TranslatePriority 17 from the Complex Fractures PSP
| UNCERTAINTY: What is the best bone defect reconstruction option in the acute treatment of complex fractures? (JLA PSP Priority 17) | |
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| Overall ranking | 17 |
| JLA question ID | 0105/17 |
| Explanatory note | Complex fractures may result in bone defects whereby a region of bone is destroyed or must be excised by the treating surgeon as it has lost its blood supply. Several treatment options exist for these situations such as fixation with new morphology, cadaveric bone graft, autologous bone graft, or bone free flaps. |
| Evidence |
NG37 examined the evidence for staging and treating Pilon fractures. Evidence for all outcomes included in the review was very imprecise. Overall, the NICE committee felt the Low quality of the evidence underlined the need for research in this area. NICE Guideline 37 Fractures (complex): assessment and management |
| Health Research Classification System category | Injuries and accidents |
| Extra information provided by this PSP | |
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| Original uncertainty examples | bone transport methods- Stryde VS circular frame- masquelet VS bone transport |
| Submitted by | 1 x Surgeon/Doctor |
| PSP information | |
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| PSP unique ID | 0105 |
| PSP name | Complex Fractures |
| Total number of uncertainties identified by this PSP. | 58 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 8th June 2021 |
