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FemurFracture HealingFractures, BoneFemoral FracturesHip FracturesFracture Fixation, InternalSpinal FracturesFractures, ComminutedFracture FixationFemoral NeoplasmsOsteoporotic FracturesRadius FracturesFractures, SpontaneousFemoral Neck FracturesFracture Fixation, IntramedullaryFractures, StressUlna FracturesBone PlatesRib FracturesPeriprosthetic FracturesSkull FracturesMandibular FracturesBone NailsTibiaBone DensityTooth FracturesOsteoporosisFractures, CompressionDiaphysesIntra-Articular FracturesEpiphysesBone ScrewsOrbital FracturesBony CallusColles' FractureKnee JointFemur NeckBiomechanical PhenomenaBone and BonesRange of Motion, ArticularTreatment OutcomeCasts, SurgicalOsteochondrosisWrist InjuriesHumerusAbsorptiometry, PhotonBone WiresExternal FixatorsWeight-BearingRetrospective StudiesGiant Cell Tumor of BoneFemur HeadOsteoporosis, PostmenopausalBone TransplantationMaxillary FracturesAccidental FallsZygomatic FracturesBone Density Conservation AgentsBone RemodelingBone CementsProsthesis FailureForearm InjuriesTomography, X-Ray ComputedProsthesis DesignFollow-Up StudiesBone NeoplasmsX-Ray MicrotomographyKnee ProsthesisCompressive StrengthArthroplasty, Replacement, KneeReoperationPelvic BonesThoracic VertebraeOsteotomyClavicleTractionOsteosarcomaPostoperative ComplicationsProstheses and ImplantsMultiple TraumaLumbar VertebraeFibulaFinite Element AnalysisCurettageAnkle InjuriesGrowth PlateCalcaneusDislocationsStress, MechanicalInternal FixatorsTime FactorsDiphosphonatesCarpal BonesOrthopedic ProceduresOdontoid ProcessVertebroplastyRecovery of FunctionAlendronateKnee InjuriesRisk Factors
Type of fractureFixationIntra-articularShaft FractureFragmentsTibiaRight femoral shaftComplicationsSupracondylar femurFragmentDisplacementHumerusLimbPelvisFemoral fracturesAcuteInjuriesPatellaBone fractureRadius fracturesTibial fracturesGreenstick fracturesIntramedullaryExtra-articularSurgeryUnion of the fractureTreatment of these fracturesReductionOccurPathologicUnstable fracturesIntertrochantericHealsUlnarCarpalObliqueSkeletalManagement of fracturesBased on the severityTraumaCommonlyDislocationPatientsPediatricSevere fracturesClavicle FractureTransverseHealPelvicBroken boneSpineDiaphysealPreoperativeInjuryTissuesOpenCompoundLateralEpiphysealAngulationPhalanxSymptomsInvolveElderlySpinalSurgical intervention
Type of fracture10
  • Rehabilitation of the distal femur fracture depends upon several factors such as age, general health of the patient and the type of fracture. (johnfeldmanmd.com)
  • This type of fracture is more prone to infection and requires immediate medical attention. (ryanlisle.com.au)
  • In this type of fracture, the break is a straight horizontal line going across the femoral shaft. (peninsulaboneandjoint.com)
  • This type of fracture has an angled line across the shaft. (peninsulaboneandjoint.com)
  • A twisting force to the thigh causes this type of fracture. (peninsulaboneandjoint.com)
  • In this type of fracture, the bone has broken into three or more pieces. (peninsulaboneandjoint.com)
  • 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)
  • A dog's broken leg can be classified as an open or closed type of fracture . (dogsaholic.com)
  • It has been known that the most serious type of fracture involves the joint area. (dogsaholic.com)
  • Closed fractures are the type of fracture in which the skin is not broken and the bone protrudes. (dogsaholic.com)
Fixation24
  • 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)
  • External or internal fixation or a knee replacement may be required depending on the extent of the fracture. (johnfeldmanmd.com)
  • External fixation is a procedure in which the fracture stabilization is done at a distance from the site of fracture. (ryanlisle.com.au)
  • 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)
  • BACKGROUND: This study was conducted to compare the radiological and clinical outcomes of internal fixation using a Polarus humeral nail for treatment of a humeral shaft fracture according to fracture. (koreamed.org)
  • An external fixator brings many advantages like a rigid fixation in a precarious form of immobilization especially in open fractures in which traction or casting or plates or rods are unable to be applied because of risk of infection or the loss of an extremity. (amhe.org)
  • So, an external fixation is a surgical way to stabilize a fracture with rods screwed into bone and exiting the body attached to a stabilizing structure on the outside of the body. (amhe.org)
  • One has to understand that an external fixation may be a way of treating any long bone open or comminuted fractures while the damaged sot tissues is managed. (amhe.org)
  • Surgeons should consider patient activity level preoperatively, bone mineral density, and fracture morphology when deciding on fixation strategies. (bvsalud.org)
  • Supplemental medial small fragment fixation adds stability to distal femur fixation: A biomechanical study. (stanford.edu)
  • INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
  • Eight femurs underwent fixation with lateral locked plates alone and were matched with eight femurs treated with dual plating: lateral locked plates with supplemental medial small fragment non-locking fixation. (stanford.edu)
  • 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)
  • 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)
  • 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)
  • View of Is Fusion Mandatory with Spinal Fixation of Traumatic Thoracolumbar Burst Fractures? (pdfplayer.org)
  • and soft tissue healing similar to internal fixation of limb fractures. (pdfplayer.org)
Intra-articular7
  • Figure 2: Intra-articular fracture: Depression type. (crimestriketv.com)
  • Intra-articular fractures are wrist fractures that affect the wrist joint. (crimestriketv.com)
  • the CT reveals the fracture to be intra-articular (a single sagittal slice is shown here). (crimestriketv.com)
  • Other types of distal radius fractures include intra articular, extra-articular, simple and comminuted fractures. (renoortho.com)
  • In cases where there are many pieces or severe intra articular fractures, a CT(Computed Tomography) Scan is ordered to help guide surgical treatment. (renoortho.com)
  • The terminal extensor tendon inserts on the DIP joint capsule, and so injurious force may also result in intra-articular avulsion fracture of the base of the distal phalanx. (radiopaedia.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)
Shaft Fracture5
  • When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. (peninsulaboneandjoint.com)
  • The most common cause of femoral shaft fracture is a motor vehicle or motorcycle crash. (peninsulaboneandjoint.com)
  • A lower-force incident, such as a fall from standing, may cause a femoral shaft fracture in an older person who has weaker bones. (peninsulaboneandjoint.com)
  • A femoral shaft fracture usually causes immediate, severe pain. (peninsulaboneandjoint.com)
  • Indication for surgery in all cases was displaced femoral shaft fracture with open femoral physis. (biomedcentral.com)
Fragments10
  • In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. (wikipedia.org)
  • Unstable fractures are those in which fragments of the broken bone are misaligned and displaced. (ryanlisle.com.au)
  • Jean- Francois Malgaine chooses a spike driven into the tibia in guise of strap to stabilize a fractured tibia in 1840 while he innovated even better with a claw-like device in 1843 to kept the fragments of a patella fracture in position percutaneously. (amhe.org)
  • Even if the fracture is repaired with a plate, so you would not necessarily be able to see the individual fragments being reduced, there is a greater risk of failure and complications after the procedure. (crimestriketv.com)
  • If a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an open or compound fracture. (peninsulaboneandjoint.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)
  • Whether the fractures are considered as simple, which involves several breakages that is about two to three pieces, or comminuted when the bone is shattered into many fragments, it should be taken care of in a prompt and careful manner. (dogsaholic.com)
  • 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)
Tibia5
  • Hippocrates may have been the first one 2400 years ago to describe an apparatus reminding of an external fixator to stabilize a tibia fracture. (amhe.org)
  • They may be more successful when used for superficial bones like the tibia or the radius but may become more complicated when it is being used for deeper bone like the femur or the humerus or pelvis. (amhe.org)
  • Later, staged limb reconstruction surgery was undertaken as a definitive procedure that involved bifocal distraction osteogenesis involving the proximal tibia and femur along with docking of the corticotomised femoral fragment onto the tibial plateau to achieve knee arthrodesis. (bvsalud.org)
  • The remodeling process in such injuries is complicated because of the activity of the muscles in the anterior and lateral compartments of the lower leg and the decreased growth potential of the distal tibia compared to that of the proximal tibia [ 4 ]-[ 6 ]. (biomedcentral.com)
  • In our institution, pretty much it's standard that for any joints that will be three views and for any long bone that's at least two views, if there is an exceptionally long tibia fibula or femur, it may require several cassettes up to four views. (podiatry.com)
Right femoral shaft1
  • DIAGNOSES: A comminuted fracture of the right femoral shaft was diagnosed by X-ray image. (bvsalud.org)
Complications17
  • 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)
  • 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)
  • Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • Patient activity must be modified postoperatively to prevent fracture displacement and additional complications. (bvsalud.org)
  • 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)
  • 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)
  • It is important to provide immediate medical attention to dogs that have compound fracture because prolonged exposure without proper treatment can actually lead into serious infection and other complications. (dogsaholic.com)
  • 14] For all cases of talar fractures, treatment goals remains anatomic reduction, preservation of motion, joint stability, and minimization of complications. (faoj.org)
Supracondylar femur3
  • Supracondylar femur fractures are becoming more common as the population ages. (medscape.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)
  • 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)
Fragment6
  • In intramedullary nailing a metal rod is inserted into the marrow canal of the femur to keep the fractured fragment in position. (johnfeldmanmd.com)
  • 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)
  • Although clavicle is S shaped, tip of the nail is curved which helps the surgeon to pass the elastic nail into distal fragment. (traumainternational.co.in)
  • After adequate engagement of the distal fragment, the medial end of screw nail is screwed in the metaphyseal region of the medial end of clavicle and skin closed over it (Fig. 6). (traumainternational.co.in)
  • If there is a bony avulsion, a plain film will classically show a triangular avulsion fragment at the insertion of the common extensor tendon on the dorsal aspect of the distal phalanx at the DIP joint. (radiopaedia.org)
  • Surgery is considered for avulsion fracture where the fragment is larger than 1/3 of the joint surface and there is more than 2 mm of displacement or there is volar subluxation of the distal phalanx which is not reducible in a splint. (radiopaedia.org)
Displacement5
  • 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)
  • Careful, close follow-up is mandatory to ensure that fracture displacement or joint subluxation does not occur during healing. (crimestriketv.com)
  • The diagnosis that determines epiphyseal plate fracture is sometimes considered as difficult, because the displacement is sometimes minimal and even absent. (dogsaholic.com)
  • So fracture detection actually requires a minimal degree of displacement. (podiatry.com)
  • Minor fractures with minimal displacement do very well with nonsurgical treatment. (renoortho.com)
Humerus1
Limb6
  • Avoiding arthritis, which requires restoration of anatomic congruent joint surfaces and maintaining the normal mechanical axis of the limb, prevents pain. (medscape.com)
  • Skin traction involves attachment of traction tapes to the skin of the limb segment below the fracture. (ryanlisle.com.au)
  • 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)
  • Limb reconstruction surgery (LRS) with LRS system provides flexibility to tackle individual case-based scenarios and helps achieve limb length, maintain alignment and restore function. (bvsalud.org)
  • However, even in cases of lower limb fractures where the growth plate remains unaffected, overgrowth or shortening of the affected limb are encountered. (bvsalud.org)
  • LESSONS: This case emphasizes that quantitative analysis of growth plate activity using bone single-photon emission computed tomography/computed tomography could predict LLD and help us decide when and which limb should be operated on for pediatric patients with lower limb fractures. (bvsalud.org)
Pelvis2
  • His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)
  • 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)
Femoral fractures6
Acute2
  • A man in his 30s was involved in a road traffic accident (RTA) and sustained a grade-IIIA distal femur fracture with acute loss of distal two-third of the femur. (bvsalud.org)
  • Sometimes patients with wrist fractures can develop acute carpal tunnel syndrome with numbness in the thumb, index and middle fingers. (renoortho.com)
Injuries17
  • Distal femur fractures may be caused by high energy injuries such as a fall from a height or a motor vehicle accident. (johnfeldmanmd.com)
  • The diagnosis of a distal femur fracture is based on the patient's medical history including history of any previous injuries, a complete physical examination and imaging studies. (johnfeldmanmd.com)
  • Overuse injuries are common cause of stress fractures in athletes. (ryanlisle.com.au)
  • Our board-certified rehabilitation specialists develop personalized plans to help people recover from complex injuries, such as articular fractures. (crimestriketv.com)
  • However, tibial angular deformities, especially distal tibial fractures, are less favorable injuries with regard to remodeling. (biomedcentral.com)
  • Injuries that made lead to pain, deformity, or swelling near the base of a long bone of a young dog or a puppy may indicate a probable fracture or epiphyseal plate injury. (dogsaholic.com)
  • Patella fractures and other injuries to the knee joint can have a severely negative impact on your quality of life. (compensationcalculatoruk.co.uk)
  • Pins use smaller incisions and are usually used for less serious injuries or in kids with wrist fractures. (renoortho.com)
  • Mallet finger refers to injuries of the extensor mechanism of the finger at the level of the distal interphalangeal joint (DIP). (radiopaedia.org)
  • A high proportion of mallet finger injuries will present as isolated tendon injuries without any associated avulsions fractures known as a "mallet fracture" 5 . (radiopaedia.org)
  • The preferred treatment for closed mallet injuries is non operative treatment, using a splint to maintain the DIP joint in extension or slight hyperextension - the proximal interphalangeal joint (PIP) is kept mobile. (radiopaedia.org)
  • In the literature, the timing for treatment of comminuted talar fractures remains controversial, even in the presence of multiple injuries. (faoj.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)
  • Comminuted talar fractures are commonly the result of high-energy trauma and associated with multiple injuries. (faoj.org)
  • These injuries are treated in descending order from most life threatening, and the definitive treatment of talar fractures may be staged. (faoj.org)
  • We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture. (faoj.org)
  • Figure 2 During his secondary survery, radiographs were taken that revealed a closed talar comminuted fracture among his other injuries. (faoj.org)
Patella8
Bone fracture10
  • 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)
  • 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)
  • 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 is a medical condition in which a bone is cracked or broken. (ryanlisle.com.au)
  • While many fractures are the result of high force impact or stress, bone fracture can also occur as a result of certain medical conditions that weaken the bones, such as osteoporosis. (ryanlisle.com.au)
  • 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)
  • 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)
Radius fractures3
Tibial fractures4
  • One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)
  • Valgus angulation after pediatric distal tibial fractures persisted in this study sample. (biomedcentral.com)
  • Cozen investigated valgus deformities after proximal tibial fractures in children [ 7 ]. (biomedcentral.com)
  • All patients under ten years old who sustained distal tibial fractures between 2001 and 2008 and were treated at one of two tertiary referral centers were included. (biomedcentral.com)
Greenstick fractures4
  • Greenstick fractures: This is a unique fracture in Children that involves bending of one side of the bone without any break in the bone. (ryanlisle.com.au)
  • 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)
  • Greenstick fractures occur most often during infancy and childhood when bones are soft. (passmed.uk)
  • Greenstick fractures are fractures where the involved bone is still intact but has a crack. (dogsaholic.com)
Intramedullary9
  • BACKGROUND: Intramedullary (IM) nailing is widely performed in elderly patients with trochanteric fractures. (koreamed.org)
  • PURPOSE: To evaluate the clinical characteristics of intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures and assess the surgical outcomes of a novel, closed intramedullary nailing surgical approach. (koreamed.org)
  • PURPOSE: This study examined the outcomes of exchange nailing for the hypertrophic nonunion of femoral shaft fractures treated with intramedullary nailing as well as the factors affecting the treatment outcomes. (koreamed.org)
  • The intramedullary total femoral reconstruction (ITFR) was used successfully in a 62-year-old patient with myxoid liposarcoma of the thigh and post-radiation fracture nonunion of the proximal femur and osteonecrosis of the ipsilateral knee. (bvsalud.org)
  • 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)
  • This report describes the technique of using the screw intramedullary nail for displace clavicle fracture. (traumainternational.co.in)
  • clavicle fracture, intramedullary nailing. (traumainternational.co.in)
Extra-articular3
  • A fracture that does not extend into the joint is called an extra-articular fracture. (crimestriketv.com)
  • These fractures do not affect the joints in the hand, but they cause immense pain and discomfort by The extra-articular manifestations of RA can occur at any age after onset. (crimestriketv.com)
  • Closed-wedge (CW) and open-wedge (OW) high tibial osteotomy (HTO) are extra-articular surgery, which aim to shift the mechanical axis from medial to slightly lateral and reduce the overload in the medial compartment of the If you have or suspect you have fractured a finger, you should rest your hand and not perform any activities that could cause the broken ends of the bone to move on one another. (crimestriketv.com)
Surgery9
  • With most distal femur fractures the surgery can be delayed unless the fracture is open to the environment (break in the skin). (johnfeldmanmd.com)
  • The external fixator maintains the alignment of the bone till surgery. (johnfeldmanmd.com)
  • Diagnosis For more severe fractures, we perform surgery to precisely repair bones and joint damage. (crimestriketv.com)
  • Most femoral shaft fractures require surgery to heal. (peninsulaboneandjoint.com)
  • It is unusual for femoral shaft fractures to be treated without surgery. (peninsulaboneandjoint.com)
  • This is called an open fracture and needs urgent surgery. (renoortho.com)
  • Several studies have shown that surgery helps reduce pain, get people back to work sooner and maintains shoulder strength and motion. (renoortho.com)
  • However, due to the comminuted nature of the talar fracture, definitive surgery was delayed for three days post-injury. (faoj.org)
  • 2 Surgery aims at realigning the spine, maintaining its stability and optimizing the neurological outcome. (pdfplayer.org)
Union of the fracture1
  • 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)
Treatment of these fractures1
  • 1 The ideal treatment of these fractures remains controversial. (pdfplayer.org)
Reduction7
  • The next step in fracture management is the reduction of the fracture and its maintenance. (ryanlisle.com.au)
  • To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical method. (ryanlisle.com.au)
  • Casting closed reduction is done for any fracture that is displaced, shortened, or angulated. (ryanlisle.com.au)
  • This is a surgical procedure in which the fracture site is adequately exposed and reduction of fracture is done. (ryanlisle.com.au)
  • Nonoperative treatment requires concentric reduction to be obtained and maintained during ROM activities. (crimestriketv.com)
  • 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)
Occur3
  • Intraoperative trochanteric fractures during primary and revision total hip arthroplasty typically occur during femoral canal preparation and component placement. (bvsalud.org)
  • 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)
  • They may represent an isolated tendinous injury or occur in combination with an avulsion fracture of the dorsal base of the distal phalanx. (radiopaedia.org)
Pathologic1
  • [ 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)
Unstable fractures1
  • Such devices are used to repair open and unstable fractures allowing dressing changes. (amhe.org)
Intertrochanteric1
  • Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
Heals3
  • The plate or rod will maintain the shape or strength of the bone till it heals. (johnfeldmanmd.com)
  • It is important to ensure that the involved part of the body returns to its function after fracture heals. (ryanlisle.com.au)
  • If non-operative care is chosen, regular follow-up care for a physical exam and x-rays is important to ensure that the fracture stays in good position and heals appropriately. (renoortho.com)
Ulnar4
  • an intraarticular fracture of the ulnar (volar) portion of the distal radiusdistal radiusThe pattern of incidence of wrist fracture is different from that of hip or vertebral fractures. (crimestriketv.com)
  • Tenderness might be elicited alongside the ulnar border of the triquetrum and the distal ulna. (dnahelix.com)
  • Identify and shield the dorsal cutaneous branch of the ulnar nerve in the distal incision. (dnahelix.com)
  • A 2- 2-cm portion of distal extensor retinaculum is harvested and secured to the ulnar osseous groove using small bone anchors. (dnahelix.com)
Carpal1
Oblique2
Skeletal4
Management of fractures1
Based on the severity1
  • The management of these type of fractures is based on the severity of the fracture, medical condition of the patient and the patient's lifestyle. (johnfeldmanmd.com)
Trauma5
  • 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 may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. (ryanlisle.com.au)
  • 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)
  • Comminuted talar fractures are commonly the result of high-energy trauma. (faoj.org)
  • On the other hand, achievement of solid fusion reduces risk of re-kyphosis and implant failure.Methods: Study was prospectively conducted on 40 patients with T10-L2 traumatic burst fractures, assigned into 2 equal groups: a fusion and a non-fusion group.Results:Mean age of patients was 37.2 years with minimal male predominance.Fall from height was the most common mode of trauma (62.5%) followed by RTAs. (pdfplayer.org)
Commonly1
  • This method is most commonly used for fractures of the thighbone. (ryanlisle.com.au)
Dislocation2
  • However, signs of discomfort and pain after an activity or an accident can also indicate either a dislocation or fracture. (dogsaholic.com)
  • 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)
Patients7
  • Patients with open fractures fare worse than those with closed fractures. (medscape.com)
  • Patients with osteoporosis, bone tumors or infections, or a history of knee replacement are more prone to femur fractures. (johnfeldmanmd.com)
  • Present indications include all patients with femoral shaft fractures and open physis. (biomedcentral.com)
  • All patients with open fractures, pathological fractures, metabolic bone disease or neuromuscular disorders were excluded from search. (biomedcentral.com)
  • Of these 81 patients, 69 patients with 73 femoral shaft fractures were available for follow up. (biomedcentral.com)
  • Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)
  • The ideal treatment for patients with a thoracolumbar burst fracture remains controversial. (pdfplayer.org)
Pediatric1
  • The purpose of this study was to evaluate the factors that influence residual angulation after treating pediatric distal tibial diaphyseal fractures. (biomedcentral.com)
Severe fractures1
  • Open (compound) fractures are severe fractures in which the broken bones cut through the skin. (ryanlisle.com.au)
Clavicle Fracture1
  • Clavicle fracture, also called broken collarbone is a very common sports injury seen in people who are involved in contact sports such as football and martial arts as well as impact sports such as motor racing. (ryanlisle.com.au)
Transverse1
Heal2
  • Fractures may take several weeks to months to heal completely. (ryanlisle.com.au)
  • Length of an extremity can be also maintained while the wounds are allowed to heal or granulate or getting ready for a skin flap. (amhe.org)
Pelvic1
  • The same principles are applied with patient suffering from pelvic fractures. (amhe.org)
Broken bone2
  • The word "Fracture" implies to broken bone. (ryanlisle.com.au)
  • This is also called as an incomplete fracture because there is a crack involved that may or may not progress into a complete broken bone. (dogsaholic.com)
Spine2
  • Damage to adjacent structures such as nerves, muscles or blood vessels, spinal cord, and nerve roots (for spine fractures), or cranial contents (for skull fractures) may cause other specific signs and symptoms. (wikipedia.org)
  • On anteroposterior plain radiographs, the total tibial length (from the center of the tibial spine to the center of the tibial plafond) was divided into three equal parts (proximal 1/3, middle 1/3, distal 1/3). (biomedcentral.com)
Diaphyseal2
  • We retrospectively reviewed the records of 75 children under the age of ten who were treated at two referral centers for distal tibial diaphyseal fractures. (biomedcentral.com)
  • However, prior studies have not investigated residual deformities or the factors that may influence them after distal tibial diaphyseal fractures. (biomedcentral.com)
Preoperative1
Injury8
  • The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. (ryanlisle.com.au)
  • D islocation of the navicular without fracture is a rare injury [1-3]. (faoj.org)
  • 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)
  • 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)
  • 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)
  • There is no weight placed on the paw when an injury or fracture is present. (dogsaholic.com)
  • The NHS states that, for a fractured kneecap injury, a brace or cast will usually be used to help support the knee while it's healing. (compensationcalculatoruk.co.uk)
  • The injury classically occurs while playing sports where the DIP undergoes sudden flexion (extended finger is struck at the tip by an object, e.g. baseball, basketball), or a crush injury (slamming a door towards the distal interphalangeal joint) in the extensor direction. (radiopaedia.org)
Tissues3
  • The natural process of healing a fracture starts when the injured bone and surrounding tissues bleed, forming a fracture hematoma. (wikipedia.org)
  • The increased body weight will have increased the ground reaction forces experienced by the foot, and the resultant internal stresses on tissues such as ligamentous tissue which normally help to maintain joint congruency [7,8]. (faoj.org)
  • These fractures usually damage cartilage but also may affect other joint tissues. (crimestriketv.com)
Open7
  • External fixators are mainly using in the management of severe open wounds, infected fractures or open fractures, Burns. (amhe.org)
  • The pieces of bone may line up correctly or be out of alignment (displaced), and the fracture may be closed (skin intact) or open (the bone has punctured the skin). (peninsulaboneandjoint.com)
  • Open fracture. (peninsulaboneandjoint.com)
  • Open fractures often involve much more damage to the surrounding muscles, tendons, and ligaments. (peninsulaboneandjoint.com)
  • Irrigation, along with debridement, is absolutely crucial in the management of open fractures. (passmed.uk)
  • Early stabilization of open fractures provides many benefits to the injured patient. (passmed.uk)
  • Open fractures are fractures that have an open skin and the bone is exposed, while a closed fracture is a fracture where the skin above the broken bones is still intact. (dogsaholic.com)
Compound1
  • Compound fractures are defined as broken bones that involve the skin, where the bone punctures and is exposed. (dogsaholic.com)
Lateral2
  • While medial and lateral dual plating has been described in clinical series, the biomechanical effects of dual plating of distal femur fractures have yet to be clearly defined. (stanford.edu)
  • For the femur, you would take an anteroposterior and lateral. (podiatry.com)
Epiphyseal1
  • Epiphyseal fractures are considered as the fracture more frequently observed in younger, growing dogs. (dogsaholic.com)
Angulation1
  • In this example of the same patient obtained with two different techniques, one can see in the normal technique that you have fractures to the second and third mid metatarsal diaphysis, which cannot be seen on this under-penetrated examination with improper tube angulation. (podiatry.com)
Phalanx1
Symptoms3
  • Pain with weightbearing along with swelling and bruising are the common symptoms of a distal femur fracture. (johnfeldmanmd.com)
  • The severity of the symptoms, as well as the risks involved completely, depend on of the dog's leg area and the extent of the fractured bone is. (dogsaholic.com)
  • This guide will look at some of the symptoms of a fractured kneecap. (compensationcalculatoruk.co.uk)
Involve1
  • Fracture of the distal femur may involve the cartilaginous surface of the knee as well and result in arthritis. (johnfeldmanmd.com)
Elderly1
  • In the elderly, even a simple fall from a standing position may result in a fracture as the bones tend to become weak and fragile with advancing age. (johnfeldmanmd.com)
Spinal1
Surgical intervention1
  • 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)