Fracture fixation intramedullary. Medical search. Frequent questions

UK Fixation of Distal Tibia Fractures (UK FixDT): protocol for a randomised controlled trial of 'locking' plate fixation versus intramedullary nail fixation in the treatment of adult patients with a displaced fracture of the distal tibia. (ox.ac.uk)
Warsaw, Indiana) provides a viable alternative to plate fixation for young, active patients with simple displaced mid-shaft clavicle fractures (Figure 1). (foreonline.org)
The Rockwood clavicle pin requires a smaller incision over the fracture compared with plate fixation. (foreonline.org)
Hardware removal after plate fixation leaves multiple bicortical holes. (foreonline.org)
Disadvantages to the use of the Rockwood clavicle pin include weaker initial fixation from an intramedullary device compared with plate fixation, as well as the inherent need for a second surgery to remove the pin. (foreonline.org)
Biomechanical studies have shown that intramedullary pin fixation provides less rotational stiffness and allows for more displacement at equal loads when compared with plate fixation. (foreonline.org)

The present report describes an incomplete atypical femoral fracture (AFF) patient who underwent simultaneous autogenous bone transplantation to the resected fracture region during intramedullary nail fixation. (hindawi.com)
After the fixation, the cortical bone at the fracture region was excised as a wedge-shaped block, and bone marrow extracted from the hollow reamer was simultaneously transplanted to the resected fracture region. (hindawi.com)
Histological examination showed few bone formation features at the fracture line in the excised lateral cortical bone. (hindawi.com)
1 ] reported that long-term alendronate therapy could cause severely suppressed bone turnover (SSBT), resulting in delayed healing of nonspinal fractures. (hindawi.com)
Moreover, recent histological studies clarified few bone formation features at the thin fracture lines of incomplete AFF cases [ 4 ]. (hindawi.com)
Anteroposterior radiographs showing fracture region just after surgery (c) and complete bone repair at 7 months after surgery (d). (hindawi.com)
Intramedullary screw fixation with bone autografting has the potential to resolve the issue. (biomedcentral.com)
Surgery involved intramedullary cannulated cancellous screw fixation after curettage of the fracture site, followed by bone autografting. (biomedcentral.com)
The hypothesis of this study was that the intramedullary fixation combined with bone autografting could lead to high bone union rate. (biomedcentral.com)
Tibia shaft fracture is a fracture of the proximal (upper) third of the tibia (lower leg bone). (wikipedia.org)
Thus it is the most commonly fractured long bone in the body. (wikipedia.org)
Fractures that are open (bone exposed or breaking the skin) are common. (wikipedia.org)
Tibia shaft fractures are the most common long bone fractures. (wikipedia.org)
The use of nails that are inserted into bone cavities in order to keep fractured bones together. (nih.gov)
When a fracture happens, bone union is delayed and nonunion often occurs. (koreamed.org)
Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks. (aaos.org)
Many clavicle fractures can be treated by wearing a sling to keep the arm and shoulder from moving while the bone heals. (aaos.org)
With some clavicle fractures, however, the pieces of bone move far out of place when the injury occurs. (aaos.org)
Most fractures occur in the middle portion, or shaft, of the bone. (aaos.org)
The bone can crack just slightly or break into many pieces (comminuted fracture). (aaos.org)
The broken pieces of bone may line up straight or may be far out of place (displaced fracture). (aaos.org)
This illustration shows a clavicle fracture close to where the bone attaches to the scapula (shoulder blade). (aaos.org)
In a clavicle fracture, the broken ends of the bone may cause tenting of the skin over the fracture site. (aaos.org)
Besides this, the growing geriatric population more prone to bone fractures and musculoskeletal conditions has significantly increased the demand for osteosynthesis devices. (imarcgroup.com)
On the basis of the type, the market has been divided into internal (screw and plates, wires and pins, intramedullary rods and nails, and spinal fixation devices) and external (fracture fixation and bone lengthening). (imarcgroup.com)
Prior studies of acute phosphate restriction during the endochondral phase of fracture healing showed delayed chondrocyte differentiation was mechanistically linked to decreased bone morphogenetic protein signaling. (researchgate.net)
The prospective study tracked the results of 203 patients with either a femoral (thighbone) fracture or tibial shaft (shin bone) fracture, who were each treated with intramedullary nail fixation (a supportive rod used to stabilize the bone. (scienceblog.com)
The autosomal dominant form is compatible with a normal life span, although fractures often result from minimal trauma, due to the pathologic nature of bone. (medscape.com)
Following incision, carry dissection down to expose the 2 fracture ends, removing all soft tissue and adhesions at the fracture site to maximize bone contact. (foreonline.org)
Immobilization by casting, bracing, or splinting a joint above and below the fracture was used for most long bone fractures - except femur fractures, for which traction was the mainstay of treatment. (medscape.com)
Although this process has been called secondary bone union or indirect fracture repair, it is the natural and expected way fractures heal. (medscape.com)
In this model, cutter heads of the osteons reach the fracture and cross it where bone-to-bone contact exists. (medscape.com)
All patients with open fractures, pathological fractures, metabolic bone disease or neuromuscular disorders were excluded from search. (biomedcentral.com)
Single bone fixation with elastic stable intramedullary nailing in 20 cases. (wheelessonline.com)
The common procedure is to insert a metal rod bone, called 'intramedullary rod' down the center of the thigh. (targetwoman.com)
This intramedullary rod usually remains in the bone for the life of the patient but can be removed if it causes pain and other problems. (targetwoman.com)
Apart from clinical examination by the orthopaedic, for non-apparent fractures, a bone scan is required. (targetwoman.com)
Treatment for fractures of femur depends upon various factors such as the patient's age, type of fracture, location of the break, bone stability in the injured, mechanism of injury, direction of the blow, factors of twisting, existence of internal bleeding and extent of soft tissue damage. (targetwoman.com)
External fixation such as a frame on the outside of the leg anchored into the bone using pins. (targetwoman.com)
10) Intra operative changes of treatment due to small diameter of humerus shaft to use nail, fracture line through the nail entry point or severely reduced bone quality resulting in fixation problems with either implants. (who.int)
As a consequence of this bone fragility, patients have an increased (~50%) risk of fracture. (medscape.com)
[ 12 ] This risk of fractures or bone deformity is higher in the long bones (eg, femur, tibia, and humerus), but all the bones can be affected. (medscape.com)
The most common surgical indications are fracture of a weightbearing bone and progressive disease. (medscape.com)
Overview of Fractures A fracture is a crack or break in a bone. (msdmanuals.com)
Most fractures result from force applied to a bone. (msdmanuals.com)
Femoral neck hip fractures are particularly problematic because the fracture often disrupts the blood supply to the head of the bone. (msdmanuals.com)

Systematic review of the literature was conducted on the following databases: PubMed and VHL from 2000 to 2013 aiming to compare Intramedullary Nailing (IM Nailing), External Fixation (EF), and EF followed by IM Nailing in the treatment of open fractures of the tibial shaft. (imed.pub)
Risk factors for deep infection in secondary intramedullary nailing after external fixation for open tibial fractures.Injury. (imed.pub)
A meta-analysis of randomized controlled trials (RCTs) was conducted to evaluate long term function, complications, and operative duration in adult patients receiving intramedullary nailing in comparison to plating. (mcmaster.ca)
Intramedullary nailing is a common technique, but external fixation may have equivalent outcomes. (wikipedia.org)
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 radiological and clinical outcomes of tibiotalocacalcaneal arthrodesis using retrograde intramedullary nailing in a severe hindfoot deformity and ankle/subtalar arthritis. (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)
Fractures with less than an anatomic reduction and less rigid fixation (ie, those with large gaps and low strain via external fixator, casting, and intramedullary [IM] nailing) heal with callous formation or secondary healing with progression through several different tissue types and eventual remodeling. (medscape.com)
Flexible intramedullary nailing in paediatric femoral fractures. (biomedcentral.com)
Flexible intramedullary nailing has emerged as an accepted procedure for paediatric femoral fractures. (biomedcentral.com)
We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. (biomedcentral.com)
Flexible intramedullary nailing is reliable and safe for treating paediatric femoral shaft fractures. (biomedcentral.com)
External fixation, although producing acceptable results, is fraught with many complications as is plate osteosynthesis and rigid intramedullar nailing which may also require a second major surgery for removal of implant [ 13 - 21 ]. (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)
We undertook a long term retrospective study of paediatric femoral fractures treated with flexible intramedullary nailing at our institute. (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)

The treatment of open fractures of the tibial shaft is often a dilemma since it requires particular caution and individual assistance for each case. (imed.pub)
Wani N,Baba A,Kangoo K,Mir M. Role of early Ilizarov ring fixator in the difinitive management of type II, IIIA and IIIB open tibial shaft fractures. (imed.pub)
Intramedullary fixation is a useful technique for unstable shaft fractures of the forearm in children that can not be treated by closed manipulation. (lww.com)
Patients with tibial shaft fractures present with pain and localized swelling. (wikipedia.org)
Anteroposterior (AP) and lateral radiographs the include the entire length of the lower leg (knee to ankle) are highly sensitive and specific for tibial shaft fractures. (wikipedia.org)
Two systems of fracture classification are commonly used to aid diagnosis and management of tibia shaft fractures:[citation needed] Oestern and Tscherne Classification Gustilo-Anderson Classification Management is dependent on the determination of whether the fracture is open or closed. (wikipedia.org)
citation needed] Nonsurgical treatment of tibia shaft fractures is now limited to closed, stable, isolated, minimally displaced fractures caused by a low-energy mechanism of injury. (wikipedia.org)
Tibia shaft fractures are particularly common injuries in certain sports, such as in MMA, where a successful check against an incoming low kick (a defensive technique in which the receiver's shin is used to block the low kick) can result in the practitioner of the kick fracturing their own shin. (wikipedia.org)
Closed fractures of the tibial shaft. (wikipedia.org)
Fractures of the proximal portion of the fifth metatarsal may be classified as avulsions of the tuberosity or fractures of the shaft within 1.5 cm of the tuberosity. (aafp.org)
The two basic fracture types are tuberosity avulsion fractures and fractures of the metatarsal shaft within 1.5 cm of the tuberosity ( Table 1 ) . (aafp.org)
Acute and stress fractures of the metatarsal shaft, within 1.5 cm of the tuberosity, occur in this area. (aafp.org)
It is imperative that the clinician differentiate this fracture from fractures of the metatarsal shaft within 1.5 cm of the tuberosity. (aafp.org)
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)
Humeral Shaft Fractures in the pediatric population are usually traumatic in nature, although nonaccidental trauma and pathologic lesions can not be overlooked. (orthobullets.com)
The purpose of the study is to compare patient reported outcome after surgical and non-surgical treatment for humeral shaft fractures. (researchsquare.com)
A pragmatic randomized controlled trial is planned with two study groups (SHAFT-Y and SHAFT-E). A total of 287 eligible acute humeral shaft fractures are scheduled to be recruited and randomly allocated to surgical or non-surgical treatment with the option of early crossover due to delayed union. (researchsquare.com)
SHAFT will provide information on the effectiveness of two standard treatments for humeral shaft fractures, while taking the dilemmas within the population into account. (researchsquare.com)
The incidence of humeral shaft fracture is between 13.5-20 per 100.000 annually(1,2). (researchsquare.com)
It is projected that the incidence of humeral shaft fractures will increase due to changing demographics(1). (researchsquare.com)
Considering this demographic difference, the importance of age in terms of patient expectations, upper limb function and patient-reported outcome measures (PROM) in humeral shaft fracture treatment is not well understood. (researchsquare.com)
One of the main challenges with humeral shaft fractures is the choice between surgical and non-surgical treatment(3). (researchsquare.com)
Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. (orthobullets.com)
Present indications include all patients with femoral shaft fractures and open physis. (biomedcentral.com)
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)
Of these 81 patients, 69 patients with 73 femoral shaft fractures were available for follow up. (biomedcentral.com)
Indication for surgery in all cases was displaced femoral shaft fracture with open femoral physis. (biomedcentral.com)
Femur fracture is also called femoral shaft fracture , femur injury , femur stress fracture , fractured femur , femur trauma and femoral diaphyseal fracture . (targetwoman.com)
The femoral shaft fracture is a severe injury that occurs during high-speed motor vehicle collisions and significant falls. (targetwoman.com)
Injuries caused by femoral shaft fractures are usually severe. (targetwoman.com)
Treatment of femoral shaft fracture is always with surgery. (targetwoman.com)

Increased tension in the collateral ligaments with MCP flexion can be helpful in stabilizing the metacarpal head during reduction of a metacarpal neck fracture. (medscape.com)
PL internal fixation seems to be more advantageous in achieving anatomical reduction and decreasing knee pain. (biomedcentral.com)
The method of treatment of each forearm fracture was open reduction and intramedullary Kirschner wire fixation using a mini-incision. (lww.com)
He was planned for open reduction and internal fixation. (researchgate.net)
When a patient presents with a dorsal dislocation of the PIP joint, a prereduction radiograph should be obtained to rule out any associating fracture, which could interfere with the attempted reduction. (medscape.com)
Belsky MR, Eaton RG, Lane LB. Closed reduction and internal fixation of proximal phalangeal fractures. (medscape.com)
Miller L, Ada L, Crosbie J, Wajon A. Pattern of recovery after open reduction and internal fixation of proximal phalangeal fractures in the finger: a prospective longitudinal study. (medscape.com)
We recommend a reduction at this time to confirm that there is enough exposure to reduce the fracture (Figure 4). (foreonline.org)
Satisfactory exposure is confirmed with reduction of the fracture. (foreonline.org)
Although the concept of internal fixation dates back to the mid-1800s, Lister introduced open reduction, internal fixation (ORIF) of patella fractures in the 1860s. (medscape.com)
Anatomic reduction and absolute stabilization of a fracture by internal fixation alter the biology of fracture healing by diminishing strain (elongation force) on the healing tissue at the fracture site. (medscape.com)
Absolute stability with no fracture gap (eg, via open reduction and internal fixation using interfragmental compression and plating) presents a low strain and results in primary healing (cutting cone) without the production of callus. (medscape.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)
This nail has 4 cannulated proximal screws to provide fixation perpendicular to fracture lines and to avoid reduction loss due to the pull-out force of rotator cuff. (who.int)

Clavicle fractures are fairly common and occur in people of all ages. (aaos.org)
Clavicle fractures vary. (aaos.org)
Reproduced and adapted from Nuber GW, Bowen MK: Acromioclavicular joint injuries and distal clavicle fractures. (aaos.org)
Clavicle fractures are most often caused by a direct blow to the shoulder. (aaos.org)
Intramedullary fixation has been shown to provide a shorter time to union in clavicle fractures. (foreonline.org)

To assess the feasibility of a definitive cluster randomized crossover trial to determine the effect of lateral patient positioning versus supine positioning with fracture table use for reamed antegrade intramedullary fixation of femur fractures. (motr.ca)
Midshaft femur fractures appropriate for antegrade fixation. (motr.ca)
Femur fractures are apparent and visible in many cases. (targetwoman.com)

Surgical treatment options are expanding and include locked intramedullary nails, plate and screw fixation and external fixator systems. (ox.ac.uk)
DallÂ´Oca C,Christodoulidis A,Bortolazzi R,Bortolozzi P,Lavini F. Treatment of 103 displaced tibial diaphyseal fractures with a radiolucent unilateral external fixator.Arch Orthop Trauma Surg. (imed.pub)
A cast or brace, external fixator, plate, screws or intramedullary rod are used for treatment. (targetwoman.com)

In a clavicle fracture, there is usually an obvious deformity, or bump, at the fracture site. (aaos.org)
In three-part fractures, either the lesser or greater tuberosity is displaced with associated displacement of the surgical neck producing a rotational deformity. (who.int)
Surgical treatment of fibrous dysplasia is indicated in the prevention or treatment of fractures or major deformity. (medscape.com)

Although delayed surgical fixation leads to high union rates(12), the PROMs are inferior compared to primary fixation(11,13). (researchsquare.com)
Early surgical fixation initially was complicated by many obstacles, such as infection, poorly conceived implants and techniques, metal allergy, and a limited understanding of the biology and mechanics of fracture healing. (medscape.com)

Delayed unions or refractures are not rare following surgical treatment for proximal fifth metatarsal metaphyseal-diaphyseal fractures. (biomedcentral.com)
The clinical charts and radiographic studies of 15 patients who underwent surgical treatment for proximal fifth metatarsal metaphyseal-diaphyseal fractures between 2000 and 2011 were reviewed. (biomedcentral.com)
They can be used in all types of diaphyseal fractures in the humerus, femur and tibia. (vin.com)
This norm applies to diaphyseal fractures. (vin.com)
Cannulated Screws are used in trauma fixation procedures for metaphyseal and diaphyseal fractures. (globaldata.com)

This meta-analysis was designed to compare the success of IMN and PL fixations in the treatment of distal metadiaphyseal tibial fractures, in terms of complications and functional recovery. (biomedcentral.com)
Fracture union, growth disturbance of the forearm, and complications were evaluated. (lww.com)
Although most fractures of the proximal portion of the fifth metatarsal respond well to appropriate management, delayed union, muscle atrophy and chronic pain may be long-term complications. (aafp.org)
Most complications arise from a missed diagnosis or delayed treatment of a Monteggia fracture. (physio-pedia.com)
It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures. (biomedcentral.com)
Intra articular sepsis, arthritis and knee stiffness are some of the permanent complications that can occur among persons who have undergone femur fracture and treatment. (targetwoman.com)

Fractures of the distal tibial metaphysis, diaphysis, and adjacent diaphysis are commonly seen in road traffic accidents or sports injuries. (biomedcentral.com)
These metadiaphyseal fractures are distinct in terms of their management from articular impaction "pilon" type fractures and middle third diaphyseal injuries [ 1 ]. (biomedcentral.com)
These open fractures are most commonly caused by high velocity trauma (e.g. motor vehicle collisions), while closed fractures most commonly occur from sports injuries or falls. (wikipedia.org)
Diagnosis of fractures of the proximal fifth metatarsal relies on the basic principles of evaluating musculoskeletal injuries. (aafp.org)
This defines a set of traumatic injuries having in common a Monteggia fracture with the dislocation of the radial head either in anterior, posterior or lateral directions. (physio-pedia.com)
5) Concomitant ipsilateral fractures of distal humerus/ or elbow joint, 6) Previous surgery of affected shoulder, 7) Pathologic fracture (malignancy fractures), 8) Neurovascular injuries (e.g., stroke, or brachial plexus injuries), 9) Neurological disorders (e.g. (who.int)
Fractures usually result from injuries or overuse. (msdmanuals.com)

Management and prognosis of both acute (Jones fracture) and stress fracture of the fifth metatarsal within 1.5 cm of the tuberosity depend on the type of fracture, based on Torg's classification. (aafp.org)
This type of fracture is fairly common, accounting for about 5% of all adult fractures. (aaos.org)
Anteroposterior and lateral views will help to identify the type of fracture. (physio-pedia.com)

A way of determining early onset of union problems in a young cohort is by gently testing the fracture site at 6 weeks(14) and later for the elderly(15). (researchsquare.com)

This retrospective review evaluates the efficiency of standard intramedullary Kirschner wires for the treatment of unstable diaphyseal forearm fractures in children. (lww.com)
Thirty-one patients with diaphyseal forearm fractures were treated by surgical method between 1988 and 1998. (lww.com)
forearm fractures can lead to significant short-term and long-term disability. (physio-pedia.com)
The most common cause of Monteggia fracture is falling on the outstretched arm with a hyper-pronated forearm [1] . (physio-pedia.com)
Forearm fractures in children. (wheelessonline.com)

INTRODUCTION: The treatment of displaced, extra-articular fractures of the distal tibia remains controversial. (ox.ac.uk)
In this multicentre randomised controlled trial we aim to assess ratings of disability 6 months postinjury in patients who have sustained a distal tibia fracture treated with either an intramedullary nail or plate and locking screw fixation. (ox.ac.uk)
METHODS AND ANALYSIS: Adult patients presenting at trial centres with an acute fracture of the distal tibia will be considered for inclusion. (ox.ac.uk)
The overall incidence of tibial fractures is 51.7 per 100,000 a year, and the incidence of diaphyseal and distal tibia fractures is 15.7 and 9.1 respectively per 100,000 a year [ 2 ]. (biomedcentral.com)
citation needed] Since approximately one third of the tibia lies directly beneath the skin, open fractures are common compared to other long bones. (wikipedia.org)

An anteroposterior radiograph showed a transverse thin fracture line with localized periosteal and endosteal thickening, which is compatible with subtrochanteric incomplete AFF. (hindawi.com)
Anteroposterior radiograph showing a transverse thin fracture line with localized periosteal and endosteal thickening at the left subtrochanteric lateral cortex (a). (hindawi.com)
Fracture patterns included transverse (49), oblique (21), and communited (3) fractures. (biomedcentral.com)
Hanging arm cast is not recommended for transverse fractures due to potential for fracture distraction. (eorif.com)

Trauma to the hand is exceedingly common, not infrequently resulting in metacarpal and phalangeal fractures and dislocations. (medscape.com)
Surgical treatment is typically indicated for high-energy trauma fractures. (wikipedia.org)
The study results suggest that daytime operative time for orthopaedic trauma surgery has the potential to reduce minor complication rates with intramedullary nail fixation. (scienceblog.com)
Disruption of the endosteal and periosteal blood supply occurs with the initial trauma, and maintaining adequate blood supply to the fracture site is essential for healing. (medscape.com)
We are happy to invite you to embark on a learning journey with our forthcoming Trauma webinar, centered around the key to mastering the intricate art of managing segmental fractures of the lower extremities. (sicot.org)

Inclusion criteria: Patients with displaced three-part proximal humerus fractures based on Neer classification will be included. (who.int)

Aitken S, Court-Brown CM. The epidemiology of sports-related fractures of the hand. (medscape.com)
Epidemiology and Fracture Patterns of Traumatic Phalangeal Fractures. (medscape.com)

Bones weakened by osteoporosis , tumor or infection leading to a condition called pathologic femur fracture. (targetwoman.com)

Tuberosity avulsion fractures cause pain and tenderness at the base of the fifth metatarsal and follow forced inversion during plantar flexion of the foot and ankle. (aafp.org)
These fractures occur after forced inversion with the foot and ankle in plantar flexion. (aafp.org)

Background: Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hip fracture. (researchgate.net)
The selection and proper placement of these devices are essential to achieve successful fracture healing and optimal patient outcomes. (imarcgroup.com)
Radial nerve transection is associated with open fractures, but direct repair has not shown good functional outcomes. (eorif.com)

The interlocking nail nullifies all the forces acting over the fracture line, and thanks to screw fixation, it prevents implant migration that--in accordance with our opinion--is a frequent complication associated with intramedullary nails. (vin.com)
In our hospital the patient underwent accurate debridement, femoral head and greater trochanter resection, preparation of the diaphyseal intramedullary canal and implant of an antibiotic-loaded cement spacer. (medscape.com)
The best use of this implant is fixation of simple fractures in which good cortical contact and compression can be achieved. (foreonline.org)
Implant will be Tornier AEQUALIS Intramedullary Humeral Nail, a straight nail, 130 mm length and 8 mm distal diameter. (who.int)

Intramedullary nail fixation (IMN) and plate internal fixation (PL) are the two mainstay treatments for tibial fractures, but agreement on the best internal fixation for distal tibial fractures is still controversial. (biomedcentral.com)
The optimal type of internal fixation for treatment of a distal radius fracture is still under debate. (biomedcentral.com)
During the 1950s, Danis and Muller began to define the principles and techniques of internal fixation. (medscape.com)
The service emphasizes early stabilization of fractures and offers specialized surgical techniques, which include closed intramedullary fixation, combinations of internal and external fixation, and complex fracture treatment of the pelvis, acetabulum and extremities. (uamshealth.com)

Interlocking nails have been used in human medicine as a method of fracture fixation since 1950. (vin.com)
We thus undertook a retrospective study of paediatric femoral fractures treated with titanium or stainless steel flexible nails at our institute with a minimum of 5 years follow up. (biomedcentral.com)

Clinical studies about this fixation method for humerus, femur and tibial fractures have been performed throughout this decade. (vin.com)
A/P and lateral views of the humerus generally clearly demonstrate fracture. (eorif.com)

Although no delayed unions or refractures was observed, distal diaphyseal stress fractures at the distal tip of the screw occurred in two patients and a thermal necrosis of skin occurred in one patient. (biomedcentral.com)
We have treated these fractures by inserting a largest cannulated cancellous screw that would fit within the medullary canal with the goal of enabling athletes to return to play after seven to eight weeks without setting weight-bearing restrictions. (biomedcentral.com)
Giesen T, Gazzola R, Poggetti A, Giovanoli P, Calcagni M. Intramedullary headless screw fixation for fractures of the proximal and middle phalanges in the digits of the hand: a review of 31 consecutive fractures. (medscape.com)

Injury to the thumb metacarpals is also discussed in Bennett Fracture , Rolando Fracture , and Thumb Reconstruction . (medscape.com)
The thumb CMC saddle joint is highly mobile, and its unique motion and injury patterns are addressed more fully elsewhere (see Bennett Fracture and Rolando Fracture ). (medscape.com)
Articular fractures of the base of the fifth metacarpal often occur between the metacarpal ligament insertions and the insertion of the ECU, resulting in proximal and dorsal migration of the fractured metacarpal due to the unopposed tendon action (often called "reverse Bennett fracture" due to its similarity to the injury in the thumb). (medscape.com)
This medical exhibit illustrates the mechanism of injury leading to a leg fracture. (smartimagebase.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)
Radial nerve palsy=pts with closed fx with radial nerve injury should be treated with fracture bracing, cock-up wrist splint and observation of radial nerve with delayed exploration at 3-4 months in there are no signs of return. (eorif.com)
In this kind of fracture, the injury occurs just above the knee joint . (targetwoman.com)

Further subdivisions are made on the basis of the morphology and degree of comminution of the fracture: 43-A1 are non-comminuted extra-articular fractures, 43-A2 are wedge fractures, and 43-A3 are comminuted extra-articular fractures. (biomedcentral.com)
Extra-articular fractures of the proximal phalanges of the fingers: a comparison of 2 methods of functional, conservative treatment. (medscape.com)

Ridley TJ, Freking W, Erickson LO, Ward CM. Incidence of Treatment for Infection of Buried Versus Exposed Kirschner Wires in Phalangeal, Metacarpal, and Distal Radial Fractures. (medscape.com)
The infection occurred early after a plate osteosynthesis for a closed perthrocanteric fracture of the femur and persisted in spite of osteosynthesis removal, surgical debridement and external fixation. (medscape.com)

Since then, SSBT after prolonged use of bisphosphonates (BPs) has been considered to be one of the causes of low-energy femoral fractures, called "atypical femoral fracture" (AFF). (hindawi.com)
PURPOSE: Recent literature has noted incidences of subtrochanteric atypical femoral fractures (AFFs) in patients who have taken long-term bisphosphonates (BPs). (koreamed.org)

Naique SB, Pearse M, Nachanhal J. Management of severe open tibial fractures:the need for combined orthopaedic and plastic surgical treatment inspecialist centers. (imed.pub)

Intertrochanteric hip fractures rarely interrupt the blood supply to the head of the femur. (msdmanuals.com)

Most metacarpal fractures occur in the active and working population, particularly adolescents and young adults. (medscape.com)
This article reviews metacarpal fractures and dislocations in the hand. (medscape.com)
Treatment of metacarpal fractures and dislocations is primarily nonoperative. (medscape.com)

The authors retrospectively reviewed 15 athletes who underwent surgical treatment for proximal fifth metatarsal metaphyseal-diaphyseal fracture. (biomedcentral.com)
Ten-year results using a dynamic treatment for proximal phalangeal fractures of the hands. (medscape.com)

Most hand fractures are usually detected by obtaining 3 views (ie, anteroposterior [AP], a true lateral, oblique) of the specific injured joint rather than the entire hand. (medscape.com)
Transection most commonly occurs with spiral oblique fx throught the distal 1/3. (eorif.com)

Stress fractures also occur. (aafp.org)
In a baby, a clavicle fracture can occur during the passage through the birth canal. (aaos.org)
Hip fractures may occur in the round upper end (head) of the thighbone, in the narrow part of the thighbone just below the head (neck), or in the bumps in the broader area just below the neck. (msdmanuals.com)
Hip fractures usually occur in older people and often result from a minor fall, particularly in people with osteoporosis. (msdmanuals.com)
Most hip fractures occur just below the head of the thighbone. (msdmanuals.com)
Hip fractures can also occur in the head of the femur or below the large bumps (called subtrochanteric fractures). (msdmanuals.com)

Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures. (orthobullets.com)

The purpose of this study was to review the clinical results of our surgical treatment of proximal fifth metatarsal metaphyseal-diaphyseal fracture. (biomedcentral.com)
Avulsion fractures of the tuberosity are the most common fractures involving the proximal fifth metatarsal. (aafp.org)

When acute, the latter type is commonly referred to as a Jones fracture. (aafp.org)

For these more complicated fractures, surgery may be needed to realign the collarbone. (aaos.org)
Patients who have undergone total knee replacement surgery also run the risk of this fracture. (targetwoman.com)

A Monteggia fracture is defined as a one-third fracture of the ulna with radial head dislocation [1] . (physio-pedia.com)
Type I:Anterior radial head dislocation and fracture of ulna diaphysis with anterior angulation. (physio-pedia.com)
Type III: lateral or anterolateral radial head dislocation and fracture of ulna metaphysis. (physio-pedia.com)
Type IV: Anterior radial head dislocation and fracture of proximal third of ulna and radius. (physio-pedia.com)
Radial nerve palsy: exploration of radial nerve palsy in closed fractures is not recommended. (eorif.com)
11.1% of closed fx have associated Radial nerve palsy, 0.2% in closed fx's fail to recover. (eorif.com)

The patient with an avulsion fracture experiences the sudden onset of pain at the base of the fifth metatarsal. (aafp.org)
Although the avulsion fracture is often extra-articular, involvement of the metatarsal-cuboid joint is not uncommon. (aafp.org)

Onishi T, Omokawa S, Shimizu T, Fujitani R, Shigematsu K, Tanaka Y. Predictors of Postoperative Finger Stiffness in Unstable Proximal Phalangeal Fractures. (medscape.com)
Singh J, Jain K, Mruthyunjaya, Ravishankar R. Outcome of closed proximal phalangeal fractures of the hand. (medscape.com)

Nevertheless, in the subtrochanteric fractures and distal fractures, we apply the nail in a different fashion (see subtrochanteric and supracondylean fractures, and Figures 9 and 10). (vin.com)

Patients with fractures of the proximal portion of the fifth metatarsal commonly present to family physicians. (aafp.org)
However, the challenge is to identify the patients that will benefit from early fixation. (researchsquare.com)
The patients usually come with complaints of pain and swelling at the fracture site [1] . (physio-pedia.com)
Place in Humeral fracture brace for non-op patients. (eorif.com)
Patients who sustain supracondylar femur fracture are at high risk of developing knee arthritis later. (targetwoman.com)
Supracondylar femur fracture is common in patients with severe osteoporosis. (targetwoman.com)
Femur fracture patients should be careful not to put weight on the leg as this can delay the healing process. (targetwoman.com)

Gentle palpation can be done to identify the tenderness around the fracture site. (physio-pedia.com)

Anatomy31

Diseases90

Chemicals and Drugs11

Analytical, Diagnostic and Therapeutic Techniques and Equipment69

Phenomena and Processes17

Disciplines and Occupations1

Technology, Industry, Agriculture5

Information Science4

Health Care14

Plate fixation6

Bone46

Nailing17

Shaft31

Reduction14

Clavicle fractures5

Femur fractures3

External fixator3

Deformity3

Surgical Fixation2

Diaphyseal fractures5

Complications6

Injuries7

Type of fracture3

Testing the fracture site1

Forearm5

Tibia5

Transverse4

Trauma5

Classification1

Epidemiology2

Pathologic1

Ankle2

Outcomes3

Implant4

Internal4

Nails2

Humerus2

Screw3

Injury7

Extra-articular fractures2

Infection2

Atypical femoral2

Orthopaedic1

Intertrochanteric Hip Fractures1

Metacarpal fractures3

Treatment for proximal2

Oblique2

Occur6

Ipsilateral1

Proximal fifth metatarsal2

Acute1

Surgery2

Radial6

Avulsion fracture2

Phalangeal fractures2

Subtrochanteric fractures1

Patients7

Tenderness1