Bitte benutzen Sie diese Referenz, um auf diese Ressource zu verweisen: doi:10.22028/D291-34761
Titel: Trochanteric Femur Fractures: Application of Skeletal Traction during Surgery Does Not Alter Soft-Tissue Microcirculation
VerfasserIn: van Knegsel, Kenneth P.
Ganse, Bergita
Haefeli, Pascal C.
Migliorini, Filippo
Scaglioni, Mario F.
van de Wall, Bryan J. M.
Kim, Bong-Sung
Link, Björn-Christian
Beeres, Frank J. P.
Nebelung, Sven
Schoeneberg, Carsten
Hildebrand, Frank
Gueorguiev, Boyko
Knobe, Matthias
Sprache: Englisch
Titel: Medicina
Bandnummer: 57
Heft: 9
Verlag/Plattform: MDPI
Erscheinungsjahr: 2021
Freie Schlagwörter: microcirculation
traction table
traction
trochanteric
femur
fracture
blood flow
saturation
hemoglobin
laser-Doppler spectrophotometry
soft-tissue
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: Background and Objectives: Wound infections provoked by alterations in microcirculation are major complications in the treatment of trochanteric femur fractures. Surgical fracture fixation on a traction table is the gold standard for treatment, but the effect on tissue microcirculation is unknown. Microcirculation could be impaired by the pull on the soft-tissue or by a release of vasoactive factors. We hypothesized that intraoperative traction impairs soft-tissue microcirculation. Materials and Methods: In 22 patients (14 women, eight men), average age 78 years (range 36–96 ± 14), with trochanteric femur fractures, non-invasive laser-Doppler spectrophotometry was used to assess oxygen saturation, hemoglobin content, and blood flow in the skin and subcutaneous tissue before and after application of traction. Measurements were recorded in nine locations around the greater trochanter at a depth of 2, 8, and 15 mm before and after fracture reduction by traction. Results: No differences were found in any depth with traction compared to without (oxygen saturation: p = 0.751, p = 0.308, and p = 0.955, haemoglobin content: p = 0.651, p = 0.928, and p = 0.926, blood flow: p = 0.829, p = 0.866, and p = 0.411). Conclusion: In this pilot study, the application of traction does not affect skin and subcutaneous microcirculation in the surgery of proximal femur fractures.
DOI der Erstveröffentlichung: 10.3390/medicina57090884
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-347613
hdl:20.500.11880/31800
http://dx.doi.org/10.22028/D291-34761
ISSN: 1648-9144
Datum des Eintrags: 27-Sep-2021
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Chirurgie
Professur: M - Prof. Dr. med. Bergita Ganse
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

Dateien zu diesem Datensatz:
Datei Beschreibung GrößeFormat 
medicina-57-00884.pdf1,44 MBAdobe PDFÖffnen/Anzeigen


Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons Creative Commons