• Supracondylar femur fractures require anatomically stable internal fixation for best results. (medscape.com)
  • however, fixation is difficult because of the wide canal, the thin cortex, and the relatively poor bone quality of the distal femur. (medscape.com)
  • Most surgical failures are caused by inadequate fixation of fracture fragments. (medscape.com)
  • The more comminuted the fracture and the poorer the quality of bone, fixation, or reduction, the worse the prognosis. (medscape.com)
  • Physical and biological aspect of fracture healing with special reference to internal fixation. (ijoro.org)
  • Evolution of internal fixation of long bone fractures. (ijoro.org)
  • 16] However, the risk of developing osteonecrosis has been suggested with delayed fixation after fracture displacement. (faoj.org)
  • Open reduction internal fixation techniques were used for definitive fixation of the comminuted talar fractures. (faoj.org)
  • Last few decades has seen increasing trend towards operative management of femoral shaft fractures in paediatric patients but opinion regarding optimal method of fixation of these fractures remains divided [ 12 ]. (biomedcentral.com)
  • Nails are the implants used in the fixation of fractures of long bones. (sharmaortho.com)
  • Used for the fixation of Pertrochanteric fractures ,Intertrochanteric fractures ,High subtrochanteric fractures,Ipsilateral trochanteric fractures,Combination fractures (in the proximal femur) ,Pathological fractures. (sharmaortho.com)
  • Elegantâ„¢ Gam Nail is a new internal fixation device for the treatment of proximal femoral fractures. (sharmaortho.com)
  • It is used for the fixation of diaphysial fractures, of simple,complex or comminuted lines, up to 5 cm proximal to distal femur metaphyseal. (sharmaortho.com)
  • is system provide secure fixation of diaphysial fractures and this secure fixation permits controlled, early active rehabilitation, conductive to fall recovery. (sharmaortho.com)
  • There are certainly some complications that you never considered would develop that surprise you but in general, the surgeon can improve and limit the number of problems through a better understanding of fracture biomechanics and experience with a wide variety of patients, fixation techniques and postoperative environments. (vin.com)
  • I have seen a few acetabular fractures treated with internal fixation and an Ehmer sling develop marked periarticular fibrosis and dramatically reduced extension with a poor long term result. (vin.com)
  • The treatment of paediatric shaft femur fracture has been drastically changed over the last two decades to internal fixation by elastically stable intra- medullary nail (ESIN). (openorthopaedicsjournal.com)
  • Minimally invasive plate osteosynthesis represents an alternative to open reduction and internal fixation in the treatment of comminuted humeral T-Y fractures. (orthovet.org)
  • Wide-awake local anesthesia and no tourniquet (WALANT), first used for hand surgery, has been sparingly described for use in fracture fixation of the upper limb. (bvsalud.org)
  • WALANT is a much simpler option and can be safely used in place of general anesthesia or regional blocks for fixation of fractures of the upper limb, with added advantages of no need for a tourniquet and better intraoperative assessment of fracture fixation. (bvsalud.org)
  • It also restores length, alignment, and rotation-all vital principles of fracture fixation. (passmed.uk)
  • External fixation is a valuable tool in the surgeon's arsenal for acute open fracture management. (passmed.uk)
  • Indications for external fixation are grossly contaminated open fractures with extensive soft-tissue compromise, the Type IIIA-C injuries, and when immediate fixation is needed for physiologically unstable patients. (passmed.uk)
  • In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. (wikipedia.org)
  • Basically, it is distinguished by breaking the bone into two parts and, therefore, the fracture line affects the bone itself around its entire circumference and divides it into two fragments. (feelrecovery.com)
  • This refers to those fractures that present a perpendicular trajectory to the major axis of the bone, so that the bone fragments are not deviated. (feelrecovery.com)
  • A hematoma forms at the fracture site, and a small amount of bone in the distal fracture fragments is resorbed. (msdmanuals.com)
  • It protects the soft tissues around the zone of injury by preventing further damage from mobile fracture fragments. (passmed.uk)
  • With the help of percutaneously placed towel clips fracture fragments are approximated (Fig. 5). (traumainternational.co.in)
  • If closed reduction is unsuccessful, an additional skin incision is made at fracture site for open reduction of the fragments (Fig. 5). (traumainternational.co.in)
  • Some fractures may lead to serious complications including a condition known as compartment syndrome. (wikipedia.org)
  • Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
  • Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
  • These are as follows - Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
  • Late complications - occurring a long time after the fracture. (wikipedia.org)
  • Aim of the study was to describe complications and problems in treating the fracture around knee joint by using LCP (locking compression plate). (ijoro.org)
  • 14] For all cases of talar fractures, treatment goals remains anatomic reduction, preservation of motion, joint stability, and minimization of complications. (faoj.org)
  • Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures. (biomedcentral.com)
  • Flexible intramedullary nailing introduced for femoral fractures by Nancy group in 1982 [ 22 ], has become popular with many orthopaedic surgeons and remains the treatment of choice for these fractures at our institute due to its favourable results and lack of serious complications. (biomedcentral.com)
  • In my opinion, complications that develop following management of fractures in small animal practice can be a humbling experience and clinical experience plays a major role in reducing the frequency of complications. (vin.com)
  • I enjoy the ongoing challenge of fracture repair and attempt to learn from complications that develop and then to apply that knowledge to the benefit of future patients. (vin.com)
  • The aim was to find out the short term complications of titanium elastic nailing in diaphyseal fracture of femur in children and compare the findings of this study with pre- existing studies in this field. (openorthopaedicsjournal.com)
  • This endeavour is an honest effort to analyse the short term complications of titanium elastic nailing in paediatric diaphyseal femoral fractures in a new set up where conservative treatment was performed in greater magnitude and to look in to factors causing them and possibly to provide a way as to how to minimise these complications. (openorthopaedicsjournal.com)
  • See also the separate Complications from Fractures article. (patient.info)
  • Serious complications of fractures are unusual but may threaten life or limb viability or cause permanent limb dysfunction. (msdmanuals.com)
  • Risk of complications is high with open fractures (which predispose to infection) and with fractures that disrupt blood vessels, tissue perfusion, and/or nerves. (msdmanuals.com)
  • Closed fractures that do not involve blood vessels or nerves, particularly those that are quickly reduced, are least likely to result in serious complications. (msdmanuals.com)
  • Present indications include all patients with femoral shaft fractures and open physis. (biomedcentral.com)
  • We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. (biomedcentral.com)
  • Flexible intramedullary nailing is reliable and safe for treating paediatric femoral shaft fractures. (biomedcentral.com)
  • On retrospective search of hospital records, we found 81 patients of femoral shaft fractures treated with flexible intramedullary nailing at our institute with a minimum follow up period of 5 years. (biomedcentral.com)
  • Of these 81 patients, 69 patients with 73 femoral shaft fractures were available for follow up. (biomedcentral.com)
  • For generations traction and casting was the standard treatment for all femoral shaft fractures in children. (openorthopaedicsjournal.com)
  • When subtrochanteric and supracondylar fractures are included the femoral shaft fractures represents about 1.6% of all bony injuries in children. (openorthopaedicsjournal.com)
  • Femoral shaft fractures in the paediatric patients have traditionally been treated non- operatively with either early spica cast or a period of traction followed by application of hip spica cast until the time of fracture union. (openorthopaedicsjournal.com)
  • In the literature, the timing for treatment of comminuted talar fractures remains controversial, even in the presence of multiple injuries. (faoj.org)
  • The likelihood of a second break in the pelvic ring (type 3 injury) increases with a greater degree of joint diastasis or fracture displacement at the primary injury site. (radiologykey.com)
  • In general, simple fracture configurations, with minimal displacement and located within the diaphysis in young patients can potentially be adequately splinted if they are distal to the elbow or stifle. (vin.com)
  • Any fracture pattern can be seen, but the displacement of all components must be less than 1 cm, except anatomic neck fractures, to be considered in this group according to Neer's concept. (teachmeorthopedics.info)
  • concluded, generally in 2 to 3 weeks, a program to regain shoulder motion is started as for fractures with minimal displacement and anatomic neck fractures. (teachmeorthopedics.info)
  • Even small residual-fracture displacement can result in a significant compromise of subtalar, ankle, or talonavicular joint function. (teachmeorthopedics.info)
  • The GPC reconstruction nail (left) are used for complex fractures involving ipsilateral neck and shaft femur fractures. (indianorthopaedic.com)
  • The GPC reconstruction nail (right) are used for complex fractures involving ipsilateral neck and shaft femur fractures. (indianorthopaedic.com)
  • A prospective study was conducted in five private hospitals in the district of Bankura, West Bengal over a period of two years (April 2010 to March 2012) on 70 patients with closed shaft femur fractures between 6- 14 years age of either sex. (openorthopaedicsjournal.com)
  • A total of 90 patients were studied, out of which 60 patients were with fracture distal femur and 30 patients were with proximal tibia fractures. (ijoro.org)
  • Out of 44 patients of distal femur fracture group 10 (22.72%) had infection where as in proximal tibia fracture group 4 (15.38%) out of 26 patients (all were operated by ORIF technique) had infection. (ijoro.org)
  • Varus deformity was found in 3 patients (6.66%) of distal femur fracture patients and 4 patients (15.38%) of proximal tibia fracture patients out of these 3 were operated by ORIF and 1 by MIPO. (ijoro.org)
  • Limp shortening was present in 17 patients (38.60%) of distal femur fracture and 4 patients (15%) of proximal tibia fracture out of these 4 were operated by ORIF and 1 by MIPO. (ijoro.org)
  • Extension lapse was found in four patients (9.09%) of distal femur fracture and 1 patient (5.88%) of proximal tibia fracture. (ijoro.org)
  • It can also be used for diaphyseal fractures in which a retrograde approach is indicated (e.g. ipsilateral tibia and/or patella fractures, proximal or distal endoprosthesis, adipositas permagna). (sharmaortho.com)
  • ELEGANT® Multi Locking Tibia Nail provide innovative locking options, in combination with cancellous bone locking screws, increase the stability of the proximal fragment for proximal third fractures. (sharmaortho.com)
  • The GPC Multi-angle locking tibial nail is indicated in tibial shaft fractures, metaphyseal fractures and pilon fractures of tibia. (indianorthopaedic.com)
  • This is a relatively rare injury resulting from dislocation between the femur and tibia. (patient.info)
  • A Tibial Eminence Fracture, also known as a tibial spine fracture, is an intra-articular fracture of the bony attachment of the ACL on the tibia that is most commonly seen in children from age 8 to 14 years during athletic activity. (orthobullets.com)
  • The goal in treating supracondylar femur fractures, as in treating any periarticular fracture in a weightbearing bone, is restoration of a stable limb for functional, pain-free ambulation. (medscape.com)
  • Limb shortening was found in 7 patients (15.90%) of distal femur fracture. (ijoro.org)
  • Clinicians should consider the patient's conformation as well as the location and bone fractured and think about how effective coaptation might be in effectively achieving bone splintage as apposed to limb splintage. (vin.com)
  • 26 patients with upper limb fractures (3 distal radius, 6 radial shaft, 11 ulnar shaft, and 6 olecranon fractures) were operated on using WALANT by three orthopedic surgeons. (bvsalud.org)
  • You probably didn't know this yet, but the truth is that there is no single type of fracture. (feelrecovery.com)
  • This is the most common type of fracture or break. (feelrecovery.com)
  • Consequently, the broken bone protrudes through the patient's skin and therefore, in this type of fracture, there is a potential for infections to develop from bacterial flora on the skin and/or in the environment. (feelrecovery.com)
  • Since the skin and tissues covering the fractured bone are not injured by the fracture, but the pain it generates makes it possible to identify this type of fracture. (feelrecovery.com)
  • Neurovascular injury can occur in this type of fracture because the shaft may be displaced into the axilla. (teachmeorthopedics.info)
  • Greenstick fractures are stable fractures as a part of the bone remains intact and unbroken so this type of fracture normally causes a bend to the injured part, rather than a distinct deformity, which is problematic. (passmed.uk)
  • Supracondylar femur fractures usually occur as a result of low-energy trauma in osteoporotic bone in elderly persons or high-energy trauma in young patients. (medscape.com)
  • Type 1 injuries include avulsion fractures that occur at tendinous attachment sites, such as the anterosuperior and anteroinferior iliac spines, ischial tuberosity, and iliac crest. (radiologykey.com)
  • These fractures occur commonly in children before closure of the corresponding physis (cartilage plate) and athletes secondary to forcible muscular contraction. (radiologykey.com)
  • Soft tissue infection or osteomyelitis may occur with open fractures. (patient.info)
  • Pathologic fractures occur when mild or minimal force fractures an area of bone weakened by a disorder (eg, osteoporosis, cancer, infection, bone cyst). (msdmanuals.com)
  • Fractures of the skull, as with fractures of any bone, occur when biomechanical stresses exceed the bone's tolerance. (radiopaedia.org)
  • Greenstick fractures occur most often during infancy and childhood when bones are soft. (passmed.uk)
  • Stable pelvic fractures ( Fig. 15.34 ) do not disrupt the osseous ring formed by the pelvis and sacrum (type 1 injuries) or disrupt it in only one place (type 2 injuries), whereas unstable fractures ( Fig. 15.35 ) completely disrupt the ring in two or more places (type 3 injuries). (radiologykey.com)
  • An anteroposterior or posteroanterior force vector produces vertically oriented pubic rami fractures and disruption of the pubic symphysis and the sacroiliac joints, resulting in pelvic "dislocation" ("sprung" pelvis or "open book" injury). (radiologykey.com)
  • The use of skeletal traction should be reserved only for selected open fracture types (i.e., pelvis fractures and very proximal femur fractures) and if used, it should only be for a short selected time. (passmed.uk)
  • The distal femur is funnel-shaped, and the area where the stronger diaphyseal bone meets the thinner and weaker metaphyseal bone is prone to fracture with direct or indirect trauma. (medscape.com)
  • A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. (wikipedia.org)
  • Comminuted talar fractures are commonly the result of high-energy trauma. (faoj.org)
  • Comminuted talar fractures are commonly the result of high-energy trauma and associated with multiple injuries. (faoj.org)
  • Data on fracture type, epidemiology, trauma-mechanism, and treatment had been recorded by the treating physician. (bvsalud.org)
  • Generally, scaphoid bone fractures result from indirect trauma when an individual falls onto the outstretched hand with a hyperextended and radially deviated wrist. (passmed.uk)
  • Furthermore, in certain complex fractures and sometimes in subtrochantric fractures, with tendency for marked flexion of proximal fragment, closed reduction and its maintenance if often unsuccessful. (biomedcentral.com)
  • Malgaigne fracture, bucket handle fracture, and pelvic "dislocation") ( Fig. 15.40 ). (radiologykey.com)
  • The decision to operate also depends upon the fracture pattern, ankle stability, and presence of dislocation or significant joint subluxation and should be made on a case by case basis. (teachmeorthopedics.info)
  • Essex-Lopresti fracture-dislocation is characterized by a fracture of the radial head , dislocation of the distal radioulnar joint and rupture of the antebrachial interosseous membrane 3 . (radiopaedia.org)
  • The proposed classification of Essex-Lopresti fracture-dislocation is based on the severity of radial head fracture 5 . (radiopaedia.org)
  • CASE: We report the case of a 34-year-old woman with a chronic right volar dislocation of the distal radioulnar joint (DRUJ) and associated ulnar styloid fracture. (bvsalud.org)
  • The presence, location, and intensity of the bone bruises within specific compartments of the femur and tibial after ACL rupture and patellar dislocation were recorded. (preprints.org)
  • There was only 1 pattern bone bruise (latera femur and medial patella bone bruise) of patellar dislocation, the most common pattern of patellar dislocation was in the inferior medial patella and lateral anterior inferior femur. (preprints.org)
  • There were 4 kinds of bone bruise patterns after non-contact ACL rupture while there was only 1 kind of bone bruise pattern after patellar dislocation bone bruise patients which was in the inferior medial patella and lateral anterior inferior femur. (preprints.org)
  • We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture, the subsequent management and outcome, and review the current literature for management of comminuted talar fractures. (faoj.org)
  • We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture. (faoj.org)
  • This applies to stable or unstable types, and in traumatic and pathologic fractures. (sharmaortho.com)
  • The fracture may be stable enough to permit immobilization of the arm at the side in a sling-and-swathe but may require a spica cast or abduction pillow splint to hold the arm in the reduced position. (teachmeorthopedics.info)
  • Some other variations could be displaced fracture, stable fracture, comminuted fracture, and open fracture. (siiora.com)
  • In stable fracture non-displaced fracture, the broken parts would be aligned, and they also remain in position at the time of the healing process. (siiora.com)
  • A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
  • Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain multiple pain receptors. (wikipedia.org)
  • A bone fracture may be diagnosed based on the history given and the physical examination performed. (wikipedia.org)
  • A bone fracture (abbreviated FRX or Fx , F x , or # ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
  • Stages in Fracture Repair: The healing of a bone fracture follows a series of progressive steps: (a) A fracture hematoma forms. (wikipedia.org)
  • If they do, a bone fracture occurs, triggering various symptoms . (feelrecovery.com)
  • Definition: What is a bone fracture or broken bone? (feelrecovery.com)
  • Some clinical features of a greenstick fracture are similar to those of a standard long bone fracture - greenstick fractures normally cause pain at the injured area. (passmed.uk)
  • Pain when applying pressure to the anatomical snuffbox is highly suggestive of a scaphoid bone fracture. (passmed.uk)
  • Common fractures that can be confidently treated with coaptation include: isolated diaphyseal radial or ulnar fractures (not both), one, two or three metacarpal / tarsal fractures, minimally displaced tibial crest avulsions, greenstick fractures of the tibial diaphysis and some non-articular talus and tarsal bone fractures. (vin.com)
  • Management of femoral diaphyseal fractures in the age group of 6-14 years is highly controversial. (openorthopaedicsjournal.com)
  • Type 2 injuries (single break in the pelvic ring) include ipsilateral fractures of the superior and inferior pubic (ischiopubic) rami, fracture of the pubic body adjacent to the symphysis, subluxation of one sacroiliac joint ( Fig. 15.37 ) or the pubic symphysis, and a fracture paralleling the sacroiliac joint ( Fig. 15.38 ). (radiologykey.com)
  • Under certain circumstances, radiographic examination of the nearby joints is indicated in order to exclude dislocations and fracture-dislocations. (wikipedia.org)
  • As little as 20% of Essex-Lopresti fracture-dislocations are recognized at the time of initial presentation 6 . (radiopaedia.org)
  • Initial radiographs may be unremarkable for Essex-Lopresti fracture-dislocations 6 . (radiopaedia.org)
  • CONCLUSION: Isolated volar DRUJ dislocations in the absence of fractures are easy to misdiagnose on plain radiographs. (bvsalud.org)
  • The New Antegrade Femur Nail design accommodates a lateral entry site through the greater trochanter and fit anatomically in the medullary canal and allows indirect reduction. (sharmaortho.com)
  • Reduction of the fracture depends on an intact posteromedial periosteal sleeve in younger patients. (teachmeorthopedics.info)
  • In contrast, depressed fractures will often require surgical intervention for cosmesis and reduction in the incidence of post-traumatic epilepsy 1 . (radiopaedia.org)
  • The distal beveled end of the nail aids in fracture reduction and helps in engaging in the subchondral area of the bone, thereby imparting stability. (traumainternational.co.in)
  • The reduction is checked in image-intensifier and then the nail is advanced through the fracture site till it reaches distal end of clavicle. (traumainternational.co.in)
  • Fig. 4) Transfixation pins were placed across the calcaneus to allow distraction of the tibiotalar joint and facilitated adequate visualization of the talar body fracture. (faoj.org)
  • A minimally displaced talar body fracture in a patient with significant neuropathy may be best treated nonoperatively, whereas a Hawkins III talar neck fracture with posteromedial extrusion of the talar body should be treated operatively, even in patients with significant neuropathy, to relieve soft-tissue and/or neurovascular compromise. (teachmeorthopedics.info)
  • [ 18 , 19 ] The treating physician must also be aware of the potential for pathologic fractures through metastatic lesions or primary bone tumors in this area. (medscape.com)
  • In the unstable jumper's fracture ( Fig. 15.41 ), dissociation of the central portions of the sacrum from its lateral portions occurs by bilateral vertical sacral fractures, most commonly through the neural foramina representing the weakest points in the sacrum. (radiologykey.com)
  • A lateral force vector characteristically causes transverse fractures of the pubic rami, vertical compression fractures of the sacrum, and fractures of the iliac wings, as well as pelvic instability caused by rotation of one or both hemipelvises (rotational instability). (radiologykey.com)
  • AP and lateral views of entire femur. (nsw.gov.au)
  • Two state of the art medio-lateral (ML) locking options enable primary compression or secondary controlled dynamization and indicated for fractures in the tibial shaft as well as for metaphyseal and certain intraarticular fractures of the tibial head and the pilon tibiale. (sharmaortho.com)
  • this is an avulsion fracture of the lateral tibial condyle immediately beyond the articular surface with the knee. (patient.info)
  • The fracture generally occurs with the arm in abduction. (teachmeorthopedics.info)
  • A comminuted fracture occurs when the bone gets shattered into more than 3 parts, it is known as a comminuted fracture. (siiora.com)
  • Sanders R, Swiontkowski M, Rosen H, Helfet D. Double-plating of comminuted, unstable fractures of the distal part of the femur. (ijoro.org)
  • Patients with open fractures fare worse than those with closed fractures. (medscape.com)
  • Another common type 1 injury represents a unilateral pubic ramus fracture (usually in the superior ramus) occurring in elderly patients after a fall or prosthetic hip replacement surgery and in athletes as stress fracture. (radiologykey.com)
  • Muscle wasting was found in 20 patients (40.44%) of distal femur fracture patients. (ijoro.org)
  • Delayed Union was found in two patients (4.54%) of distal femur fracture patients. (ijoro.org)
  • Appropriate splinting will assist with haemodynamic control as well as providing an analgesic affect, but remember that all patients with confirmed or highly suspected femoral fractures should have early consideration for regional analgesia (femoral nerve block, FNB or fascia iliaca block, FIB), upon arrival in the ED. (nsw.gov.au)
  • Since the body is made up of 206 bones and these are responsible for providing support, protecting internal organs and allowing movement, a fracture tends to trigger considerable signs and symptoms in patients . (feelrecovery.com)
  • All patients with open fractures, pathological fractures, metabolic bone disease or neuromuscular disorders were excluded from search. (biomedcentral.com)
  • compressive fractures of the articular surface, typically from extreme force such as fall from a height or being hit by a vehicle, although in patients with osteoporosis minimal force may be needed. (patient.info)
  • Fractures of the proximal humerus are seen in all age groups but are more common in older patients. (teachmeorthopedics.info)
  • Type I talar neck fractures are nondisplaced injuries and can be managed nonoperatively in cooperative patients who agree to frequent follow-up x-rays. (teachmeorthopedics.info)
  • A good outcome after a type C fracture is possible, but many patients do not recover completely. (bvsalud.org)
  • All patients with suspected open fractures require basic blood tests , including a clotting screen and a Group & Save. (teachmesurgery.com)
  • 2.85% encountered acute reactive synovitis, 5.71% developed angulation of fracture site and 2.85% developed per operative breakage of nail. (openorthopaedicsjournal.com)
  • The fracture involves a single fracture line through the affected bone and may also be identified as a transverse, oblique and spiral fracture. (feelrecovery.com)
  • Fracture patterns included transverse (49), oblique (21), and communited (3) fractures. (biomedcentral.com)
  • The reparative phase ends with clinical union of the fracture (ie, when there is no pain at fracture site, the injured extremity can be used without pain, and clinical examination detects no bone movement). (msdmanuals.com)
  • On occasion, poor soft-tissue conditions complicate the operative treatment of these fractures. (teachmeorthopedics.info)
  • Figure 2 During his secondary survery, radiographs were taken that revealed a closed talar comminuted fracture among his other injuries. (faoj.org)
  • There is lack of reliability in interpreting radiographs to accurately classify proximal humerus fractures. (teachmeorthopedics.info)
  • Type 3 injuries (double breaks in the pelvic ring) include straddle fractures (vertical fractures of both superior pubic and ischiopubic rami or unilateral vertical rami fractures associated with symphyseal diastasis) ( Fig. 15.39 ) and injuries with complete disruption of both the anterior and posterior pelvic ring (e.g. (radiologykey.com)
  • Pelvic fractures are frequently associated with severe soft tissue injuries, including vascular lacerations, compression or disruption of peripheral nerves, and perforation of the urinary bladder, urethra, rectosigmoid, and anus. (radiologykey.com)
  • These injuries are treated in descending order from most life threatening, and the definitive treatment of talar fractures may be staged. (faoj.org)
  • Multiple Injuries were sustained including a left open intra-articular comminuted supracondylar femur fracture, right femoral shaft fracture, right intertrochanteric hip fracture, right tibial plateau fracture, and a left closed talar body and neck fractures. (faoj.org)
  • Displaced talus fractures are uncommon but devastating injuries. (teachmeorthopedics.info)
  • Two thirds of the talus is covered in articular cartilage, and all fractures are articular injuries affecting one or more of the adjacent joints. (teachmeorthopedics.info)
  • Talar neck and body fractures are usually the result of high-energy injuries. (teachmeorthopedics.info)
  • Classification systems of pelvic fractures combining the direction of the force that created the injury with the fracture pattern seen radiographically allow a highly specific injury description and are preferred by orthopedic surgeons ( Table 15.1 ). (radiologykey.com)
  • Fracture of the transverse process of L5 where the iliolumbar ligament attaches is a harbinger of an unstable pelvic injury. (radiologykey.com)
  • However, due to the comminuted nature of the talar fracture, definitive surgery was delayed for three days post-injury. (faoj.org)
  • However, in order to diagnose a fracture on a medical level and define its state of seriousness, apart from assessing the symptoms of the affected person, the health professional must also study the reasons for the injury and carry out a clinical examination to obtain more precise results . (feelrecovery.com)
  • This is an injury in which there is communication between the impacted bone and the exterior, due to a concurrent fracture of the skin and soft tissues that protect the focus of the fracture (a wound or haematoma). (feelrecovery.com)
  • There were 53 males (57 fractures) and 16 females (16 fractures) in this series with an average age of 8.3 (range 4-15) years at the time of injury (Table 1 ). (biomedcentral.com)
  • Femoral shaft fracture is the most common major paediatric orthopaedic injury that most orthopaedist will treat routinely and is the most common paediatric orthopaedic injury requiring hospitalisation. (openorthopaedicsjournal.com)
  • If a fracture line is not evident initially (eg, in some nondisplaced fractures), one typically becomes evident about 1 week after the injury as this small amount of bone is resorbed. (msdmanuals.com)
  • Skull fractures are common in the setting of both closed traumatic brain injury and penetrating brain injury . (radiopaedia.org)
  • When a fracture is identified, a careful search for adjacent soft tissue injury should be undertaken. (radiopaedia.org)
  • Skull fractures, if closed and undisplaced, rarely need any direct management, with treatment being aimed at any associated injury (e.g. extradural hematoma). (radiopaedia.org)
  • Perhaps the most important aspect in the treatment of open fractures is the initial surgical intervention with irrigation and meticulous debridement of the injury zone. (passmed.uk)
  • Fracture may become open by either an "in-to-out" injury, whereby the sharp bone ends penetrate the skin from beneath, or an "out-to-in" injury, whereby a high energy injury (e.g. ballistic injury or a direct blow) penetrates the skin, traumatising the subtending soft tissues and bone. (teachmesurgery.com)
  • Neer's anatomic concept for standardizing the terminology of fractures of the proximal humerus. (teachmeorthopedics.info)
  • This article will focus on the general terminology of fractures and delegate discussion of particular fracture patterns to separate articles (e.g. base of skull fractures ). (radiopaedia.org)
  • There were 51 midshaft, 17 proximal, and 5 distal fractures. (biomedcentral.com)
  • Fracture locations were 51 midshaft, 17 proximal, and 5 distal fractures. (biomedcentral.com)
  • Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. (ijoro.org)
  • The Supracondylar Nail is indicated for the stabilization of fractures of the distal femur. (sharmaortho.com)
  • Early stabilization of open fractures provides many benefits to the injured patient. (passmed.uk)
  • Rarely, a three-part fracture is encountered involving the lesser or greater tuberosity as well as the surgical neck. (teachmeorthopedics.info)
  • In general, talar neck and body fractures should be treated operatively if the fracture is displaced more than 1 to 2 mm. (teachmeorthopedics.info)
  • Nondisplaced talar neck fractures that are not visible on plain x-rays but diagnosed with other imaging modalities, such as magnetic resonance imaging (MRI), computed tomography (CT), or bone scans, may be treated nonoperatively. (teachmeorthopedics.info)
  • The management of isolated radial neck and head fractures is controversial. (bvsalud.org)
  • Conservative treatment remains the gold standard in treatment of simple undisplaced midshaft clavicle fractures, but for displaced and comminuted fractures surgical intervention is appropriate especially in young active adults. (traumainternational.co.in)
  • Femoral shaft fracture is the most common major paediatric orthopaedic. (openorthopaedicsjournal.com)
  • Open fractures are a common presentation to A&E, and require urgent assessment and management by the orthopaedic team. (teachmesurgery.com)
  • Universal Femur nail presented as solid and cannulated nail, steel or titanium with two holes for fixed distal locking and two for proximal locking, one of them fixed and the other dynamic. (sharmaortho.com)
  • The GPC undreamed femoral nail is used for open fracture of femur (Grade 1&2). (indianorthopaedic.com)
  • The GPC supracondylar nail is used for supracondylar fracture of femur. (indianorthopaedic.com)
  • The GPC tibial nail is indicated in open & closed tibial shaft fractures, tibial malunion and nonunions. (indianorthopaedic.com)
  • With oscillating movements the nail is advanced until it reaches the fracture site. (traumainternational.co.in)