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Hernigou P, Homma Y, Herard P, Scarlat MM. The loneliness of the local orthopaedic surgeon in disaster zones. INTERNATIONAL ORTHOPAEDICS 2024; 48:323-330. [PMID: 38206394 DOI: 10.1007/s00264-024-06089-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2024]
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Sun H, Li P, Du G, Jiang J, Song K, Liu H, Zhang X, Jia L, Zhang K, Yang S, Wang Z. Application of PVC pipes as an adjustable bilateral traction device in lower limb fractures. BMC Musculoskelet Disord 2023; 24:733. [PMID: 37710203 PMCID: PMC10500906 DOI: 10.1186/s12891-023-06847-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 08/31/2023] [Indexed: 09/16/2023] Open
Abstract
OBJECTIVE To introduce a new type of simple adjustable bilateral bidirectional polyvinyl chloride (PVC) tube traction device and discuss the value of using this device before surgery in patients with lower limb fractures. METHODS To introduce the manufacturing process of an adjustable bilateral traction device made of PVC pipes. From August 2018 to November 2019, the data of 36 patients with lower limb fractures who were treated with this traction device were retrospectively analysed. The treatment outcomes were analysed, including length of both lower limbs, fracture reduction, lower limb mobility, visual analogue scale (VAS) score, incidence of complications, and patient satisfaction. RESULTS All patients were able to move the affected limb immediately after using the device. The patient's pain was significantly reduced, they were able to turn over freely during bed rest, and the length of the affected limb was restored to that of the healthy limb. Thirty-four (94.5%) patients were satisfied with the reduction of the fracture end, 2 (5.5%) patients with tibiofibular fractures showed angular displacement of the fractured end and satisfactory reduction after the position of the bone traction needle was adjusted; 7 (19.5%) patients developed deep vein thrombosis of the affected lower limb during traction; there was no decubitus or vascular nerve injury, and the overall complication rate was 25% (9/36). All the patients and their families were satisfied with the results of this treatment. CONCLUSION The aim of this study is to introduce a new type of traction device. It is advantageous in that it is light weight, low cost, easy to assemble, promotes immediate movement of the affected limb after assembly, improves patient comfort and can be used with a titanium steel needle for MRI examination under traction. In the clinical setting, it has been shown to be suitable for the temporary treatment of patients with lower leg fractures prior to surgery, particularly patients who, for various reasons, require nonsurgical treatment in the short term.
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Affiliation(s)
- Hongshuo Sun
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Peng Li
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Gangqiang Du
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Jianhao Jiang
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Kaikai Song
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Hongzhi Liu
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Xinjun Zhang
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Long Jia
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Kai Zhang
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China
| | - Shuye Yang
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China.
| | - Zhigang Wang
- Department of Orthopaedic Trauma, Binzhou Medical University Hospital, No.661 Huanghe 2Nd Road, Binzhou, Shandong, 256603, People's Republic of China.
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Bigoni M, Zatti G, Zanchi N, Anghilieri FM, Riva MA. Treatment of hip fracture of Pope Innocent XII by Marcello Malpighi with bed rest. INTERNATIONAL ORTHOPAEDICS 2017; 42:437-440. [PMID: 29119295 DOI: 10.1007/s00264-017-3669-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2017] [Accepted: 10/09/2017] [Indexed: 11/24/2022]
Abstract
Marcello Malpighi (1628-1694), who is referred to as the father of microscopical anatomy, histology, physiology and embryology was an Italian biologist and physician, well known for his discoveries on microscopical anatomy of kidney, circulating and lymphatic systems. As well as being a brilliant anatomist, Malpighi was also a valued physician so far as to became the personal physician of Pope Innocent XII (1615-1700). On 23 August 1691, one month after his election, the Pope fell to the ground hitting his left hip. Malpighi, as his personal physician, was immediately called and diagnosed a hip fracture. At that time fractures were generally treated by surgeons, barbers and sawbones, while physicians were mainly concerned with internal diseases. Despite that, Marcello Malpighi cured Pope Innocent XII's hip fracture by applying some modern traumatologic concepts. This article analyses how Malpighi treated this hip fracture, comparing it with the current approach.
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Affiliation(s)
- Marco Bigoni
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, 20900, Monza, Italy.,Orthopaedics Clinic, San Gerardo Hospital, Monza, Italy
| | - Giovanni Zatti
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, 20900, Monza, Italy.,Orthopaedics Clinic, San Gerardo Hospital, Monza, Italy
| | - Nicolò Zanchi
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, 20900, Monza, Italy.,Orthopaedics Clinic, San Gerardo Hospital, Monza, Italy
| | - Filippo Maria Anghilieri
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, 20900, Monza, Italy
| | - Michele A Riva
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, 20900, Monza, Italy.
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Manzini F, Manzini C, Cesana G, Riva MA. The contribution of intellectuals to the history of traumatology during the Renaissance: treatment of femoral fracture through François Rabelais' glossocomion. INTERNATIONAL ORTHOPAEDICS 2016; 41:429-432. [PMID: 27807716 DOI: 10.1007/s00264-016-3323-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2016] [Accepted: 10/12/2016] [Indexed: 12/11/2022]
Abstract
During the Middle Ages and the Renaissance, intellectuals often included clinical cases and medical descriptions in their literary works. These authors appeared to be more interested in internal and infectious diseases rather than in musculoskeletal disorders and orthopaedics. François Rabelais (1490-1553) was one of the most renowned humanists and philologists of the sixteenth century. He was also a physician with an interest in translating ancient texts of medical authors. Rabelais rediscovered a device for treating femoral fracture originally described by the Roman physician Galen and named as glossocomion. Since the original apparatus had some imperfections, Rabelais redesigned and modified it. This new, improved version became a model for new devices for treating femoral fracture, as also reported by the great French surgeon Ambroise Paré. For this contribution, Rabelais deserves major consideration in the history of orthopaedics and traumatology.
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Affiliation(s)
- Francesco Manzini
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, I-20900, Monza, Italy.,Unit of Orthopedics and Traumatology, Istituti Clinici Zucchi, via Zucchi, 24, Monza, I-20900, Italy
| | - Claudio Manzini
- Unit of Orthopedics and Traumatology, Istituti Clinici Zucchi, via Zucchi, 24, Monza, I-20900, Italy
| | - Giancarlo Cesana
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, I-20900, Monza, Italy
| | - Michele Augusto Riva
- School of Medicine and Surgery, University of Milano Bicocca, via Cadore 48, I-20900, Monza, Italy.
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