• It is our hypothesis that TWA using the Maestro WRS can provide satisfactory results in terms of range of motion, pain, and function for immediate salvage of a highly comminuted intra-articular fracture that is not amenable to open reduction and internal fixation (ORIF). (hindawi.com)
  • Conservative management gave way to surgical intervention when implants became available, but poor outcomes led to a return to cast immobilization or limited internal fixation of the fibula only. (medscape.com)
  • In the early 1960s, the Association for Osteosynthesis/Orthopaedic Trauma Association (AO/OTA) developed general guidelines for the treatment of intra-articular distal tibial fractures, which led to open reduction and anatomic and rigid internal fixation. (medscape.com)
  • During a 24-month period, 99 patients with proximal humerus fracture with OTA type 11A, 11B, 11c were treated operatively with open reduction and internal fixation with angular stability locking plate at a level 1 trauma center. (asesjournal.com)
  • Angular Locking plate fixation for proximal humerus fracture gives satisfactory results, good functional and radiological outcome. (asesjournal.com)
  • 9. Plecko M, Kraus A. Internal fixation of proximal humerus fractures using the locking proximal humerus plate. (asesjournal.com)
  • 10. Handschin AE, Cardell M, Contaldo C, Trentz O, Wanner GA. Functional results of angular-stable plate fixation in displaced proximal humeral fractures. (asesjournal.com)
  • A systematic review of locking plate fixation of proximal humerus fractures. (asesjournal.com)
  • Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)
  • In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
  • 5] As surgeons became more adept at surgical reduction and internal fixation, the Arbeitsgemeinschaft für Osteosynthesefragen-Association for the Study of Internal Fixation (AO-ASIF) group described a classification based on fracture pattern and degree of comminution (see Classification). (medscape.com)
  • The "bag of bones" treatment was used when bone quality or fracture pattern was not sufficient to gain stable fixation. (medscape.com)
  • Surgical fixation is consequently recommended for fractures with residual displacement greater than 5 mm, or 3 mm in active patients involved in frequent overhead activity. (beemed.com)
  • To overcome these problems internal fixation techniques have been used with better outcomes, in the later half of the 20th century. (jmsronline.com)
  • In the last few decades, sliding hip screw (DHS) became the standard way of fixation of IT fractures world over. (jmsronline.com)
  • Its usage for fixation of IT fractures rose from 3.1% in 1999 to 67% in 2006 in the developed world. (jmsronline.com)
  • DHS is still the most commonly used device for fixation of IT fractures. (jmsronline.com)
  • However fixation of unstable fractures with this devise remains a persistent challenge. (jmsronline.com)
  • Malunion is very common following DHS fixation of IT fractures particularly the unstable variety. (jmsronline.com)
  • Evidence from a multicentre randomised controlled trial suggests equivalent outcomes from open reduction and internal fixation (ORIF) or hemiarthroplasty to non-operative management in patients without a clear indication for surgical intervention [ 6 ] . (encyclopedia.pub)
  • The aim of this entry is to gather some of the existing literature on the different tuberosity fixation techniques and prosthetic designs of RTSA that can influence outcomes in fracture management. (encyclopedia.pub)
  • Because of these limitations, this author believes that the classification of bicolumn fractures of the distal humerus introduced by Mehne and Matta proves useful in planning bicolumn surgical fixation. (medscape.com)
  • Although the medial and lateral lambda fractures are not technically bicolumn fractures, they are included in this classification because they require similar operative fixation techniques (see the image below). (medscape.com)
  • Ideally, surgical fixation of a patella fracture should take place within two (2) weeks of the initial injury. (doldmd.com)
  • Tension band constructs have been the most commonly employed approach to fixation, with cerclage wiring for comminuted fractures. (doldmd.com)
  • Recently, both cannulated screws with high-strength suture constructs and plate fixation of patella fractures have become more popular. (doldmd.com)
  • Plating constructs offer a low-profile design with stable fixation, allowing for earlier mobilization and potentially improved functional outcomes. (doldmd.com)
  • INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
  • In unreliable patients, the fixation may need to be protected with a shoulder spica cast for 3 weeks. (teachmeorthopedics.info)
  • The decision to operate on these patients is complex because conservative treatment is poorly tolerated in unstable fractures and conventional open reduction and internal fixation is associated with a high rate of complications. (bioscientifica.com)
  • 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)
  • We aimed to compare the outcomes of two surgical treatment options, external fixator (EF) or open reduction and internal fixation (ORIF), in patients with bilateral distal radius fractures (DRFs). (jointdrs.org)
  • We hypothesize that the number of screws in the articular segment of distal humerus AO/OTA C-type fractures treated with open reduction internal fixation (ORIF) will be inversely proportional to the complication rate. (sicot-j.org)
  • In C-type fractures, the use of three or fewer articular screws was significantly associated with nonunion or loss of fixation (RR 17, p = 0.006). (sicot-j.org)
  • In this retrospective study, the use of three or fewer screws to fix articular fragments in AO type C fractures was a significant risk for nonunion or loss of fixation. (sicot-j.org)
  • Complications of distal humerus open reduction and internal fixation (ORIF) occur in up to 35% of patients [ 2 - 4 ]. (sicot-j.org)
  • Here, we report the long-term outcome of a young man treated with open reduction and internal fixation (ORIF) of the medial wall fracture, a valgus osteotomy of the femur and a restock of the impaction with autologous bone graft. (jocr.co.in)
  • Femoral neck fractures are at risk of non-union with/without mechanical collapse due to insufficient fixation and/or avascular necrosis of the femoral head. (musculoskeletalkey.com)
  • Extra-capsular fractures are at risk of mechanical collapse and non-union due to insufficient fixation. (musculoskeletalkey.com)
  • External fixation is a procedure in which the fracture stabilization is done at a distance from the site of fracture. (fixthebones.com.au)
  • 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)
  • 9. (PDF) K-Wire Fixation of Proximal Three Part Humerus Fractures - An Everlasting Result Oriented Technique [Internet]. (ojmpc.com)
  • No cut out complications occurred in the 3rd and 4th degree intertrochanteric fractures with a Baumgaertner index ≥ 25 mm, when the reduction and valgus fixation of the intertrochanteric fracture was performed with the Dynamic hip screw type sliding pin, as there was also, in the majority of patients, no anisomelia of the lower limbs. (imed.pub)
  • Baumgaertner M, Curtin S, Lindskog D, Keggi J: The value of the tip-apex-distance in predicting failure of fixation of peritrochanteric fractures of the hip. (imed.pub)
  • 3. Palvanen M, Kannus P, Niemi S, Parkkari J. Update in the epidemiology of proximal humeral fractures. (asesjournal.com)
  • 5. Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. (asesjournal.com)
  • Proximal humeral fractures account for around 5% of humeral fractures. (scielo.org.za)
  • Proximal humeral fractures are limited to those located above the insertion point of the superior edge of the pectoralis major. (beemed.com)
  • The superior edge of the pectoralis major and the top of the humeral head is a reliable measure that can be used intraoperatively to decide the height of the humerus prosthesis or humeral head in comminuted fractures of the proximal humerus. (beemed.com)
  • B) Radiograph of the same patient after allograft reconstruction of the humeral head and reinsertion of the rotator cuff. (beemed.com)
  • Neer divides proximal humeral fractures into six groups, as shown in Fig. 17-1 , and this concept is useful in considering the management of the injury. (teachmeorthopedics.info)
  • Undisplaced linear fractures that extend into the humeral head can occur. (teachmeorthopedics.info)
  • Displaced proximal humeral fractures. (teachmeorthopedics.info)
  • Fractures of the distal humerus make up 2-6% of all humeral fractures and 30% of all elbow fractures [ 1 ]. (sicot-j.org)
  • Proximal humeral fractures are extremely common injuries. (ojmpc.com)
  • In young adults, most distal humerus fractures occur from high-energy trauma, sideswipe injuries, motor vehicle accidents, falls from heights, and gunshot wounds. (medscape.com)
  • Assessment of an acute proximal humerus fracture includes a complete trauma series radiography and, where surgical treatment is considered, a CT scan with three-dimensional reconstruction. (beemed.com)
  • Patients usually have a history of recent trauma to the area or fall from a height. (wikipedia.org)
  • These forces are typically linked to injuries in which an individual falls from a height, involvement in an automobile accident, or muscular stress where the resulting forces can lead to the trauma of fracture. (wikipedia.org)
  • The rationale behind their use subsequently led to application even in revision arthroplasty with great loss of bone stock, as well as in trauma surgery, for extremely comminuted fractures with poorly vascularized fragments, where traditional osteosynthesis cannot be applied. (openorthopaedicsjournal.com)
  • Fractures include direct (anterior blunt force), indirect (avulsion due to exceeding stress in tension) or combined trauma mechanisms, which ultimately lead to a partial or complete discontinuance of the extensor mechanism of the knee [ 1 ]. (biomedcentral.com)
  • Osteoporotic ankle fractures result from mechanical forces that would not ordinarily result in fracture, known as 'low-energy' trauma, such as those equivalent to a fall from a standing height or less. (bioscientifica.com)
  • 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)
  • Distal radius fractures (DRFs) are commonly encountered in trauma practice with most cases being elderly individuals. (jointdrs.org)
  • 1 ] In younger patients, the etiology is often high-energy trauma, whereas older patients can suffer DRFs after a simple fall on an open hand-due to the high prevalence of osteoporosis. (jointdrs.org)
  • The association of these complications with important elements of operative decision making such as plate and/or screw construct is poorly understood, with certain literature suggesting that more screws in the distal articular segment of AO Foundation/Orthopaedic Trauma Association (AO/OTA) C-type fractures may be associated with fewer complications [ 4 ]. (sicot-j.org)
  • Avascular necrosis is caused by ischaemia hypothetically due to either a direct trauma to the arterial supply crossing the fracture-line or by a temporary arterial impingement, caused by vessel stretching or intra-capsular hematoma. (musculoskeletalkey.com)
  • A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. (fixthebones.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)
  • The incidence of fracture of the proximal humerus is bimodal in geriatric due to osteoporosis and in adolescents due to high-energy trauma. (ojmpc.com)
  • This course is designed for all healthcare professionals involved in the care of pediatric patients, especially those in trauma care centers. (netce.com)
  • 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)
  • to simulate comminuted extraarticular distal femur fractures (AO/OTA 33A). (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)
  • Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)
  • Numerous classification schemes have been devised to categorize and discuss supracondylar fractures. (medscape.com)
  • A CT scan is currently the imaging study of choice for evaluating calcaneal injury and has substituted conventional radiography in the classification of calcaneal fractures. (wikipedia.org)
  • This classification remains somewhat deficient in describing the mechanically important concept of the medial and lateral columns and their fracture involvement. (medscape.com)
  • The classification of Mehne and Matta describes the specific characteristics of bicolumn fractures and allows for better preoperative planning. (medscape.com)
  • Treatment options vary based on fracture displacement, classification, and patient factors. (doldmd.com)
  • In the past, the classification of patella fractures resulted from fragment patterns in conventional radiographs, while the diagnostics included traditional two-plane radiographs. (biomedcentral.com)
  • Femoral neck fracture classification has historically been contentious with several different systems, primarily based on fracture displacement seen in the anterior-posterior radiographs. (musculoskeletalkey.com)
  • Classification systems are primarily based on fracture-line location and number of fragments. (musculoskeletalkey.com)
  • The AO/OTA classification covers most fractures within previous classification systems, except the few trochanteric fractures with a detached greater trochanter and an intact lesser trochanter. (musculoskeletalkey.com)
  • Hawkins classification of talar neck fractures. (teachmeorthopedics.info)
  • Only patients with closed, displaced two or three part fractures as per Neer's classification were included in the study. (ojmpc.com)
  • Classifications in Brief: The Neer Classification for Proximal Humerus Fractures. (ojmpc.com)
  • Sixty-one patients with 3rd and 4th degree, according to Tronzo classification, intertrochanteric fractures underwent surgery with the use of Dynamic hip screw type sliding screw and valgus reduction. (imed.pub)
  • To report the outcomes of proximal humerus fracture operated with angular stability locking plate with regards to fracture pattern. (asesjournal.com)
  • Radiological outcome, functional outcome and complication of proximal humerus fractures with respect to fracture pattern, age, and gender. (asesjournal.com)
  • Epidemiology of proximal humerus fractures. (asesjournal.com)
  • 6. Schumaier A, Grawe B. Proximal humerus fractures: evaluation and management in the elderly patient. (asesjournal.com)
  • 7. Zyto K. Non-operative treatment of comminuted fractures of the proximal humerus in elderly patients. (asesjournal.com)
  • 8. Russo R, Lombardi LV, Ciccarelli M, Giudice G, Cautiero F. A new osteosynthesis device for the treatment of proximal humerus fractures. (asesjournal.com)
  • 11. Helwig P, Bahrs C, Epple B, Oehm J, Eingartner C, Weise K. Does fixed-angle plate osteosynthesis solve the problems of a fractured proximal humerus? (asesjournal.com)
  • 13. Thanasas C, Kontakis G, Angoules A, Limb D, Giannoudis P. Treatment of proximal humerus fractures with locking plates: a systematic review. (asesjournal.com)
  • The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
  • We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
  • performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)
  • However, there is conflicting evidence regarding the outcomes when used for proximal humerus fractures. (scielo.org.za)
  • Distal humerus fractures in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. (medscape.com)
  • In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus. (medscape.com)
  • The clinical presentation of a supracondylar humerus fracture (SCHF) is that of a painful swollen elbow that the patient is hesitant to move. (medscape.com)
  • In the early 1980s, the AO-ASIF group reported good and excellent results in 27 of 39 patients with comminuted fractures of the distal humerus. (medscape.com)
  • Proximal fractures of the humerus in patients older than 75 years of age: should we consider operative treatment? (iorg.co.in)
  • de Kruijf M, Vroemen JP, de Leur K, van der Voort EA, Vos DI, Van der Laan L. Proximal fractures of the humerus in patients older than 75 years of age: should we consider operative treatment? (iorg.co.in)
  • Over 75 % of patients presenting with a proximal humerus fracture are 70 years or older. (iorg.co.in)
  • This study was performed to gain more insight in safety and functional outcome of surgical treatment of proximal humerus fractures in the elderly. (iorg.co.in)
  • In this observational study, we analyzed all operatively treated patients, aged 75 or older, with a proximal humerus fracture between January 2003 and December 2008 in our center. (iorg.co.in)
  • Sixty-four patients were treated surgically for a displaced proximal fracture of the humerus: 15 two-part, 32 three-part, and 17 four-part fractures. (iorg.co.in)
  • This study shows that it is safe and justifiable to consider surgical treatment of a severely dislocated proximal humerus fracture in selected patients aged 75 and older. (iorg.co.in)
  • 100% displacement of the surgical neck of the humerus, and if the patient may be an operative candidate (young and active) - consider non-contrast CT scan. (orthojournalhms.org)
  • Reverse total shoulder arthroplasty (RTSA) is increasingly used for the treatment of complex proximal humerus fractures and fracture sequelae. (encyclopedia.pub)
  • Proximal humerus fractures are common injuries in adults, representing the third most common fracture in patients older than 60 years of age [ 1 ] . (encyclopedia.pub)
  • Fractures of the proximal humerus are seen in all age groups but are more common in older patients. (teachmeorthopedics.info)
  • There is lack of reliability in interpreting radiographs to accurately classify proximal humerus fractures. (teachmeorthopedics.info)
  • Approximately 85% of all fractures of the proximal humerus are in this category. (teachmeorthopedics.info)
  • Neer's anatomic concept for standardizing the terminology of fractures of the proximal humerus. (teachmeorthopedics.info)
  • Intra-articular Fractures of the Distal Humerus in the Adult. (uth.edu)
  • Surgical treatment of distal humerus fractures can lead to numerous complications. (sicot-j.org)
  • The purpose of this study is to evaluate the association between a number of screws in the distal segment and complication rate for surgical treatment of distal humerus fractures. (sicot-j.org)
  • We performed a single-center retrospective cohort study of 27 patients who underwent ORIF of distal humerus fractures C-type with at least six months of radiographic and clinical follow-up. (sicot-j.org)
  • This is a single-center retrospective cohort study of 27 consecutive unselected patients who underwent ORIF of distal humerus fractures AO type C between 2007 and 2017. (sicot-j.org)
  • A prospective study was performed on all patients diagnosed with intra-articular proximal humerus fracture presenting to us from Nov 2018 to June 2022. (ojmpc.com)
  • 1. Pencle FJ, Varacallo M. Proximal Humerus Fracture [Internet]. (ojmpc.com)
  • 2. Proximal Humerus Fractures: Evaluation and Management in the Elderly Patient - PMC [Internet]. (ojmpc.com)
  • 3. Clinical and functional outcome of proximal humerus fractures treated with locking compression plate (LCP) in adults - A prospective study - IJOS [Internet]. (ojmpc.com)
  • The lateral offset of the greater tuberosity relative to the diaphyseal axis is another important anatomic variable, but sometimes difficult to restore due to the comminuted, and often porotic nature of fractured tuberosities, giving them an eggshell appearance. (beemed.com)
  • Role of the lateral offset: A) Superomedial malposition of the greater tuberosity after a subtubercular varus impacted fracture. (beemed.com)
  • Often, the superior lateral aspect of the patella fails to fuse, resulting in a bipartite patella which is often mistaken for a fracture. (doldmd.com)
  • 31-A3 covers fracture lines through the lateral femoral wall - defined as the lateral cortex distal to the greater trochanter - in which the subgroup 31-A3.1 represent the reverse fracture and 31-A3.2 the transversal, while the most comminuted 31-A3.3 fracture demands both a fractured lateral femoral wall and a detached lesser trochanter. (musculoskeletalkey.com)
  • 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)
  • If the extensor mechanism is intact, this typically indicates that the fracture is non-displaced and can often be managed non-operatively. (doldmd.com)
  • The fracture fragments are fewer, have a spiral orientation, and are relatively minimally displaced. (medscape.com)
  • Such a mechanism can produce significant comminution with multiple displaced fracture fragments and, importantly, a contused or crushed soft-tissue envelope, which could also be breached and open to external contamination through wounds. (medscape.com)
  • Additionally, over impaction of the fracture fragments may lead to significant loss of limb length. (jmsronline.com)
  • The fracture-line is anatomically located laterally to the nutrient vessels to the femoral head, so avascular necrosis is rarely seen, but muscle attachments often dislocate the fragments and bleeding into surrounding muscles can be severe and life-threatening. (musculoskeletalkey.com)
  • Unstable fractures are those in which fragments of the broken bone are misaligned and displaced. (fixthebones.com.au)
  • 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)
  • Prosthetic treatment, mostly used in highly comminuted fractures, often resulted in poor function (mean DASH 72.9). (iorg.co.in)
  • In addition to standard plain radiographs, CT scan may be useful in highly comminuted fractures for mapping out fracture anatomy and preoperative planning. (ankleinfo.net)
  • However, when the same principles were used to fix high-energy injuries (eg, from motor vehicle accidents), the outcomes were poor, mainly because of soft-tissue complications. (medscape.com)
  • The diabetic population is more susceptible to the risks of fracture and potential healing complications and infection that may lead to limb amputation. (wikipedia.org)
  • Furthermore, although functional results and mortality rates are similar, as cemented calcar replacement hemiarthroplasty has serious life-threatening complications, it should not be the first choice of treatment method. (journaltocs.ac.uk)
  • We hypothesized that there would be an association between a number of screws in the articular segment of an AO/OTA C-type fracture and complications, with an association between a decreasing number of screws and an increased complication rate. (sicot-j.org)
  • In 12% of the patients, the dislocation is combined with a femoral head fracture (complex dislocations) [1, 2] which could result in severe complications such as avascular necrosis (AVN) and subsequent early secondary osteoarthritis. (jocr.co.in)
  • Secondary outcomes included the AOFAS, VAS, range of motion, and complications and were analysed using a simplified pooling technique. (isakos.com)
  • This paper describes the complications of cut out or the anisomelia of the lower limbs of patients with intertrochanteric fractures who underwent valgus reduction surgery. (imed.pub)
  • Evaluating soft-tissue involvement is the most important aspect of the clinical examination because of its association with patient outcome. (wikipedia.org)
  • In potentially unstable fractures treated non-operatively with cast application, it may be necessary to follow the patient weekly with serial x-rays to assess the position of the fracture, with cast removal at approximately 6 weeks depending on clinical and radiographic evidence of healing. (ankleinfo.net)
  • The majority of these fractures can be treated non-operatively with a high likelihood of an acceptable clinical outcome. (encyclopedia.pub)
  • In a large retrospective review of clinical and radiological records of 756 patellar fractures from the north of Denmark treated between 2005 and 2014, the mean age at the time of fracture was 54 years, with an average of 46 years for males and 61 years for females. (biomedcentral.com)
  • Background: The good clinical-functional outcomes of total knee arthroplasty (TKA) depend on several factors, such as the surgical time and the adequate positioning of the prosthesis components. (journaltocs.ac.uk)
  • His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)
  • Dr. Noble's diverse research interests include the biomechanics of human and artificial joints, the morphometry of human bones, computer-assisted orthopedics and robotic surgery, orthopedic biomaterials, and the quantitative assessment of clinical outcomes. (uth.edu)
  • Clinical outcomes including a range of motion, pain, revision surgery for stiffness and/or heterotopic ossification (HO), nonunion, and persistent ulnar nerve symptoms requiring revision neurolysis were recorded. (sicot-j.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)
  • Summary: This meta-analysis showed that ankle distraction arthroplasty results in a low annual revision rate with good clinical outcomes. (isakos.com)
  • The aim of the present study was to determine and to obtain an overview of other clinical outcomes. (isakos.com)
  • A 56-year-old right-handed male patient with adequate bone stock presented with a highly comminuted intra-articular DRF right after a high-energy fall from a height of three meters (Figure 2(a) ). (hindawi.com)
  • Cemented bipolar arthroplasty with trochanteric reconstruction is a very good option for patients whose life expectancy is not more than ten years and who has unstable IT fractures. (jmsronline.com)
  • When accompanied by medial malleolus fracture or with deltoid ligament rupture the ankle is considered unstable. (ankleinfo.net)
  • Non-operative treatment of unstable ankle fractures is associated with a non-union rate of between 48 and 73% compared to 0 and 19% after operative treatment. (ankleinfo.net)
  • Pilon fractures in the distal tibia result from axial forces that can range from low to high energy and produce a spectrum of articular and metaphyseal injuries. (medscape.com)
  • Good outcomes were reported when these principles were used for low-energy injuries (eg, those from skiing accidents). (medscape.com)
  • The fibula is usually fractured in high-energy injuries. (medscape.com)
  • The complexity of these injuries is a function of fracture severity (and the associated risk of avascular necrosis), and the difficulty in attaining union of the greater and lesser tuberosities in anatomical position. (scielo.org.za)
  • Although these injuries are relatively rare, most orthopedic surgeons are called upon to evaluate and treat patients with these injuries and, therefore, must be equipped to achieve optimal outcomes. (medscape.com)
  • In elderly persons with more osteoporotic bone, most of these injuries occur from falls. (medscape.com)
  • Since calcaneal fractures are related to falls from height, other concomitant injuries should be evaluated. (wikipedia.org)
  • Orthopedic injuries are some of the most common reasons for patient presentation to the emergency department. (orthojournalhms.org)
  • While patients often require individual care that does not always fit into generic algorithms for treatment, we hope that the following guide will provide a concise and useful summary of relevant presentations, pertinent exam findings, and initial steps in the management of patients in the emergency department with orthopedic injuries. (orthojournalhms.org)
  • Patella fractures account for approximately 1% of all skeletal injuries. (biomedcentral.com)
  • This specialty is dedicated to the care of patients with complex injuries to the body's bones, joints, or tissues. (stanford.edu)
  • Ankle fractures are very common injuries to the ankle which generally occur due to a twisting mechanism. (orthobullets.com)
  • 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)
  • 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)
  • Talar neck and body fractures are usually the result of high-energy injuries. (teachmeorthopedics.info)
  • Overuse injuries are common cause of stress fractures in athletes. (fixthebones.com.au)
  • If the quadricep is contracted and rapid knee flexion occurs, this creates failure in compression and can lead to avulsion fractures or transverse fractures across the patella with displacement of the fracture. (doldmd.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)
  • Treatment can be nonoperative or operative depending on fracture displacement, ankle stability, presence of syndesmotic injury, and patient activity demands. (orthobullets.com)
  • Even small residual-fracture displacement can result in a significant compromise of subtalar, ankle, or talonavicular joint function. (teachmeorthopedics.info)
  • Avascular necrosis (AVN) complicates between 21 and 75% of three- and four-part fractures, and is related to the initial injury, the fracture pattern, the integrity and size of the medial cortical hinge, and surgical dissection. (scielo.org.za)
  • Weber B) The SER fracture type II, has no medial injury, mechanically stable and do not require surgery. (ankleinfo.net)
  • The SER IV fracture has a medial component: either a medial malleolar fracture or a deltoid rupture. (ankleinfo.net)
  • Comminuted fracture of fibula above ankle mortise with medial malleolar fracture or deltoid injury. (ankleinfo.net)
  • A 22-year-old truck driver involved in a ski accident sustained an obturator dislocation of the right hip associated with a femoral head impaction in the weight-bearing zone and a medial wall fracture of the acetabulum. (jocr.co.in)
  • An obturator hip dislocation with a femoral head and a medial wall acetabular fracture is a very rare combination. (jocr.co.in)
  • He sustained an obturator dislocation of the right hip associated with a severe femoral head impaction fracture in the weight-bearing zone and a medial wall fracture of the acetabulum (Fig. 1, 2, 3). (jocr.co.in)
  • Vertebral compression fractures occur in approximately 10% of these patients. (wikipedia.org)
  • Mechanical failure including loss of purchase of the compression screw within the femoral head, pulling of the side plate and dis-engagement of the screw and barrel have been reported to occur in as many as 28% of fractures. (jmsronline.com)
  • Patellar fractures account for approximately 1% of all fractures and more commonly occur in men. (doldmd.com)
  • Patella fractures occur via one of two unique mechanisms: (1) Direct impact due to fall, dashboard injury, or other high energy mechanism and (2) indirect eccentric contraction, which occurs from rapid knee flexion against a contracted quadriceps muscle. (doldmd.com)
  • Neurovascular injury can occur in this type of fracture because the shaft may be displaced into the axilla. (teachmeorthopedics.info)
  • Ulnar neuropathy has been reported to occur in 7-15% of cases, is more common in C-type fractures, and may be related to plate placement [ 5 - 10 ]. (sicot-j.org)
  • Indentation fractures of the femoral head have been reported to occur in 35%-55% of patients after traumatic obturator dislocation [3, 4, 5]. (jocr.co.in)
  • 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. (fixthebones.com.au)
  • Greenstick fractures occur most often during infancy and childhood when bones are soft. (passmed.uk)
  • In a 56-year-old male patient with adequate bone stock, insertion of the noncemented Maestro WRS was combined with ulnar shortening osteotomy. (hindawi.com)
  • In an 84-year-old female patient with poor osteoporotic bone stock, insertion of the radial cemented Maestro WRS was combined with ulnar head resection. (hindawi.com)
  • A calcaneal fracture is a break of the calcaneus (heel bone). (wikipedia.org)
  • in 1997, showed that greater bone density indicated less risk for fractures in the calcaneus. (wikipedia.org)
  • In 1991, Kathol conducted a study which showed a correlation between calcaneal insufficiency avulsion fractures (a fracture in which the Achilles tendon removes a portion of the bone as it rescinds) and diabetes mellitus. (wikipedia.org)
  • Rapid change in forces can cause the patella to fail and ultimately lead to compromise of the bone leading to a fracture. (doldmd.com)
  • 1. A client with a fractured head of the right femur and osteoporosis is placed in Buck extension before surgical repair.The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins. (nails-beauty.de)
  • Totally edentulous patients with high jaw bone resorption have a significant therapeutic problem for prosthetic rehabilitation because, despite the careful making of the denture, in many cases it is not possible to obtain its adequate retention and stability. (bvsalud.org)
  • 5 years after the injury, the patient was completely asymptomatic, and radiographs demonstrated union of all osteotomies, osseous integration and remodeling of the bone graft as well as correct congruity of the hip joint. (jocr.co.in)
  • 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)
  • A bone fracture is a medical condition in which a bone is cracked or broken. (fixthebones.com.au)
  • The word "Fracture" implies to broken bone. (fixthebones.com.au)
  • Thinning of the bone due to osteoporosis in the elderly can cause the bone to break easily. (fixthebones.com.au)
  • Simple fractures in which the fractured pieces of bone are well aligned and stable. (fixthebones.com.au)
  • Greenstick fractures: This is a unique fracture in children that involves bending of one side of the bone without any break in the bone. (fixthebones.com.au)
  • Bone cells begin forming on the either side of the fracture line. (fixthebones.com.au)
  • 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. (fixthebones.com.au)
  • In skeletal traction, a pin is inserted through the bone distal to the fracture. (fixthebones.com.au)
  • A greenstick fracture is a fracture in a young, soft bone in which the bone bends and breaks. (passmed.uk)
  • 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)
  • The scaphoid bone is the most commonly fractured carpal bone. (passmed.uk)
  • Fractures are most often localized in the middle third of the scaphoid bone. (passmed.uk)
  • Pain when applying pressure to the anatomical snuffbox is highly suggestive of a scaphoid bone fracture. (passmed.uk)
  • Letter to the Editor: Does Osteoarticular Allograft Reconstruction Achieve Long-term Survivorship After En Bloc Resection of Grade 3 Giant Cell Tumor Of Bone? (ucdavis.edu)
  • 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)
  • In this study, 77 ACL rupture and 77 patellar dislocation patients' knee MR images with bone bruises between August 2020 and March 2022at our institution were selected and analyzed, respectively. (preprints.org)
  • Surgical treatment of supracondylar fractures has evolved significantly over the past few decades. (medscape.com)
  • For proper evaluation, planning, and execution of surgical treatment of SCHFs, the surgeon must have a solid understanding of the relevant anatomy from both a functional and a surgical perspective. (medscape.com)
  • Some studies have directly compared the outcome of conservative and surgical treatment, however it is difficult to establish a sound conclusion due to flaws in study designs, smaller no of patients and variation in fracture patterns. (ankleinfo.net)
  • We could also show that this ratio is age-related, making it more likely for younger patients in the age groups from 0 to 70 years old to receive surgical treatment for their patella fracture. (biomedcentral.com)
  • For simple fractures, conservative treatment can be sufficient, while surgical treatment may be inevitable for complex fractures. (jointdrs.org)
  • Surgical treatment continues to be the treatment of choice for intertrochanteric fractures of the femur. (imed.pub)
  • However, although the surgical treatment of the proximal fracture of the femur is widely known and accepted in the orthopedic field, it is not without risk with the cut out being the most feared complication. (imed.pub)
  • Ankle fractures account for 9% of all fractures, second highest in adults, only preceded by femoral neck fractures. (ankleinfo.net)
  • Amongst multiply injured patients ankle fractures are prognostically important, being related to poor functional outcomes. (ankleinfo.net)
  • Management of ankle fractures depends on accurate determination of the nature and severity of the injury. (ankleinfo.net)
  • Hutchinson and Barrie suggested that the majority of ankle fractures seen in clinic are stable, are not likely to displace and do not require plaster casting to achieve union in a good position. (ankleinfo.net)
  • They reviewed 163 patients with stable ankle fractures over a period of 8 years. (ankleinfo.net)
  • showed there was insufficient evidence to justify surgical management of type B ankle fractures. (ankleinfo.net)
  • Osteoporotic ankle fractures in frail patients are becoming more and more frequent in daily practice and represent a therapeutic challenge for orthopaedic surgeons. (bioscientifica.com)
  • The authors conducted a narrative review of the literature on primary tibiotalocalcaneal nailing of ankle fractures in frail patients and categorized the different factors to consider when treatment is indicated for this conditon. (bioscientifica.com)
  • Distal radius fracture (DRF) is the most common fracture of the upper extremity, representing 16% of all fractures treated in emergency departments [ 1 ]. (hindawi.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)
  • 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)
  • In recent studies, it has been shown that an involvement of the inferior patella pole can be detected in 88% of cases by using an additional preoperative CT scan, whereas these fractures could only be detected in 44% of cases when assessed by conventional X-rays. (biomedcentral.com)
  • Different situations or pathological position of the greater tuberosity cause impingement and loss of strength: A) Type II cephalotubercular valgus impacted fracture and B) displaced fracture of the greater tuberosity resulting in decreased mobility and loss of strength through relaxation of the cuff. (beemed.com)
  • Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)
  • Rarely, a three-part fracture is encountered involving the lesser or greater tuberosity as well as the surgical neck. (teachmeorthopedics.info)
  • Can Total Wrist Arthroplasty Be an Option for Treatment of Highly Comminuted Distal Radius Fracture in Selected Patients? (hindawi.com)
  • We present two case reports of successful primary shortening of the forearm and total wrist arthroplasty (TWA) using the new angle-stable Maestro Wrist Reconstructive System (WRS) for treatment of highly comminuted distal radius fracture in selected autonomous patients. (hindawi.com)
  • As for arthroplasty of IT fractures is concerned, there is little published data. (jmsronline.com)
  • What is appropriate surveillance for metal-on-metal hip arthroplasty patients? (coxa.fi)
  • Does Total Knee Arthroplasty Positively Affect Body Static-Dynamic Balance and Fall Risk Parameters in Patients With Satisfactory Functional Scores? (coxa.fi)
  • Very little is known about the outcome after operative treatment of these fractures in very old patients. (iorg.co.in)
  • On occasion, poor soft-tissue conditions complicate the operative treatment of these fractures. (teachmeorthopedics.info)
  • With comminuted bicolumn fractures, repeat films following initial reduction or with longitudinal traction maintained often prove helpful. (medscape.com)
  • Both patients could resume their work without additional surgery after TWA. (hindawi.com)
  • Although various options are available to treat these fractures, timing of definitive surgery is crucial with respect to the condition of the soft tissues. (medscape.com)
  • This was especially valuable in the case of oncologic orthopaedic surgery, as advances in the medical treatment of sarcoma patients improved prognosis and limb-preserving surgery proved to have comparable patient survival rates to amputation. (openorthopaedicsjournal.com)
  • We present the evolution of megasprosthetic implants, the indications for their use, and describe the outcome of surgery, so that the non-specialized orthopedic surgeon also becomes familiar with that kind of surgery which is usually performed in tertiary centers. (openorthopaedicsjournal.com)
  • For stable IT fractures it is the surgery of choice. (jmsronline.com)
  • For the evaluation of the positioning of the tibial component, the patients underwent computed tomography (CT) four weeks after the surgery, on average. (journaltocs.ac.uk)
  • Elderly patients who are too ill to be considered for surgery are treated as described for the first group. (teachmeorthopedics.info)
  • With reliable patients, gentle circumduction exercises can be started immediately after pinning and the exercise program advanced as described at 4 to 6 weeks after surgery for pin removal. (teachmeorthopedics.info)
  • 2 Surgery aims at realigning the spine, maintaining its stability and optimizing the neurological outcome. (pdfplayer.org)
  • 2 ] Patients can be treated conservatively or through surgery, depending on the type of fracture. (jointdrs.org)
  • This situation may positively affect patients' quality of life and surgery-related satisfaction. (jointdrs.org)
  • A total of 48 patients underwent surgery for bilateral DRFs during the study period. (jointdrs.org)
  • Prospective randomized controlled trial comparing the effect of Monocryl versus nylon sutures on patient- and observer-assessed outcomes following carpal tunnel surgery. (ucdavis.edu)
  • In general, the treatment of complex hip dislocations depends on the associated fracture (e.g., femoral head fracture, femoral neck fracture, and acetabular fracture). (jocr.co.in)
  • In 1959, Jergesen stated that open reduction and stabilization of severe tibial pilon fractures is impossible. (medscape.com)
  • The primary wrist hemiarthroplasty with or without replacement of distal radius metaphysis for treatment of highly comminuted DRFs in elderly patients may help avoid secondary procedures related to posttraumatic wrist joint osteoarthritis (OA) and can lead to a faster restoration of their ability to work and independence [ 8 - 11 ]. (hindawi.com)
  • They are the third most common non-vertebral fragility fracture after the hip and distal radius. (scielo.org.za)
  • 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)
  • Saudan M, Lubbeke A, Sadowski C, Riand N, Stern R, Hoffmeyer P: Pertrochanteric fractures: is there an advantage to an intramedullary nail? (imed.pub)
  • Obtain post-reduction shoulder films - if patient cannot tolerate axillary view, obtain Velpeau view. (orthojournalhms.org)
  • Reduction of the fracture depends on an intact posteromedial periosteal sleeve in younger patients. (teachmeorthopedics.info)
  • The next step in fracture management is the reduction of the fracture and its maintenance. (fixthebones.com.au)
  • To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical method. (fixthebones.com.au)
  • Casting closed reduction is done for any fracture that is displaced, shortened, or angulated. (fixthebones.com.au)
  • This is a surgical procedure in which the fracture site is adequately exposed and reduction of fracture is done. (fixthebones.com.au)
  • Fractures were managed by close reduction and percutaneous pinning with K wires and some cases which were linked by a fixator rod using clamps. (ojmpc.com)
  • 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)
  • Operative treatment is usually necessary to restore hind foot anatomy and mechanics, as well as joint congruity in the majority of these fractures. (teachmeorthopedics.info)
  • METHODS: We retrospectively enrolled 134 consecutive patients who underwent KT under general anesthesia. (bvsalud.org)
  • In a fragility fracture context, intra-capsular hip fractures are in fact through the femoral neck, as femoral head fractures are uncommon in the elderly. (musculoskeletalkey.com)
  • In adults, the femoral head is primarily supplied by the distal recurrent vessels entering the femur on the shaft side of the fracture. (musculoskeletalkey.com)
  • therefore, the incidence of these fractures is likely to increase. (medscape.com)
  • The incidence of these fractures in females steadily increases with advancing age and overall female to male ratio is about 2:1. (jmsronline.com)
  • C - Fractures above the joint line, generally with syndesmotic injury. (ankleinfo.net)
  • The fracture is proximal to the plafond, and may be as high as fibular neck (Maisonneuve) with associated syndesmotic injury. (ankleinfo.net)
  • The Quick Disability of the Arm, Shoulder and Hand (Q-DASH) was used to calculate functional and symptomatic evaluation. (jointdrs.org)
  • Although conservative treatment is the gold standard for clavicle fractures, there may be some issues like shoulder impairement, a bump at the fracture site that is cosmetically unacceptable or nonunions which happen when grossly displaced fractures are treated conservatively. (traumainternational.co.in)
  • The incidence of complex fractures and plate osteosynthesis has significantly increased throughout the analysed period. (biomedcentral.com)
  • The treatment of pilon fractures has evolved over the past century. (medscape.com)
  • However, outcomes after nonoperative treatment continue to be poor. (medscape.com)
  • These were by far the best results reported in the treatment of these difficult fractures at that time. (medscape.com)
  • The reverse implant is increasingly the treatment of choice for the elderly. (beemed.com)
  • Conservative treatment of her fractures with skeletal traction, which used to be the standard in earlier parts of 20th century, which involves prolonged confinement to bed. (jmsronline.com)
  • Traditionally, nonoperative treatment has been reserved for non-displaced fractures. (doldmd.com)
  • We aim to give insight into the more recent trends and developments as well as establish the epidemiology of patella fractures in Germany by analysing treatment and epidemiological data from a national database. (biomedcentral.com)
  • Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
  • In older patients, treatment is designed to maintain glenohumeral motion. (teachmeorthopedics.info)
  • This treatment should be chosen with caution in patients with significant osteoporosis. (teachmeorthopedics.info)
  • The ideal treatment for patients with a thoracolumbar burst fracture remains controversial. (pdfplayer.org)
  • 1 The ideal treatment of these fractures remains controversial. (pdfplayer.org)
  • Conservative treatment can lead to satisfactory outcomes especially in patients with no neurological deficits. (pdfplayer.org)
  • 4 ] Although the most optimal surgical approach to DRF treatment remains as a topic of controversy,[ 4 ] when the fracture is unilateral, treatment modality and type of implant to be used can be selected based on the literature and according to the fracture type and surgical expertise. (jointdrs.org)
  • The patients were divided into two groups according to the surgical approach as those undergoing EF treatment (n=11) and those undergoing ORIF treatment (n=10). (jointdrs.org)
  • Current CORIT research programs include: (1) Development new mitigation strategies for prevention of prosthetic joint infections, (2) The prevention and treatment of periprosthetic fractures, (3) Quantifying and enhancing surgical skills through computer-assisted and robotic technologies, and (4) Biomechanical simulation and optimization of orthopaedic procedures. (uth.edu)
  • This is particularly true in multiply injured patients, and late treatment of the talar injury often results in suboptimal outcomes. (teachmeorthopedics.info)
  • Peripheral neuropathy is highly variable in severity, and many elderly patients have some degree of peripheral neuropathy that should not necessarily preclude operative treatment. (teachmeorthopedics.info)
  • By combining the two treatment modalities, none of the individual effects of the treatments are lost, but the benefit is that lower treatment intensities can be used to achieve the same results, & there are additional potential benefits in terms of outcome measure[4]. (journalmedicalthesis.com)
  • Treatment can be conservative (e.g., wrist immobilization) or in certain cases surgical (e.g., proximal pole fracture). (passmed.uk)
  • 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)
  • In 2021, half a dozen models of fracture stems are commercially available, reflecting its growing utility for fracture management. (encyclopedia.pub)
  • Contact us immediately if you have been diagnosed with or suffered a patella fracture or patella tendon rupture . (doldmd.com)
  • The critical element to examine on physical examination of a patient with a patella fracture is their extensor mechanism via straight leg raise or knee extension. (doldmd.com)
  • Women were about 1.5 times more likely to suffer from patella fracture than men. (biomedcentral.com)
  • Achilles tendon injury can be seen with posterior (Type C) fractures. (wikipedia.org)
  • This causes failure in tension and often results in a transverse fracture or inferior pole avulsion. (doldmd.com)