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1

Silva, Márcio Beckhauser da, Xavier Soler i. Graells, Ed Marcelo Zaninelli, and Marcel Luiz Benato. "Avaliação da redução por ligamentotaxia nas fraturas toracolombares tipo explosão." Coluna/Columna 9, no. 2 (June 2010): 126–31. http://dx.doi.org/10.1590/s1808-18512010000200007.

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OBJETIVO: avaliar a correção da cifose, da altura do corpo vertebral e da redução dos fragmentos retropulsados nas fraturas toracolombares tipo explosão por ligamentotaxia. MÉTODOS: estudo retrospectivo avaliando um total de 238 pacientes com fraturas toracolombares tipo explosão do grupo A3 pela classificação de Magerl et al., dos quais 63 deles elegíveis para a pesquisa. Todos foram tratados com fixador interno pedicular e tinham imagens radiográficas e tomográficas pré e pós-operatórias. RESULTADOS: No estudo, foi constatada, no pós-operatório imediato, uma correção da cifose vertebral no local da fratura de 87%, com correção de 51% na altura do corpo vertebral e redução de 40% dos fragmentos retropulsados intracanal. CONCLUSÕES: o uso de fixador interno por via posterior permite, ao realizar ligamentotaxia, a restauração da altura do corpo vertebral fraturado, do alinhamento sagital da coluna e descompressão do canal espinhal, minimizando as comorbidades em relação à cirurgia pela via anterior e à laminectomia para descompressão do canal.
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2

Castro, Ilton José Carrilho de, Antônio Carlos Shimano, Angela Delete Bellucci, and Helton Luiz Aparecido Defino. "Estudo experimental do sequenciamento das manobras da ligamentotaxia na descompressão do canal vertebral." Acta Ortopédica Brasileira 16, no. 5 (2008): 291–95. http://dx.doi.org/10.1590/s1413-78522008000500008.

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A descompressão do canal vertebral, para aliviar as estruturas nervosas, pode ser realizada por meio da ligamentotaxia. O objetivo foi analisar a influência da seqüência de realização da ligamentotaxia sobre a descompressão do canal vertebral. Foram utilizados segmentos de vértebras de suínos (Landrace). Um equipamento especialmente desenvolvido foi utilizado para produção de fratura do tipo explosão. Após a tomografia computadorizada, 10 espécimes que melhores apresentavam fraturas do tipo explosão foram fixados com fixador interno (Synthes). Foram formados dois grupos. No primeiro (n=5) foi realizada a lordose e depois a distração. Posteriormente, foram submetidos à nova compressão por meio de morsa até o retorno da fratura à posição inicial, a seguir foram novamente submetidos à distração e lordose. No segundo grupo (n=5) foi realizada a distração e depois a lordose. Após cada manobra era realizado o exame tomográfico para medir o diâmetro do canal vertebral. Os deslocamentos dos fragmentos dos corpos vertebrais fraturados foram mensurados e comparados utilizando t de Student (p<0,05). Comparando os deslocamentos entre os grupos, não foram observadas diferenças estatísticas (p<0,06). Esse resultado é próximo ao nível de significância adotado, sugerindo uma forte tendência que demonstra a eficácia superior da manobra iniciada pela realização da lordose.
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3

MacFarlane, R. J., S. Gillespie, F. Cashin, A. Mahmood, G. Cheung, and D. J. Brown. "Treatment of fracture subluxations of the proximal interphalangeal joint using a ligamentotaxis device: a multidisciplinary approach." Journal of Hand Surgery (European Volume) 40, no. 8 (June 8, 2015): 825–31. http://dx.doi.org/10.1177/1753193415578305.

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Complex fracture subluxations of the proximal interphalangeal joint are often difficult to treat and their outcome variable. A number of methods for treatment of these injuries have been described. We have used a ligamentotaxis device ( Ligamentotaxor, Arex, Palaiseau Cedex, France) since 2008. We performed 28 operations in 28 patients with complex proximal interphalangeal joint injuries over a 3-year period. Patients followed a standardized postoperative rehabilitation regime, including fixator adjustment as necessary. The mean age was 33 years (range 18–67). The mean time to surgery was 7 days. At final follow-up (mean 22 months, range 6–52) the mean proximal interphalangeal joint range of motion was 85° (range 60°–110°). The mean QuickDASH functional outcome score was 4.8 (range 0–36.4). Our results compare favourably with other devices reported in the literature.
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4

Singh, Ajai. "Evaluation of Neglected Idiopathic Ctev Managed by Ligamentotaxis Using Jess: A Long-Term Followup." Advances in Orthopedics 2011 (2011): 1–6. http://dx.doi.org/10.4061/2011/218489.

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Background. This study was conducted with the aim of evaluating the role of Ligamentotaxis in the management of neglected clubfeet managed by ligamentotaxis using Joshi's External Stabilisation System (JESS).Method & Material. Total 20 subjects (28 feet) were studied, which were corrected by differential ligamentotaxis using JESS. All were evaluated clinically, radiologically, podogrammically, and by Catterall Pirani Scoring System, both before and after the correction.Results. Severity of the deformities and clinical correction was assessed by Pirani score. All patients achieved good clinical results as per Pirani score, which was statistically significant. Radiological evaluation showed that all subjects achieved the normal range of values. The pre- and postcorrection difference in FBA was statistically significant.Conclusion. Differential distraction by fixator for the correction of neglected idiopathic CTEV is an effective and patient-friendly method of management.
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5

Sudheer, Urampath, and Chundarathil Jayaprakash. "Comparative study on the functional outcome of ligamentotaxis in comminuted fractures of the distal end of radius and with that of conservative means of closed reduction and casting." International Journal of Research in Orthopaedics 3, no. 3 (April 25, 2017): 614. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20171911.

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<p><strong>Background</strong>: Comminuted fractures of lower end of radius most often bring out unsatisfactory outcome, if treated by conservative means of closed reduction and casting. This study was aimed to compare the results of ligamentotaxis in comminuted fractures of the distal end of radius and with that of closed manipulative reduction and plaster cast immobilization.</p><p><strong>Methods</strong>: Patients with comminuted fracture lower end of radius treated by ligamentotaxis or the conservative methods were included in the prospective study. Patients in group l treated by external fixator and in group 2 treated by conservative line of management. Postoperative check X-rays were taken. All the patients were evaluated on 3rd, 6th, 12th and 18th months after surgery. Functional results were assessed by Gartlands point score system and subjected to statistical analysis.</p><p><strong>Results: </strong>Total fifty patients were included in the study. Twenty five were treated by external fixator and the remaining was treated by conservative line of management. Patients underwent ligamentotaxis had 88% excellent results whereas 52% of patients on conservative care had similar results. When the conservative methods gave poor results for severely comminuted fractures, ligamentotaxis could bring out excellent re-orientation of fragments back to near normal alignment.</p><p><strong>Conclusions</strong>: Ligamentotaxis using a distracter is a better method to treat comminuted fractures of lower end of radius. Even though the initial reductions were excellent in a plaster cast, re-displacement rates are very high in a plaster cast. Fractures without intra articular extension always yielded far better results than intra articular fractures.</p>
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6

Karthikeyan, Karu Shanmuga. "Study on functional outcome of distal radius intra-articular fractures managed by ligamentotaxis: a cross sectional study." International Journal of Research in Orthopaedics 5, no. 6 (October 22, 2019): 1094. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20194153.

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<p class="abstract"><strong>Background:</strong> Fractures of the distal radius continue to be the one of the most common skeletal injuries treated by an orthopaedic surgeon. They are the most common fractures of the upper extremity and account for 15-20% of all fractures. All intra articular fractures need good reduction for better functional outcome. There are multiple treatment methods from casting to arthroscopic surgeries. This study has been undertaken to study the functional outcomes of distal radius intra-articular fractures managed by ligamentotaxis. The objective of the present study was to evaluate the functional outcomes of distal radial intra-articular fractures treated by ligamentotaxis.</p><p class="abstract"><strong>Methods:</strong> This cross sectional study was conducted in Orthopaedic department of Kilpauk Medical College between April 2017 to April 2019 on 60 patients with fracture of the distal end of radius, with comminuted fracture, who fulfilled the inclusion and exclusion criteria were included in the study. All fractures were managed by ligamentotaxis and were followed regularly and assessed after four months for their functional outcomes.<strong></strong></p><p class="abstract"><strong>Results:</strong> 80% of the study population were males. Around 67% of the study population had type III or type IV fracture according to Frykman’s classification. 84% of the study population had better prognosis with ligamentotaxis. The difference between mean Mayo wrist score between affected side and normal side was not statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> Ligamentotaxis, external fixation for comminuted intra articular distal radius fractures is safe and effective treatment. It is also cost effective.</p>
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Safaee, Michael M., Vinil Shah, Alexander Tenorio, Juan S. Uribe, and Aaron J. Clark. "Minimally Invasive Pedicle Screw Fixation With Indirect Decompression by Ligamentotaxis in Pathological Fractures." Operative Neurosurgery 19, no. 2 (April 7, 2020): 210–17. http://dx.doi.org/10.1093/ons/opaa045.

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Abstract BACKGROUND The spine is the most common site of bony metastases. Associated pathological fractures can result in pain, neurological deficit, biomechanical instability, and deformity. OBJECTIVE To present a minimally invasive technique for indirect decompression by ligamentotaxis in pathological fractures. METHODS A minimally invasive approach was utilized to perform percutaneous pedicle screw fixation in patients who required stabilization for pathological fractures. Preoperative and postoperative computed tomography and magnetic resonance imaging were used to compare spinal canal area and midsagittal canal diameter. RESULTS Two patients with newly diagnosed pathological fractures underwent minimally invasive treatment. Each presented with minimal epidural disease and a chief complaint of intractable back pain without neurological deficit. They underwent minimally invasive pedicle screw fixation with indirect decompression by ligamentotaxis. In each case, postoperative imaging demonstrated an increase in spinal canal area and midsagittal canal diameter by an independent neuroradiologist. There were no perioperative complications, and each patient was neurologically stable without evidence of hardware failure at their 5- and 6-mo follow-up visits. CONCLUSION Minimally invasive percutaneous fixation can be used to stabilize pathological fractures and provide indirect decompression by ligamentotaxis. This procedure is associated with minimal blood loss, low morbidity, and rapid initiation of radiation therapy. Only patients with minimal epidural disease, stenosis caused primarily by bony retropulsion, and mild-to-moderate deformity should be considered candidates for this approach.
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8

Montero, L. A., J. López de Turiso, A. L. Colino, J. E. Trobajo, and L. A. Quevedo. "Fracturas articulares de calcáneo: tratamiento mediante ligamentotaxis." Revista Española de Cirugía Ortopédica y Traumatología 48, no. 2 (January 2004): 122–27. http://dx.doi.org/10.1016/s1888-4415(04)76182-2.

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9

McPherson, Edward J., and Denise Portugal. "Revision Total Knee Arthroplasty for Excessive Ligamentotaxis." Journal of Arthroplasty 22, no. 8 (December 2007): 1214–16. http://dx.doi.org/10.1016/j.arth.2006.10.015.

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10

D. K., Sridhar, Raghavendra T. S., and Jaipalsinh R. Mahida. "Comparative study between percutaneous pinning and ligamentotaxis using external fixator in the management of distal end radius fracture in adults: a prospective study." International Journal of Research in Orthopaedics 3, no. 2 (February 22, 2017): 235. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20170780.

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<p class="abstract"><strong>Background:</strong> Fractures of distal end of radius are beginning at the proximal end of pronator quadratus and ending at the radio-carpal articulation. The final aim in the management of comminuted intra-articular fractures of distal radius is to restore normal function. Recognition of patterns that are inherently unstable and therefore necessitate additional forms of fixation to secure and maintain reduction and prevent late collapse is the key for successful management of the more complex fractures of distal radius. The aim is to study the functional outcome of surgical management of comminuted intra-articular fractures of distal end radius by comparing 2 different methods of surgical interventions.</p><p class="abstract"><strong>Methods:</strong> In study of 30 cases treated in period from March 2008 to September 2009 at St. Martha’s Hospital by ligamentotaxis and percutaneous pinning, all patients with compound fractures, Frykman's IV, V, VI, VII and VIII, comminuted fractures and in fractures where reduction was lost following closed reduction and POP application were taken into consideration.<strong></strong></p><p class="abstract"><strong>Results:</strong> The average age in males were 41.35 years and female were 35 years. 12 (40%) fractures were type VII, 6 (20%) were type VIII, 9 (30%) were type IV and 3 cases (10%) was type V. functional results in ligamentotaxis group (G1) 7 cases had excellent results (47%), in percutaneous pinning (G2), 3 cases had excellent result (20%). In ligamentotaxis group (G1) 3 had good results (20%), in percutaneous group (G2) 6 had good results (40%). In ligamentotaxis group (G1) 5 had poor results (33%), in percutaneous pinning group (G2) 6 had poor results (40%).</p><p class="Bodytext20" align="left"><strong>Conclusions:</strong> In comparative studies, external fixation with percutaneous pinning consistently achieves better anatomical results as compared to percutaneous pinning alone. In our study, also this technique has shown satisfactory result that lead to high rate of return to pre-injury status, high level of patient satisfaction and low rate of complications.</p>
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11

Lakshmanan, P., MK Sayana, B. Purushothaman, and JL Sher. "Ligamentotaxis for Barton's and Paediatric Distal Radial Fractures." Journal of Orthopaedic Surgery 17, no. 1 (April 2009): 28–30. http://dx.doi.org/10.1177/230949900901700107.

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Purpose. To establish a consensus regarding immobilisation of the wrist following reduction of Barton's and paediatric distal radial fractures. Methods. Questionnaires were distributed to orthopaedic surgeons at the European Federation of National Associations of Orthopaedics and Traumatology meeting in Lisbon in 2005. Questions included the surgeon's country of practice, hospital, professional grade, years of experience, sub-specialty, and preferred position of wrist immobilisation after (1) a volar Barton's fracture, (2) a dorsal Barton's fracture, (3) a paediatric Salter-Harris type-II injury to the distal radius with volar displacement, and (4) the same injury but with dorsal displacement. Results. Of 148 questionnaires distributed, 118 were returned. The specialist-to-trainee ratio was 45:73. In volar Barton's fractures, only 20% (29% specialists and 15% trainees) would immobilise the wrist in palmar flexion, as per recommendations. In dorsal Barton's fractures, only 25% (33% specialists and 21% trainees) would immobilise the wrist in dorsiflexion, as per recommendation. In paediatric Salter Harris type-II injury to the distal radius with volar displacement, 87% (100% specialists and 79% trainees) would immobilise the wrist in dorsiflexion or in a neutral position, as per recommendation. In the same injury but with dorsal displacement, 84% (89% specialists and 81% trainees) would immobilise the wrist in palmar flexion or in a neutral position, as per recommendation. In all 4 types of fractures, 26% to 30% of respondents would immobilise the wrist in a neutral position. Conclusion. Most respondents deviate from the recommended immobilisation positions in treating Barton's fractures. Understanding of the anatomy or biomechanics of ligamentotaxis are crucial for conservative treatments.
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Prakash, Lakshmanan. "Ilizarov in Distal Radial Fractures." Journal of Medical Research and Innovation 2, no. 1 (August 31, 2017): e000091. http://dx.doi.org/10.15419/jmri.91.

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Fracture dislocations around the wrist are managed either by scaffolding it with a plaster or with internal fixation devices. The present video below presents forward a third option i.e. Closed ligamentotaxis with ilizarov frame. This is an extremely simple, atraumatic and wonderful solution. Keywords: Radial fractures, Ilizarov technique.
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13

Whang, Peter G., and Alexander R. Vaccaro. "Thoracolumbar Fracture: Posterior Instrumentation Using Distraction and Ligamentotaxis Reduction." Journal of the American Academy of Orthopaedic Surgeons 15, no. 11 (November 2007): 695–701. http://dx.doi.org/10.5435/00124635-200711000-00008.

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Diab, Hossam S. "Outcome of ligamentotaxis and percutaneous screws for navicular fractures." Current Orthopaedic Practice 30, no. 1 (2019): 42–46. http://dx.doi.org/10.1097/bco.0000000000000705.

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15

Kuner, EH, A. Kuner, W. Schlickewei, and AB Mullaji. "Ligamentotaxis with an internal spinal fixator for thoracolumbar fractures." Journal of Bone and Joint Surgery. British volume 76-B, no. 1 (January 1994): 107–12. http://dx.doi.org/10.1302/0301-620x.76b1.8300651.

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16

Vishwanath, C., K. Harish, KG Gunnaiah, and Abdul Ravoof. "Surgical outcome of distal end radius fractures by ligamentotaxis." Journal of Orthopaedics and Allied Sciences 5, no. 2 (2017): 68. http://dx.doi.org/10.4103/joas.joas_5_17.

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Leung, Kwok-sui. "Ligamentotaxis and bone graft for comminuted distal radial fractures." Operative Orthopädie und Traumatologie 8, no. 2 (June 1996): 96–104. http://dx.doi.org/10.1007/bf02512772.

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Moon, Myung-Sang, Ki-Tae Kwon, Bong-Keun Park, Min-Suk Park, Dong-Hyeon Kim, and Sung-Soo Kim. "INSTRUMENT-AIDED LIGAMENTOTAXIS AND FUSIONLESS STABILIZATION FOR BURST FRACTURES OF MID-LUMBAR SPINE." Journal of Musculoskeletal Research 17, no. 04 (December 2014): 1450016. http://dx.doi.org/10.1142/s021895771450016x.

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Study design: A prospective study. Objectives: To assess effectiveness of instrument-aided ligamentotaxis and fusionless stabilization utilizing short contoured rod for mid-lumbar burst fractures, and the delayed mobilization on outcome. Summary of background data: A few reported instrument-aided ligamentotaxis with rod derotation and stabilization without fusion, and influence of delayed mobilization and bracing on fracture consolidation and outcomes. Material and Method: 30 patients (14 cases of L2, 10 cases of L3 and 6 cases of L4 fractures) were subjected to this study. Three vertebrae including fractured one (three point fixation) were stabilized with pedicle screws and rods. Fusion was not done. Patients were restricted to bed post-operatively for 2–4 weeks, and were braced for 10–14 weeks. Vertebral height, retropulsed fragment, sagittal curve, neurological status, unfused motion segments, residual pain, flexibility and fixation failure were assessed with a certain interval. Results: The average height at pre- and post-reduction at 0, 3 and 12 months were 43.2% (37.2–46.5%), 97.4% (87.2–100%), 95.3% (87.2–96.4%) and 95.2% (87.2–96.3%) of the normal height. The average intracanal displacement of retropulsed fragment at the same observation times were 43.2% (38.3–65.2%), 37.6% (34.7–40.5%), 36.3% (35.1–39.6%) and 17.7% (15.3–19.7%) of normal A-P diameter, and the average canal area occupancy at the same observation times were 53.7% (47.2–55.8%), 46.4% (43.8–49.3%), 46.0% (43.4–48.5%) and 31.2% (28.2–33.1%) of normal dimension. Consolidation began at 10 weeks and completed at 6 months on average. Kyphosis at pre- and post-reduction at zero and final stages were of 33°, 2° and 3°. Two paraparetics recovered fully. No screw and rod failures were reported. None developed residuals. Conclusion: Instrument-aided ligamentotaxis and stabilization are effective surgical procedures in reduction, maintenance of reduction and fracture consolidation. Delayed mobilization and bracing is thought additionally to be the contributing factors in maintaining reduction and consolidation.
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de SORAS, X., P. de MOURGUES, D. GUINARD, and F. MOUTET. "Pins and Rubbers Traction System." Journal of Hand Surgery 22, no. 6 (December 1997): 730–35. http://dx.doi.org/10.1016/s0266-7681(97)80435-4.

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The Pins and Rubbers Traction System (PRTS) is a mobile frame created with wires to support elastic traction, which produces a ligamentotaxis effect in the same direction and of the same intensity whatever the position of the joint. This technique has been used in 11 cases of complex PIP joint fractures with eight excellent results. The advantages are simplicity, adaptability, the possibility of immediate mobilization, reasonable cost and relatively small bulk.
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Singh, Ajai, RN Srivastava, M. Jah, and Ashish Kumar. "Ligamentotaxis for complex calcaneal fractures using Joshi's external stabilization system." Indian Journal of Orthopaedics 42, no. 3 (2008): 330. http://dx.doi.org/10.4103/0019-5413.41858.

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T.V, Ravikumar. "Outcome of Thoracic Vertebral Burst Fractures by Ligamentotaxis and Fixation." International Journal of Orthopaedics Traumatology & Surgical Sciences 5, no. 2 (December 20, 2019): 334–38. http://dx.doi.org/10.47618/ijotss/v5i2.18.

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22

Cho, Kyu Jung, and Min Suk Yang. "Change of Canal Compromise After Ligamentotaxis in Thoracolumbar Burst Fracture." Journal of the Korean Society of Fractures 9, no. 3 (1996): 759. http://dx.doi.org/10.12671/jksf.1996.9.3.759.

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23

Corradini, A., G. Campochiaro, M. Gialdini, M. Rebuzzi, and P. Baudi. "Arthroscopic repair of glenoid rim fractures: a ligamentotaxis surgical technique." MUSCULOSKELETAL SURGERY 102, S1 (October 2018): 41–48. http://dx.doi.org/10.1007/s12306-018-0558-4.

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Colegate-Stone, Toby, Kebba Marenah, John Compson, Ramon Tahmassebi, and Adel Tavakkolizadeh. "Functional Outcomes Following Pilon Fractures of the Middle Phalanx Managed with the Ligamentotaxor External Fixator." Hand Surgery 20, no. 02 (June 2015): 285–89. http://dx.doi.org/10.1142/s0218810415500252.

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Background: The surgical aims in managing displaced intra-articular fractures of the base of the middle phalanx include early joint reduction, maintaining congruence and early mobilization. Achieving this can be a challenge. However dynamic external fixators offer a solution. The study aim was to evaluate the use and outcomes of the Ligamentotaxor external fixator in patients with such injuries. Methods: A total of 12 patients were managed with this device and outcomes were assessed. All patients reached clinical and radiological union. Results: An average range of movement to the proximal interphalangeal joint of 63° was noted along with an average end of care-cycle quick-DASH score of 9.1. Two patients developed pin-site infections. Conclusions: The outcomes seen support the use of the Ligamentotaxor in the management of middle phalanx intra-articular fractures. It is simple to apply, potentially avoids the secondary complications of open reduction and gives reproducible results. However judicious patient selection is advised.
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R, Dr Shibu. "Ligamentotaxis and Bone Marrow Injection to Prevent Late Metaphyseal Collapse in Distal Radius Fractures." Journal of Medical Science And clinical Research 05, no. 06 (June 30, 2017): 23935–43. http://dx.doi.org/10.18535/jmscr/v5i6.190.

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Pandher, DilbansSingh, RPS Boparai, RS Boparai, and Rajesh Kapila. "Role of ligamentotaxis in management of comminuted intra/juxta articular fractures." Indian Journal of Orthopaedics 40, no. 3 (2006): 185. http://dx.doi.org/10.4103/0019-5413.34490.

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Kumar, Dr S. Hari. "Management of unstable distal radius fractures by ligamentotaxis with external fixation." International Journal of Orthopaedics Sciences 5, no. 1 (January 1, 2019): 44–47. http://dx.doi.org/10.22271/ortho.2019.v5.i1a.09.

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Singh, Dr Jaspal, Dr Partap Singh, Dr Mohit Singla, and Dr Mohit Gera. "Outcome of ligamentotaxis of fracture distal end radius by distractor apparatus." International Journal of Orthopaedics Sciences 6, no. 2 (April 1, 2020): 672–76. http://dx.doi.org/10.22271/ortho.2020.v6.i2k.2117.

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Loebig, Thomas G., Alejandro Badia, Donald D. Anderson, and Mark E. Baratz. "Correlation of wrist ligamentotaxis with carpal distraction: Implications for external fixation." Journal of Hand Surgery 22, no. 6 (November 1997): 1052–56. http://dx.doi.org/10.1016/s0363-5023(97)80048-2.

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Leung, KS, WY Shen, PC Leung, AW Kinninmonth, JC Chang, and GP Chan. "Ligamentotaxis and bone grafting for comminuted fractures of the distal radius." Journal of Bone and Joint Surgery. British volume 71-B, no. 5 (November 1989): 838–42. http://dx.doi.org/10.1302/0301-620x.71b5.2584256.

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31

Kostoris, Francesco, Francesco Addevico, Luigi Murena, Michelangelo Scaglione, and Andrea Poggetti. "Proposal of a New Dynamic Distraction Device to Treat Complex Periarticular Fractures of the Metacarpophalangeal Joint of Long Finger." HAND 15, no. 1 (July 17, 2018): 87–91. http://dx.doi.org/10.1177/1558944718787859.

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Background: Complex periarticular fractures of the metacarpophalangeal joint (MCPJ) are often challenging to treat. Conservative and operative treatments are often burdened with stiffness, loss of function, and poor clinical outcome. These phenomena could be a direct consequence of long period of immobilization. To promote a short time of immobilization and a quick return to daily activities, it is mandatory to stabilize the fracture maintaining the active range of motion (AROM) of the ray. A simple solution is to reduce the fragments by means of dynamic ligamentotaxis. The authors propose a new dynamic distraction device (DDD) for the MCPJ. Methods: The DDD for the MCPJ was made of Kirschner wires bent and connected to counteract dislocation forces and to allow mobilization of the joint. The DDD was tested on a cadaver model under a simulated load in physiological conditions, and also in metacarpal and proximal phalanx (P1) fracture patterns. The effectiveness of the device was evaluated under fluoroscopy. Results: The data showed that DDD is able to achieve fracture reduction through ligamentotaxis and primary fragments stability and to avoid secondary dislocation during AROM of complex periarticular fractures of the MCPJ. Conclusions: The frame could be an alternative option to treat periarticular fractures of the MCPJ. The DDD implant has several advantages: It is time efficient because assembly and application take only few minutes. Furthermore, it is very versatile; indeed, it can be used in all metacarpal and phalanx bones, even in the central rays.
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Banapatti, Dr Dayanand B., Dr Vinaykumar Babaleshwar, Dr Santosh S. Nandi, Dr Tapan Gupta, and Dr Vijaykumar Patil. "Treatment of intraarticular distal end radius fractures by ligamentotaxis: A prospective study." International Journal of Orthopaedics Sciences 4, no. 2h (April 1, 2018): 518–24. http://dx.doi.org/10.22271/ortho.2018.v4.i2h.80.

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33

Sivaprakash, Dr SU, and Dr R. Muralidhar Reddy. "Functional outcome of comminuted intra-articular distal radius fractures managed by Ligamentotaxis." International Journal of Orthopaedics Sciences 5, no. 1 (January 1, 2019): 75–79. http://dx.doi.org/10.22271/ortho.2019.v5.i1b.17.

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34

Elgazzar, AmrS, ElsayedM Mohamady, and WaelA Kandil. "Management of comminuted tibial plateau fractures with external fixator using ligamentotaxis principle." Egyptian Orthopaedic Journal 49, no. 2 (2014): 167. http://dx.doi.org/10.4103/1110-1148.145405.

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35

Kang, Wu Seong, Jung Chul Kim, Ik Sun Choi, and Sung Kyu Kim. "Indirect Reduction and Spinal Canal Remodeling through Ligamentotaxis for Lumbar Burst Fracture." Journal of Trauma and Injury 30, no. 4 (December 30, 2017): 212–15. http://dx.doi.org/10.20408/jti.2017.30.4.212.

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36

Schepers, T., and P. Patka. "Treatment of displaced intra-articular calcaneal fractures by ligamentotaxis: current concepts’ review." Archives of Orthopaedic and Trauma Surgery 129, no. 12 (June 19, 2009): 1677–83. http://dx.doi.org/10.1007/s00402-009-0915-8.

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37

&NA;. "Ultrasound-Guided Spinal Fracture Repositioning, Ligamentotaxis, and Remodeling After Thoracolumbar Burst Fractures." Ultrasound Quarterly 23, no. 1 (March 2007): 44. http://dx.doi.org/10.1097/01.ruq.0000263834.54442.ce.

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38

Mueller, Lutz Arne, Jürgen Degreif, Rainer Schmidt, David Pfander, Raimund Forst, Pol Maria Rommens, Lars Peter Mueller, and Lothar Rudig. "Ultrasound-Guided Spinal Fracture Repositioning, Ligamentotaxis, and Remodeling After Thoracolumbar Burst Fractures." Spine 31, no. 20 (September 2006): E739—E746. http://dx.doi.org/10.1097/01.brs.0000237012.83128.80.

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39

Schepers, T., and P. Patka. "Treatment of displaced intra-articular calcaneal fractures by ligamentotaxis: current concepts’ review." Nederlands Tijdschrift voor Traumatologie 18, no. 3 (June 2010): 87. http://dx.doi.org/10.1007/bf03089820.

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40

Damert, H. G., S. Altmann, A. Kraus, M. Infanger, and D. Sattler. "Treatment of Intraarticular Middle Phalanx Fractures Using the Ligamentotaxor®." HAND 8, no. 4 (October 8, 2013): 460–63. http://dx.doi.org/10.1007/s11552-013-9553-2.

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41

Sabyraliev, M. "Treatment of Injuries of the Lumbar Spine." Bulletin of Science and Practice 5, no. 12 (December 15, 2019): 156–62. http://dx.doi.org/10.33619/2414-2948/49/15.

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Surgical treatment of patients with spinal injuries, accompanied by traumatic stenosis of the spinal canal, is an urgent and discussed problem of modern vertebrology. Surgical treatment of 111 patients with various injuries of the thoracolumbar spine was performed. In 40 patients, post-traumatic stenosis was eliminated using ligamentotaxis using transpedicular osteosynthesis. The immediate results of treatment were followed up in all patients: good results were obtained in 33 (82.5%) cases; satisfactory — in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term results with a follow-up of more than 1 year were followed up in 27 (67.5%) patients; good results were obtained in 20 (74.0%), satisfactory in 7 (25.0%).
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42

Tontanahal, S., T. D. Bhattacharyya, S. Mittal, R. Ailani, and A. Gaikwad. "Treatment of Fractures of Distal End of Radius Using Ligamentotaxis: A Case Series." IOSR Journal of Dental and Medical Sciences 16, no. 03 (April 2017): 89–95. http://dx.doi.org/10.9790/0853-1603028995.

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43

Gupta, Dr Anil, and Dr Burhan Bhat. "Assessment of outcome of ligamentotaxis of fracture distal end radius by distractor apparatus." National Journal of Clinical Orthopaedics 4, no. 1 (January 1, 2020): 145–47. http://dx.doi.org/10.33545/orthor.2020.v4.i1b.211.

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44

Mahajan, Brijbhushan S., Vishal Patil, Yogesh Rathod, Ameya Kulkarni, Nimesh Nebhani, and Bhalchandra Prabhakar Bhalerao. "FUNCTIONAL OUTCOME OF DISTAL END RADIUS FRACTURE TREATED BY LIGAMENTOTAXIS BY EXTERNAL FIXATOR." MVP Journal of Medical Sciences 5, no. 2 (June 25, 2018): 178–84. http://dx.doi.org/10.18311/mvpjms/2018/v5i2/18361.

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45

Abdel-Ghany, Mahmoud, Tohamy Goudah Tohamy, Wael M. Shaaban, Abdel-Hamied A. Atallah, and Tharwat M. Abdel-Rahman. "Ligamentotaxis versus Open Reduction and Internal Fixation for Distal Radius Intra-Articular Fractures." Open Journal of Orthopedics 07, no. 01 (2017): 21–31. http://dx.doi.org/10.4236/ojo.2017.71004.

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46

Nekkanti, Supreeth, Ravi Kiran H G, Kanthimathi B, Arunodhaya Siddartha, and Dinesh Ram Kumar. "A COMPARATIVE STUDY OF DISTAL RADIUS FRACTURES MANAGED BY LIGAMENTOTAXIS VERSUS BUTTRESS PLATING." Journal of Evolution of Medical and Dental Sciences 4, no. 92 (November 16, 2015): 15775–81. http://dx.doi.org/10.14260/jemds/2015/2280.

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47

Mueller, L. A., L. P. Mueller, R. Schmidt, R. Forst, and L. Rudig. "The phenomenon and efficiency of ligamentotaxis after dorsal stabilization of thoracolumbar burst fractures." Archives of Orthopaedic and Trauma Surgery 126, no. 6 (May 23, 2006): 364–68. http://dx.doi.org/10.1007/s00402-005-0065-6.

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48

Vakhshori, Venus, Ram Kiran Alluri, Milan Stevanovic, and Alidad Ghiassi. "Review of Internal Radiocarpal Distraction Plating for Distal Radius Fracture Fixation." HAND 15, no. 1 (July 13, 2018): 116–24. http://dx.doi.org/10.1177/1558944718787877.

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Internal radiocarpal distraction plating is a versatile tool in the treatment of distal radius fractures that are not amenable to nonoperative treatment or operative fixation with standard volar or dorsal implants. Internal distraction plates may also be indicated in the setting of polytrauma or osteopenic bone. The plate functions as an internal fixator, using ligamentotaxis to restore length and alignment while providing relative stability for bony healing. The plate can be fixed to either the second or the third metacarpal, and anatomic and biomechanical studies have assessed the strengths and weaknesses of each strategy. This operative fixation technique leads to acceptable radiographic results and functional outcomes. Following fracture union, the plate is removed, and wrist range of motion is resumed.
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49

Cawley, D. T., P. Sexton, T. Murphy, and J. P. McCabe. "Optimal patient positioning for ligamentotaxis during balloon kyphoplasty of the thoracolumbar and lumbar spine." Journal of Clinical Neuroscience 18, no. 6 (June 2011): 834–36. http://dx.doi.org/10.1016/j.jocn.2010.10.009.

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50

Rex, C., K. Patel, and K. M. Sandeep. "A method of treating comminuted phalangeal fractures by ligamentotaxis using a single Kirschner wire." Journal of Hand Surgery (European Volume) 42, no. 9 (July 4, 2017): 971–72. http://dx.doi.org/10.1177/1753193417718417.

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