• 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)
  • 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)
  • To overcome these problems internal fixation techniques have been used with better outcomes, in the later half of the 20th century. (jmsronline.com)
  • In the last few decades, sliding hip screw (DHS) became the standard way of fixation of IT fractures world over. (jmsronline.com)
  • Its usage for fixation of IT fractures rose from 3.1% in 1999 to 67% in 2006 in the developed world. (jmsronline.com)
  • DHS is still the most commonly used device for fixation of IT fractures. (jmsronline.com)
  • However fixation of unstable fractures with this devise remains a persistent challenge. (jmsronline.com)
  • Malunion is very common following DHS fixation of IT fractures particularly the unstable variety. (jmsronline.com)
  • 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)
  • The purpose of this case series was the evaluation of screw misplacement rate and functional outcome of percutaneous screw fixation of pelvic ring disruptions using a 2D navigation system. (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)
  • An external fixator brings many advantages like a rigid fixation in a precarious form of immobilization especially in open fractures in which traction or casting or plates or rods are unable to be applied because of risk of infection or the loss of an extremity. (amhe.org)
  • So, an external fixation is a surgical way to stabilize a fracture with rods screwed into bone and exiting the body attached to a stabilizing structure on the outside of the body. (amhe.org)
  • One has to understand that an external fixation may be a way of treating any long bone open or comminuted fractures while the damaged sot tissues is managed. (amhe.org)
  • 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)
  • 16] However, the risk of developing osteonecrosis has been suggested with delayed fixation after fracture displacement. (faoj.org)
  • Open reduction internal fixation techniques were used for definitive fixation of the comminuted talar fractures. (faoj.org)
  • Status post internal fixation, the talonavicular, subtalar and tibiotalar joints were unstable per intra-operative examination. (faoj.org)
  • We aimed to compare the outcomes of two surgical treatment options, external fixator (EF) or open reduction and internal fixation (ORIF), in patients with bilateral distal radius fractures (DRFs). (jointdrs.org)
  • INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
  • Twenty-three patients with unstable pelvic ring injuries underwent the modified anterior pedicle screw-rod fixation, with or without posterior fixation. (biomedcentral.com)
  • The modified pedicle screw-rod fixation with the minimally invasive technique offered an effective alternative for unstable anterior pelvic ring injuries. (biomedcentral.com)
  • This study was aimed to evaluate the modified pedicle screw-rod fixation as a minimally invasive procedure for unstable pelvic ring injuries, in the respects of its feasibility, merits, and limitations. (biomedcentral.com)
  • From January 2013 to October 2015, a total of 23 patients with unstable pelvic ring injuries underwent anterior fixation by the modified INFIX, with or without posterior fixation, which was indicated for unstable anterior ring injuries, especially comminuted fractures. (biomedcentral.com)
  • For posterior fixation, indications were sacroiliac displacement and sacral fractures. (biomedcentral.com)
  • Last few decades has seen increasing trend towards operative management of femoral shaft fractures in paediatric patients but opinion regarding optimal method of fixation of these fractures remains divided [ 12 ]. (biomedcentral.com)
  • The decision to operate on these patients is complex because conservative treatment is poorly tolerated in unstable fractures and conventional open reduction and internal fixation is associated with a high rate of complications. (bioscientifica.com)
  • Physical and biological aspect of fracture healing with special reference to internal fixation. (ijoro.org)
  • Evolution of internal fixation of long bone fractures. (ijoro.org)
  • View of Is Fusion Mandatory with Spinal Fixation of Traumatic Thoracolumbar Burst Fractures? (pdfplayer.org)
  • and soft tissue healing similar to internal fixation of limb fractures. (pdfplayer.org)
  • P2 volar base fracture, witha large fragment suitable for screw fixation. (ac.ir)
  • During a 24-month period, 99 patients with proximal humerus fracture with OTA type 11A, 11B, 11c were treated operatively with open reduction and internal fixation with angular stability locking plate at a level 1 trauma center. (asesjournal.com)
  • Angular Locking plate fixation for proximal humerus fracture gives satisfactory results, good functional and radiological outcome. (asesjournal.com)
  • 9. Plecko M, Kraus A. Internal fixation of proximal humerus fractures using the locking proximal humerus plate. (asesjournal.com)
  • 10. Handschin AE, Cardell M, Contaldo C, Trentz O, Wanner GA. Functional results of angular-stable plate fixation in displaced proximal humeral fractures. (asesjournal.com)
  • A systematic review of locking plate fixation of proximal humerus fractures. (asesjournal.com)
  • plate fixation was performed on the right comminuted fracture. (annalsofafricansurgery.com)
  • The dislocations reduced spontaneously after the fracture fixation. (annalsofafricansurgery.com)
  • Unstable reductions may necessitate percutaneous pin or screw fixation. (teachmeorthopedics.info)
  • Here, we report the long-term outcome of a young man treated with open reduction and internal fixation (ORIF) of the medial wall fracture, a valgus osteotomy of the femur and a restock of the impaction with autologous bone graft. (jocr.co.in)
  • External fixation is a procedure in which the fracture stabilization is done at a distance from the site of fracture. (fixthebones.com.au)
  • Femoral neck fractures are at risk of non-union with/without mechanical collapse due to insufficient fixation and/or avascular necrosis of the femoral head. (musculoskeletalkey.com)
  • Extra-capsular fractures are at risk of mechanical collapse and non-union due to insufficient fixation. (musculoskeletalkey.com)
  • 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)
  • The chief drawbacks with this fixation method are the long incisions and wide exposure necessary to reduce and fix the fractures. (teachmeorthopedics.info)
  • Intramedullary nailing of forearm fractures is not meant to replace conventional plate fixation. (teachmeorthopedics.info)
  • 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)
  • 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)
  • No cut out complications occurred in the 3rd and 4th degree intertrochanteric fractures with a Baumgaertner index Ć¢ā€°Ā„ 25 mm, when the reduction and valgus fixation of the intertrochanteric fracture was performed with the Dynamic hip screw type sliding pin, as there was also, in the majority of patients, no anisomelia of the lower limbs. (imed.pub)
  • Baumgaertner M, Curtin S, Lindskog D, Keggi J: The value of the tip-apex-distance in predicting failure of fixation of peritrochanteric fractures of the hip. (imed.pub)
  • Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)
  • Under certain circumstances, radiographic examination of the nearby joints is indicated in order to exclude dislocations and fracture-dislocations. (wikipedia.org)
  • Proximal interphalangeal (PIP) fracture dislocations remain a complex injury pattern to treat. (openorthopaedicsjournal.com)
  • A retrospective review was conducted of all PIP fracture dislocations treated through a volar, shotgun approach at a single institution over a 15-year period. (openorthopaedicsjournal.com)
  • Proximal interphalangeal joint (PIP) fracture dislocations continue to be a challenging fracture patterns to manage. (openorthopaedicsjournal.com)
  • It has been suggested that radiologic imaging studies may be unnecessary for the evaluation of elbow fractures and dislocations if the active range of motion (including extension, flexion, supination, and pronation) remains normal. (medscape.com)
  • Stable fracture dislocations with less than 30% of articular surface generally can be treated conservatively with dorsal block splinting for 3 weeks in 30 degrees of flexion (a,b). a,b). (ac.ir)
  • In 12% of the patients, the dislocation is combined with a femoral head fracture (complex dislocations) [1, 2] which could result in severe complications such as avascular necrosis (AVN) and subsequent early secondary osteoarthritis. (jocr.co.in)
  • In general, the treatment of complex hip dislocations depends on the associated fracture (e.g., femoral head fracture, femoral neck fracture, and acetabular fracture). (jocr.co.in)
  • Traction method is used for the management of fractures and dislocations that cannot be treated by casting. (fixthebones.com.au)
  • 2 ] Patients can be treated conservatively or through surgery, depending on the type of fracture. (jointdrs.org)
  • Neurovascular injury can occur in this type of fracture because the shaft may be displaced into the axilla. (teachmeorthopedics.info)
  • This type of fracture is more prone to infection and requires immediate medical attention. (fixthebones.com.au)
  • Greenstick fractures are stable fractures as a part of the bone remains intact and unbroken so this type of fracture normally causes a bend to the injured part, rather than a distinct deformity, which is problematic. (passmed.uk)
  • A 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)
  • Comminuted talar fractures are commonly the result of high-energy trauma. (faoj.org)
  • Comminuted talar fractures are commonly the result of high-energy trauma and associated with multiple injuries. (faoj.org)
  • The radial head-capitellar view may be acquired only when a radial head fracture is suspected, or it may be performed routinely for acute elbow pain or trauma. (medscape.com)
  • In distinction, elevation of the anterior and posterior fat pads is a reliable indicator of elbow effusion, which, in the setting of acute elbow trauma, should be considered evidence of an acute intraarticular fracture. (medscape.com)
  • Distal radius fractures (DRFs) are commonly encountered in trauma practice with most cases being elderly individuals. (jointdrs.org)
  • Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. (orthobullets.com)
  • Osteoporotic ankle fractures result from mechanical forces that would not ordinarily result in fracture, known as 'low-energy' trauma, such as those equivalent to a fall from a standing height or less. (bioscientifica.com)
  • On the other hand, achievement of solid fusion reduces risk of re-kyphosis and implant failure.Methods: Study was prospectively conducted on 40 patients with T10-L2 traumatic burst fractures, assigned into 2 equal groups: a fusion and a non-fusion group.Results:Mean age of patients was 37.2 years with minimal male predominance.Fall from height was the most common mode of trauma (62.5%) followed by RTAs. (pdfplayer.org)
  • A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. (fixthebones.com.au)
  • Avascular necrosis is caused by ischaemia hypothetically due to either a direct trauma to the arterial supply crossing the fracture-line or by a temporary arterial impingement, caused by vessel stretching or intra-capsular hematoma. (musculoskeletalkey.com)
  • 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)
  • Diaphyseal fractures of the forearm in adults are relatively common injuries that usually occur after intermediate or high-energy trauma. (teachmeorthopedics.info)
  • Forearm fractures may occur as an isolated injury or after multiple trauma. (teachmeorthopedics.info)
  • Generally, scaphoid bone fractures result from indirect trauma when an individual falls onto the outstretched hand with a hyperextended and radially deviated wrist. (passmed.uk)
  • The 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)
  • The classic finding in a Colles fracture is the so-called dinner fork deformity, which is produced by dorsal displacement of the distal fracture fragments. (medscape.com)
  • Additionally, over impaction of the fracture fragments may lead to significant loss of limb length. (jmsronline.com)
  • In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. (wikipedia.org)
  • Jean- Francois Malgaine chooses a spike driven into the tibia in guise of strap to stabilize a fractured tibia in 1840 while he innovated even better with a claw-like device in 1843 to kept the fragments of a patella fracture in position percutaneously. (amhe.org)
  • By excision of comminuted fragments from the defect in volar base of P2 a suitable groove will be made at this area perpendicular to the long axis of P2 to accept the volar fibrocartilaginous plate. (ac.ir)
  • Unstable fractures are those in which fragments of the broken bone are misaligned and displaced. (fixthebones.com.au)
  • The fracture-line is anatomically located laterally to the nutrient vessels to the femoral head, so avascular necrosis is rarely seen, but muscle attachments often dislocate the fragments and bleeding into surrounding muscles can be severe and life-threatening. (musculoskeletalkey.com)
  • Classification systems are primarily based on fracture-line location and number of fragments. (musculoskeletalkey.com)
  • It protects the soft tissues around the zone of injury by preventing further damage from mobile fracture fragments. (passmed.uk)
  • The more proximal the fracture, the more common these complications. (medscape.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)
  • Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
  • These are as follows - Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
  • Late complications - occurring a long time after the fracture. (wikipedia.org)
  • 14] For all cases of talar fractures, treatment goals remains anatomic reduction, preservation of motion, joint stability, and minimization of complications. (faoj.org)
  • Immediate complications - occurs at the time of the fracture. (wikipedia.org)
  • It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures. (biomedcentral.com)
  • Flexible intramedullary nailing introduced for femoral fractures by Nancy group in 1982 [ 22 ], has become popular with many orthopaedic surgeons and remains the treatment of choice for these fractures at our institute due to its favourable results and lack of serious complications. (biomedcentral.com)
  • Aim of the study was to describe complications and problems in treating the fracture around knee joint by using LCP (locking compression plate). (ijoro.org)
  • Furthermore, although functional results and mortality rates are similar, as cemented calcar replacement hemiarthroplasty has serious life-threatening complications, it should not be the first choice of treatment method. (journaltocs.ac.uk)
  • Surgical treatment of distal humerus fractures can lead to numerous complications. (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)
  • This paper describes the complications of cut out or the anisomelia of the lower limbs of patients with intertrochanteric fractures who underwent valgus reduction surgery. (imed.pub)
  • A Smith fracture may show an obvious volar displacement of the wrist relative to the forearm, known as a garden spade deformity. (medscape.com)
  • Any fracture pattern can be seen, but the displacement of all components must be less than 1 cm, except anatomic neck fractures, to be considered in this group according to Neer's concept. (teachmeorthopedics.info)
  • concluded, generally in 2 to 3 weeks, a program to regain shoulder motion is started as for fractures with minimal displacement and anatomic neck fractures. (teachmeorthopedics.info)
  • Femoral neck fracture classification has historically been contentious with several different systems, primarily based on fracture displacement seen in the anterior-posterior radiographs. (musculoskeletalkey.com)
  • In potentially unstable fractures treated non-operatively with cast application, it may be necessary to follow the patient weekly with serial x-rays to assess the position of the fracture, with cast removal at approximately 6 weeks depending on clinical and radiographic evidence of healing. (ankleinfo.net)
  • The 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)
  • [ 3 ] Arundel et al suggest that clinical gestalt is sensitive for detecting fractures, but that the clinical prediction rule increases specificity (identifying which adults do not need imaging), decreasing the number of negative radiographs. (medscape.com)
  • However, data on the clinical outcomes of open ankle fracture management in patients older than 70 is minimal. (bvsalud.org)
  • AIM: To evaluate the clinical outcomes following open ankle fracture management in patients older than 70. (bvsalud.org)
  • His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)
  • 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)
  • The clinical outcomes were assessed using Majeed scores, and the quality of reduction was evaluated according to the criteria of Matta. (biomedcentral.com)
  • Majeed scores showed that the clinical outcomes at postoperatively 1 year were excellent in 14 patients, good in 7, and fair in 2. (biomedcentral.com)
  • No study has compared the effect of graft thickness on clinical outcomes. (researchgate.net)
  • Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. (ijoro.org)
  • 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)
  • 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)
  • 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)
  • 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)
  • Multiple Injuries were sustained including a left open intra-articular comminuted supracondylar femur fracture, right femoral shaft fracture, right intertrochanteric hip fracture, right tibial plateau fracture, and a left closed talar body and neck fractures. (faoj.org)
  • Out of 44 patients of distal femur fracture group 10 (22.72%) had infection where as in proximal tibia fracture group 4 (15.38%) out of 26 patients (all were operated by ORIF technique) had infection. (ijoro.org)
  • Varus deformity was found in 3 patients (6.66%) of distal femur fracture patients and 4 patients (15.38%) of proximal tibia fracture patients out of these 3 were operated by ORIF and 1 by MIPO. (ijoro.org)
  • Muscle wasting was found in 20 patients (40.44%) of distal femur fracture patients. (ijoro.org)
  • Limb shortening was found in 7 patients (15.90%) of distal femur fracture. (ijoro.org)
  • Limp shortening was present in 17 patients (38.60%) of distal femur fracture and 4 patients (15%) of proximal tibia fracture out of these 4 were operated by ORIF and 1 by MIPO. (ijoro.org)
  • Delayed Union was found in two patients (4.54%) of distal femur fracture patients. (ijoro.org)
  • Extension lapse was found in four patients (9.09%) of distal femur fracture and 1 patient (5.88%) of proximal tibia fracture. (ijoro.org)
  • Younger patients, typically those younger than 16 years, tend to have better functional outcomes from lunate injuries than older patients. (medscape.com)
  • Unstable or severely comminuted and intra-articular fractures of distal radius represent traumatic high energy injuries. (traumainternational.co.in)
  • Between August 2004 and December 2007, 442 patients with pelvic injuries (pelvic ring and acetabular fractures) were treated at our department. (biomedcentral.com)
  • In the literature, the timing for treatment of comminuted talar fractures remains controversial, even in the presence of multiple injuries. (faoj.org)
  • We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture, the subsequent management and outcome, and review the current literature for management of comminuted talar fractures. (faoj.org)
  • These injuries are treated in descending order from most life threatening, and the definitive treatment of talar fractures may be staged. (faoj.org)
  • We present the case of a stable patient with multiple long bone injuries and a comminuted talar fracture. (faoj.org)
  • Figure 2 During his secondary survery, radiographs were taken that revealed a closed talar comminuted fracture among his other injuries. (faoj.org)
  • BACKGROUND: Open fractures of the ankle are complex injuries requiring multidisciplinary input and are associated with significant morbidity and mortality. (bvsalud.org)
  • Unstable pelvic ring injuries often involve high mortality and morbidity. (biomedcentral.com)
  • Pelvic fractures represent a relatively small rare injury, but high-energy pelvic ring injuries often involve high mortality and morbidity [ 1 ]. (biomedcentral.com)
  • Hence, successful treatment of unstable pelvic ring injuries remains a challenge for orthopedic surgeons. (biomedcentral.com)
  • Exclusion criteria included hemodynamically unstable patients, infections or soft tissue defects, acetabular or supra-acetabular fractures, pubic diastases, and a history of pelvic injuries. (biomedcentral.com)
  • Overuse injuries are common cause of stress fractures in athletes. (fixthebones.com.au)
  • The minimal radiographic series includes anteroposterior (AP) and lateral images, while an oblique radial head-capitellar view can help detect subtle fractures by removing osseous overlap of the radial head and coronoid. (medscape.com)
  • Approach to the fracture can be performed through dorsal, lateral or volar directions ( 6 , 7 ). (ac.ir)
  • 31-A3 covers fracture lines through the lateral femoral wall - defined as the lateral cortex distal to the greater trochanter - in which the subgroup 31-A3.1 represent the reverse fracture and 31-A3.2 the transversal, while the most comminuted 31-A3.3 fracture demands both a fractured lateral femoral wall and a detached lesser trochanter. (musculoskeletalkey.com)
  • 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)
  • 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)
  • Radiological outcome, functional outcome and complication of proximal humerus fractures with respect to fracture pattern, age, and gender. (asesjournal.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)
  • Intertrochanteric (IT) fractures of femur are common in elderly people with osteoporotic bones and often the result of minor domestic falls. (jmsronline.com)
  • 6. Schumaier A, Grawe B. Proximal humerus fractures: evaluation and management in the elderly patient. (asesjournal.com)
  • 7. Zyto K. Non-operative treatment of comminuted fractures of the proximal humerus in elderly patients. (asesjournal.com)
  • Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
  • In a fragility fracture context, intra-capsular hip fractures are in fact through the femoral neck, as femoral head fractures are uncommon in the elderly. (musculoskeletalkey.com)
  • to simulate comminuted extraarticular distal femur fractures (AO/OTA 33A). (stanford.edu)
  • New technique for treatment of unstable distal femur fractures by locked double plating: case report and biomechanical evaluation. (ijoro.org)
  • Anatomic snuffbox pain has a sensitivity of 90% and specificity of 40% for detection of scaphoid fractures. (orthopaedia.com)
  • With scaphoid fractures, the point of maximal tenderness lies in the anatomic snuffbox, which lies between the tendons of the extensor pollicis brevis and abductor pollicis longus. (medscape.com)
  • Neer's anatomic concept for standardizing the terminology of fractures of the proximal humerus. (teachmeorthopedics.info)
  • Volar base fracture of the second phalanx in the proximal interphalangeal joint fracture dislocation is a challenging injury with high rate of permanent disabilities. (ac.ir)
  • When P2 volar base fracture dislocation accompanies with a single and large fragment, ORIF can result in stable and congruent joint ( 5 ). (ac.ir)
  • Bilateral fractures with posterior radio humeral dislocation are even rarer and offer a management dilemma. (annalsofafricansurgery.com)
  • We report one case of traumatic bilateral olecranon fractures with posterior radio-humeral dislocation without any concomitant systemic disease. (annalsofafricansurgery.com)
  • A radiograph showed bilateral fractures of the olecranon with posterior radio-humeral dislocation (Figure 1). (annalsofafricansurgery.com)
  • Bilateral olecranon fractures with elbow dislocation are rarer. (annalsofafricansurgery.com)
  • A 22-year-old truck driver involved in a ski accident sustained an obturator dislocation of the right hip associated with a femoral head impaction in the weight-bearing zone and a medial wall fracture of the acetabulum. (jocr.co.in)
  • Indentation fractures of the femoral head have been reported to occur in 35%-55% of patients after traumatic obturator dislocation [3, 4, 5]. (jocr.co.in)
  • An obturator hip dislocation with a femoral head and a medial wall acetabular fracture is a very rare combination. (jocr.co.in)
  • He sustained an obturator dislocation of the right hip associated with a severe femoral head impaction fracture in the weight-bearing zone and a medial wall fracture of the acetabulum (Fig. 1, 2, 3). (jocr.co.in)
  • 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)
  • Weber B) The SER fracture type II, has no medial injury, mechanically stable and do not require surgery. (ankleinfo.net)
  • Hutchinson and Barrie suggested that the majority of ankle fractures seen in clinic are stable, are not likely to displace and do not require plaster casting to achieve union in a good position. (ankleinfo.net)
  • They reviewed 163 patients with stable ankle fractures over a period of 8 years. (ankleinfo.net)
  • For stable IT fractures it is the surgery of choice. (jmsronline.com)
  • Many studies have reported predictable stability and healing in these stable fracture patterns. (jmsronline.com)
  • The fracture may be stable enough to permit immobilization of the arm at the side in a sling-and-swathe but may require a spica cast or abduction pillow splint to hold the arm in the reduced position. (teachmeorthopedics.info)
  • Simple fractures in which the fractured pieces of bone are well aligned and stable. (fixthebones.com.au)
  • Owing to its tenuous blood supply, the scaphoid is particularly susceptible to osteonecrosis (and ensuing post-traumatic arthrosis) after fracture. (orthopaedia.com)
  • Thoracolumbar burst fractures are one of the most common types of traumatic spinal fractures. (pdfplayer.org)
  • bilateral traumatic olecranon fracture is rare. (annalsofafricansurgery.com)
  • Bilateral traumatic olecranon fractures in healthy individual are quite rare. (annalsofafricansurgery.com)
  • The proximal fractures of the femur are counted among the group of orthopedic and traumatic pathologies which consume most of the financial resources set aside for health worldwide. (imed.pub)
  • B - Fracture begins at joint level and extends proximally in an oblique fashion. (ankleinfo.net)
  • Methods A 45-degree oblique fracture line was created in artificial bone samples. (bvsalud.org)
  • Fracture patterns included transverse (49), oblique (21), and communited (3) fractures. (biomedcentral.com)
  • Can Total Wrist Arthroplasty Be an Option for Treatment of Highly Comminuted Distal Radius Fracture in Selected Patients? (hindawi.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)
  • In addition to standard plain radiographs, CT scan may be useful in highly comminuted fractures for mapping out fracture anatomy and preoperative planning. (ankleinfo.net)
  • Because scaphoid fractures may occur without bruising or visible deformity, patients may assume a less serious injury and delay seeking evaluation. (orthopaedia.com)
  • This test can detect an occult scaphoid fracture immediately, as well as any other associated injury. (orthopaedia.com)
  • C - Fractures above the joint line, generally with syndesmotic injury. (ankleinfo.net)
  • The fracture is proximal to the plafond, and may be as high as fibular neck (Maisonneuve) with associated syndesmotic injury. (ankleinfo.net)
  • Comminuted fracture of fibula above ankle mortise with medial malleolar fracture or deltoid injury. (ankleinfo.net)
  • Management of ankle fractures depends on accurate determination of the nature and severity of the injury. (ankleinfo.net)
  • However, due to the comminuted nature of the talar fracture, definitive surgery was delayed for three days post-injury. (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)
  • There were 53 males (57 fractures) and 16 females (16 fractures) in this series with an average age of 8.3 (range 4-15) years at the time of injury (Table 1 ). (biomedcentral.com)
  • This paper highlights this rare injury and the challenges in treatment and outcome. (annalsofafricansurgery.com)
  • D islocation of the navicular without fracture is a rare injury [1-3]. (faoj.org)
  • Neer divides proximal humeral fractures into six groups, as shown in Fig. 17-1 , and this concept is useful in considering the management of the injury. (teachmeorthopedics.info)
  • The objective of early fracture management is to control bleeding, prevent ischemic injury (bone death) and to remove sources of infection such as foreign bodies and dead tissues. (fixthebones.com.au)
  • 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)
  • To report the outcomes of proximal humerus fracture operated with angular stability locking plate with regards to fracture pattern. (asesjournal.com)
  • Surgical treatment continues to be the treatment of choice for intertrochanteric fractures of the femur. (imed.pub)
  • Sixty-one patients with 3rd and 4th degree, according to Tronzo classification, intertrochanteric fractures underwent surgery with the use of Dynamic hip screw type sliding screw and valgus reduction. (imed.pub)
  • When accompanied by medial malleolus fracture or with deltoid ligament rupture the ankle is considered unstable. (ankleinfo.net)
  • The SER IV fracture has a medial component: either a medial malleolar fracture or a deltoid rupture. (ankleinfo.net)
  • and lack of tenderness over the radial head, olecranon, and medial epicondyle excludes fracture in the adult elbow and obviates imaging. (medscape.com)
  • Flexible intramedullary nailing in paediatric femoral fractures. (biomedcentral.com)
  • Flexible intramedullary nailing has emerged as an accepted procedure for paediatric femoral fractures. (biomedcentral.com)
  • We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. (biomedcentral.com)
  • Flexible intramedullary nailing is reliable and safe for treating paediatric femoral shaft fractures. (biomedcentral.com)
  • We undertook a long term retrospective study of paediatric femoral fractures treated with flexible intramedullary nailing at our institute. (biomedcentral.com)
  • On retrospective search of hospital records, we found 81 patients of femoral shaft fractures treated with flexible intramedullary nailing at our institute with a minimum follow up period of 5 years. (biomedcentral.com)
  • The indications for intramedullary nailing of the radius and ulna include segmental fractures, gunshot fractures with severe comminution, refracture of the forearm after plate removal, fracture occurring above or below an existing plate, unstable fractures in children or adolescents, and fractures in athletes who participate in contact sports. (teachmeorthopedics.info)
  • Saudan M, Lubbeke A, Sadowski C, Riand N, Stern R, Hoffmeyer P: Pertrochanteric fractures: is there an advantage to an intramedullary nail? (imed.pub)
  • 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)
  • For decades, volar plate arthroplasty (VPA) was the preferred technique for P2 volar base fracture which could not be addressed by extension block splintage or ORIF because of the markedly comminuted and impacted fractures. (ac.ir)
  • 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)
  • Krettek C, Tscherne H. Transarticular joint reconstruction and Indirect Plate Osteosynthesis for complex distal supracondylar femoral fractures. (ijoro.org)
  • Fracture is usually caused by a fall on an outstretched hand (a mechanism also associated with distal radius fractures and radial head fractures). (orthopaedia.com)
  • Patients with scaphoid fractures will often present with radial sided wrist pain (worsened with gripping or squeezing), variable swelling and limited range of motion. (orthopaedia.com)
  • The sensory branch of the radial nerve may be compromised with a dorsally displaced Barton fracture. (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)
  • Undisplaced linear fractures that extend into the humeral head can occur. (teachmeorthopedics.info)
  • 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)
  • 8. Russo R, Lombardi LV, Ciccarelli M, Giudice G, Cautiero F. A new osteosynthesis device for the treatment of proximal humerus fractures. (asesjournal.com)
  • 11. Helwig P, Bahrs C, Epple B, Oehm J, Eingartner C, Weise K. Does fixed-angle plate osteosynthesis solve the problems of a fractured proximal humerus? (asesjournal.com)
  • Numerous authors have shown high rates of union and excellent functional outcomes after plate osteosynthesis of these fractures. (teachmeorthopedics.info)
  • Extensor carpi ulnaris problems on the wrist: Classification, surgical therapy and outcomes. (dnahelix.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)
  • After imaging studies, the olecranon fracture was classified using Mayo classification and the patient was prepared for surgery under general anesthesia. (annalsofafricansurgery.com)
  • The AO/OTA classification covers most fractures within previous classification systems, except the few trochanteric fractures with a detached greater trochanter and an intact lesser trochanter. (musculoskeletalkey.com)
  • Surgical options may be considered for specific fracture patterns in younger patients. (orthojournalhms.org)
  • Some studies have directly compared the outcome of conservative and surgical treatment, however it is difficult to establish a sound conclusion due to flaws in study designs, smaller no of patients and variation in fracture patterns. (ankleinfo.net)
  • 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)
  • Dr. Goodnough has conducted research on the role of skeletal stem cells in fracture healing. (stanford.edu)
  • Topics have included the effects of non-steroidal anti-inflammatory drugs on skeletal stem cells in fractures. (stanford.edu)
  • Preoperatively, all patients received anteroposterior, inlet, and outlet pelvic radiographs and 3-D pelvic CT scans for a full evaluation of the displaced pelvic ring and ipsilateral skeletal or skin traction for fracture reduction. (biomedcentral.com)
  • In skeletal traction, a pin is inserted through the bone distal to the fracture. (fixthebones.com.au)
  • 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)
  • 13. Thanasas C, Kontakis G, Angoules A, Limb D, Giannoudis P. Treatment of proximal humerus fractures with locking plates: a systematic review. (asesjournal.com)
  • Unilateral olecranon fractures constitute 10% of upper limb fractures (1). (annalsofafricansurgery.com)
  • Skin traction involves attachment of traction tapes to the skin of the limb segment below the fracture. (fixthebones.com.au)
  • The limb is palpated from shoulder to fingers by the surgeon looking for areas of tenderness or fracture crepitus. (teachmeorthopedics.info)
  • If the fracture is open, the wounds should be sterilely dressed, the limb splinted, and intravenous antibiotics administered. (teachmeorthopedics.info)
  • Bone cells begin forming on the either side of the fracture line. (fixthebones.com.au)
  • In adults, the femoral head is primarily supplied by the distal recurrent vessels entering the femur on the shaft side of the fracture. (musculoskeletalkey.com)
  • Non-operative treatment of unstable ankle fractures is associated with a non-union rate of between 48 and 73% compared to 0 and 19% after operative treatment. (ankleinfo.net)
  • This treatment of choice leads to clinically rewarding functional, anatomical and radiological outcomes in unstable distal radius fractures. (traumainternational.co.in)
  • 4] Others have proposed that surgical treatment of talar fractures may promote revascularization to the talar body. (faoj.org)
  • 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)
  • For simple fractures, conservative treatment can be sufficient, while surgical treatment may be inevitable for complex fractures. (jointdrs.org)
  • 4 ] Although the most optimal surgical approach to DRF treatment remains as a topic of controversy,[ 4 ] when the fracture is unilateral, treatment modality and type of implant to be used can be selected based on the literature and according to the fracture type and surgical expertise. (jointdrs.org)
  • Fully-threaded screws could, therefore, be more useful in diaphyseal fracture treatment. (bvsalud.org)
  • The authors conducted a narrative review of the literature on primary tibiotalocalcaneal nailing of ankle fractures in frail patients and categorized the different factors to consider when treatment is indicated for this conditon. (bioscientifica.com)
  • 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)
  • 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)
  • Treatment can be conservative (e.g., wrist immobilization) or in certain cases surgical (e.g., proximal pole fracture). (passmed.uk)
  • 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)
  • However, although the surgical treatment of the proximal fracture of the femur is widely known and accepted in the orthopedic field, it is not without risk with the cut out being the most feared complication. (imed.pub)
  • 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)
  • Plain radiographs are essential for all patients with suspected scaphoid fractures. (orthopaedia.com)
  • Because initial radiographs of a scaphoid fracture may appear normal, patients with pain in the snuff box and a fall on the outstretched hand should be immobilized and sent for additional imaging studies. (orthopaedia.com)
  • Initial radiographs and computed tomography scans following the fall show a dislocated navicular and cuboid fracture (Figures 1-4). (faoj.org)
  • There is lack of reliability in interpreting radiographs to accurately classify proximal humerus fractures. (teachmeorthopedics.info)
  • Furthermore, in certain complex fractures and sometimes in subtrochantric fractures, with tendency for marked flexion of proximal fragment, closed reduction and its maintenance if often unsuccessful. (biomedcentral.com)
  • Reduction of the fracture depends on an intact posteromedial periosteal sleeve in younger patients. (teachmeorthopedics.info)
  • The next step in fracture management is the reduction of the fracture and its maintenance. (fixthebones.com.au)
  • To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical method. (fixthebones.com.au)
  • Casting closed reduction is done for any fracture that is displaced, shortened, or angulated. (fixthebones.com.au)
  • This is a surgical procedure in which the fracture site is adequately exposed and reduction of fracture is done. (fixthebones.com.au)
  • Look for any evidence of a break in the skin indicating an open fracture. (medscape.com)
  • Such devices are used to repair open and unstable fractures allowing dressing changes. (amhe.org)
  • External fixators are mainly using in the management of severe open wounds, infected fractures or open fractures, Burns. (amhe.org)
  • All patients older than 70 years of age with an open ankle fracture requiring surgical intervention were identified. (bvsalud.org)
  • n = 7 males median age: 74 years, range: 71-98)) who underwent surgical intervention after an open ankle fracture. (bvsalud.org)
  • CONCLUSION: An open ankle fracture in a patient older than 70 years has at least a 20% chance of requiring repeated surgical intervention due to deep SSIs. (bvsalud.org)
  • Present indications include all patients with femoral shaft fractures and open physis. (biomedcentral.com)
  • All patients with open fractures, pathological fractures, metabolic bone disease or neuromuscular disorders were excluded from search. (biomedcentral.com)
  • Indication for surgery in all cases was displaced femoral shaft fracture with open femoral physis. (biomedcentral.com)
  • the right scapula and an IIĀ° open comminuted fracture of the right olecranon. (jocr.co.in)
  • Open (compound) fractures are severe fractures in which the broken bones cut through the skin. (fixthebones.com.au)
  • 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)
  • The comminuted sacral fractures are the best indications, as no compression is possible for sacroiliac screws. (biomedcentral.com)
  • Nearly 2/3 of all scaphoid fractures occur at the waist, with 15% occurring at the proximal pole, 10% at the distal pole, and 8% at the tuberosity. (orthopaedia.com)
  • This is analogous to femoral neck fractures and resulting femoral head ischemia: just as the vessels to the femoral head must traverse the femoral neck, the blood supply to the proximal pole of the scaphoid must traverse the waist). (orthopaedia.com)
  • Pain to palpation is a slightly less sensitive but more specific finding for detection of scaphoid fractures. (orthopaedia.com)
  • Figure 5: MRI showing a radiographically occult scaphoid fracture. (orthopaedia.com)
  • Although bone scans (scintigraphy) can also be used to detect occult scaphoid fractures, MRI has two advantages (Figure 5). (orthopaedia.com)
  • Scaphoid fractures are prone to delayed healing and avascular necrosis. (medscape.com)
  • Fractures are most often localized in the middle third of the scaphoid bone. (passmed.uk)
  • Pain when applying pressure to the anatomical snuffbox is highly suggestive of a scaphoid bone fracture. (passmed.uk)
  • Rarely, a three-part fracture is encountered involving the lesser or greater tuberosity as well as the surgical neck. (teachmeorthopedics.info)
  • 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)
  • Although there are theoretical concerns about NSAIDs slowing the rate of healing, there is not enough evidence to warrant withholding the use of this type analgesic in simple fractures. (wikipedia.org)