• Extra-articular fractures, with some exceptions, are generally treated in a closed manner. (medscape.com)
  • The extra-articular muscle-tendon units include the quadriceps and patellar tendons (responsible for knee extension), medial and lateral hamstrings (chiefly responsible for knee flexion), gastrocnemius muscle, popliteal ligament and iliotibial band ( Figure 2 ) . (aafp.org)
  • The extra-articular ligamentous structures include the tibial and fibular collateral ligaments ( Figure 1 ) . (aafp.org)
  • These ligaments act as the principal extra-articular static stabilizing structures (i.e., they provide stability for the medial and lateral aspects of the knee). (aafp.org)
  • Intra-articular fractures may be treated in a closed fashion but are more commonly treated with a combination of open reduction, ostectomy, osteotomy, internal fixation, and/or arthrodesis of the subtalar and calcaneocuboid joints. (medscape.com)
  • Severely comminuted intra-articular fractures may be treated with a combination of open reduction and internal fixation (ORIF) and arthrodesis of the subtalar joint. (medscape.com)
  • [ 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. (medscape.com)
  • 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)
  • In the early 1980s, the Arbeitsgemeinschaft für Osteosynthesefragen-Association for the Study of Internal Fixation (AO-ASIF) group reported good and excellent results in 27 of 39 patients with comminuted fractures of the distal humerus. (medscape.com)
  • Prospective study to evaluate the results of external fixation of such fractures was conducted from January 2017 to January 2020 in the Department of Orthopaedics. (traumainternational.co.in)
  • The aim of this study is to identify the results of external fixation of unstable fractures of distal radius and find out the best treatment options for such fractures under different clinical conditions by comparing the results for open and close fractures and analysis of similar studies. (traumainternational.co.in)
  • 50 cases of unstable distal radius fractures, including 25 patients with open fractures and 25 patients with close fractures, were treated by external fixation. (traumainternational.co.in)
  • Analysis of similar studies shows external fixation to be the most rewarding treatment option for varied clinical presentations of unstable fractures of distal radius. (traumainternational.co.in)
  • 1] Cooney WP,Linscheid RL,Dobyns JH.External Pin Fixation for Unstable Colles' Fractures.J Bone Joint Surg. (traumainternational.co.in)
  • 3] Egol K, Walsh M, Tejwani N, McLaurin T, Wynn C, Paksima N (2008) Bridging external fixation and supplementary Kirschner wire fixation versus volar locked plating for the unstable fractures of the distal radius: a randomised, prospective trial. (traumainternational.co.in)
  • Long term outcomes of open reduction internal fixation versus external fixation of distal radius fractures: A meta-analysis. (traumainternational.co.in)
  • 5] Williksen JH, Husby T, Hellund JC, Kvernmo HD, Rosales C, Frihagen F. External Fixation and Adjuvant Pins Versus Volar Locking Plate Fixation in Unstable Distal Radius Fractures: A Randomized, Controlled Study With a 5-Year Follow-Up. (traumainternational.co.in)
  • Volar locking plate versus external fixation for the treatment of unstable distal radial fractures: a meta-analysis of randomized controlled trials. (traumainternational.co.in)
  • 7] Kasapinova K, Kamiloski V. Open reduction and internal fixation versus external fixation and/or kirschner wires for distal radius fractures. (traumainternational.co.in)
  • 8] Shukla R, Jain RK, Sharma NK, Kumar R. External fixation versus volar locking plate for displaced intra-articular distal radius fractures: a prospective randomized comparative study of the functional outcomes. (traumainternational.co.in)
  • Fracture segments are then stabilized using an injectable bone graft substitute or bone cement, which has been shown to have equivalent outcomes as traditional fracture reduction and internal fixation [1-4]. (faoj.org)
  • A retrospective analysis of comminuted intra-articular fractures of the tibial plafond: Open reduction and internal fixation versus external Ilizarov fixation. (enpress-publisher.com)
  • 6. Piper, K.J., H.Y. Won, and A.M. Ellis, Hybrid external fixation in complex tibial plateau and plafond fractures: an Australian audit of outcomes. (enpress-publisher.com)
  • 8. Etter, C. and R. Ganz, Long-term results of tibial plafond fractures treated with open reduction and internal fixation. (enpress-publisher.com)
  • Risk factors for failure of locked plate fixation of distal femur fractures: an analysis of 335 cases. (jojs.in)
  • Varus collapse of comminuted distal femur fractures after open reduction and internal fixation with a lateral condylar buttress plate. (jojs.in)
  • 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)
  • After closed reduction and external fixation (CREF), the anterior-posterior (AP) and lateral radiographs showed unchanged multiplanar displacement with complete DRUJ incongruity due to a pronounced radial shortening of 7 mm, severely destroyed radial articular surface, and excessive substantial dorsal tilt of 40° (Figure 2(b) ). (hindawi.com)
  • 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)
  • The "bag of bones" treatment was used when bone quality or fracture pattern was not sufficient to gain stable fixation. (medscape.com)
  • INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
  • 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)
  • This study looked at the mid-term clinical and radiographic results of open reduction internal fixation through a shotgun approach of comminuted PIP fracture dislocations. (openorthopaedicsjournal.com)
  • Open reduction internal fixation of comminuted PIP fracture dislocations utilizing the volar, shotgun approach provides excellent mid-term functional results despite the high incidence of post traumatic arthritis. (openorthopaedicsjournal.com)
  • A number of surgical options have been described for the treatment of unstable fractures including, external fixation, volar plate arthroplasty, hemihammate autograft, and open reduction internal fixation (ORIF) with mini screws, plates, and Kirschner wires. (openorthopaedicsjournal.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)
  • 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)
  • Jose E, Singaravadivelu V, Anandan DS, Sailesh SS, Senguttuvan C. Does Dual Plating for Distal Femur Fractures with Metaphyseal Comminution Results in Increased Stability and Early Fracture Healing: A Prospective Randomized Control Study. (jojs.in)
  • The treatment of distal femur fractures with metaphyseal comminution is often complicated by nonunion, varus collapse, and implant failure. (jojs.in)
  • The inclusion criteria were all distal femur fractures with metaphyseal comminution. (jojs.in)
  • Dual plating for distal femur fractures with metaphyseal comminution results in an early radiological union and early weight bearing and allows an early return to work. (jojs.in)
  • Predicting the failure in distal femur fractures. (jojs.in)
  • 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)
  • Since being developed for use in 1998, the technique's application has expanded to orthopedic surgery for use in the extremities to now include tibial plateau and plafond, talar dome, distal radius and calcaneal fractures [1,2]. (faoj.org)
  • Management of ipsilateral pilon and calcaneal fractures: A report of 2 cases. (enpress-publisher.com)
  • Secondary outcomes included the AOFAS, VAS, range of motion, and complications and were analysed using a simplified pooling technique. (isakos.com)
  • 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)
  • A trend toward the development of minimally invasive surgical techniques has gained momentum in recent years as benefits include equivalent outcomes with expedited recovery times and decreased risk of wound complications. (faoj.org)
  • The treatment of pilon fractures are depending on several aspects where this may lead to complications. (enpress-publisher.com)
  • Some fractures may lead to serious complications including a condition known as compartment syndrome . (wikipedia.org)
  • Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
  • [5] Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
  • Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
  • Late complications - occurring a long time after the fracture. (wikipedia.org)
  • We did not highlight any significant associated complications, no important adverse tissue reaction or bone erosion, no pain or functional disorder. (bvsalud.org)
  • The aim of this study was to examine all patients with digital mucous cysts without underlying osteoarthritis, undergoing this injection technique and to assess outcome and complications of this procedure. (bvsalud.org)
  • secondary outcomes were complications of the procedure. (bvsalud.org)
  • Surgical treatment of distal humerus fractures can lead to numerous complications. (sicot-j.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)
  • 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)
  • It also is somewhat deficient in describing the level through which the fracture occurs in each column and related important surgical considerations. (medscape.com)
  • Surgical treatment of supracondylar fractures has evolved significantly over the past few decades. (medscape.com)
  • It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, especially in the femur and tibial bones, but can also occur genetically at birth. (wikipedia.org)
  • Nailing is used as it requires minimal surgical dissection, less disruption of the fracture hematoma and allows faster functionality to a patient post-surgery. (wikipedia.org)
  • Extensor carpi ulnaris problems on the wrist: Classification, surgical therapy and outcomes. (dnahelix.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)
  • A novel surgical approach was utilized in this case report to manage a comminuted cuboid compression fracture with peroneus longus tendon entrapment due to concerns regarding wound healing and the patient's need for expedited recovery. (faoj.org)
  • Surgical options may be considered for specific fracture patterns in younger patients. (orthojournalhms.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)
  • Plate configuration and surgical approach did not correlate with outcomes. (sicot-j.org)
  • For complicated fractures, computed tomography (CT) also can be helpful with regard to surgical planning. (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)
  • The surgical anatomy closely mirrors the functional anatomy. (medscape.com)
  • 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)
  • Talar body fractures often involve articular disruption of both the tibiotalar and subtalar joints, and surgical restoration of articular congruity, talar height, and ligamentous stability of the ankle is usually the best option. (teachmeorthopedics.info)
  • 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)
  • 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)
  • Treatment can be conservative (e.g., wrist immobilization) or in certain cases surgical (e.g., proximal pole fracture). (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)
  • 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)
  • 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)
  • 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)
  • Fractures of the distal humerus make up 2-6% of all humeral fractures and 30% of all elbow fractures [ 1 ]. (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)
  • 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)
  • Intra-articular Fractures of the Distal Humerus in the Adult. (uth.edu)
  • 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)
  • 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)
  • 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)
  • 4. Schumaier A, Grawe B. Proximal Humerus Fractures: Evaluation and Management in the Elderly Patient. (ojmpc.com)
  • Classifications in Brief: The Neer Classification for Proximal Humerus Fractures. (ojmpc.com)
  • This classification remains somewhat deficient in describing the mechanically important concept of the medial and lateral columns and their fracture involvement. (medscape.com)
  • The intra-articular structures include the medial and lateral menisci and the anterior and posterior cruciate ligaments ( Figure 1 ) . (aafp.org)
  • We compared the radiological and functional outcome of these fractures following dual plating and lateral plating. (jojs.in)
  • 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)
  • The fracture was anatomically reduced and fixed with external fixator. (traumainternational.co.in)
  • Therefore, this recent article is reviewing the principles of external fixator in treating pilon fractures. (enpress-publisher.com)
  • Non-reducible, open tibial plafond fractures treated with a circular external fixator (is the current classification sufficient for identifying fractures in this area? (enpress-publisher.com)
  • The three subtalar facets (anterior, middle, and posterior) must function as a unit, and any fracture that interrupts their alignment is, by definition, an intra-articular fracture. (medscape.com)
  • The tibial artery, nerve, posterior tibial tendon, and flexor hallucis longus tendon course along the medial wall of the calcaneus, though they are rarely damaged in calcaneus fractures caused by blunt force. (medscape.com)
  • Knee articular cartilage injuries present a great challenge for musculoskeletal clinicians and scientists, leading to substantial morbidity and significant time lost from work and sport and even permanent disability. (researchgate.net)
  • If left untreated, knee articular cartilage injuries may lead to the development of widespread degenerative joint disease. (researchgate.net)
  • 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)
  • The effect of intra-articular corticosteroids on articular cartilage: A systematic review. (jcorth.com)
  • This torsional error is a major problem for femoral and tibial fractures, and occurs in 17 to 35% of patients who receive these surgeries, and up to 40% of femur fracture patients. (wikipedia.org)
  • One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)
  • Currently, the utilisation of locked intramedullary nailing, has reduced the occurrence of rotational malalignment during fracture healing, yet femoral malrotation continues to remain very prevalent due to surgeon's inability to reliably restore the pre-injury alignment during operation. (wikipedia.org)
  • A high attention to detail is necessary intra-operatively to avoid this complication when locking the intramedullary device. (wikipedia.org)
  • Is there a role for intramedullary nails in the treatment of simple pilon fractures? (enpress-publisher.com)
  • Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. (orthobullets.com)
  • Hinge plate technique for osteosynthesis of comminuted proximal humeral fractures. (swissmedical.net)
  • Bone malrotation predominantly occurs after an injury where a bone is fractured, however malrotation can genetically occur during foetal development. (wikipedia.org)
  • The cuboid fracture was then stabilized using injectable calcium sulfate bone cement. (faoj.org)
  • One minimally invasive procedure that has become more prevalent of late is the kyphoplasty, initially described as the use of a percutaneously placed inflatable bone tamp (IBT) for intraosseous vertebral fracture reduction under fluoroscopic guidance. (faoj.org)
  • Additionally, other authors have demonstrated that calcium phosphate cements are superior to traditional bone graft, or no bone graft, with respect to preventing fracture subsidence [1-3]. (faoj.org)
  • Peroneal longus tendoscopy was utilized to view the interposed tendon in conjunction with percutaneous IBT for intraosseous fracture reduction under fluoroscopic guidance, followed by fracture segment stabilization using injectable calcium sulfate bone cement. (faoj.org)
  • The fracture of distal tibia bone is one of the most serious cases in the world, especially pilon fractures type. (enpress-publisher.com)
  • Retrograde nail for tibiotalocalcaneal arthrodesis as a limb salvage procedure for open distal tibia and talus fractures with severe bone loss. (enpress-publisher.com)
  • A bone fracture (abbreviated FRX or Fx , F x , or # ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
  • In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture . (wikipedia.org)
  • [1] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta , where the fracture is then properly termed a pathologic fracture . (wikipedia.org)
  • Stages in Fracture Repair: The healing of a bone fracture follows a series of progressive steps: (a) A fracture hematoma forms. (wikipedia.org)
  • The natural process of healing a fracture starts when the injured bone and surrounding tissues bleed, forming a fracture hematoma . (wikipedia.org)
  • 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)
  • 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 greenstick fracture is a fracture in a young, soft bone in which the bone bends and breaks. (passmed.uk)
  • 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)
  • 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)
  • 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)
  • 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)
  • 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)
  • Thoracolumbar burst fractures are one of the most common types of traumatic spinal fractures. (pdfplayer.org)
  • The classification of Mehne and Matta describes the specific characteristics of bicolumn fractures and allows for better preoperative planning. (medscape.com)
  • With comminuted bicolumn fractures, repeat films following initial reduction or with longitudinal traction maintained often prove helpful. (medscape.com)
  • This study describes a minimally invasive operative technique commonly described for vertebral compression fractures. (faoj.org)
  • 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)
  • Disruption of articular congruity and/or loss of talar length, alignment, and rotation are general indications for operative treatment. (teachmeorthopedics.info)
  • On occasion, poor soft-tissue conditions complicate the operative treatment of these fractures. (teachmeorthopedics.info)
  • Inject 10-15 cc of 1% lidocaine without epinephrine for intra-articular hematoma block. (orthojournalhms.org)
  • The use of Ilizarov concepts in the treatment of tibial pilon fractures. (enpress-publisher.com)
  • 17. Vidyadhara, S. and S.K. Rao, Ilizarov treatment of complex tibial pilon fractures. (enpress-publisher.com)
  • 19. Murphy, C.P., R. D'Ambrosia, and E.J. Dabezies, The small pin circular fixator for distal tibial pilon fractures with soft tissue compromise. (enpress-publisher.com)
  • Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)
  • The decision to operate also depends upon the fracture pattern, ankle stability, and presence of dislocation or significant joint subluxation and should be made on a case by case basis. (teachmeorthopedics.info)
  • Hip dislocation with features of no or insignificant fracture. (symptoma.com)
  • Review Article Abstract Author Information Authors A simple hip dislocation is one without fracture of the proximal femur or acetabulum. (symptoma.com)
  • Type 4: Hip dislocation involving acetabular floor fracture . (symptoma.com)
  • The patient underwent peroneus longus tendoscopy in conjunction with percutaneous balloon kyphoplasty for reduction of the fracture and the interposed peroneal tendon. (faoj.org)
  • 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)
  • 7. Evaluation of functional outcomes of a modified technique for percutaneous pinning of proximal humeus fracture [Internet]. (ojmpc.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)
  • It protects the soft tissues around the zone of injury by preventing further damage from mobile fracture fragments. (passmed.uk)
  • 2] Chung KC, Watt AJ, Kotsis SV, Margaliot Z, Haase SC, Kim HM (2006) Treatment of unstable distal radial fractures with the volar locking plating system. (traumainternational.co.in)
  • Low Profile Transverse Plating for Treatment of Dorsal Rim Fracture of the Distal Radius: A Mid-Term Follow-Up of Functional and Radiological Result. (swissmedical.net)
  • The poor correlation of these comprehensive classification systems with functional outcomes hindered their widespread acceptance. (medscape.com)
  • Numerous classification schemes have been devised to categorize and discuss supracondylar fractures. (medscape.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)
  • Radiological and functional outcomes were assessed on follow-up. (jojs.in)
  • There was only one case of implant failure during our follow-up in the fusion group.Conclusion:Both techniques achieved similar radiological and functional outcomes. (pdfplayer.org)
  • 6 , 7 This situation persists despite the absence of clear supporting data and the fact that only 6 percent of patients with knee trauma have a fracture. (aafp.org)
  • The two main mechanisms of patellar fracture are direct trauma to the anterior aspect of the knee or a powerful contraction of the quadriceps muscle (transverse, upper pole and lower pole fractures). (aafp.org)
  • Despite improvements in imaging, as well as a better understanding of the patterns of injury in complex fractures of the calcaneus, opinions on the management of such injuries continue to differ. (medscape.com)
  • 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)
  • Application of these rules may lead to a more efficient evaluation of knee injuries and a reduction in health costs without an increase in adverse outcomes. (aafp.org)
  • This article briefly reviews the anatomy of the knee joint as well as the most common knee fractures and ligament injuries. (aafp.org)
  • Displaced talus fractures are uncommon but devastating injuries. (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)
  • Proximal humeral fractures are extremely common injuries. (ojmpc.com)
  • Adequate reduction of the cuboid fracture was confirmed along with near anatomic course of the peroneus longus tendon via intraoperative tenogram. (faoj.org)
  • Initial radiographs and computed tomography scans following the fall show a dislocated navicular and cuboid fracture (Figures 1-4). (faoj.org)
  • Figure 3 Cuboid fracture. (faoj.org)
  • Radiographs of injured knees are commonly ordered, even though fractures are found in only 6 percent of such patients and emergency department physicians can usually discriminate clinically between fracture and nonfracture. (aafp.org)
  • These by far were the best results reported in the treatment of these difficult fractures at that time. (medscape.com)
  • This treatment of choice leads to clinically rewarding functional, anatomical and radiological outcomes in unstable distal radius fractures. (traumainternational.co.in)
  • Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
  • 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)
  • first described the successful treatment of an isolated cuboid compression fracture utilizing this technique [5]. (faoj.org)
  • Different types of pilon fractures may not use similar treatment and the choices can be included several internal and external fixators. (enpress-publisher.com)
  • 2. Borrelli, J.J. and E. Ellis, Pilon fractures: assessment and treatment. (enpress-publisher.com)
  • 18. Bonar, S.K. and J.L. Marsh, Tibial plafond fractures: changing principles of treatment. (enpress-publisher.com)
  • We believe that this technique offers a non-invasive, low-cost treatment option for digital mucous cysts, particularly in the subset of patients with ample evidence of degenerative articular changes in the distal interphalangeal joint. (bvsalud.org)
  • 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)
  • 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)
  • 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)
  • This is particularly true in multiply injured patients, and late treatment of the talar injury often results in suboptimal outcomes. (teachmeorthopedics.info)
  • There are several treatment methods available aimed to restore stability, preserve range of motion, and reconstitute the articular surface. (openorthopaedicsjournal.com)
  • Articles with complete data on the outcomes following these treatment methods were included in the study. (jcorth.com)
  • We have analyzed the outcomes of multiple invasive non-arthroplasty treatment options for KOA. (jcorth.com)
  • Efficacy and treatment response of intra-articular corticosteroid injections in patients with symptomatic knee osteoarthritis. (jcorth.com)
  • 2 The anatomic characteristics of the knee, its exposure to external forces and the functional demands placed on the joint may explain the frequency of injury. (aafp.org)
  • Even though emergency department physicians can discriminate clinically between fracture and nonfracture, they order radiographs for most patients with acute knee injury. (aafp.org)
  • D islocation of the navicular without fracture is a rare injury [1-3]. (faoj.org)
  • Purpose: Although the outcomes of ACL reconstruction are generally satisfying, there are several patients who do not regain their pre-injury sporting level and suffer persistent symptoms. (researchgate.net)
  • Proximal interphalangeal (PIP) fracture dislocations remain a complex injury pattern to treat. (openorthopaedicsjournal.com)
  • Background: In this study, a retrospective evaluation was made of patients aged 70 years and over who were applied with proximal-femoral nail (PFN) or calcareous replacement cemented hemiarthroplasty in respect of early and late-stage morbidity and mortality and functional personal independence. (journaltocs.ac.uk)
  • 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)
  • A minimally displaced talar body fracture in a patient with significant neuropathy may be best treated nonoperatively, whereas a Hawkins III talar neck fracture with posteromedial extrusion of the talar body should be treated operatively, even in patients with significant neuropathy, to relieve soft-tissue and/or neurovascular compromise. (teachmeorthopedics.info)
  • Operatively, arthroscopic surgery has shown to be minimally effective while osteotomy demonstrated effective pain and functional improvement. (jcorth.com)
  • Fractures may occur in the patella, femoral condyles or tibial plateau. (aafp.org)
  • 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)
  • Greenstick fractures occur most often during infancy and childhood when bones are soft. (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)
  • No study has compared the effect of graft thickness on clinical outcomes. (researchgate.net)
  • 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)
  • 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)
  • The long-term outcome in majority of the patients (44 cases) was excellent to good showing reliability of biological ligamentotaxis under various clinical presentations as suggested by analysis of similar studies. (traumainternational.co.in)
  • Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)
  • The findings will provide an additional information to medical doctors and engineers to decide the best configurations for patients associated with pilon fractures. (enpress-publisher.com)
  • In most patients, surgery relieved pain and offered good functional results, according to the Quick Disabilities of the Arm, Shoulder and Hand scale. (bvsalud.org)
  • Following surgery, our patients showed a subjective improvement, both in terms of pain and functional results. (bvsalud.org)
  • They represent 5% of all fractures in patients over 40 years of age. (beemed.com)
  • All patients achieved full functional range of motion by the end of 4 months. (ojmpc.com)
  • A good outcome was seen in 13 patients, 3 with type 1 fracture , 9 with type 2 fracture and 1 with type 3 fracture . (symptoma.com)
  • Eight patients, 3 with type 2 fracture and 5 with type 3 fracture , had a fair outcome. (symptoma.com)
  • Outcome at 6 months is significantly better in close fracture group as compared to open fracture group showing that good soft tissue cover is necessary for functional fracture healing. (traumainternational.co.in)
  • The calcaneus has four articular facets, which allow it to articulate with the talus superiorly and the cuboid anteriorly. (medscape.com)
  • Prospective randomized controlled trial comparing the effect of Monocryl versus nylon sutures on patient- and observer-assessed outcomes following carpal tunnel surgery. (ucdavis.edu)
  • Upon presentation to the clinic, radiographs were concerning for compression fracture of the cuboid. (faoj.org)