• For most proximal femoral fractures in children, treatment consists of closed reduction followed by a spica cast or open or closed reduction followed by internal fixation and a spica cast. (medscape.com)
  • 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)
  • Open reduction and internal fixation is reserved for cases that are severely angulated or comminuted. (wikipedia.org)
  • 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)
  • Plate breakage is one form of construct failure after a clavicle fracture treated with an open reduction and plate fixation. (biomedcentral.com)
  • This case report presents an unusual case of a 35-year-old Caucasian man, 7 weeks after open reduction and internal plate fixation of a fracture in the middle third of his clavicle, who developed breakage of the implant. (biomedcentral.com)
  • The rigid intramedullary interlocking nail is a valuable option for the fixation of femoral shaft fractures in an adolescent age group with a good union rate and minimal complications. (ijrsms.com)
  • To explore the impact of intraarticular injection of ropivacaine into knee joint on the postoperative analgesia and local inflammatory response after patellar fracture fixation is the main objective. (ijpsonline.com)
  • The subjects of this study are 136 patients with patellar fracture who received selective open reduction Kirschner wire tension band fixation of patellar fracture in our hospital from March 2018 to November 2020 were divided into two groups on the basis of random number table, each with 68 cases. (ijpsonline.com)
  • The application of intraarticular injection of ropivacaine into knee joint can effectively relieve the pain patients suffer after patellar fracture fixation and alleviate local inflammatory response without significant adverse reactions. (ijpsonline.com)
  • Early rehabilitation after patellar fracture fixation is very important to restore joint function, so it is of great value in the prevention and treatment of postoperative pain. (ijpsonline.com)
  • In order to further investigate the effect of intraarticular injection of ropivacaine into knee joint in postoperative analgesia of patellar fracture fixation, this study was conducted to compare the effect of intraarticular injection of ropivacaine into knee joint and patient controlled intravenous analgesia (PCIA) in postoperative analgesia of patellar fracture patients who were admitted in our hospital in recent years. (ijpsonline.com)
  • Severely comminuted fractures of distal humerus are challenging to treat and multiple cantilever K-wiring can be used as a preferable alternative for fixation. (jocr.co.in)
  • Here, we present an unusual case of a 5-week-old unreduced anterior dislocation of the elbow joint with medial epicondyle and lateral condyle humerus fracture in a 30-year-old male patient and describe a unique technique for fixation of comminuted articular fragments. (jocr.co.in)
  • The treatment of paediatric shaft femur fracture has been drastically changed over the last two decades to internal fixation by elastically stable intra- medullary nail (ESIN). (openorthopaedicsjournal.com)
  • The basic tenets of facial fracture repair include fracture exposure, reduction, and fixation. (medscape.com)
  • There are certainly some complications that you never considered would develop that surprise you but in general, the surgeon can improve and limit the number of problems through a better understanding of fracture biomechanics and experience with a wide variety of patients, fixation techniques and postoperative environments. (vin.com)
  • I have seen a few acetabular fractures treated with internal fixation and an Ehmer sling develop marked periarticular fibrosis and dramatically reduced extension with a poor long term result. (vin.com)
  • The new VA_LCP Modular Hand System represents true innovation in fracture fixation. (aofoundation.org)
  • The system was designed to address clinical challenges faced in the current fixation of fractures and osteotomies and represents a complete overhaul of the LCP Compact Hand System. (aofoundation.org)
  • The Variable Angle Locking Hand System offers a solution for fracture fixation, arthrodesis, non-unions and the reconstruction of small bones and small bone fragments particularly in adults with osteopenic bone. (aofoundation.org)
  • The system also offers instrumentation to aid in fracture reduction, provisional fixation, implant adaptation and construct creation. (aofoundation.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)
  • There is a comminuted femoral neck fracture with femoral nail and screw fixation. (fda.gov)
  • 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)
  • 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)
  • A representative method for treating fractures in the maxillofacial region is internal fixation using a monocortical plate. (chosunobr.org)
  • In addition, there are no reports of cases where refracture occurred in the same area without removing the metal plate after fixation with a titanium plate or screws in the case of a primary fracture. (chosunobr.org)
  • Herein, we report the cases where refracture occurred at the same site owing to a similar injury mechanism after intraosseous fixation with a titanium plate and screws for zygomaticomaxillary fractures. (chosunobr.org)
  • From Jan 2017 to Dec 2019, 357 patients with per/intertrochanteric femur fractures underwent surgery by closed reduction and internal fixation, of whom 12 patients were indentified with rare preoperative imaging features, the lesser trochanter was almost equally bisected. (researchsquare.com)
  • The proximal part of the lesser trochanter connected to the head-neck fragment and attached by the psoas major tendon, while the distal part of the lesser trochanter connected to the femoral shaft and attached by the tendon of the iliac muscle.These fractures were irreducible by a closed maneuver and were reduced with limited assistance by some devices, and short intramedullary nails were used for fixation of these fractures. (researchsquare.com)
  • Soft tissue release and short cephalomedullary nail fixation for this fracture pattern provide stable fixation and allow early exercise. (researchsquare.com)
  • The plate placed for the fixation of the fracture at the zygomaticomaxillary buttress is generally a larger plate. (aofoundation.org)
  • After exposure of the fracture segments through a maxillary vestibular approach, the fracture has to be mobilized to enable reduction and fixation. (aofoundation.org)
  • Treatment is either immobilization or surgical fixation depending on fracture displacement and integrity of the extensor mechanism. (orthobullets.com)
  • Conventional plating involved opening of the fracture site and fixation, while in nailing entry through the rotator cuff had issues in performing overhead activities. (medresearch.in)
  • Screw fixation of pelvic ring fractures is a common, but demanding procedure and navigation techniques were introduced to increase the precision of screw placement. (biomedcentral.com)
  • 2D-fluoroscopic navigation is a safe tool providing high accuracy of percutaneous screw placement for pelvic ring fractures, but in cases of a bilateral iliosacral screw fixation an increased risk for screw misplacement was observed. (biomedcentral.com)
  • The goal of operative treatment for unstable pelvic ring fractures and sacroiliac dislocations is an anatomic reduction to restore the biomechanical axis and a rigid fixation to facilitate an early mobilization. (biomedcentral.com)
  • Depending on the type of fracture and the localization, various approaches and fixation implants are established. (biomedcentral.com)
  • The aim of this case series was the evaluation of screw misplacement-rate and the functional outcome of percutaneous screw fixation of pelvic ring fractures and sacroiliac dislocations by using an optoelectronic navigation system based on 2D-fluoroscopic images. (biomedcentral.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)
  • 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)
  • Fixation is sometimes indicated (eg, for fractures with marked displacement or rotational deformity of the great toe). (msdmanuals.com)
  • Pediatric femoral fractures are injuries that may involve the proximal femur, the femoral shaft, or the distal femur. (medscape.com)
  • In the treatment of these injuries, it is important to keep in mind that pediatric femur fractures differ from adult femur fractures in several key respects (see below), and these differences affect management. (medscape.com)
  • Clavicle fractures are a common traumatic injury with a reported incidence of between 5 and 10% of all fractures and approximately 44% of injuries to the shoulder girdle [ 1 ]. (biomedcentral.com)
  • Patients with open fractures, polytrauma and neurovascular injuries were excluded. (ijrsms.com)
  • When subtrochanteric and supracondylar fractures are included the femoral shaft fractures represents about 1.6% of all bony injuries in children. (openorthopaedicsjournal.com)
  • In most circumstances there is either a fracture of the clavicle or an acromio-clavicular joint dislocation and the two injuries are usually mutually exclusive. (usask.ca)
  • Distal humerus fractures in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. (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)
  • 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)
  • Custom anatomical models from MedLegalVisuals can effectively maximize the impact of your medical expert's testimony during a videotape deposition or trial presentation when explaining injuries or the postoperative condition of your client. (medical-legal-visuals.com)
  • cervical and lumbar disc herniations, osteoarthritis of the knee, hip joint, brachial plexus injuries, rotator cuff tear injuries, knee joint injuries and various fractures and ligament injuries. (medical-legal-visuals.com)
  • In addition to creating custom anatomical models to show normal anatomy, fracture injuries or a postoperative condition of bones or soft tissue, your case may require a custom model of implanted hardware like a medical device, implant or a joint prosthesis. (medical-legal-visuals.com)
  • Patella Fractures are traumatic knee injuries caused by direct trauma or rapid contracture of the quadriceps with a flexed knee that can lead to loss of the extensor mechanism. (orthobullets.com)
  • However, tibial angular deformities, especially distal tibial fractures, are less favorable injuries with regard to remodeling. (biomedcentral.com)
  • Between August 2004 and December 2007, 442 patients with pelvic injuries (pelvic ring and acetabular fractures) were treated at our department. (biomedcentral.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)
  • Unstable or severely comminuted and intra-articular fractures of distal radius represent traumatic high energy injuries. (traumainternational.co.in)
  • In addition to fractures, musculoskeletal injuries include Joint dislocations. (msdmanuals.com)
  • [ 2 - 4 ] The management of shaft femur fractures is age dependent. (ijrsms.com)
  • A prospective study was conducted in five private hospitals in the district of Bankura, West Bengal over a period of two years (April 2010 to March 2012) on 70 patients with closed shaft femur fractures between 6- 14 years age of either sex. (openorthopaedicsjournal.com)
  • Two-part pertrochanteric femur fractures with bisection of the lesser trochanter have an irreducible fracture pattern with cortical locking and soft tissue incarceration. (researchsquare.com)
  • Two-part intertrochanteric femur fractures with bisection of the lesser trochanter were first reported by Moehring et al. (researchsquare.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)
  • citation needed] The formerly used 'tripod fracture' refers to these buttresses, but did not also incorporate the posterior relationship of the zygoma to the sphenoid bone at the zygomaticosphenoid suture. (wikipedia.org)
  • STIMULAN beads were used to fill the bone deficit at the fracture site. (biocomposites.com)
  • Approximately 70-80% of these fractures are located in the middle third of the bone and are displaced [ 2 ]. (biomedcentral.com)
  • Neglected fracture-dislocation of the elbow is challenging and is further complicated by comminuted fragments with loss of bone stock. (jocr.co.in)
  • It is ideal to immobilize the joints above and below the fractured bone to reduce motion at the interface to a minimum. (vin.com)
  • Clinicians should consider the patient's conformation as well as the location and bone fractured and think about how effective coaptation might be in effectively achieving bone splintage as apposed to limb splintage. (vin.com)
  • Common fractures that can be confidently treated with coaptation include: isolated diaphyseal radial or ulnar fractures (not both), one, two or three metacarpal / tarsal fractures, minimally displaced tibial crest avulsions, greenstick fractures of the tibial diaphysis and some non-articular talus and tarsal bone fractures. (vin.com)
  • I solated fractures of the navicular bone are rare [1]. (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)
  • Possible contributing factors to the overload could be a not properly healed bone fracture and / or not adherence to the postoperative protocol (patient behavior). (fda.gov)
  • Bone plates and crews stabilize single or comminuted fractures by holding the bone ends together. (nsvhok.com)
  • When a fracture happens, bone union is delayed and nonunion often occurs. (koreamed.org)
  • Severely comminuted fractures of the metatarsal bones with significant bone and soft-tissue loss have commonly subjected patients to proximal amputation procedures. (japmaonline.org)
  • 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)
  • Scapular fractures can be categorized by the affected region of the bone: namely, the coracoid, the acromion, the glenoid, the scapular neck, and the scapular body. (orthopaedia.com)
  • Overview of Fractures A fracture is a break in a bone. (msdmanuals.com)
  • Most fractures result from a single, significant force applied to normal bone. (msdmanuals.com)
  • Postoperative complications during the trial such as skin infection, wound infection and implant failure were found. (vin.com)
  • The aim was to find out the short term complications of titanium elastic nailing in diaphyseal fracture of femur in children and compare the findings of this study with pre- existing studies in this field. (openorthopaedicsjournal.com)
  • This endeavour is an honest effort to analyse the short term complications of titanium elastic nailing in paediatric diaphyseal femoral fractures in a new set up where conservative treatment was performed in greater magnitude and to look in to factors causing them and possibly to provide a way as to how to minimise these complications. (openorthopaedicsjournal.com)
  • In my opinion, complications that develop following management of fractures in small animal practice can be a humbling experience and clinical experience plays a major role in reducing the frequency of complications. (vin.com)
  • I enjoy the ongoing challenge of fracture repair and attempt to learn from complications that develop and then to apply that knowledge to the benefit of future patients. (vin.com)
  • The treatment of pilon fractures are depending on several aspects where this may lead to complications. (enpress-publisher.com)
  • Most complications arise from a missed diagnosis or delayed treatment of a Monteggia fracture. (physio-pedia.com)
  • Operating and fluoroscopy time were measured, as well as peri- and postoperative complications documented. (biomedcentral.com)
  • citation needed] Fractures with displacement require surgery consisting of fracture reduction with miniplates, microplates and screws. (wikipedia.org)
  • Traditional open reduction of isolated anterior table fractures requires a coronal incision for adequate exposure and fracture repair. (medscape.com)
  • The technology behind the instrumentation has also been advanced to overcome specific problems such as screwdriver retention (Fig 4), plate contouring and cutting and fracture reduction (Fig 5). (aofoundation.org)
  • Fig 5 Forceps that aid in fracture reduction and lag screw application. (aofoundation.org)
  • With comminuted bicolumn fractures, repeat films following initial reduction or with longitudinal traction maintained often prove helpful. (medscape.com)
  • These cases are defined as irreducible fracture patterns, and some form of open reduction with the insertion of a device is used in these cases. (researchsquare.com)
  • Conclusion We can conclude that patellar height had significant variation in the total group, with reduction of patellar height in the postoperative period. (bvsalud.org)
  • 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)
  • Type IV: Anterior radial head dislocation and fracture of proximal third of ulna and radius. (physio-pedia.com)
  • 10 ] reported four kinds of irreducible fractures, including a type in which the proximal fragment attached to a lesser trochanter was locked underneath the shaft fragment, bisected lesser trochanter with a locked proximal fragment, a posteromedial fragment overlapped at the fracture site, and a proximal fragment was flexed passively by the underlying lesser trochanter. (researchsquare.com)
  • Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
  • Cozen investigated valgus deformities after proximal tibial fractures in children [ 7 ]. (biomedcentral.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)
  • Proximal humeral fractures account for around 5% of humeral fractures. (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)
  • As far as the site of fracture is concerned, those of the proximal and middle thirds of the humerus are well treated using an intramedullary nail or multiple wires or with a plate, while plating is most often the method of choice for fractures of the distal-third. (sportnetdoc.dk)
  • Unless rotational deformity or joint involvement is suspected or the proximal phalanx of the great toe (hallux) is injured, x-rays are usually unnecessary because treatment is the same whether fracture is present or not. (msdmanuals.com)
  • In general, simple fracture configurations, with minimal displacement and located within the diaphysis in young patients can potentially be adequately splinted if they are distal to the elbow or stifle. (vin.com)
  • Due to the avascularity of the body of the navicular and age of the patients, surgical correction of the fracture site was performed to help prevent non-union, avascular necrosis, displacement and future arthritic changes. (faoj.org)
  • Together with fracture fragment displacement, metal plate deformation was observed. (chosunobr.org)
  • 26-year-old male with shotgun wound to the right shoulder presented with right distal open comminuted lateral third clavicle fracture with intact AC joint and large overlying skin defect. (biocomposites.com)
  • Wound healing occurred 3 months after treatment, and at 6 months there was full consolidation of the clavicle fracture with complete absorption of STIMULAN beads. (biocomposites.com)
  • This case report presents an unusual case of a patient with a midshaft clavicle fracture following a plate breakage with the aim of providing more information on this complication and recommends a working plan that might help to prevent these cases in advance. (biomedcentral.com)
  • On X-ray at our emergency room (ER), a displaced comminuted right middle third clavicle fracture, with clavicle shortening was diagnosed (Fig. 1 a). (biomedcentral.com)
  • Figure 14.1A X-ray of the left shoulder, pre-operative, clavicle fracture. (usask.ca)
  • Impacted, comminuted, left clavicle fracture. (usask.ca)
  • Figure 14.1A X-ray of the left shoulder, pre-operative, clavicle fracture by Dr. Brent Burbridge MD, FRCPC, University Medical Imaging Consultants, College of Medicine, University of Saskatchewan is used under a CC-BY-NC-SA 4.0 license. (usask.ca)
  • The green arrowhead identifies a displaced mid shaft clavicle fracture. (orthopaedia.com)
  • The angle created at the fracture site is due to the attachment of the sternocleidomastoid muscle pulling the medial fragment in a cranial direction. (usask.ca)
  • In children there may be an incomplete or greenstick type of fracture. (usask.ca)
  • Treatment depends on the anatomic area, the severity of the condition, and the type of fracture. (nsvhok.com)
  • Anteroposterior and lateral views will help to identify the type of fracture. (physio-pedia.com)
  • Anterior dislocation of the elbow is comparatively less frequent and is often associated with fractures of the distal humerus. (jocr.co.in)
  • We present a 5-week-old neglected anterior dislocation of the right elbow joint with lateral condyle and medial epicondyle humerus fracture and a unique cantilever K-wiring technique used for its treatment. (jocr.co.in)
  • Radiographs revealed lateral condyle and medial epicondyle humerus fracture and an unreduced anterior dislocation of the right elbow joint. (jocr.co.in)
  • 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)
  • Intra-articular Fractures of the Distal Humerus in the Adult. (uth.edu)
  • After pre-anaesthetic fitness, patients were operated for midshaft fracture humerus. (medresearch.in)
  • The aim of this study was to examine the results of different modalities applied in the treatment of 104 fresh diaphyseal fractures of the adult humerus treated in the department between January 1994 and March 1997. (sportnetdoc.dk)
  • Multiple flexible intramedullary wires are used for segmental fractures or for diaphyseal fractures associated with fractures of the neck of the humerus. (sportnetdoc.dk)
  • 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)
  • On the other hand, some of these signs and symptoms are not specific to zygomatic complex fractures, and may occur with maxillary or nasal fractures. (bvsalud.org)
  • tarsal navicular body fractures result from axial loading forces that occur frequently when falling from a height. (faoj.org)
  • Clavicle fractures may occur in the newborn with difficult deliveries. (usask.ca)
  • It is possible that the nail was fractured due to fatigue which can occur due to a cyclic overloading. (fda.gov)
  • Fractures can occur anywhere, from the temporomandibular joint (TMJ) or along the midpoint of the jaw. (nsvhok.com)
  • When a low-energy impact is applied to the surgical site of the zygomaticomaxillary fracture without metal plate removal, a comminuted fracture does not occur, and a simple fracture pattern occurs accompanied by metal plate deformation. (chosunobr.org)
  • Fractures of the zygomatic complex are frequent and often associated with facial lacerations or swelling from soft tissue injury 1,2 . (bvsalud.org)
  • 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)
  • In conclusion anterior bridge plating (ABP) is very good technique in treating midshaft humeral fractures with minimal soft tissue dissection, smaller scars, and early return to overhead activities. (medresearch.in)
  • 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)
  • Absolute contraindications include general orthopedic issues, such as active infection (local or systemic), inability to undergo general anesthesia , paralysis of the arm, and inadequate postoperative soft-tissue coverage. (medscape.com)
  • Traditionally, the conservative approach was the most common choice, especially in fractures of the medial or lateral end of the clavicle, if fracture fragments remained stable [ 3 ]. (biomedcentral.com)
  • There was a comminuted, impacted, fracture of the left clavicle at the junction of the middle 1/3 and the lateral 1/3. (usask.ca)
  • The most common location for a clavicular fracture is at the junction of the lateral 1/3 and the middle 1/3. (usask.ca)
  • Type III: lateral or anterolateral radial head dislocation and fracture of ulna metaphysis. (physio-pedia.com)
  • Additionally, over impaction of the fracture fragments may lead to significant loss of limb length. (jmsronline.com)
  • Fracture was grossly exposed with several free bony fragments. (biocomposites.com)
  • They allow precise 3-D movement of fracture fragments of the centrally impacted midface or maxilla. (aofoundation.org)
  • A Tibial Eminence Fracture, also known as a tibial spine fracture, is an intra-articular fracture of the bony attachment of the ACL on the tibia that is most commonly seen in children from age 8 to 14 years during athletic activity. (orthobullets.com)
  • Management of femoral diaphyseal fractures in the age group of 6-14 years is highly controversial. (openorthopaedicsjournal.com)
  • The purpose of this study was to evaluate the factors that influence residual angulation after treating pediatric distal tibial diaphyseal fractures. (biomedcentral.com)
  • We retrospectively reviewed the records of 75 children under the age of ten who were treated at two referral centers for distal tibial diaphyseal fractures. (biomedcentral.com)
  • However, prior studies have not investigated residual deformities or the factors that may influence them after distal tibial diaphyseal fractures. (biomedcentral.com)
  • The zygomatic arch usually fractures at its weakest point, 1.5 cm behind the zygomaticotemporal suture. (wikipedia.org)
  • Gillie's approach is used for depressed zygomatic fractures. (wikipedia.org)
  • Symptomatology of fractures of the zygomatic complex. (bvsalud.org)
  • The purpose of this study was to evaluate signs and symptoms presented by a series of patients attended in a hospital clinic with a diagnosis of fracture of the zygomatic complex. (bvsalud.org)
  • Fifty consecutive patients with a diagnosis of unilateral fractures of the zygomatic complex were studied. (bvsalud.org)
  • It was concluded that there are signs and symptoms that can be considered typical of fractures of the zygomatic complex and that there are few correlations between the factors studied. (bvsalud.org)
  • Signs and symptoms of the fracture of the zygomatic complex are closely related to the surgical anatomy of the part 1 . (bvsalud.org)
  • Some signs and symptoms, such as flattening of the malar prominence, ecchymosis of the lids and conjunctiva, diplopia, anesthesia in the distribution of the infraorbital nerve, and mandibular trismus, have been described as characteristic of zygomatic complex fractures 4,5 . (bvsalud.org)
  • The main fracture pathoanatomy of these cases included: The anterior fracture line passed along the intertrochanteric line to the medial lesser trochanter and bisected it into two equal parts from mid-level of the lesser trochanteric protrusion. (researchsquare.com)
  • We report a pseudoaneurysm of the medial plantar artery that developed after percutaneous pinning for a Lisfranc fracture-dislocation in a 68-year-old male. (japmaonline.org)
  • A Le Fort II fracture involves a fracture of the orbital floor and possibly the medial orbital wall. (aofoundation.org)
  • Click here for further details on the reconstruction of combined medial wall and orbital floor fractures. (aofoundation.org)
  • 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)
  • The ideal device to treat most femoral fractures in children would be a simple, load sharing internal splint that allows mobilisation and maintenance of alignment and extremity length until bridging callus forms. (openorthopaedicsjournal.com)
  • In certain cases, the best way to explain normal anatomy, or a serious injury with postoperative condition is to show your audience an actual anatomical model customized to fit your specific case. (medical-legal-visuals.com)
  • The postoperative diagnosis of the lesion was central low-grade osteosarcoma. (sogacot.org)
  • With the increasing burden of COVID-19 on the hospitals, cases of conservatively managed fractures and dislocations with adverse outcomes have become more prevalent. (jocr.co.in)
  • Vertebral fractures and dislocations may cause a disruption of descending sympathetic tracts, so that the patient is unable to activate sympathetic responses from the baroreceptor reflex. (medscape.com)
  • There were few correlations between personal data or classification of the fractures and specific signs or symptoms. (bvsalud.org)
  • However, no study has correlated signs and symptoms with demographic data or the classification of these fractures. (bvsalud.org)
  • Classification systems have been derived for fractures of the navicular and corresponding midfoot. (faoj.org)
  • Main and Jowett is still the most cited and well recognized classification system of navicular fracture mechanisms. (faoj.org)
  • This classification system was based solely on assessment of radiographic appearance of midtarsal fractures. (faoj.org)
  • This mechanism of injury and corresponding fracture pattern has yet to be recognized in the current literature or described in any classification system. (faoj.org)
  • 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)
  • Numerous classification schemes have been devised to categorize and discuss supracondylar fractures. (medscape.com)
  • For B1 as well as all C fractures (using the Tile classification system), stabilization of the anterior pelvic ring by a plate transfixation via the Pfannenstiel approach is the predominantly used technique [ 8 ]. (biomedcentral.com)
  • Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)
  • However, the first approach increases unnecessary X-ray exposure and medical costs, and the second method is less feasible in severely comminuted radial head fractures. (biomedcentral.com)
  • We present two rare cases of high impact injury creating sagittal plane fractures through the navicular body without any dislocation of the navicular or trauma to any surrounding structures. (faoj.org)
  • Trauma is the most common cause of mandibular fractures in pets. (nsvhok.com)
  • Trauma-related mandibular fractures require emergency care for conditions caused by trauma before fracture repair. (nsvhok.com)
  • Finally, in many cases of Le Fort II fractures with other panfacial trauma, many surgeons may choose to leave the patient in MMF for a period of time postoperatively. (aofoundation.org)
  • Scapular fractures are rare (incidence: about 10 per 100,000 person-years) and often a consequence of high-energy trauma. (orthopaedia.com)
  • It has been reported that more complex fractures, such as a tripod fracture with a distracted frontozygomatic suture, have more signs and symptoms associated with them 3 . (bvsalud.org)
  • This study aimed to report fracture patterns of patients with refractures at the surgical site using small metal plates and fixing screws for zygomaticomaxillary complex fractures. (chosunobr.org)
  • Two male patients visited the emergency room on different days, and both of them were diagnosed with zygomaticomaxillary complex fractures. (chosunobr.org)
  • Thus, the purpose of this study was to evaluate TCS versus TBW for simple transverse patellar fractures in cadaveric and patients' level, aiming to determine whether TCS show superiority over TBW in terms of biomechanical stability in a cadaveric study with benign clinical feasibility and outcomes in patients. (bvsalud.org)
  • However, in severely displaced fractures the clinical evidence on conservative treatment suggests poor outcomes such as malunion and nonunion [ 4 ]. (biomedcentral.com)
  • PURPOSE: To evaluate the clinical characteristics of intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures and assess the surgical outcomes of a novel, closed intramedullary nailing surgical approach. (koreamed.org)
  • PURPOSE: This study examined the outcomes of exchange nailing for the hypertrophic nonunion of femoral shaft fractures treated with intramedullary nailing as well as the factors affecting the treatment outcomes. (koreamed.org)
  • The characteristics of these fracture pathoanatomy, causes of irreducibility, intraoperative techniques and clinical outcomes were summarized. (researchsquare.com)
  • PURPOSE: This study aimed to report the surgical outcomes of postoperative management of ice-cooling combined with moist-open dressing and intravenous prostaglandin E1 (PGE1) injection. (koreamed.org)
  • While most simple, minimally or non-displaced fractures can be managed successfully with non-operative means, the more complex three- and four-part displaced fractures remain difficult to treat and have worse outcomes. (scielo.org.za)
  • In order to evaluate the benefits and risks of the various surgical techniques, it is important first to understand the natural history of non-operatively managed fractures, and to know the outcomes of the different surgical options. (scielo.org.za)
  • This treatment of choice leads to clinically rewarding functional, anatomical and radiological outcomes in unstable distal radius fractures. (traumainternational.co.in)
  • 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)
  • Prosthetic treatment, mostly used in highly comminuted fractures, often resulted in poor function (mean DASH 72.9). (iorg.co.in)
  • As for arthroplasty of IT fractures is concerned, there is little published data. (jmsronline.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)
  • Selecting the correct size of head component is challenging in radial head arthroplasty, particularly in comminuted fractures. (biomedcentral.com)
  • The use of elbow arthroplasty for primary management of comminuted elbow fractures is rising, because the procedure produces better long-term results than several decades ago. (medscape.com)
  • Femoral shaft fracture is the most common major paediatric orthopaedic. (openorthopaedicsjournal.com)
  • Femoral shaft fracture is the most common major paediatric orthopaedic injury that most orthopaedist will treat routinely and is the most common paediatric orthopaedic injury requiring hospitalisation. (openorthopaedicsjournal.com)
  • 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)
  • Humeral shaft fractures compose around 3% of fractures. (medresearch.in)
  • Mildly displaced humeral shaft fractures can be treated conservatively [1, 2]. (medresearch.in)
  • Intramedullary nailing of humeral shaft fractures also has given excellent results [5-8]. (medresearch.in)
  • Anterior Bridge Plating (ABP) which utilizes the minimally invasive approach popularly known as Minimally Invasive Percutaneous plate Osteosynthesi (MIPPO) is the latest technique in the management of humeral shaft fractures. (medresearch.in)
  • Results of non-operative and operative treatment of humeral shaft fractures. (sportnetdoc.dk)
  • The aim of this study is to report the outcome of an adolescent femur shaft fracture treated with a rigid intramedullary interlocking nail in North Indian patients. (ijrsms.com)
  • Intraarticular injection of ropivacaine has been shown to provide good postoperative analgesia in patients undergoing knee surgery and to alleviate tissue inflammation by reducing the production of substance P (is an undecapeptide, member of the tachykinin neuropeptide family) [ 5 ]. (ijpsonline.com)
  • Very little is known about the outcome after operative treatment of these fractures in very old patients. (iorg.co.in)
  • Persistent pain and ADL limitations were more present in more comminuted fractures (64 and 50 % in patients with 4-part fractures vs. 14 % in 2-part fractures). (iorg.co.in)
  • Femoral shaft fractures in the paediatric patients have traditionally been treated non- operatively with either early spica cast or a period of traction followed by application of hip spica cast until the time of fracture union. (openorthopaedicsjournal.com)
  • Two patients had similar high impact falls and mechanisms of injury leading to mirrored navicular fracture patterns. (faoj.org)
  • At three months postoperative both patients were clinically pain free in normal shoe gear, and radiographically healed. (faoj.org)
  • At one year postoperative both patients had maintained correction and had returned to full activity prior to injury, pain free. (faoj.org)
  • 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)
  • BACKGROUND: Intramedullary (IM) nailing is widely performed in elderly patients with trochanteric fractures. (koreamed.org)
  • PURPOSE: Recent literature has noted incidences of subtrochanteric atypical femoral fractures (AFFs) in patients who have taken long-term bisphosphonates (BPs). (koreamed.org)
  • The patients usually come with complaints of pain and swelling at the fracture site [1] . (physio-pedia.com)
  • Abstract Objective To compare the measurement of patellar height in the pre- and postoperative period of total knee arthroplasties (TKAs) and its variation in patients with and without patellar replacement. (bvsalud.org)
  • Profile radiographs were evaluated using the modified Caton-Deschamps patellar height index, comparing the pre- and postoperative measurements of 90 patients, with a total of 100 knees. (bvsalud.org)
  • 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)
  • All patients under ten years old who sustained distal tibial fractures between 2001 and 2008 and were treated at one of two tertiary referral centers were included. (biomedcentral.com)
  • Thus, 20 patients (62.5%) underwent non-operative treatment until fracture-union. (sportnetdoc.dk)
  • If the great toe is fractured, instruct patients not to put weight on the injured foot, treat with a hard-soled postoperative shoe, and make sure patients schedule follow-up appointments with an orthopedic surgeon. (msdmanuals.com)
  • Non-displaced or minimally displaced fractures may be treated conservatively. (wikipedia.org)
  • However, recent experiences have suggested that the use of endoscopes, as in other minimally invasive procedures, may allow repair of facial fractures through smaller incisions with less-extensive exposure. (medscape.com)
  • ABP has definitely advantages over both the techniques as it is minimally invasive, does not damage rotator cuff and no need to open the fracture site. (medresearch.in)
  • Non-operative treatment remains the method of choice for undisplaced or minimally-displaced fractures or comminuted fractures with multiple parallel longitudinal fracture-lines over the middle-third, while surgical treatment is considered for displaced fractures and essentially depends upon the type and level of the fracture. (sportnetdoc.dk)
  • Most toe fractures are minimally displaced and require only taping to an adjacent toe (buddy taping). (msdmanuals.com)
  • Surgery was advised, the implant was retrieved, the fracture was reduced, and a new bridging locking plate was implanted. (biomedcentral.com)
  • This new system was developed to include the best practices in fracture care and to present a system that revolutionized both implant design and instrumentation in a complete overhaul of previous designs. (aofoundation.org)
  • Event description: it was reported that the patient was implanted on an unknown date and underwent a revision surgery on (b)(6) 2021 due to implant fracture. (fda.gov)
  • It was reported that patient underwent revision surgery due to implant fracture. (fda.gov)
  • Custom anatomical models replicate your client's postoperative hardware, implant or prosthesis in any material, to maximize your visual presentation. (medical-legal-visuals.com)
  • METHODS: We conducted a cadaveric study with 15 knee specimens that had simple transverse patellar fractures. (bvsalud.org)
  • Patellar fracture is mostly caused by direct or indirect violence, such as crashing, kicking and falling. (ijpsonline.com)
  • The incidence of patellar fracture is about 0.7 %-1 % of systemic fractures, with a tendency to increase in recent years [ 1 , 2 ]. (ijpsonline.com)
  • Patellar fracture is an intraarticular fracture. (ijpsonline.com)
  • Results The statistical analysis showed a statistically significant difference, with the preoperative index superior to the postoperative rate, evidencing an overall decrease in patellar height. (bvsalud.org)
  • However, the height did not vary significantly between the postoperative groups with and without patellar replacement, regardless of the choice of the surgeon. (bvsalud.org)
  • Indications for endoscopic repair are generally related to fracture location, size, degree of comminution, and the surgeon's abilities. (medscape.com)
  • Non-operative treatment in the form of sling immobilization followed by rehabilitation is indicated for the vast majority of scapula fractures. (orthopaedia.com)
  • Operative treatment is chosen for the more displaced fractures, especially if there is joint instability present. (orthopaedia.com)
  • Transverse and short oblique fractures are treated using a plate or a Seidel nail. (sportnetdoc.dk)
  • Final assessment was done at 6 months postoperative follow up using the Sarmiento's modification of Lindstrom criteria for radiological outcome, showing excellent to good results in 60% cases among open fracture group and 80% cases among close fracture group , Mayo Wrist Score for functional outcome showing excellent to good results in 52% cases among open fracture group and 76% cases among close fracture group. (traumainternational.co.in)
  • Radial head fractures are the most common elbow fractures, accounting for approximately one-third of all elbow fractures [ 1 , 2 ]. (biomedcentral.com)
  • The technique also performed excellently in terms of postoperative pain, knee function recovery, and complication rates during the follow-up period. (bvsalud.org)
  • The incidence of these fractures in females steadily increases with advancing age and overall female to male ratio is about 2:1. (jmsronline.com)
  • therefore, the incidence of these fractures is likely to increase. (medscape.com)
  • treatment of displaced distal fractures depends on the fracture type. (medscape.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)
  • For generations traction and casting was the standard treatment for all femoral shaft fractures in children. (openorthopaedicsjournal.com)
  • 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)
  • The use of Ilizarov concepts in the treatment of tibial pilon fractures. (enpress-publisher.com)
  • Is there a role for intramedullary nails in the treatment of simple pilon fractures? (enpress-publisher.com)
  • 17. Vidyadhara, S. and S.K. Rao, Ilizarov treatment of complex tibial pilon fractures. (enpress-publisher.com)
  • 18. Bonar, S.K. and J.L. Marsh, Tibial plafond fractures: changing principles of treatment. (enpress-publisher.com)
  • Surgical treatment of supracondylar fractures has evolved significantly over the past few decades. (medscape.com)
  • These were by far the best results reported in the treatment of these difficult fractures at that time. (medscape.com)
  • 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)
  • otherwise x-rays are usually unnecessary because treatment is the same whether fracture is present or not. (msdmanuals.com)
  • The femoral shaft fractures constitute 1.6% of the pediatric fractures. (ijrsms.com)
  • Valgus angulation after pediatric distal tibial fractures persisted in this study sample. (biomedcentral.com)
  • Elbow dislocation is a serious injury requiring immediate surgical intervention, especially when neglected and associated with fractures [1] . (jocr.co.in)
  • We present two cases of high impact injury causing sagittal plane fractures through the navicular body, without dislocation of the navicular or surrounding structures. (faoj.org)
  • A Monteggia fracture is defined as a one-third fracture of the ulna with radial head dislocation [1] . (physio-pedia.com)
  • Jose Louis Bado reviewed Monteggia's original fracture dislocation and further classified it into 4 types [7] . (physio-pedia.com)
  • Type I:Anterior radial head dislocation and fracture of ulna diaphysis with anterior angulation. (physio-pedia.com)
  • For stable IT fractures it is the surgery of choice. (jmsronline.com)
  • Open or comminuted fractures require surgery to replace or repair the shattered bones. (nsvhok.com)
  • Some fractures can be treated without surgery by placing muzzle tape on the dog's snout to stabilize the fracture. (nsvhok.com)
  • These new developments will affect shoulder surgery in a wide perspective, from surgical technique to postoperative rehabilitation. (researchgate.net)
  • 2.85% encountered acute reactive synovitis, 5.71% developed angulation of fracture site and 2.85% developed per operative breakage of nail. (openorthopaedicsjournal.com)
  • The femoral nail is fractured at the screw level with varus angulation at the nail fracture site. (fda.gov)
  • Early postoperative and late follow-up radiographs were used to measure angulation. (biomedcentral.com)
  • An undersized radial head prosthesis can lead to postoperative instability, which increases posterior translation with valgus-supination stress [ 10 ]. (biomedcentral.com)
  • Intertrochanteric (IT) fractures of femur are common in elderly people with osteoporotic bones and often the result of minor domestic falls. (jmsronline.com)
  • The zygomaticomaxillary complex fracture, also known as a quadripod fracture, quadramalar fracture, and formerly referred to as a tripod fracture or trimalar fracture, has four components, three of which are directly related to connections between the zygoma and the face, and the fourth being the orbital floor. (wikipedia.org)
  • Rymaszewski and Robb [1] in 1976, proposed one revisional mechanism in a later case report and finally, Rockett and Brage [7] in 1997 assessed navicular fractures on Computerized Tomography reviewing five different fracture patterns and proposed another potential mechanism of injury not previously discussed in the literature. (faoj.org)