butterfly fragment have a high risk of nonunion. Further research may seek to determine if adjunct treatment of butterfly fragments (ie inter-fragmentary compression) in the acute setting could improve healing rates.
Open tibial shaft fractures with a butterfly fragment have a high risk of nonunion. Further research may seek to determine if adjunct treatment of butterfly fragments (ie inter-fragmentary compression) in the acute setting could improve healing rates.
19 sie 2020 · Many femoral fractures feature butterfly fragments, which can complicate or prolong the treatment and healing process, especially if not adequately addressed by the surgeon. Locked intramedullary nailing (IMN) is currently considered the treatment of choice for most femoral shaft fractures [2].
Principles of Treatment • Majority of tibia/fibula fx’s in children can be treated closed • Above-knee v. below-knee cast • Radiographic monitoring at regular intervals during early healing: wedge cast, or remanipulate/recast for unacceptable reduction/position if early enough f/u • Must weigh risk of discomfort and chance of compartment
According to the “diamond concept”, local therapies, such as osteoconductive scaffolds, bone growth factors, and osteogenic cells can be successfully applied in “polytherapy” for the enhancement of delayed union and non-union of long bones diaphyseal fractures.
