The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.
The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.
The use of nails that are inserted into bone cavities in order to keep fractured bones together.
Breaks in bones.
The physiological restoration of bone tissue and function after a fracture. It includes BONY CALLUS formation and normal replacement of bone tissue.
Fractures of the femur.
Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES).
Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)
Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.
Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.
Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.
Broken bones in the vertebral column.
Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires.
A fracture in which the bone is splintered or crushed. (Dorland, 27th ed)
Internal devices used in osteosynthesis to hold the position of the fracture in proper alignment. By applying the principles of biomedical engineering, the surgeon uses metal plates, nails, rods, etc., for the correction of skeletal defects.
Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of OSTEOPOROSIS.
Chronic inflammation and granuloma formation around irritating foreign bodies.
Harm or hurt to the ankle or ankle joint usually inflicted by an external source.
Fractures occurring as a result of disease of a bone or from some undiscoverable cause, and not due to trauma. (Dorland, 27th ed)
The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.
Fractures due to the strain caused by repetitive exercise. They are thought to arise from a combination of MUSCLE FATIGUE and bone failure, and occur in situations where BONE REMODELING predominates over repair. The most common sites of stress fractures are the METATARSUS; FIBULA; TIBIA; and FEMORAL NECK.
A hinge joint connecting the FOREARM to the ARM.
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
Fractures of the larger bone of the forearm.
The process in certain BACTERIA; FUNGI; and CYANOBACTERIA converting free atmospheric NITROGEN to biologically usable forms of nitrogen, such as AMMONIA; NITRATES; and amino compounds.
Fractures of the lower jaw.
Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).
The positioning and accommodation of eyes that allows the image to be brought into place on the FOVEA CENTRALIS of each eye.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Break or rupture of a tooth or tooth root.
Fractures of the articular surface of a bone.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Crumbling or smashing of cancellous BONE by forces acting parallel to the long axis of bone. It is applied particularly to vertebral body fractures (SPINAL FRACTURES). (Blauvelt and Nelson, A Manual of Orthopedic Terminology, 1994, p4)
External devices which hold wires or pins that are placed through one or both cortices of bone in order to hold the position of a fracture in proper alignment. These devices allow easy access to wounds, adjustment during the course of healing, and more functional use of the limbs involved.
Reduction of bone mass without alteration in the composition of bone, leading to fractures. Primary osteoporosis can be of two major types: postmenopausal osteoporosis (OSTEOPOROSIS, POSTMENOPAUSAL) and age-related or senile osteoporosis.
Elements of limited time intervals, contributing to particular results or situations.
The technique of using FIXATIVES in the preparation of cytologic, histologic, or pathologic specimens for the purpose of maintaining the existing form and structure of all the constituent elements.
Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.
Serologic tests based on inactivation of complement by the antigen-antibody complex (stage 1). Binding of free complement can be visualized by addition of a second antigen-antibody system such as red cells and appropriate red cell antibody (hemolysin) requiring complement for its completion (stage 2). Failure of the red cells to lyse indicates that a specific antigen-antibody reaction has taken place in stage 1. If red cells lyse, free complement is present indicating no antigen-antibody reaction occurred in stage 1.
Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma.
The bony deposit formed between and around the broken ends of BONE FRACTURES during normal healing.
Injuries to the wrist or the wrist joint.
Fractures around joint replacement prosthetics or implants. They can occur intraoperatively or postoperatively.
Dressings made of fiberglass, plastic, or bandage impregnated with plaster of paris used for immobilization of various parts of the body in cases of fractures, dislocations, and infected wounds. In comparison with plaster casts, casts made of fiberglass or plastic are lightweight, radiolucent, able to withstand moisture, and less rigid.
The amount of mineral per square centimeter of BONE. This is the definition used in clinical practice. Actual bone density would be expressed in grams per milliliter. It is most frequently measured by X-RAY ABSORPTIOMETRY or TOMOGRAPHY, X RAY COMPUTED. Bone density is an important predictor for OSTEOPOROSIS.
Devices which are used in the treatment of orthopedic injuries and diseases.
A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.
Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.
Fractures of the zygoma.
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
The distance and direction to which a bone joint can be extended. Range of motion is a function of the condition of the joints, muscles, and connective tissues involved. Joint flexibility can be improved through appropriate MUSCLE STRETCHING EXERCISES.
Fractures of the upper jaw.
Falls due to slipping or tripping which may result in injury.
Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency.
VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE.
Injuries to the part of the upper limb of the body between the wrist and elbow.
Agents that inhibit BONE RESORPTION and/or favor BONE MINERALIZATION and BONE REGENERATION. They are used to heal BONE FRACTURES and to treat METABOLIC BONE DISEASES such as OSTEOPOROSIS.
Multiple physical insults or injuries occurring simultaneously.
Agents employed in the preparation of histologic or pathologic specimens for the purpose of maintaining the existing form and structure of all of the constituent elements. Great numbers of different agents are used; some are also decalcifying and hardening agents. They must quickly kill and coagulate living tissue.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The shaft of long bones.
The toothlike process on the upper surface of the axis, which articulates with the CERVICAL ATLAS above.
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose.
The eight bones of the wrist: SCAPHOID BONE; LUNATE BONE; TRIQUETRUM BONE; PISIFORM BONE; TRAPEZIUM BONE; TRAPEZOID BONE; CAPITATE BONE; and HAMATE BONE.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
The pull on a limb or a part thereof. Skin traction (indirect traction) is applied by using a bandage to pull on the skin and fascia where light traction is required. Skeletal traction (direct traction), however, uses pins or wires inserted through bone and is attached to weights, pulleys, and ropes. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed)
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
The bone which is located most lateral in the proximal row of CARPAL BONES.
The largest of the TARSAL BONES which is situated at the lower and back part of the FOOT, forming the HEEL.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
Adhesives used to fix prosthetic devices to bones and to cement bone to bone in difficult fractures. Synthetic resins are commonly used as cements. A mixture of monocalcium phosphate, monohydrate, alpha-tricalcium phosphate, and calcium carbonate with a sodium phosphate solution is also a useful bone paste.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The grafting of bone from a donor site to a recipient site.
The surgical cutting of a bone. (Dorland, 28th ed)
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
A medical specialty concerned with the diagnosis and treatment of diseases of the internal organ systems of adults.
Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
Injuries involving the vertebral column.
Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT.
Procedures to repair or stabilize vertebral fractures, especially compression fractures accomplished by injecting BONE CEMENTS into the fractured VERTEBRAE.
The plan and delineation of prostheses in general or a specific prosthesis.
Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed)
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
The constricted portion of the thigh bone between the femur head and the trochanters.
A noninvasive method for assessing BODY COMPOSITION. It is based on the differential absorption of X-RAYS (or GAMMA RAYS) by different tissues such as bone, fat and other soft tissues. The source of (X-ray or gamma-ray) photon beam is generated either from radioisotopes such as GADOLINIUM 153, IODINE 125, or Americanium 241 which emit GAMMA RAYS in the appropriate range; or from an X-ray tube which produces X-RAYS in the desired range. It is primarily used for quantitating BONE MINERAL CONTENT, especially for the diagnosis of OSTEOPOROSIS, and also in measuring BONE MINERALIZATION.
The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot.
Organic compounds which contain P-C-P bonds, where P stands for phosphonates or phosphonic acids. These compounds affect calcium metabolism. They inhibit ectopic calcification and slow down bone resorption and bone turnover. Technetium complexes of diphosphonates have been used successfully as bone scanning agents.
Replacement of the hip joint.
The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.
A dead body, usually a human body.
The five cylindrical bones of the METACARPUS, articulating with the CARPAL BONES proximally and the PHALANGES OF FINGERS distally.
Systems for assessing, classifying, and coding injuries. These systems are used in medical records, surveillance systems, and state and national registries to aid in the collection and reporting of trauma.
The outer shorter of the two bones of the FOREARM, lying parallel to the ULNA and partially revolving around it.
Polymerized methyl methacrylate monomers which are used as sheets, moulding, extrusion powders, surface coating resins, emulsion polymers, fibers, inks, and films (From International Labor Organization, 1983). This material is also used in tooth implants, bone cements, and hard corneal contact lenses.
Replacement for a hip joint.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.
A nonhormonal medication for the treatment of postmenopausal osteoporosis in women. This drug builds healthy bone, restoring some of the bone loss as a result of osteoporosis.
Fractures of the upper or lower jaw.
A bone that forms the lower and anterior part of each side of the hip bone.
Accidents on streets, roads, and highways involving drivers, passengers, pedestrians, or vehicles. Traffic accidents refer to AUTOMOBILES (passenger cars, buses, and trucks), BICYCLING, and MOTORCYCLES but not OFF-ROAD MOTOR VEHICLES; RAILROADS nor snowmobiles.
The restriction of the MOVEMENT of whole or part of the body by physical means (RESTRAINT, PHYSICAL) or chemically by ANALGESIA, or the use of TRANQUILIZING AGENTS or NEUROMUSCULAR NONDEPOLARIZING AGENTS. It includes experimental protocols used to evaluate the physiologic effects of immobility.
The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility.
Fractures which extend through the base of the SKULL, usually involving the PETROUS BONE. Battle's sign (characterized by skin discoloration due to extravasation of blood into the subcutaneous tissue behind the ear and over the mastoid process), CRANIAL NEUROPATHIES, TRAUMATIC; CAROTID-CAVERNOUS SINUS FISTULA; and CEREBROSPINAL FLUID OTORRHEA are relatively frequent sequelae of this condition. (Adams et al., Principles of Neurology, 6th ed, p876)
An abrupt voluntary shift in ocular fixation from one point to another, as occurs in reading.
A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.
General or unspecified injuries involving the foot.
Voluntary or reflex-controlled movements of the eye.
A thick, fibrocartilaginous ligament at the metacarpophalageal joint.
Failure of equipment to perform to standard. The failure may be due to defects or improper use.
A fracture in which union fails to occur, the ends of the bone becoming rounded and eburnated, and a false joint occurs. (Stedman, 25th ed)
Displacement of bones out of line in relation to joints. It may be congenital or traumatic in origin.
A specialized CONNECTIVE TISSUE that is the main constituent of the SKELETON. The principle cellular component of bone is comprised of OSTEOBLASTS; OSTEOCYTES; and OSTEOCLASTS, while FIBRILLAR COLLAGENS and hydroxyapatite crystals form the BONE MATRIX.
General or unspecified injuries involving the leg.
Rigid or flexible appliances used to maintain in position a displaced or movable part or to keep in place and protect an injured part. (Dorland, 28th ed)
The spinal or vertebral column.
The part of the pelvis that comprises the pelvic socket where the head of FEMUR joins to form HIP JOINT (acetabulofemoral joint).
Injuries incurred during participation in competitive or non-competitive sports.
The second largest of the TARSAL BONES. It articulates with the TIBIA and FIBULA to form the ANKLE JOINT.
Breaks in CARTILAGE.
A dark-gray, metallic element of widespread distribution but occurring in small amounts; atomic number, 22; atomic weight, 47.90; symbol, Ti; specific gravity, 4.5; used for fixation of fractures. (Dorland, 28th ed)
General or unspecified injuries involving the arm.
Procedures to restore vertebrae to their original shape following vertebral compression fractures by inflating a balloon inserted into the vertebrae, followed by removal of the balloon and injection of BONE CEMENTS to fill the cavity.
The first cervical vertebra.
The largest of three bones that make up each half of the pelvic girdle.
Also called the shoulder blade, it is a flat triangular bone, a pair of which form the back part of the shoulder girdle.
Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand".
Fractures in which the break in bone is not accompanied by an external wound.
The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.
The joint involving the CERVICAL ATLAS and axis bones.
A condition in which one of a pair of legs fails to grow as long as the other, which could result from injury or surgery.
Deformities of the SPINE characterized by an exaggerated convexity of the vertebral column. The forward bending of the thoracic region usually is more than 40 degrees. This deformity sometimes is called round back or hunchback.
The continuous turnover of BONE MATRIX and mineral that involves first an increase in BONE RESORPTION (osteoclastic activity) and later, reactive BONE FORMATION (osteoblastic activity). The process of bone remodeling takes place in the adult skeleton at discrete foci. The process ensures the mechanical integrity of the skeleton throughout life and plays an important role in calcium HOMEOSTASIS. An imbalance in the regulation of bone remodeling's two contrasting events, bone resorption and bone formation, results in many of the metabolic bone diseases, such as OSTEOPOROSIS.
A highly reactive aldehyde gas formed by oxidation or incomplete combustion of hydrocarbons. In solution, it has a wide range of uses: in the manufacture of resins and textiles, as a disinfectant, and as a laboratory fixative or preservative. Formaldehyde solution (formalin) is considered a hazardous compound, and its vapor toxic. (From Reynolds, Martindale The Extra Pharmacopoeia, 30th ed, p717)
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
A bone fixation technique using an external fixator (FIXATORS, EXTERNAL) for lengthening limbs, correcting pseudarthroses and other deformities, and assisting the healing of otherwise hopeless traumatic or pathological fractures and infections, such as chronic osteomyelitis. The method was devised by the Russian orthopedic surgeon Gavriil Abramovich Ilizarov (1921-1992). (From Bull Hosp Jt Dis 1992 Summer;52(1):1)
A pathologic entity characterized by deossification of a weight-bearing long bone, followed by bending and pathologic fracture, with inability to form normal BONY CALLUS leading to existence of the "false joint" that gives the condition its name. (Dorland, 27th ed)
The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed)
Applies to movements of the forearm in turning the palm forward or upward. When referring to the foot, a combination of adduction and inversion movements of the foot.
A partial joint replacement in which only one surface of the joint is replaced with a PROSTHESIS.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
The joining of objects by means of a cement (e.g., in fracture fixation, such as in hip arthroplasty for joining of the acetabular component to the femoral component). In dentistry, it is used for the process of attaching parts of a tooth or restorative material to a natural tooth or for the attaching of orthodontic bands to teeth by means of an adhesive.
An enzyme system that catalyzes the fixing of nitrogen in soil bacteria and blue-green algae (CYANOBACTERIA). EC 1.18.6.1.
The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001)
The growth action of bone tissue as it assimilates surgically implanted devices or prostheses to be used as either replacement parts (e.g., hip) or as anchors (e.g., endosseous dental implants).
Migration of a foreign body from its original location to some other location in the body.
One of the protein CROSS-LINKING REAGENTS that is used as a disinfectant for sterilization of heat-sensitive equipment and as a laboratory reagent, especially as a fixative.
The joint that is formed by the distal end of the RADIUS, the articular disc of the distal radioulnar joint, and the proximal row of CARPAL BONES; (SCAPHOID BONE; LUNATE BONE; triquetral bone).
Surgical reconstruction of a joint to relieve pain or restore motion.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.
A computer based method of simulating or analyzing the behavior of structures or components.
Methods of creating machines and devices.
Methods of preparing tissue for examination and study of the origin, structure, function, or pathology.
Applies to movements of the forearm in turning the palm backward or downward. When referring to the foot, a combination of eversion and abduction movements in the tarsal and metatarsal joints (turning the foot up and in toward the midline of the body).
Orthopedic appliances used to support, align, or hold parts of the body in correct position. (Dorland, 28th ed)
The maximum compression a material can withstand without failure. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p427)
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
General or unspecified injuries involving the fingers.
The articulations between the various TARSAL BONES. This does not include the ANKLE JOINT which consists of the articulations between the TIBIA; FIBULA; and TALUS.
A prominent projection of the ulna that that articulates with the humerus and forms the outer protuberance of the ELBOW JOINT.
Inability or inadequacy of a dental restoration or prosthesis to perform as expected.
The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures.
The surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells. (Dorland, 28th ed)
Osmium. A very hard, gray, toxic, and nearly infusible metal element, atomic number 76, atomic weight 190.2, symbol Os. (From Dorland, 28th ed)
Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.
The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
Procedure to accelerate the ability of a patient to walk or move about by reducing the time to AMBULATION. It is characterized by a shorter period of hospitalization or recumbency than is normally practiced.
A diphosphonate which affects calcium metabolism. It inhibits ectopic calcification and slows down bone resorption and bone turnover.
Partial or total replacement of a joint.
Displacement of the femur bone from its normal position at the HIP JOINT.
The stable placement of surgically induced fractures of the mandible or maxilla through the use of elastics, wire ligatures, arch bars, or other splints. It is used often in the cosmetic surgery of retrognathism and prognathism. (From Dorland, 28th ed, p636)
Fractures in which there is an external wound communicating with the break of the bone.
A mixture of metallic elements or compounds with other metallic or metalloid elements in varying proportions.
The inner and longer bone of the FOREARM.
The relationship between two different species of organisms that are interdependent; each gains benefits from the other or a relationship between different species where both of the organisms in question benefit from the presence of the other.
Bones that make up the SKELETON of the FINGERS, consisting of two for the THUMB, and three for each of the other fingers.
The planned and carefully managed manual movement of the musculoskeletal system, extremities, and spine to produce increased motion. The term is sometimes used to denote a precise sequence of movements of a joint to determine the presence of disease or to reduce a dislocation. In the case of fractures, orthopedic manipulation can produce better position and alignment of the fracture. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p264)
The cycle by which the element carbon is exchanged between organic matter and the earth's physical environment.
A tooth from which the dental pulp has been removed or is necrotic. (Boucher, Clinical Dental Terminology, 4th ed)
Prostheses used to partially or totally replace a human or animal joint. (from UMDNS, 1999)
X-RAY COMPUTERIZED TOMOGRAPHY with resolution in the micrometer range.
General or unspecified injuries involving the hip.
WHITE MATTER pathway, flanked by nuclear masses, consisting of both afferent and efferent fibers projecting between the WHITE MATTER and the BRAINSTEM. It consists of three distinct parts: an anterior limb, posterior limb, and genu.
Preparation for electron microscopy of minute replicas of exposed surfaces of the cell which have been ruptured in the frozen state. The specimen is frozen, then cleaved under high vacuum at the same temperature. The exposed surface is shadowed with carbon and platinum and coated with carbon to obtain a carbon replica.
Devices used to hold tissue structures together for repair, reconstruction or to close wounds. They may consist of adsorbable or non-adsorbable, natural or synthetic materials. They include tissue adhesives, skin tape, sutures, buttons, staples, clips, screws, etc., each designed to conform to various tissue geometries.

Open reduction and internal fixation of acetabular fractures. (1/1343)

Between 1982 and 1995, 84 patients with displaced acetabular fractures underwent open reduction and internal fixation in our institution. The mean follow-up was 5.5 years with a minimum of 2 years. There were 33 simple and 51 complex fractures according to the classification of Judet and Letournels. Reduction after operation was anatomical in 49% of the patients, satisfactory in 24%, and unsatisfactory in 27%. Using Merle d'Aubigne's scale, the clinical results were excellent in 39% of the patients, good in 29%, fair in 8%, and poor in 24%. Factors of statistical significance associated with a poor clinical outcome were T-shaped fractures, unsatisfactory reduction (> 3 mm residual displacement), age > 40 years and development of avascular necrosis. Acetabular surgery is demanding, and a high rate of complications can be expected. Trauma centres should designate a group of surgeons who will consistently treat these fractures in order to obtain more experience and better results.  (+info)

Results of the Bosworth method for unstable fractures of the distal clavicle. (2/1343)

Eleven consecutive Neer's type II unstable fractures of the distal third of the clavicle were treated by open reduction and internal fixation, using a temporary Bosworth-type screw. In all cases, fracture healing occurred within 10 weeks. Shoulder function was restored to the pre-injury level. A Bosworth-type screw fixation is a relatively easy and safe technique of open reduction and internal fixation of type II fractures of the distal third of the clavicle.  (+info)

Intra-articular displaced fractures of the calcaneus. Operative vs non-operative treatment. (3/1343)

Twenty-eight patients with displaced intra-articular fractures of the calcaneus treated by open reduction and fixation were compared with 30 patients with similar fractures treated conservatively. Judged by the clinical and radiographic criteria results were more satisfactory in the surgical group than in the nonoperative group, although high rates of poor results were encountered in both groups.  (+info)

Spontaneous or traumatic premature closure of the tibial tubercle. (4/1343)

A premature closure of the physis of the tibial tubercle in a young man has given rise to a shortening of the tibia, a patella alta and a reversed tibial slope of 20 degrees with clinical genu recurvatum. After a proximal open wedge tibial osteotomy all three postural deformities could be restored. The etiology of this complex deformity is discussed.  (+info)

Reducing the cervical flexion tear-drop fracture with a posterior approach and plating technique: an original method. (5/1343)

Flexion tear-drop fractures (FTDF) in the cervical spine constitute a highly unstable condition with a high incidence of neurological complications due to posterior displacement of the fractured vertebra in the spinal canal. The widely accepted surgical management for this condition includes complete excision and grafting of the vertebral body through an anterior approach. Thorough radiological and CT analysis of FTDF shows that the vertebral body is often separated into two parts by a sagittal plane fracture, but remains continuous through the pedicle and anterior arch of the vertebral foramen with the lateral mass and the articular processes. We therefore hypothesized that reduction would be possible by acting on the articular process through a posterior approach with a particular plating technique. Eight patients with FTDF were operated on with the technique we describe. Three had complete tetraplegia, four had incomplete tetraplegia and one was normal. A preoperative CT scan was made in all patients. Local kyphosis, posterior displacement of the vertebral body, and general lordosis in the cervical spine were recorded. In all cases, a satisfactory reduction was achieved on the postoperative radiographs and at the mean follow-up of 18.6+/-12.1 months, with residual posterior displacement being less than 1 mm. No complication occurred. Out of seven neurologically impaired patients, five showed some motor recovery at the latest follow-up. The posterior technique is described, and the rationale and pros and cons are discussed. The study showed that posterior reduction and fixation of flexion tear-drop fracture is not only possible, but permits an accurate restoration of the anatomy of the fractured cervical spine.  (+info)

New concepts and advances of immobilization of long bones. (6/1343)

OBJECTIVE: To present some new concepts in the treatment of fractures and bone defects of long bones with internal fixation. METHODS: Animal experiments, mechanical tests and clinical analyses were done. RESULTS AND CONCLUSIONS: Reduction of fracture should be perfect, bone defect can be reconstructed by intramedullary and extramedullary bone graft. Relatively rigid fixation at the early stage and elastic fixation at the later stage are beneficial not only for fracture healing, but also for bone remodeling. In order to avoid complications including non-union, immobilization syndrome of the bone and joint, and implant failure, radiographs should be taken periodically; if there is any bone resorption, weight-bearing should be restricted.  (+info)

Massive pulmonary embolus in a 14 year old boy. (7/1343)

Pulmonary embolus in children is rare. A case of massive pulmonary embolus, after surgery, in a child of 14 years is described. Accident and emergency doctors should be aware that pulmonary embolus can occur in children and exercise a high index of suspicion for the diagnosis in those patients with risk factors for the condition who present acutely with typical symptoms such as dyspnoea, chest pain, haemoptysis, or collapse.  (+info)

Split coronal fractures of the lumbar spine. Treatment by posterior internal fixation and transpedicular bone grafting. (8/1343)

The clinical and radiological results of 12 patients with a split coronal vertebral fracture were analysed with minimum follow-up of 24 months. All patients were treated operatively with an AO internal spinal fixator and transpedicular bone grafting. The operation was supplemented with posterior bone grafts in 4 patients. All fractures healed without marked deformity. There were no vertebral body pseudarthroses. There were no neurological or vascular injuries due to the placement of pedicle screws or to transpedicular bone grafting. 10 patients, had excellent or good results.  (+info)

The purpose of this study is to compare early return to function in patients treated with closed reduction percutaneous pinning and open reduction internal fixation in displaced fractures of the distal radius.. Hypothesis: Wrist range of motion, grip strength and outcome at 2-3 months after injury are better in patients treated with open reduction, internal fixation (ORIF) than in patients treated with closed reduction percutaneous pinning techniques (CRPP). In addition patients treated with ORIF return to work at faster rates. ...
If you have a serious fracture, your doctor might recommend open reduction internal fixation (ORIF). Heres what you need to know about the surgical procedure.
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Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. Open reduction refers to open surgery to set bones, as is necessary for some fractures. Internal fixation refers to fixation of screws and/or plates, intramedullary bone nails (femur, tibia, humerus) to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infection, which happens when implants such as plates (e.g. dynamic compression plate) are used. Open Reduction Internal Fixation techniques often are used in cases involving serious fractures such as comminuted or displaced fractures or, in cases where the bone otherwise would not heal correctly with casting or splinting alone. Risks and complications may include bacterial colonization of the bone, infection, stiffness and loss of range of motion, non-union, mal-union, damage to the muscles, nerve ...
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Most people are unaware of what a surgical procedure would cost if they were to pay cash. Have you ever tried to look up the cost of a surgical procedure and were unsuccessful? Even if you were able to find the cost of the procedure, you typically find a wide range of cost, and the cost is inconclusive in that it doesnt account for incurred operating room expenses. Imagine you have carpal tunnel syndrome and your deductible is $6,000.00. The bundled cash price for a carpal tunnel release at our facility is $2,550.00 including all incurred expenses for the procedure. If you were to go to a hospital for this procedure, you would most likely end up paying at least double that price ...
High Impacts medical illustrations drive home the graphic reality of any personal injury, while helping explain complex issues and surgical procedures relevant to your case.. ...
This surgical procedure repairs a break in the proximal end of the humerus. ORIF stands for Open Reduction Internal Fixation. During this procedure, an incision will be made and a metal plate will be attached to the humerus to hold the bone in place while it heals.
Introduction: There is a paucity of information on management of forearm fractures through pre-existing ischemic contractures. The prevention of a Volkmanns contracture in forearm compartment syndrome requires vigilant clinical evaluation and emergent fasciotomy, but many of the patients who develop these contractures often do so as a result of delayed presentation due to substance abuse and intoxication. This case describes the first report and management of a severely displaced both bone (BB) forearm fracture through a chronic forearm Volkmanns contracture. Case presentation: A 39-year-old female presented with an acute both bone forearm fracture in the setting of a Volkmanns contracture. Although very limited in use, the arm was functional for holding objects and was determined to be important in her activities of daily living. The surgical management involved open reduction internal fixation with radial and ulnar shortening osteotomies to restore cortical alignment secondary to the extensive
Fractured mandibular condyles are common representing 25-35% of all mandibular fractures. They are treated by conservative management (CM) or open reduction/internal fixation (ORIF) but the evidence to support superiority of one method over the other has not been assessed. The aim of this review is to evaluate the current evidence regarding the interventions that can [read the full story…]. ...
Patients who undergo surgery for hindfoot fracture can safely start physical therapy two weeks later, which could provide an opportunity to improve outcomes, according to research from Utah presented at the American Physical Therapy Associations Combined Sections Meeting. Investigators randomized 50 patients to undergo 10 physical therapy sessions either two or eight weeks after open reduction internal fixation of the calcaneus or talus.. Continued here ...
OBQ12.270) A 65-year-old patient was treated with an open reduction/internal fixation for a left femoral neck fracture sustained 25 years ago. Five years ago he developed hip pain and was converted to a left hip hemiarthroplasty. He presents with complaints of groin pain for the past 6 weeks. A recent radiograph is shown in Figure A. The patients physical exam is limited secondary to pain. Serum laboratory values are WBC-8.0, ESR-20, CRP-0.5. A synovial fluid aspirate of the hip demonstrates < 500 cells (60% PMN). What is the most likely cause of this patients symptoms? Tested Concept ...
Satisfactory pain control can generally be achieved after major surgery of the tibia through a combination of enteral and parenteral medications, neuraxial techniques (such as epidural analgesia), and/or regional techniques (such as sciatic and femoral nerve block). Intramedullary nailing (IMN) and open reduction/internal fixation (ORIF) of the tibia have been important exceptions, and postoperative pain control can be difficult to achieve in these cases.. Surgical repair of fractures of the tibial shaft and of the proximal tibia can be complicated by compartment syndrome, with the possibility of substantial morbidity and loss of function if not detected and treated promptly. It is not always possible to determine preoperatively which tibial fractures are at high risk, and which are low risk for this complication.. The hallmark of compartment syndrome, and often the earliest sign, is pain out of proportion to the nature of the injury. This pain is poorly relieved by morphine or other strong ...
8287 patients were included in this analysis. The mean age of subjects was 58.7 ± 16.5 years and there were 3973 (47.9%) female patients. 102 (1.23%) cases showed the evidence of VTE during the period and 64 were diagnosed postoperatively. Of these, 34 (53%) patients received pharmacological prophylaxis after operation. In-hospital mortality of patients with VTE was 3.9%. Multivariate analysis revealed that associated factors of developing VTE were female patients (odds ratio [OR] 3.24, 95% confidence interval [CI] 1.84 to 5.70, P , 0.001), receiving open reduction internal fixation (ORIF) (OR 2.96, 95%CI 1.49 to 5.88, P = 0.002), and receiving multiple surgeries during the course of hospitalization (OR 32.25, 95%CI 18.21 to 57.11, P , 0.001). ...
Find the best fracture open reduction and internal fixation orif doctors in Gurgaon. Get guidance from medical experts to select fracture open reduction and internal fixation orif specialist in Gurgaon from trusted hospitals - credihealth.com
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The invention refers to a prosthetic device for the application of simultaneous axial and transversal prestressing to obtain stable and elastic osteosynthesis of fractures. The device focuses on the concept of internal fixation with consideration for the natural frequency of the bone. The device for fracture fixation comprises a
F384 - 17 Standard Specifications and Test Methods for Metallic Angled Orthopedic Fracture Fixation Devices , angled devices, bend testing, blade plate, compression hip screw, fatigue test, orthopedic medical devices, surgical devices, surgical implants,,
Open reduction and internal fixation is a surgery used to treat a broken thigh bone. Orthopedic surgeons reposition the fractured bone pieces during surgery, so that they are back in their proper alignment, and physically reconnect the bones.
STUDY DESIGN: Retrospective analysis of 16 patients. SUMMARY OF BACKGROUND DATA: The lumbar split fracture-dislocation is a rare but severe injury, which is type C1.2.1 fracture in the Association for the Study of Internal Fixation spine fracture classification. The axial compressive and torsional force shattered the vertebral body into 2 halves and displaced them rotationally. This kind of fracture is so highly unstable that the treatment is very challenging. PURPOSE: The purpose of this study was to report and compare on clinical outcome and complications of patients with lumbar split fracture-dislocation which had been treated either short-segment or long-segment posterior fixation and anterior fusion. MATERIALS AND METHODS: A total of 16 patients with acute, split fracture-dislocation of the lumbar spine from March 2000 to May 2009 in our department were recruited. Seven patients (group I) treated by long-segment posterior fixation (2 levels above and 2 below the fracture) and anterior ...
OBJECTIVES: While osteoporosis has been shown to be a contributing factor in low energy fractures in the elderly, limited data exists regarding the correlation of bone mineral density (BMD) and T-Scores to mortality and failure of fracture fixation. This study seeks to determine the relationship between femoral neck BMD in elderly patients with typical geriatric fractures and mortality and fracture fixation failure using Quantitative Computed Tomography (QCT). MATERIALS AND METHODS: Patients over the age of 65 who sustained fractures of the proximal humerus, distal radius, pelvic ring, acetabulum, hip, proximal tibia, and ankle who also underwent a CT scan that included an uninjured femoral neck were retrospectively reviewed ...
This study was designed to investigate why patients with TSC almost never develop cancer despite high levels of mTORC1 signaling in multiple organs. This is in contrast to the malignancies typically seen in patients with increased mTORC1 signaling due to PTEN mutations (Hu et al., 2005; Inoki et al., 2005). Various models have been proposed to explain this striking discrepancy, including feedback inhibition of AKT through mTORC1 and direct or indirect reductions of mTORC2 activity (Manning et al., 2005). Alternatively, decreased cell proliferation and enhanced cell death in TSC1- or TSC2-deficient cells might compensate for any excessive proliferation induced by increased mTORC1 activity. This model is also supported by complications reported during the generation of mouse embryonic fibroblasts (MEFs) from Tsc2 knockout mice (Zhang et al., 2003). Although derived Tsc2 mutant MEFs initially grew as expected, they rapidly underwent senescence and died. However, the authors circumvented this ...
Study External skeletal fixation (internal fixation) flashcards from awesome possum's class online, or in Brainscape's iPhone or Android app. ✓ Learn faster with spaced repetition.
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Osteosynthesis for fractured forearm (costs for program #106003) ✔ University Hospital RWTH Aachen ✔ Department of Orthopedics ✔ BookingHealth.com
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Surgeons continue to debate the role of surgery in the treatment of acute proximal humerus fractures. Recently, reports have shown a trend towards increased utilization of operative fixation. Surgical options include: all suture fixation, closed reduction and percutaneous pinning, open reduction internal fixation with locked proximal humerus plates, proximal humerus nailing, Bilboquet implants, and arthroplasty. No single form of treatment has been shown to be superior to another. In some patients, there remains debate if surgical options are superior to non-operative management alone. The purpose of this article is to review the natural history of non-operative treatment of proximal humerus fractures, describe the most common surgical treatments, and discuss the sequelae of fractures treated nonoperatively.. ...
Background: Comminuted fractures happen frequently due to traumas. Fixation without opening the fracture site,known as minimally invasive plate osteosynthesis (MIPO), has recently become prevalent. This study has beendesigned to assess the outcomes of this treatment for tibial and femoral comminuted fractures.Methods: A total of 60 patients with comminuted femoral or tibial fractures were operated with MIPO method in thiscross-sectional study at Alzahra university hospital in 2015. Eleven patients were excluded due to lack of adequatefollow-ups. Patientsdata including union time; infection in the fractured site; hip and knee range of motion; and anymalunion or deformities like limb length discrepancy were collected after the surgery in every session.Results: Among 32 femoral and 17 tibial fractures, union was completed in48 patients, while only one patient withfemoral fracture had nonunion. The mean union time was 18.57±2.42 weeks. Femur fractures healed faster than tibia(17.76±2.36 compared to 19±2
Figure 5 Ankle x-rays were taken status-post six months definitive talar fracture surgery. No evidence of avascular necrosis.. Discussion. The blood supply of the talus is clearly vulnerable after traumatic injury.[2] Comminuted fractures involving the neck and body carry a risk of osteonecrosis due to the retrograde supply of blood to the head and body. This tenuous blood supply is often cited as the reason for high complication rates [5] with comminuted talar fractures. Delay in definitive fixation of comminuted talar fractures may also be due to concerns of soft tissue complications. [7] These complications include wound dehiscence, infection, and skin necrosis. [10]. Traditional treatment of these fractures evolved from reduction and immobilization, to limited fixation, and currently, open reduction internal fixation is performed on most talar fractures. [16] Although there are recommendations for primary arthrodesis or talectomy for severe talar fractures [9], the consensus has been to ...
The recognition and stabilization of any accompanying injuries is the most pressing issue surrounding pelvic injuries in the emergency department (ED). Pelvic fractures resulting from high energy are classified depending upon their involvement of either the pelvic ring or the acetabulum. Pelvic ring fractures can be classified as either stable or unstable. Stable injuries include single breaks in the pelvic ring, diastasis of the pubic symphysis, and fractures of the iliac wings. Unstable injuries include those with two breaks of the pelvic ring (Fig. 31-1) or those having a sacroiliac dislocation/fracture along with an associated rami or pubic symphysis fracture. Stable fractures may be successfully managed nonoperatively. Unstable fracture patterns may require external fixation or open reduction/internal fixation to stabilize the bony injury while allowing for better management of associated injuries. ...
Introduction. Extra-articular Distal tibia fractures are often difficult to treat since they are close to the ankle joint, usually associated with soft tissue injuries. Minimal invasive Plate osteosynthesis (MIPO) using Locking compression plate (LCP) has replaced the conventional open reduction method since smaller incision and indirect reduction preserves the fracture hematoma and soft tissue vascularity(1). Literature review suggest that both MIPO and Intramedullary nailing (IMN) has been successful in the management of these fractures, but the results are controversial among the two (2-4). MIPO is associated with wound problems, Plate prominence(5), mal-alignment and non-union(6). IMN avoids some of these problems but the technical difficulty in insertion and the risk of mal-union (7), anterior knee pain poses a great challenge in orthopaedics (4). Our hypothesis was that patients treated with IMN has a better outcome than treated with MIPO. The aim of this study is to compare the clinical, ...
Article] Journal of Orthopaedic Trauma. 29(8):349-353, August 2015. (Format: HTML, PDF). Objective: To determine if intraoperative autologous transfusion using a Cell Saver (CS) was routinely indicated for open reduction internal fixation (ORIF) of acetabular fractures, and if so, was there a difference between differing surgical approaches.. Design: Retrospective single-center cohort study.. Setting: University Level 1 trauma center.. Patients/Participants: One hundred forty-five consecutive acetabular fractures using intraoperative autologous transfusion, either treated with an anterior ilioinguinal or a posterior-based Kocher-Langenbeck approach, were compared.. Intervention: Use of CS in ORIF acetabular cases.. Main Outcome Measurements: CS utilization and CS blood return for acetabular ORIF. Mean intraoperative blood loss between the 2 approaches.. Results: CS blood was returned in 29 of the 145 total cases [23/65 anterior (ilioinguinal approach) and 6/80 posterior approach ...
References 1. Parrott S : The economic cost of hip fracture in the UK (2000) www.dti.gov.uk/files/file21463.pdf2. Crossman PT, Khan RJK, MacDowell A, Gardner AC, Reddy NS, Keene GS A survey of the treatment of displaced intracapsular femoral neck fractures in the UK. Injury, 33(2002): 383-3863. Anderson GH, Harper WM, Gregg PJ: Management of the intracapsular fractures of the proximal femur in 1990 : a cause for concern? J Bone Joint Surg (Br) 73B(Suppl 1) (1991) : 734. Parker MJ, Khan RJK, Crawford J, Pryor GA: Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly. J Bone Joint Surg (Br), 84(8) (2002): 1150-55. Davison JNS, Calder SJ, Anderson GH, Ward G, Jagger C, Harper WM, Gregg PJ: Treatment for displaced intracapsular fracture of the proximal femur. J Bone Joint Surg (Br) 83 (2001) : 206-16. Khan RJK, MacDowell A, Crossman PT, Keene GS: Cemented or uncemented hemiarthroplasty for displaced intracapsular fractures of the hip - a systematic ...
Although all sorts of ankle injuries are possible, there are essentially two main ways that an individual can sprain an ankle. The first is the most common and it is called an Inversion Sprain or Lateral Ankle Sprain. During this dynamic the person sprains the ankle and for visualization purposes the bottom of the foot pointing in the direction of the other foot. The second sprain is called an Eversion Sprain or Medial Ankle Sprain. This type of sprain the foot is pointing or facing away from the other foot. Eversion Sprains although less common, have a tendency to cause greater damage to the ankle joint often resulting in terrible fractures requiring surgery with plates and screws procedurally labeled as Open Reduction Internal Fixation or ORIF. This type of sprain, when severely damaged, tends to be a highly unstable fracture with an inability to walk after the injury because it involves the weight bearing Tibia bone. Inversion Sprains, even when an avulsion fracture occurs, the injured ...
Carpal tunnel decompression - De Quervains tenosynovitis decompression - Digital replantation - Dupuytrens contracture release-regional fasciectomy - Extensor tendon repair - Flexor tendon repair - Ganglion cyst-surgical excision - Hand fracture reduction: open reduction internal fixation and K-wiring - Local flaps-advancement, rotational, transpositional - Nail bed repair - Peripheral nerve repair - Skin biopsies - Skin cancer-standard surgical excision and Mohs micrographic surgery - Skin grafts - Trigger finger release - Wound exploration, debridement, repair ± closure ...
TY - JOUR. T1 - Incidence and fracture morphology of posterolateral fragments in lateral and bicondylar tibial plateau fractures. AU - Sohn, Hoon Sang. AU - Yoon, Yong Cheol. AU - Cho, Jae Woo. AU - Cho, Won Tae. AU - Oh, Chang Wug. AU - Oh, Jong-Keon. PY - 2015/1/1. Y1 - 2015/1/1. N2 - OBJECTIVES:: This study aimed to evaluate the incidence and morphologic features of posterolateral fragments in lateral and bicondylar tibial plateau fractures. DESIGN:: This study used retrospective chart and computed tomography (CT) reviews. SETTING:: The study was conducted in a university hospital. PATIENTS:: All patients in whom lateral and bicondylar tibial plateau fractures had been diagnosed from May 2005 to December 2011 were reviewed. MAIN OUTCOME MEASUREMENTS:: Two hundred seventy-eight OTA type B and type C tibial plateau fractures were identified using a retrospective chart review. Of the 197 patients who underwent CTs before surgery, 7 CTs were excluded because they had no sagittal or axial view, ...
There is no consensus regarding the proper radiographic protocol following closed or open reduction and internal fixation for intertrochanteric femoral fractures. The objective of this study was to assess the role of early postoperative imaging studies when deciding about weight bear limitations and reoperations. A prospective cohort study of 100 patients (26 men and 74 women, at a mean age of 79.8 years) treated by closed or open reduction and internal fixation for AO31A fractures was conducted. According to the AO classification, there were 25 cases of 31A1, 54 cases of 31A2, and 21 cases of 31A3. For every patient, the intraoperative fluoroscopy studies were recorded and post-operative radiograms were taken during the first week. Excluded were patients for whom the early X-rays were clinically indicated. The intraoperative AP and axial fluoroscopy studies were compared with the radiograms taken during the first post-operative week. The investigators compared the decisions regarding weight-bearing
TY - JOUR. T1 - Risk of reoperation within 12 months following osteosynthesis of a displaced femoral neck fracture is linked mainly to initial fracture displacement while risk of death may be linked to bone quality: a cohort study from Danish Fracture Database. AU - Nyholm, Anne M.. AU - Palm, Henrik. AU - Sandholdt, Hakon. AU - Troelsen, Anders. AU - Gromov, Kirill. AU - DFDB Collaborators. A2 - Viberg, Bjarke. A2 - Fristed, Jakob V.. A2 - Petersen, John K.. A2 - Haak, Karl T.. A2 - Sander, Klaus. A2 - Bayer, Lasse. A2 - Ho, Mathias B.. A2 - Brix, Michael. A2 - Tengberg, Peter T.. A2 - Krasheninnikoff, Michael. A2 - Bloch, Thomas. A2 - Rasmussen, Peter. PY - 2020/2. Y1 - 2020/2. N2 - Background and purpose - Most guidelines use patient age as a primary decision factor when choosing between osteosynthesis or arthroplasty in displaced femoral neck fractures. We evaluate reoperation and death risk within 1 year after osteosynthesis, and estimate the influence of age, sex, degree of displacement, ...
High-energy tibial plateau fracture poses a significant challenge and difficulty for orthopaedic surgeons. Fracture of tibial plateau involves major weight bearing joint and may alter knee kinematics. AnatomicReconstruction of the proximal tibial articular surfaces, restoration of the limb axis (limb alignment) and stable. Fixation permitting early joint motion is the goals of the treatment. In cases of complex bicondylar tibial plateau fractures, isolated lateral plating is frequently associated with varus malalignment and better results have been obtained with bilateral plating through dual incisions. However sometimes a complex type of bicondylar tibial plateau fractures is encountered in which medial plateau has a biplanar fracture in posterior coronal plane as well as sagittal plane. In such fractures it is imperative to fix the medial plateau with buttressing in both planes. One such fracture pattern of the proximal tibia managed by triple plating through dual posteromedial and ...
Introduction The treatment of displaced, extra-articular fractures of the distal tibia remains controversial. These injuries are difficult to manage due to limited soft tissue cover, poor vascularity of the area and proximity to the ankle joint. Surgical treatment options are expanding and include locked intramedullary nails, plate and screw fixation and external fixator systems. The nail and plate options are most commonly used in the UK, but controversy exists over which treatment is most clinically and cost-effective. In this multicentre randomised controlled trial we aim to assess ratings of disability 6 months postinjury in patients who have sustained a distal tibia fracture treated with either an intramedullary nail or plate and locking screw fixation.. Methods and analysis Adult patients presenting at trial centres with an acute fracture of the distal tibia will be considered for inclusion. A total of 320 patients will provide 90% power to detect a difference of 8 points in Disability ...
ABSTRACT. Intracapsular fractures of the neck of femur in the elderly patient population results in an enormous economic and social burden. The aim of this paper is to present a review of the literature providing guidelines for the management of this common fracture with emphasis on patient selection, optimisation and preventative strategies.. ...
The current study shows that both high LDL-C and low HDL-C levels are independent risk factors for AVNFH. Another interesting finding of our study is that an increase or decrease in only one risk factor has little effect on outcome. Our results are mostly in agreement with findings in the previous literature [1, 7, 11, 12]. The main factors associated with AVNFH involve the type of fracture, the degree of initial displacement, and age at the time of injury. The occurrence of AVNFH is considered to be directly related to the initial fracture displacement [5, 10, 13]. Conversely, our study indicated that postoperative AVNFH occurred in elderly patients with nondisplaced or minimally displaced neck fractures, meaning that in addition to fractures and surgical techniques there remain other factors, such as dyslipidaemia, that can lead to the occurrence of AVNFH. Our study is the first report evaluating the association between dyslipidaemia and AVNFH following low-energy femoral neck fractures ...
HOBBS, HR et al. Open reduction and internal fixation of scapula fractures. SA orthop. j. [online]. 2008, vol.7, n.3, pp.8-15. ISSN 2309-8309.. Scapular fractures requiring surgery are relatively rare injuries. This retrospective review looks at the outcome of open reduction and internal fixation of these fractures and the surgical exposures necessary for their fixation. All surgically treated scapular fractures from January 2000 to December 2006, with the exception of Ideberg type Ia (anterior rim) fractures of less than 25% with an associated dislocation, had their clinical notes and radiology reviewed. The surgical approach was analysed with regard to the fracture classification and exposure. Reduction, union and failure of fixation were assessed. Outcomes were determined with respect to pain and range of movement. At an average follow-up of 9 months (range 6 to 72 months), all of the fractures had united. Twenty out of the 25 patients were pain-free (80%) and the rest only had mild pain. ...
Introduction: The main objectives in the treatment of an intertrochanteric fracture in elderly population are to prevent medical complications, maintain mobility, independence, and relieve pain. When this fracture occurs in an arthrodesed hip, there is a significant lack of scientific evidence of optimal treatment and clinical results since only few case reports have been published so far. Case Report: A Caucasian 83-year-old woman slipped and fell, complaining of the left hip pain. After radiographic evaluation, she was diagnosed with an intertrochanteric fracture that occurred in a long-term arthrodesed hip. We treated this rare presentation by open reduction and internal fixation with a proximal locking femoral plate and a pelvic reconstruction plate. No immobilization was needed in the post-operative care. Fracture healing occurred after 3months. Conclusion: Without motion on the hip, the lower extremity forms one long lever arm, creating an unusual instability at the fracture site. The authors
Hip fractures including intracapsular fracture, intertrochanteric fracture and subtrochanteric fracture are treated by Dr Trenton Carlyle in Katy and Houston, TX.
Background and purpose - Most guidelines use patient age as a primary decision factor when choosing between osteosynthesis or arthroplasty in displaced femoral neck fractures. We evaluate reoperation and death risk within 1 year after osteosynthesis, and estimate the influence of age, sex, degree of displacement, and bone quality.Patients and methods - All surgeries for femoral neck fractures with parallel implants (2 or 3 screws or pins) performed between December 2011 and November 2015 were collected from the Danish Fracture Database. Radiographs were analyzed for initial displacement, quality of reduction, protrusion, and angulation of implants. The bone quality was estimated using the cortical thickness index (CTI). Garden I and II type fractures with posterior tilt , 20° were excluded.Results - 654 patients with a mean age of 69 years were included. 59% were female. 54% were Garden II with posterior tilt , 20° or Garden III, and 46% were Garden IV. Only 38% were adequately reduced. 19% ...
Simultaneous bilateral femoral neck fracture is a very rare condition, even in osteoporotic elderly individuals. We report an atypical case of a young male adult who developed simultaneous bilateral femoral neck fractures without previous trauma or overuse. A 33-year-old man presented with discomfort in the bilateral groin, which had started 2 weeks previously. Bilateral femoral neck fractures were observed on a radiograph, and in addition, a fracture line was seen at the right subchondral region of the acetabulum using magnetic resonance imaging (MRI). Although the patient had no obvious risk factors associated with bone fragility, his bone mineral density measured using dual X-ray absorptiometry indicated severe osteoporosis (lumber spine: T score − 3.4 standard deviation [SD]; femoral neck: T score − 2.8 SD). Serum 25-hydroxyvitamin D level was deficient (19 ng/mL), which was considered to be partly due to non-sunlight exposure for 3 years owing to social withdrawal. Bilateral osteosynthesis was
Orthopedics | Pediatric femoral neck fractures are rare injuries that are associated with a high risk of osteonecrosis of the femoral head. This study compared pediatric patients with fully displaced femoral neck fractures treated with either open reduction and internal fixation (ORIF) or closed reduction and internal fixation (CRIF). After institutional review board approval was obtained, the authors
The ultimate goal of management of proximal humeral fractures in the elderly patient is to get the patient independently mobile. This article will review the current literature regarding this cohort of patient. Recent Cochrane reviews and a large multicentre randomised study question the role of surgical intervention. Implant design is evolving rapidly, and many elderly patients now behave more like the younger patient. There remains little compelling evidence to guide decision-making for the complex proximal humeral fracture in the elderly, and the decision needs to be made on a case-by-case basis taking into account the patients comorbidities, the fracture pattern and characteristics, the attending surgeons skill sets, and the availability of equipment. ...
Femoral neck fracture is an important early complication after hip resurfacing. Our aims were firstly to determine the incidence of fracture in an independent series and secondly, in a case control study, to investigate potential risk factors. Fifteen femoral neck fractures occurred in a series of 842 procedures, representing an incidence of 1.8%. No relationship existed between age, sex, and fracture incidence. Mechanical factors such as notching, femoral neck lengthening, and varus alignment of the femoral component were found to have a similar incidence in both fracture and control groups. The proportion of patients that had at least 1 mechanical risk factor was not different between the 2 groups (fracture group, 50%; control group, 41%). Established avascular necrosis of the femoral head was evident in all retrieved femoral heads (n = 9) of patients who sustained postoperative fracture; in none of these patients was avascular necrosis the initial diagnosis. This study suggests that in our practice,
The worldwide increase in hip fractures is a major challenge to the health care system and society. The proper treatment of femoral neck fractures in the elderly is still controversial, and even more so from an international perspective. Optimising the treatment for improved outcomes and a reduced need for secondary surgery is mandatory for humanitarian and economical reasons. The importance of incorporating the patients perspective of the outcome in clinical trials has been acknowledged and there are now numerous instruments for assessing the quality of life. We evaluated two quality of life instruments, the EQ-5D and the SF-36, in patients with femoral neck fractures and also measured the quality of life two years after different interventions. The EQ-5D was validated in two prospective studies and it appeared to be an appropriate quality of life instrument in elderly patients with femoral neck fractures. There was a good correlation between the quality of life (EQ-5Dindexscores) and other ...
Knee - Tibial Plateau Fractures with Surgery ,Depicts a tibial plateau fracture with surgical fixation. Surgery steps: A. Incision into the lateral knee to expose the fractures, B. Anterior hip incision with harvest of bone graft from the right iliac crest, C. Fractures are reduced and secured with bone graft, plate and multiple screws. Lastly, a single anterior view of the knee bones shows the final appearance of the knee with all fixation hardware in place. May be customized by editing labels, or by combining artwork with graphics from our 15,000 image library.
My Dr did a Percutaneous Fixation of the Medial Tibial Plateau Fracture. I do not see a code for this type of procedure anywhere - The closest thing I
Extra capsular fractures which involve the femoral trochanters include intertrochanteric and subtrochanteric fractures. The intertrochanteric fracture is by far the most common and is classified according to the status of the lesser and greater trochanter. If neither of these is fractured, the fracture is termed a two part fracture. If either the lesser or greater…
66.66%) undergone surgical fixation with k wires with 16 patients treated with percutaneous k wire fixation & 4 patients with open reduction & internal fixation with k wires, 13 (65%) patients had excellent results, 6 (30%) patients had good results & 1(5%) patient had fair result. The remaining 10 (33.33%) patients with type III fracture was treated conservatively with closed manipulation & reduction & above elbow pop slab (with elbow in 1100-1200 of flexion) and strapping of elbow around chest. , out of which 6 (60%) patient had excellent results, 2 (20%) patients had good results, 1 (10%) patient had fair result & 1(10%) patient had poor results. Out of 5 patients with type II fracture, 4 (80%) patients were treated conservatively with closed reduction and above elbow pop slab & all had excellent results, 1(20%) patient was treated with open reduction & internal fixation with k wires had good result. Out of 2 patients with TYPE I fracture all were treated conservatively in an above elbow pop ...
Subcapital fracture is the commonest type of intracapsular fracture of the proximal femur. The fracture line extends through the junction of the head and neck of femur.
Fracture of the femoral neck is quite uncommon in children [1-4], and most orthopaedic surgeons have the opportunity to treat such fractures very few times during their career. The literature recommends early and aggressive treatment for optimum results and to avoid a high rate of complications associated with this fracture [1, 4-11]. However, delay in receiving definitive treatment is a common occurrence in the developing world. The main causes are illiteracy, the urge to receive cheap quack treatment due to poverty and lack of more scientific resources in far-reaching regions, and sometimes late referral by hospitals or the general physician from remote areas. In our study, all the children received femoral neck fracture from high-energy trauma. Our aim in this study was to evaluate outcome following delayed fixation of pediatric femoral neck fractures in an attempt to establish a cause−effect relationship and the factors influencing the outcome. In addition, we analyzed the effect of joint ...
Can Femoral neck fracture be cured? Check out these treatment reviews from the ​Health Outcome community and see which Femoral neck fracture treatments helped people with similar age, gender and symptoms.
A Home for people suffering from tibial plateau fractures with sections on recovery tips & tricks, physiotherapy treatment healing and more.
Background Open supracondylar fractures of the femur are complex injuries usually presenting in a polytraumatized patient. Partial circumferential bone loss may result at the time of injury or during debridement. The way in which the fracture is treated has a substantial influence on the local mechanical and biological environment, which in turn will influence the quantity and quality of the osteogenic response. Although early skeletal stabilization can stop the cycle of injury, remove nidus for infection, and halt ongoing hemorrhage, it may be prudent to delay definitive surgery until the patients general condition is optimized. Meanwhile, debridement and a preliminary spanning external fixator is used to stabilize the fracture. The use of a locked plate for the fixation of supracondylar fracture of the femur with partial bone loss creates a rigid biomechanical environment needed for healing and maintenance of alignment until fracture healing. Patients and methods Eighteen patients with open ...
The cancellous screw has an extremely low profile head to reduce soft tissue irritation. A step drill with laser depth marking countersinks the screw head flush to bone when used as a suture fixation post. The smooth shank with suture groove orients the sutures safely under the head during screw insertion. The optional, low profile spiked washer may be used in conjunction with the cancellous screw for fixation of soft tissue or tendons directly to bone. The 6.5 mm diameter screw and washer are manufactured using titanium ASTM F-136 alloy ...
SAMAY SURGICAL - Manufacturer,exporter,supplier of cannulated screws, cannulated bone screws, bone screws, small bone screws, large bone screws, surgical bone screws, orthopedic bone screws, locking screw, bone locking screws, cannulated screws from India.
Successful result depends on good fracture reduction and implant position. The risk of cut-out is directly dependent on the quality of fracture reduction and on implant position [1]. Tip apex distance not important in PFN. Tip apex distance is probably not as important in Proximal Femur nail as it is in Dynamic Hip screw as TAD scale is linear and not multidirectional [2].. Difficulties in PFN. ...
BACKGROUND: Controversy exists regarding the optimal treatment for patients with displaced intracapsular fractures of the proximal femur. The recognised treatment alternatives are arthroplasty and internal fixation. The principal criticism of internal fixation is the high rate of non-union; up to 30% of patients will have a failure of the fixation leading to revision surgery. We believe that improved fracture healing may lead to a decreased rate of failure of fixation. We therefore propose to investigate strategies to both accelerate fracture healing and improve fixation that may significantly improve outcomes after internal fixation of intracapsular femoral fractures. We aim to test the clinical effectiveness of the osteoinductive agent platelet rich plasma and conduct a pilot study of a novel fixed-angle fixation system. DESIGN: We have planned a three arm, single centre, standard-of-care controlled, double blinded, pragmatic, randomised clinical trial. The trial will include a standard two-way
Tibial plateau fractures may occur due to high-speed accidents, fall from a height or low-impact stress or injury in a compromised bone due to cancer, infection or osteoporosis.
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Q: A friend of mine fell skiing and you had to surgically fix their tibial plateau fracture. What sort of fracture is this and are these common injuries?
TY - JOUR. T1 - Treatment of femur fracture with associated vascular injury. AU - Starr, Adam J.. AU - Hunt, John L.. AU - Reinert, Charles M.. PY - 1996/1. Y1 - 1996/1. N2 - Objective: The aim of this study was to determine (1) if internal fixation was associated with a high amputation rate in patients with femur fracture and vascular injury; and (2) if patients who underwent internal fixation before vascular repair had a higher amputation rate. Design: This is a retrospective analysis. Materials and Methods: Twenty-six patients requiring femoral stabilization with injury to the superficial femoral artery, popliteal artery, or common femoral vein were studied. The Injury Severity Score and the Mangled Extremity Severity Score were calculated for each. Nineteen patients underwent internal fixation. Ten patients had internal fixation before vascular repair. Results: Sixteen of 19 patients treated with internal fixation had limb salvage. Nine of 10 patients who had internal fixation before ...
Diagnosis Code S72.012S information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Patient History: A 56-year-old male patient fell six feet from a diesel truck onto his left heel and left elbow. Radiographic evaluation showed that the patient sustained closed ipsalateral fractures of the left heel and left radial head.. ...
363981451 - EP 2460484 A1 20120606 - Variable angle bone screw fixation assembly - The arrangement has a clamping sleeve (4 ) receiving a bone screw (1 ). The bone screw includes a shaft (10 ) with a bone thread (11 ) and a head (12 ) at a rear end. A holder (2 ) is provided with a holding opening and an adapting seat. The clamping sleeve is pivotably and movably mounted in the seat. The shaft includes a thickening part (15 ) in front of the head in a rear region. Width of the thickening part is increased toward the head. Width of the clamping sleeve is larger than width of the shaft in front of the thickening part and smaller than a largest width of the head.[origin: EP2460484A1] The arrangement has a clamping sleeve (4 ) receiving a bone screw (1 ). The bone screw includes a shaft (10 ) with a bone thread (11 ) and a head (12 ) at a rear end. A holder (2 ) is provided with a holding opening and an adapting seat. The clamping sleeve is pivotably and movably mounted in the seat. The shaft includes a
My question is, at my last post-op surgical visit, I was told that the bone isnt growing back at all. I had a bone graft inserted and thats all the bone thats there on X-ray. The surgeon has mentioned another major surgery (or more) which Im not keen for, but if it had to be…. Has anyone else had this issue with the bone not regrowing and an osteotomy performed? Ive got lots of swelling in the knee and ankle and am in a ROM brace, but can only get to 40 degrees. Started with a new PT yesterday who has given me some great exercises, so fingers crossed ...
Tibial Plateau Fracture. Accurate depiction of knee joint injury involving the fractured articular surface of the tibia following a severe trauma.
Mortality and complication rates were comparable between the daytime and night-time groups. Even after midnight, when a surgeon is thought to be most affected by fatigue, there was no significant increase in complication rate or mortality. This was supported by a study in 2013 that showed no significant difference in postoperative complication rate or mortality rate after reviewing 220 dynamic hip screw surgeries in terms of their operating time.19 It concluded that out-of-hours surgery offers the benefit of early fixation and mobilisation, and hence may shorten the length of stay and reduce cost of treatment.19 Chacko et al14 also reported similar findings in 171 hip fracture patients with surgical intervention where mortality rate within 1 month and complication rate were comparable between the daytime and night-time groups. Switzer et al20 studied the relationship between surgical time of day and outcome after hip fracture fixation. They identified more than 1400 hip fracture patients with ...
In addition, surgical measures such as internal fixation may be used. Because of the immobilisation, people with fractures are ... Common fractures include wrist fractures and hip fractures, associated with osteoporosis, vertebral fractures associated with ... A common long bone fracture in children is a Salter-Harris fracture.[49] When fractures are managed, pain relief is often given ... Fractures and their underlying causes can be investigated by X-rays, CT scans and MRIs.[48] Fractures are described by their ...
Fracture[edit]. A shoulder fracture can be treated with open reduction internal fixation (ORIF). ... Open Repairs (for dislocations with fractures, etc.). *Bicep Tenodesis Surgery *Surgical treatment of the shoulder due to ... Weaver-Dunn with various additional fixations (sutures, suture anchors, tendon autograft) to replace the coracoclavicular ...
"Use of a new exsanguination tourniquet in internal fixation of distal radius fractures". J Orthop Traumatol. 13 (4): 173-5. doi ... Personalized tourniquet systems utilize an internal electrical pump to compress ambient air to a low pressure; these systems do ... In personalized tourniquet instruments, the internal electrical pump, pressure display, and pressure regulator are combined in ...
Immobilization of the fracture with internal or external fixation. Metal plates, pins, screws, and rods, that are screwed or ... Callus is formed, but the bone fractures have not joined. This can be due to inadequate fixation of the fracture, and treated ... Nonunion is a serious complication of a fracture and may occur when the fracture moves too much, has a poor blood supply or ... An x-ray plate of the fractured bone shows a persistent radiolucent line at the fracture. Callus formation may be evident but ...
A score greater than 8 suggests prophylactic internal fixation prior to irradiation. Mirels, Hilton (1989). "Metastatic disease ... those patients who would benefit from prophylactic fixation if they have a high enough risk of pathological fracture. A score ... A Proposed Scoring System for Diagnosing Impending Pathologic Fractures". In Banaszkiewicz, Paul; Kader, Deiary F. (eds.). ... A proposed scoring system for diagnosing impending pathologic fractures". Clinical Orthopaedics and Related Research. 249 (249 ...
Also used in fracture repair in small exotic animal species using internal fixation. MMA is a raw material for the manufacture ...
Talwalkar, AK; Talwalkar, OA (1967). "Treatment of simple fractures of radius and ulna with internal fixation without external ... "General Principles of Internal Fixation". E-Medicine. 2019-11-09. Cite journal requires ,journal= (help) "Internal Fixation ... a hook-pin used for fractures of the femoral neck Harrington rod for fixation of the spine Hartshill rectangle for fixation of ... Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of ...
... was a Swiss orthopedic surgeon who was instrumental in the development of internal fixation techniques to treat bone fractures ... M. E. Müller et al.: Manual of Internal Fixation, AO-ASIF, 1980. ISBN 3-540-52523-8 (3rd ed., 1995). M. E. Müller et al.: The ... In 1944, he was visited by a patient who had a bone fracture treated in World War II by the German surgeon Gerhard Küntscher, ... Inspired by the work of Belgian surgeon Robert Danis, Müller developed within two years new tools and fixation implants for ...
Open reduction and internal fixation surgery is typically used to repair an osteochondral fracture. For a Type B1 partial ... The osteochondral fracture occurs on the weight-bearing portion of the lateral condyle. Typically, the condyle will fracture ( ... www.proceduresconsult.com/medical-procedures/open-reduction-and-internal-fixation-OR-040-procedure.aspx[full citation needed] ... Supplementation of buttress screws or a buttress plate is used if the fracture extends to the proximal metaphysis or distal ...
He also served as Clinical Instructor, Fracture Internal Fixation Course at BG Accident Hospital in Duisburg, Germany. On his ...
Anterior and lateral view x-rays of fractured left leg with internal fixation after surgery ... External fixation of fractures was refined by American surgeons during the Vietnam War but a major contribution was made by ... His advocacy of the use of Thomas splint for the initial treatment of femoral fractures reduced mortality of compound fractures ... The use of intramedullary rods to treat fractures of the femur and tibia was pioneered by Gerhard Küntscher of Germany. This ...
"Open reduction and internal fixation compared with circular fixator application for bicondylar tibial plateau fractures. ... External fixation via TSFs tends to be less invasive than internal fixation and therefore has lower risks of infection ... Distraction osteogenesis Bone fracture Trauma surgery Traumatology External fixation Eidelman, M; Katzman, A. (October 2008). " ... Open fractures take longer to heal, and infection will delay union. For tibial fractures union is generally achieved after ...
He was the first surgeon to perform a successful internal fixation of proximal femur fractures. In 1887, he published a paper ... Layout 1 5/19/11 Franz König at Who Named It Proximal femur fractures: the pioneer era of 1818 to 1925 Clin Orthop Relat Res. ...
Plates and Conventional Stainless Steel and Titanium Plates Used in Internal Fracture Fixation. p. 53. ISBN 978-0-8031-1897-3. ...
His research into implant surfaces has led to major changes in the design and manufacture of internal fracture fixation ... Since 1991, Richards has been working for the AO Research Institute Davos (ARI) performing R&D of fracture fixation devices. ... "Biomechanical comparison of plate and screw fixation in anterior pelvic ring fractures with low bone mineral density". Injury. ... "Influence of implant properties and local delivery systems on the outcome in operative fracture care". Injury. 47 (3): 595-604 ...
If inhibiting the nasofrontal outflow tract, procedure is to undergo open reduction and internal fixation of the anterior table ... Frontal sinus fractures occur from trauma to the part of the frontal bone that overlies the sinus, often from motor vehicle ... If largely displaced, the correction is open reduction and internal fixation. ... In anterior table fractures, if the table is minimally displaced, there will be no treatment necessary, only observation. ...
It can be corrected via a corrective osteotomy of the humerus and either internal or external fixation of the bone until union ... Cubitus varus is not able to be diagnosed until after healing of the prior fracture, as the arm must be in full extension, not ... Instances in which the medial epicondyle of the distal humerus is malformed due to the initial fracture at the humeral endplate ... CS1 maint: discouraged parameter (link) Stimson LA (Sep 1900). "I. Cubitus Varus; or, "Gunstock" Deformity following Fracture ...
An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing ...
A tension band wire is a form of orthopaedic internal fixation method used to convert distraction forces into compression ... Olecranon fracture Patella fracture malleolar fracture Orthopedic plates v t e. ...
He established the first blood bank in Nigeria, and introduced in Britain the AO technique for internal fixation of fractures. ... Switzerland with Professor Martin Allgöwer who in the early 1960s had pioneered a new internal fixation technique for fractures ... He there pioneered the use of Kuschner nails to fix femoral shaft fractures, and established Nigeria's first blood bank. His ... Earlier than most surgeons, he assisted his trainees in many operations - they emerged particularly competent in AO fixation ...
... is a metallic plate used in orthopedics for internal fixation of bone, typically after fractures. As the name implies, it is ... The sliding screw telescopes and provides fixation while allowing impaction to occur at the fracture during healing and weight ... When plates are used, atrophy of the bone beneath the plate may predispose the bone to fracture. After removal of plates, ... Among the complications of sliding screw plate fixation are "cutting out" of the nail, penetration of the screw into the joint ...
... an internal fixation device used to maintain the position of the fracture fragments during healing. The nail is rigid and has a ... He first presnted 12 cases of intramedulary fixation with rods at a surgical meeting in Berlin 03/18/40 and was met with ... All previous treatment of femur fractures required 6 weeks of bed rest and Allied doctors debriefing the returnees were ... Of Küntscher's invention, A. W. Fischer said in 1944: "This practical treatment of fractures using a nail, the Küntscher ...
by Richard A. Brand MD Smith-Petersen M. The Classic: treatment of fractures of the neck of the femur by internal fixation. ... In 1925, Smith-Petersen introduced the three-flanged steel nail for insertion across the fracture site in hip fractures, an ... are directed to his works on a new approach to treating fractures of the neck of the femur, mould arthroplasty, osteotomy of ... innovation that considerably improved recovery and mortality rates from hip fractures. In May 1953 he performed successful ...
... external fixation, or internal fixation. After bone fracture, blood cells accumulate adjacent to the injury site. Soon after ... Osteomyelitis can also occur following surgical fixation of a fracture. Non-union: no progression of healing within six months ... If the fracture gap is 800 μm to 1 mm, the fracture is filled by osteoclasts and then by lamellar bone oriented perpendicular ... Complications of fracture healing include: Infection: this is the most common complication of fractures and predominantly ...
Fractures have been treated using a variety of methods such as bone grafting, internal fixation, corticoplasty, Ilizarov ... are more recent surgical procedures that utilize internal fixation that has been shown to reduce the Healing Index and minimize ... It uses the process of external fixation through the scaffolding of pins or wires into the bone in an attempt to transform ... The condition of Ollier disease cannot be treated for but the complications that arise such as fractures, growth defects, and ...
... as open reduction and internal fixation may be required. If the dislocation does not reduce easily, it may be necessary to ... If no avulsion fracture is present, the splint should be in place for four to six weeks to allow the torn central slip to heal ... Fractures involve the breaking of the bone. As such, it is recommended that medical attention is sought, so as to avoid the ... Fractures are instances where the bone's structural integrity has been compromised. This is indicated by midshaft pain, as well ...
... such as internal screw fixation. These zones can be identified anatomically and on x-ray adding to the clinical usefulness of ... An avulsion fracture is sometimes called a Pseudo-Jones fracture or a Dancer's fracture. Initial treatment is typically in a ... Other proximal fifth metatarsal fractures exist, although they are not as severe as a Jones fracture. If the fracture enters ... For several reasons, a Jones fracture may not unite. The diaphyseal bone (zone II), where the fracture occurs, is an area of ...
... which was treated by alignment of a fracture and inside fixation by two titanium screws MS. ... Pigtail drain - has an exterior screw to release the internal "pigtail" before it can be removed ... Surgical drain on the left hand after surgery of Bennett's fracture basis MTC primi manus 1. sin (S62.20) ...
Plates and Conventional Stainless Steel and Titanium Plates Used in Internal Fracture Fixation. p. 53. ISBN 0-8031-1897-X.. ...
Hamstring grafts historically had problems with fixation slippage and stretching out over time. Modern fixation methods avoid ... Risk of fracturing the patella during harvesting of the graft. *Increased risk of tendinitis. ... Unlike the patellar ligament, the hamstring tendon's fixation to the bone can be affected by motion after surgery. Therefore, a ... relying on the surgical fixation of the graft until true healing (graft attachment to bone) has taken place. At this stage, the ...
"Journal of Veterinary Internal Medicine. 15: 530-538. doi:10.1111/j.1939-1676.2001.tb01587.x.. ... Penile fixation permanently attaches the penis to the abdomen so that it cannot be lowered for penetration. Penectomy is the ... There was no association between age of neutering and arthritis or long-bone fractures.[25] Another study showed no correlation ... Ware, Wendy A.; Hopper, David L. (1999). "Cardiac Tumors in Dogs: 1982-1995". Journal of Veterinary Internal Medicine. 13 (2): ...
He argues that, as civilizations decay, they form an "Internal Proletariat" and an "External Proletariat." The Internal ... The fixation on the old methods of the "Creative Minority" leads it to eventually cease to be creative and degenerates into ... The Assyrian, Roman and Mongol Empires, for example, both fractured and collapsed when no new conquests could be achieved. ... The Dominant Minority creates a universal state, the Internal Proletariat a universal church, and the External Proletariat a ...
The relief of the internal pressure that has built up in rocks that have been underground for aeons can cause them to shatter.[ ... This is believed to be caused by the stresses put on the rock by repeated expansions and contractions which induces fracturing ... or by using C4 carbon fixation.[68] ...
Internal bleaching[edit]. Internal bleaching is a process which occurs after a tooth has been endodontically treated. This ... The Scientific Committee on Consumer Safety of the EU consider gels containing higher fixations can be dangerous.[citation ... severe damage to intracoronal dentine and tooth crown fracture can occur due to this bleaching method.[63] ... Dental trauma[12] which may cause staining either as a result of pulp necrosis or internal resorption. Alternatively the tooth ...
Internal fixation. *External fixation. Medical imaging. *Dual energy X-ray absorptiometry/Digital X-ray radiogrammetry ...
The case for open reduction and internal fixation". The Journal of Bone and Joint Surgery. British Volume. 72 (4): 625-7. PMID ... Clinically, an avulsion fracture of the ischial tuberosity may occur.[2]. Avulsion fractures of the hip bone (avulsion or ... Its internal surface is part of the wall of the lesser pelvis; it gives origin to some fibers of the internal obturator. No ... These fractures occur at tubercles (bony projections that lack secondary ossification centers). Avulsion fractures occur where ...
The ISCD states that there is no clearly understood correlation between BMD and the risk of a child's suffering a fracture; the ... Internal fixation. *External fixation. *Tension band wiring. Cartilage. *Articular cartilage repair *Microfracture surgery ... 2.5 standard deviations below the young adult female reference mean in the presence of one or more fragility fractures. ... history of parental hip fracture, chronic renal and liver disease, chronic respiratory disease, long-term use of phenobarbital ...
This is important because Titanium-based implantable devices such as joint prostheses, fracture fixation devices and dental ... Where as in case of Inelastic collision both kinetic energy and internal energy are participated in the scattering process.[33] ... In Elastic collision only Kinetic Energy is conserved in the scattering process and there is no role of particle internal ...
Membrane proteins contain internal channels that allow such molecules to enter and exit the cell. Many ion channel proteins are ... This process usually begins with cell lysis, in which a cell's membrane is disrupted and its internal contents released into a ... Circular dichroism is another laboratory technique for determining internal β-sheet / α-helical composition of proteins. ... Freeze-fracture electron microscopy. Bioinformatics. *Protein structure prediction. *Protein-protein docking. *Protein ...
"Percutaneous versus open pedicle screw fixation for treatment of thoracolumbar fractures: Systematic review and meta-analysis ...
Michiki, H. (1995). "Biological CO2 fixation and utilization project". Energy Conversion and Management. 36 (6-9): 701-705. doi ... This process takes the CO2 and other nutrients, fractures them at extremely high pressures and then deliver the micron sized ... carbon atoms per molecule and can be used in internal-combustion engines.[50] ... combats this issues through the creation of their Quantum Fracturing technology. ...
Resection is the removal of all of an internal organ or body part, or a key part (lung lobe; liver quadrant) of such an organ ... He is known to have performed surgical treatments of head injuries, skull fractures, spinal injuries, hydrocephalus, subdural ... Internal suturing or stapling may be used. Surgical connection between blood vessels or other tubular or hollow structures such ... The Lancet, "On a new method of treating compound fracture, abscess, etc.: with observation on the conditions of suppuration". ...
The internal diameter of the tube in mm is (patient's age in years + 16) / 4, while the appropriate depth of insertion in cm is ... multiple rib fractures, severe pneumonia, acute respiratory distress syndrome (ARDS), or near-drowning. Specifically, ... in children undergoing intensive care and requiring prolonged intubation because this route allows a more secure fixation of ... For human use, tubes range in size from 2 to 10.5 mm (0.1 to 0.4 in) in internal diameter. The size is chosen based on the ...
Cryo-fixed specimens may be cryo-fractured under vacuum in a special apparatus to reveal internal structure, sputter-coated and ... Fixation is usually performed by incubation in a solution of a buffered chemical fixative, such as glutaraldehyde, sometimes in ... Fractography is the study of fractured surfaces that can be done on a light microscope or, commonly, on an SEM. The fractured ... Freeze-fracturing, freeze-etch or freeze-and-break is a preparation method particularly useful for examining lipid membranes ...
It can also be indicated in small animals with pelvic fractures, particularly fractures of the acetabulum (socket of the pelvis ... Internal fixation. *External fixation. *Tension band wiring. Cartilage. *Articular cartilage repair *Microfracture surgery ... As a salvage procedure, this is usually performed in those animals which have the specific injury of a fracture of the capital ...
... causes a potential upper size limit that may affect the binding of extremely large proteins or protein complexes to internal ... Freeze-fracture electron microscopy. Bioinformatics. *Protein structure prediction. *Protein-protein docking. *Protein ... Complement fixation test. *Immunocytochemistry. *Immunohistochemistry *Direct fluorescent antibody. *Epitope mapping. *Skin ...
Treatment options for distal radius fractures include nonoperative management, external fixation, and internal fixation. ... If the fractures are unlikely to be reduced by closed means, open reduction with internal plate fixation is preferred.[4] ... The techniques of surgical management include open reduction internal fixation (ORIF), external fixation, percutaneous pinning ... Distal radius fractures are the most common fractures seen in adults, accounting for 17.5% of all adult fractures with an ...
Resection is the removal of all of an internal organ or body part, or a key part (lung lobe; liver quadrant) of such an organ ... The Lancet, "On a new method of treating compound fracture, abscess, etc.: with observation on the conditions of suppuration". ... Internal suturing or stapling may be used. Surgical connection between blood vessels or other tubular or hollow structures such ... Al-Zahrawi pioneered techniques of neurosurgery and neurological diagnosis, treating head injuries, skull fractures, spinal ...
... open reduction and internal fixation (ORIF) is typically recommended.. Regardless of which approach is employed (nonsurgical, ... Bennett fracture is a fracture of the base of the first metacarpal bone which extends into the carpometacarpal (CMC) joint.[1] ... If intraarticular trapeziometacarpal fractures (such as the Bennett or Rolando fractures) are allowed to heal in a displaced ... The Bennett fracture is an oblique intraarticular metacarpal fracture dislocation, caused by an axial force directed against ...
Works from the Hippocratic corpus include; On the Articulations or On Joints, On Fractures, On the Instruments of Reduction, ... anaesthesia allowed more intricate operations in the internal regions of the human body. In addition, the discovery of muscle ... Modern medicine developed a technique similar to this in the 20th century known as medullary fixation. ... Of fractures and luxations. VIII. Of the lues venerea. J. Walthoe. Retrieved 7 December 2012.. ...
The internal diameter of the tube in mm is (patient's age in years + 16) / 4, while the appropriate depth of insertion cm is 12 ... Examples of such conditions include cervical spine injury, multiple rib fractures, severe pneumonia, acute respiratory distress ... in children undergoing intensive care and requiring prolonged intubation because this route allows a more secure fixation of ... For human use, tubes range in size from 2 to 10.5 mm (0.1 to 0.4 in) in internal diameter. The size is chosen based on the ...
The internal hoof structure also aids circulation. When a horse is ridden, the weight of the rider adds to the force absorbed ... A straight stifle limits the ligaments across the patella, predisposing the horse to upward fixation of the patella, with the ... This can cause sesamoid fractures & breakdown injuries.. *May be associated with high or low ringbone. Increased drop of ... May be due to an injury to the point of hip, or to sublaxtion or fracture of the pelvis. ...
... whereas fractures treated by open reduction and internal fixation with metal plates, screws, pins, rods and nails may heal by ... In fracture healing, endochondral osteogenesis is the most commonly occurring process, for example in fractures of long bones ...
Orthopedic surgeons reposition the fractured bone pieces during surgery, so that they are back in their proper alignment, and ... Open reduction and internal fixation is a surgery used to treat a broken thigh bone. ... Tibia/Fibula Fracture Open Reduction and Internal Fixation Olecranon Fracture (Elbow Fracture) Osteogenesis Imperfecta Ulna and ... What is a femur fracture open reduction and internal fixation?. Open reduction and internal fixation (ORIF) is surgery used to ...
Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. You might need this ... What is ankle fracture open reduction and internal fixation?. Open reduction and internal fixation (ORIF) is a type of surgery ... Why might I need an ankle fracture open reduction and internal fixation?. Certain medical conditions may make fracturing your ... What are the risks of ankle fracture open reduction and internal fixation?. Most people do very well with ORIF for their ankle ...
Clavicle Fracture Open Reduction and Internal Fixation. What is clavicle fracture open reduction and internal fixation?. Open ... Why might I need a clavicle fracture open reduction and internal fixation?. Certain health conditions may make fracturing your ... How do I get ready for a clavicle fracture open reduction and internal fixation?. ORIF often takes place as an emergency or ... What are the risks of clavicle fracture open reduction and internal fixation?. Most people do very well with ORIF for their ...
The perioperative data were recorded and compared in relation to fracture type. ,i,Results,/i,. In each type of fractures, no ... Both the PFNA and the reversed LISS are effective in the treatment of different types of intertrochanteric femur fractures. ... i,Objective,/i,. To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. ,i, ... Numerous internal fixation devices have been used to stabilise intertrochanteric femur fractures, and they can be divided into ...
... of all fractures and approximately 10% of fractures in patients over 65 years of age (1 3). Studies have shown an increasing ... Fractures of the proximal humerus are common in humans, accounting for 4 5% ... Conclusion: The internal fixation of proximal humerus fractures with either CFR-PEEK or titanium led to clinical improvement 6 ... S dkamp N, Bayer J, Hepp P, et al.: Open reduction and internal fixation of proximal humeral fractures with use of the locking ...
Supracondylar nonphyseal femur fractures are rare in the pediatric population. ... is a commonly used treatment for fractures throughout the body, including the distal femur. ... Open Reduction and Internal Fixation of Distal Femoral Fractures in Children * Sections Open Reduction and Internal Fixation of ... Open Reduction and Internal Fixation of Distal Femoral Fractures in Children) and Open Reduction and Internal Fixation of ...
Care guide for Open Reduction And Internal Fixation Of A Hip Fracture (Aftercare Instructions). Includes: possible causes, ... Open reduction and internal fixation (ORIF) is surgery to fix a fracture (broken bone) in your hip. A hip fracture happens when ... Open Reduction And Internal Fixation Of A Hip Fracture. Medically reviewed on Oct 31, 2018 ... Learn more about Open Reduction And Internal Fixation Of A Hip Fracture (Aftercare Instructions). IBM Watson Micromedex. *Open ...
... and internal fixation. Immobilization by casting, bracing, or splinting a joint above and below the fracture was used for most ... long bone fractures - except femur fractures, for which traction was the mainstay of treatment. ... fractures have been treated with immobilization, traction, amputation, ... On the basis of the mechanical milieu of the fracture as dictated by the surgeons choice of internal fixation and the fracture ...
Care guide for Closed Reduction Internal Fixation Of An Upper Extremity Fracture (Discharge Care). Includes: possible causes, ... Closed Reduction Internal Fixation Of An Upper Extremity Fracture. Medically reviewed on Oct 31, 2018 ... Eat foods with calcium and vitamin D. Calcium and vitamin D help fractures heal. Examples of high calcium foods include kale, ... Cover it with a towel and place it on your fractured area for 15 to 20 minutes every hour as directed. ...
Purpose Annually approximately 18,044 patients are admitted to Dutch hospitals with hip fractures. This is an increasing demand ... Postoperative radiographs or thermal prints after internal fixation of fractures? A study of DHS fixation of hip fracture. Ann ... This study aims to establish if routine check X-rays 1 day after internal fixation for hip fracture with adequate image ... In that period 294 patients underwent internal fixation of hip fractures, 254 underwent a check X-ray and were included in this ...
The distal tibia plates are made of stainless steel and are an extension of the ankle fracture management system. Plates have ...
Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. You might need this ... Tibia/Fibula Fracture Open Reduction and Internal Fixation. What is tibia/fibula fracture open reduction and internal fixation? ... How do I prepare for a tibia/fibula fracture open reduction and internal fixation?. ORIF often takes place as an emergency or ... What are the risks for tibia/fibula fracture open reduction and internal fixation?. Most people who have ORIF for their tibia ...
HOBBS, HR et al. Open reduction and internal fixation of scapula fractures. SA orthop. j. [online]. 2008, vol.7, n.3, pp.8-15. ... This retrospective review looks at the outcome of open reduction and internal fixation of these fractures and the surgical ... of scapular fractures requiring surgical fixation. Union is predictable and the complication rate is low. Most of the fractures ... At an average follow-up of 9 months (range 6 to 72 months), all of the fractures had united. Twenty out of the 25 patients were ...
... Open reduction and internal fixation (ORIF) is a type ... Internal fixation means that special hardware is used to hold the bone pieces together. This helps the bone heal correctly. The ... In some cases, tibia/fibula fracture ORIF is planned. You may need to have your leg placed in traction while you wait for ... He or she will secure the pieces of the broken bones to each other (fixation). The surgeon may use screws, metal plates, wires ...
Anyone here had internal fixation surgery on JUST the fibula? (fracture, xray) ... Action has been taken for me to have this internal fixation surgery after my 2nd bone scan.. Most people in the 108 page thread ... Fractured Tibia and Fibula (Broken Lower Leg Bones) with Fixation Surgery (Part 2), Health and Wellness, 911 replies ... Fractured Tibia and Fibula (Broken Lower Leg Bones) with Fixation Surgery, Health and Wellness, 2050 replies ...
... and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. Method. PubMed, ... of Minimally Invasive Percutaneous Plate Osteosynthesis and Open Reduction Internal Fixation on Proximal Humeral Fracture in ... The pooled results showed that MIPO was superior to ORIF in the treatment of proximal humeral fracture in elder patients. It ... The MIPO was more suitable than ORIF for treating proximal humeral fracture in elder patients. ...
An experience of AI-wiring system as an internal fixation device for olecranon and patellar fracture [in Japanese] * * 坂井 顕一郎 ... Tension band wiring using a braided polyblend suture (FiberWire^,TM,) for olecranon fracture [in Japanese] ... The clinical results of AI-wiring system for olecranon fractures [in Japanese] ...
... having edge fastening formations formed on at least two edges of the plate which is adapted to be secured to a bone fracture ... This invention provides an internal fixation device for a bone fracture, the device comprising a metallic plate ... US4364382A - Internal fixation device for bone fractures - Google Patents. Internal fixation device for bone fractures Download ... Degradable fracture internal fixation body Citations (12). * Cited by examiner, † Cited by third party. Publication number. ...
Fractures, Bone. Femoral Neck Fractures. Wounds and Injuries. Hip Fractures. Femoral Fractures. Hip Injuries. Leg Injuries. ... Blood Loss and Complications of Internal Fixation of Femoral Neck Fractures in Patients Treated With Clopidogrel. The ... Blood Loss and Complications of Internal Fixation of Femoral Neck Fractures in Patients Treated With Clopidogrel. ... patients treated with clopidogrel undergoing open reduction and internal fixation of pertrochnteric and femoral neck fractures ...
Early Functional Outcomes After Closed Reduction With Pinning Versus Open Reduction Internal Fixation of Wrist Fractures. This ... Open Reduction Internal Fixation of Distal Radius Fractures: A Prospective Randomized Trial. ... Functional outcomes for unstable distal radial fractures treated with open reduction and internal fixation or closed reduction ... Dorsally displaced, extra-articular fracture (Colles fracture); or simple intra-articular fracture with a single split between ...
... timing fixation, (4) delayed fixation, (5) early fixation, (6) immediate fixation, (7) fracture fixation, (8) timing fracture, ... Intervention: open reduction and internal fixation within 24 hours of injury. *Comparator: open reduction and internal fixation ... Duration of fracture healing after early versus delayed internal fixation of fractures of the femoral shaft. Injury. 1987; 18: ... Femur Fractures, Open Reduction and Internal Fixation, Timing of - Update. Published 2014 Citation: J Trauma. 77(5):787-795, ...
... examined outcomes following distal humerus fractures repaired using open reduction and internal fixation vs total elbow ... This updated meta-analysis, which includes more recent open reduction and internal fixation techniques, ... are often repaired using open reduction and internal fixation or total elbow arthroplasty. ... Distal humerus fractures, which are challenging injuries seen in geriatric patients, ...
The present invention is directed toward a method for performing an internal fixation of fractures of tubular bones using a ... balloon catheter fixation device which is inflated inside the bone and tight ... internal fixation of fractures of tubular bones using a balloon catheter fixation device which is inflated inside the bone and ... Method and device for internal fixation of bone fractures Abstract. The present invention is directed toward a method for ...
Trapdoor Orbital floor blowout fracture Open reduction and internal fixation Absorbable mesh plate ... Open Reduction and Internal Fixation (ORIF) of Trapdoor Orbital Floor Blowout Fracture with Absorbable Mesh Plate. ... RESULTS: Among 18 patients, 5 elevator fixation, 4 depressor fixation, and 9 elevator and depressor fixation technique were ... 18 trapdoor orbital floor blowout fracture patients were treated using elevator fixation, depressor fixation, or elevator- ...
... surgical open reduction and internal fixation of the fractures and C) post-operative hardware fixation of both ankles. rnIn the ... a comminuted blow-out fractures of the bilateral calcaneal fractures, B) ... locking Synthes plate placement and multiple screw fixation. ... Open Reduction and Internal Fixation of Right Arm Fractures - ... Open Reduction with Internal and External Fixation of Right Wrist Fractures - exh5547b. Medical Exhibit. Add to my lightbox. ...
Combined Open Reduction and Internal Fixation and Total Hip Arthroplasty for Acute Management of Acetabular Fractures in the ... Combined Open Reduction and Internal Fixation and Total Hip Arthroplasty for Acute Management of Acetabular Fractures in the ... Fractures of the Distal Humerus: Fixation Pearls and Arthroplasty Options * Managing Complex Humerus Fractures: From Proximal ... Patella Fractures and Extensor Mechanism Injury * Patients Guide to Atypical Femur Fractures: Whos at Risk, How and When to ...
This video demonstrates surgical fixation of unstable ankle fractures via open reduction and internal fixation. Methods: ... Occasionally, soft-tissue swelling or comminution may not allow for immediate internal fixation; however, external fixation is ... The video demonstrates open reduction internal fixation. Conclusion: Immediate surgical fixation is a treatment option for the ... Results: This video discusses the case presentation of an unstable ankle fracture necessitating surgical fixation. ...
Arthroplasty, replacement, hip, adverse effects, economics, fracture fixation, internal, femoral neck fractures, surgery, ... We randomised 143 patients -age 75 years or older-with displaced femoral neck fracture to either internal fixation or total hip ... The total costs of a displaced femoral neck fracture: comparison of internal fixation and total hip replacement. A randomised ... In the internal fixation group, 34 of 78 hips underwent secondary surgery. In the THR group, 12 of 68 hips dislocated, the ...
... internal fixation, illustration relating to rabbits including description, information, related content and more. WardM. Lapis ...
  • Open reduction and internal fixation (ORIF) is surgery used to stabilize and heal a broken bone. (hopkinsmedicine.org)
  • If you fracture your femur, you usually need ORIF to bring your bones back into place and help them heal. (hopkinsmedicine.org)
  • Most people with a fractured femur need some sort of surgery, usually ORIF. (hopkinsmedicine.org)
  • You might need ORIF for a fracture that occurs anywhere along your femur, including the portion that forms part of your hip joint. (hopkinsmedicine.org)
  • Most people do very well after ORIF for their femur fracture. (hopkinsmedicine.org)
  • You might not need ORIF if you fracture your ankle. (hopkinsmedicine.org)
  • You probably won't need ORIF unless there is some reason your fracture might not heal normally with these conservative treatments. (hopkinsmedicine.org)
  • You might need ORIF for a fracture that occurs anywhere along your ankle. (hopkinsmedicine.org)
  • Most people do very well with ORIF for their ankle fracture. (hopkinsmedicine.org)
  • Not everyone with a fractured clavicle needs ORIF. (rochester.edu)
  • Open reduction and internal fixation (ORIF) is a commonly used treatment for fractures throughout the body, including the distal femur. (medscape.com)
  • Patients who are hemodynamically unstable and polytrauma patients may benefit from provisional stabilization of the fracture instead of ORIF. (medscape.com)
  • Plate fixation of supracondylar femur fractures may require ORIF or can be done through percutaneous techniques. (medscape.com)
  • Open reduction and internal fixation (ORIF) is surgery to fix a fracture (broken bone) in your hip. (drugs.com)
  • Although the concept of internal fixation dates back to the mid-1800s, Lister introduced open reduction and internal fixation (ORIF) of patella fractures in the 1860s. (medscape.com)
  • Most people who have ORIF for their tibia or fibula fracture do very well. (ahealthyme.com)
  • Open reduction and internal fixation (ORIF) is a type of treatment to fix a broken bone. (baycare.org)
  • In some cases, tibia/fibula fracture ORIF is planned. (baycare.org)
  • The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. (hindawi.com)
  • The pooled results showed that MIPO was superior to ORIF in the treatment of proximal humeral fracture in elder patients. (hindawi.com)
  • The MIPO was more suitable than ORIF for treating proximal humeral fracture in elder patients. (hindawi.com)
  • Hypothesis: Wrist range of motion, grip strength and outcome at 2-3 months after injury are better in patients treated with open reduction, internal fixation (ORIF) than in patients treated with closed reduction percutaneous pinning techniques (CRPP). (clinicaltrials.gov)
  • The 2 most common repair strategies consist of open reduction and internal fixation (ORIF) and total elbow arthroplasty (TEA). (healio.com)
  • Total elbow arthroplasty, originally introduced as a method for treating rheumatoid arthritis and associated fractures, has emerged as an alterative to ORIF for distal humerus fractures. (healio.com)
  • The original fixation method, ORIF, provides adequate fixation in most young patients. (healio.com)
  • However, with the increased incidence of distal humerus fractures in the elderly, leading to fractures with complex comminution in osteoporotic bone, complications after ORIF such as elbow stiffness, failure of fixation, neuropraxia, and nonunion or malunion have been reported. (healio.com)
  • in 2014 was the first to report on ORIF vs TEA in the treatment of distal humerus fractures. (healio.com)
  • However, the ORIF cohort used in those studies often included cases that predated the use of locking plate and screws, anatomically contoured plates, and updated fixation techniques, which have become the mainstay of fracture fixation of distal humerus fractures. (healio.com)
  • Therefore, the aim of the current study was to provide an updated meta-analysis examining outcomes following distal humerus fractures undergoing either ORIF with newer plating strategies or TEA in patients older than 60 years. (healio.com)
  • Sufficient drainage is very important for preventing wound complications after open reduction and internal fixation (ORIF) of calcaneal fractures. (ovid.com)
  • The objective of this study was to identify factors associated with increased postoperative drainage after ORIF of calcaneal fractures. (ovid.com)
  • This study investigates the incidence of post-operative wound complications in elderly patients undergoing ORIF of their tibial plateau fractures. (springer.com)
  • The overall infection rates in elderly patients undergoing ORIF for tibial plateau fractures is in a similar range to published data on younger patient populations. (springer.com)
  • In particular, elderly patients without significant co-morbidities seem to be appropriate candidates for ORIF of their tibial plateau fractures. (springer.com)
  • Morris B, Unger R, Archer K, Mathis S, Perdue A, Obremskey W (2013) Risk factors of infection after ORIF of bicondylar tibial plateau fractures. (springer.com)
  • INTRODUCTION: The fixation of unstable zygomaticomaxillary complex (ZMC) fractures can be achieved by open reduction with rigid internal fixation (ORIF) and/or by closed reduction with percutaneous transfacial Kirschner wire fixation (CRWF). (inserm.fr)
  • The aim of this study was to tomographically assess the symmetry and the protrusion of the cheekbone with unstable ZMC fractures that had been treated by ORIF vs. CRWF. (inserm.fr)
  • CONCLUSION: With good postoperative radiographic outcomes, the CRWF can be proposed as an alternative or in association with the ORIF technique for fixation of tetrapodal fractures of the ZMC. (inserm.fr)
  • The aim of this study was to assess the outcomes of isolated functional treatment versus open reduction and internal fixation (ORIF) of mandibular condylar fracture with articular impact based on clinical and radiological criteria. (inserm.fr)
  • CONCLUSION: The present study showed that a properly followed isolated functional treatment provided similar clinical results to ORIF for mandibular condylar fractures with articular impact. (inserm.fr)
  • Scaphoid fracture open reduction and internal fixation (ORIF) is a procedure that stabilizes a fractured scaphoid bone with screw fixation. (slocumcenter.com)
  • Today, treatment alternatives include, open reduction and internal fixation (ORIF) and immediate total hip arthroplasty (THA) or conservative treatment with traction or bed rest followed by subsequent THA as needed. (thefreedictionary.com)
  • Open reduction and internal fixation (ORIF) is a surgical technique employed in severe proximal humerus fractures to restore normal anatomy and improve range of motion and function. (richarddias.co.uk)
  • Modalities of treatment for open reduction internal fixation (ORIF) are controversial. (aofoundation.org)
  • The first option is to perform an ORIF of the palatal fracture with fixation of one or more plates on the palate through a palatal approach. (aofoundation.org)
  • How is clavicle fracture ORIF done? (kramesonline.com)
  • What are the risks of clavicle fracture ORIF? (kramesonline.com)
  • Open reduction and internal fixation (ORIF) is a surgical technique employed for the treatment of a fracture to restore normal anatomy and improve range of motion and function. (drgshoulder.com)
  • When a trauma patient presents to the operating room (OR) for ORIF of tibial fracture, the anesthesiologist must be vigilant for signs of traumatic injuries not detected on the primary or secondary trauma surveys. (psychiatryadvisor.com)
  • Since ORIF is often employed to treat severe fractures, it typically takes place as an emergency procedure. (drjacobhaynes.com)
  • Open reduction and internal fixation (ORIF) puts the pieces of a broken bone back together so they can heal. (kramesonline.com)
  • Why is femur fracture ORIF done? (kramesonline.com)
  • What are the risks of femur fracture ORIF? (kramesonline.com)
  • Open reduction internal fixation (ORIF) is a surgery to fix severely broken bones. (healthline.com)
  • The anatomy of the radial nerve makes the approaches during open reduction and internal fixation (ORIF) difficult. (jomi.com)
  • This video outlines the posterior triceps-sparing approach for ORIF of a diaphyseal periprosthetic humeral fracture. (jomi.com)
  • Surgical treatment options include internal fixation with fixed-angle (locking) and non-fixed-angle (non-locking) plates, screws, K-wires, intramedullary nails, and total joint replacement. (aerzteblatt.de)
  • In biomechanical studies, fixation with CFR-PEEK plates allowed for more minimal movements at the fracture site than fixation with titanium plates, with equal or even superior stability of the connection between screws and plate ( 8 10 ). (aerzteblatt.de)
  • Although bone fractures have been fixed with the help of metal plates using screws to fix each plate, such plates have various attendant problems. (google.com)
  • Fourthly, support of the fractured zone is borne only by the portion of the plate between the central screws. (google.com)
  • Reviewing our admission data, we identified non-geriatric patients (18-65 years) with femoral neck fractures treated with either dynamic hip screw or cancellous screws between 2007 and 2015. (springer.com)
  • We reviewed the admission data of our Level I trauma department and identified non-geriatric patients (18-65 years) with femoral neck fractures treated with either DHS or cancellous screws between 2007 and 2015 ( n = 163). (springer.com)
  • Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. (ru.nl)
  • The injury is usually fixed by orthopaedic surgeons from the inside (under the skin) using a plate and screws (internal fixation) or fixed from the outside using a ring frame or cage (external fixation). (isrctn.com)
  • Recent developments in intramedullary nail technology including more distal locking options and the possibility of siting fixed-angle locking screws, and improved techniques including Poller's interference screws, have made intramedullary nail fixation more suitable for the treatment of metaphyseal fractures. (richtlijnendatabase.nl)
  • The exhibit features the exposure and reduction of both radial and ulnar fractures, with fixation of both fractures with plates and screws. (certifiedmedicalillustrations.com)
  • Your surgeon will secure the fragments of the femur to each other (fixation) by using metal plates, screws, wires, or pins. (drjacobhaynes.com)
  • For a fracture in the middle of your femur, your surgeon may utilize a specially designed metal rod that passes through the middle of the bone and screws into both ends of the bone. (drjacobhaynes.com)
  • This custom medical exhibit shows post-accident subcapital left hip fracture (broken hip bones) with internal fixation surgery with screws (Knowles pins). (photoshelter.com)
  • Treatment of bone fractures, voids and other defects may include the use of metal orthopaedic hardware such as implants, plates, screws, etc. (google.com)
  • Left leg surgical procedure depicts open reduction internal fixation of left femur fracture with intramedullary rod and screws. (medicalartworks.com)
  • Internal fixation" means the bones are held together with hardware like metal pins, plates, rods, or screws. (healthline.com)
  • Objective: To compare traditional methods (ie, intermaxillary fixation with interosseous wiring or external fixation) with newer techniques (ie, plating, use of lag screws) of open reduction and fixation of mandible fractures. (elsevier.com)
  • Why might I need a femur fracture open reduction and internal fixation? (hopkinsmedicine.org)
  • What are the risks for femur fracture open reduction and internal fixation? (hopkinsmedicine.org)
  • How do I get ready for a femur fracture open reduction and internal fixation? (hopkinsmedicine.org)
  • In each type of fractures, no significant differences were found with respect to the blood loss, the quality of reduction, the time to bony healing, and the Harris hip score between the 2 groups. (hindawi.com)
  • Nondisplaced fractures may be treated in a long leg cast, whereas most displaced fractures require operative intervention for fracture reduction. (medscape.com)
  • Open reduction and stabilization with locking plates is frequently the treatment of choice for displaced or comminuted fractures of the proximal humerus ( 6 , 7 ). (aerzteblatt.de)
  • Fractures with less than an anatomic reduction and less rigid fixation (ie, those with large gaps and low strain via external fixator, casting, and intramedullary [IM] nailing) heal with callous formation or secondary healing with progression through several different tissue types and eventual remodeling. (medscape.com)
  • Anatomic reduction and absolute stabilization of a fracture by internal fixation alter the biology of fracture healing by diminishing strain (elongation force) on the healing tissue at the fracture site. (medscape.com)
  • Absolute stability with no fracture gap (eg, via open reduction and internal fixation using interfragmental compression and plating) presents a low strain and results in primary healing (cutting cone) without the production of callus. (medscape.com)
  • This retrospective review looks at the outcome of open reduction and internal fixation of these fractures and the surgical exposures necessary for their fixation. (scielo.org.za)
  • Reduction, union and failure of fixation were assessed. (scielo.org.za)
  • Adequate reduction was obtained in all but one fracture. (scielo.org.za)
  • Surgical management including open reduction and internaql fixation has been shown to reduce complication and improve outcome in such patients. (clinicaltrials.gov)
  • Definitive surgical treatment of patients treated with clopidogrel undergoing open reduction and internal fixation of pertrochnteric and femoral neck fractures is safe although associated with more extensive blood loss during surgery and postoperative wound complications. (clinicaltrials.gov)
  • The purpose of this study is to compare early return to function in patients treated with closed reduction percutaneous pinning and open reduction internal fixation in displaced fractures of the distal radius. (clinicaltrials.gov)
  • 24 hours) open reduction and internal fixation of an open or closed femur fracture in trauma patients, particularly in preventing mortality, infection, nonunion/malunion, amputation, and venous thromboembolism (VTE). (east.org)
  • Only studies pertaining to open reduction and internal fixation of open or closed femur fractures were included. (east.org)
  • We included studies comparing open reduction and internal fixation performed within 24 hours from the time of injury to stabilization performed greater than 24 hours after injury. (east.org)
  • Distal humerus fractures, which are challenging injuries seen in geriatric patients, are often repaired using open reduction and internal fixation or total elbow arthroplasty. (healio.com)
  • This updated meta-analysis, which includes more recent open reduction and internal fixation techniques, examined outcomes following distal humerus fractures repaired using open reduction and internal fixation vs total elbow arthroplasty. (healio.com)
  • Although distal humerus fractures treated with total elbow arthroplasty achieved statistically higher functional scores relative to those treated with open reduction and internal fixation, this difference was not clinically significant. (healio.com)
  • Furthermore, the authors found no early difference in the use of either open reduction and internal fixation or total elbow arthroplasty in the management of distal humerus fractures. (healio.com)
  • This 3D animation consists of three scenes depicting: A) a comminuted blow-out fractures of the bilateral calcaneal fractures, B) surgical open reduction and internal fixation of the fractures and C) post-operative hardware fixation of both ankles. (doereport.com)
  • This video demonstrates surgical fixation of unstable ankle fractures via open reduction and internal fixation. (aaos.org)
  • Anatomic reduction and stable fixation is required to optimize long-term outcomes. (aaos.org)
  • The video demonstrates open reduction internal fixation. (aaos.org)
  • METHODS: From December 2008 to October 2009, 18 trapdoor orbital floor blowout fracture patients were treated using elevator fixation, depressor fixation, or elevator-depressor fixation techniques with absorbable mesh plates and screw, depending on degree of orbital floor reduction, because absorbable mesh plates are less rigid than titanium plates and other artificial substitutes. (koreamed.org)
  • CONCLUSION: Three different techniques depending on the degree of orbital floor reduction are useful for open reduction and internal fixation of trapdoor orbital floor blowout fracture with absorbable mesh plates. (koreamed.org)
  • 60 years of age undergoing open reduction and internal fixation of their tibial plateau fractures were included. (springer.com)
  • Li J, Zhu Y, Liu B, Dong T, Chen W, Zhang Y (2017, 2017) Incidence and risk factors for surgical site infection following open reduction and internal fixation of adult tibial plateau fractures. (springer.com)
  • Management of complex proximal humerus fractures in the elderly: what is the role of open reduction and internal fixation? (scielo.org.za)
  • LAUBSCHER, Μ y MAQUNGO, S . Management of complex proximal humerus fractures in the elderly: what is the role of open reduction and internal fixation? . (scielo.org.za)
  • We report a case of malunited type I capitellum fracture, for which corrective osteotomy through fracture site, open reduction and internal fixation was done 6 months following missed trauma. (bmj.com)
  • We aim to undertake a multicentre randomised controlled trial evaluating the effectiveness and safety of conservative management versus open reduction and internal fixation for displaced mid-shaft clavicle fractures in adults. (biomedcentral.com)
  • All patients were treated with open reduction and internal fixation, and the patients with postoperative elbow instability underwent fixation with a hinged external fixator or adjustable brace. (researchsquare.com)
  • The potential advantages of plate fixation include open reduction thus enabling better alignment. (richtlijnendatabase.nl)
  • Internal fixation of scaphoid can be done either percutaneously or using open reduction. (boneandspine.com)
  • Herbert screw or headless screw is the screw used for scaphoid fixation in both percutaneous fixation and open reduction and internal fixation. (boneandspine.com)
  • reduction by manipulation of bone, after surgical exposure of the site of the fracture. (thefreedictionary.com)
  • Reduction by manipulation of bone, after incision in skin and muscle over the site of the fracture. (thefreedictionary.com)
  • However, conventional open reduction and internal fixation carries a high complication rate, and the resultant fracture stability is often not sufficient to permit postoperative weightbearing. (thefreedictionary.com)
  • Many methods have been proposed ranging from closed reduction and plaster cast immobilization to percutaneous pinning and even open reduction and internal fixation with Kirschner wire fixation. (thefreedictionary.com)
  • Open reduction and internal fixation of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus. (thefreedictionary.com)
  • But many methods have been proposed for the treatment of displaced supracondylar fractures of the humerus in children, such as Closed Reduction and Plaster of Paris slab application, Skin Traction, Overhead skeletal traction, Open reduction and Internal fixation and Closed Reduction and Percutaneous Pin Fixation. (thefreedictionary.com)
  • On the other hand, the traditional form of open reduction and internal fixation has a incidence of soft tissue problems. (thefreedictionary.com)
  • The treatments of interest included closed reduction and casting, closed or open reduction and external fixation, open reduction and internal fixation , closed reduction and percutaneous pinning, a combination of the above, and/or the use of supplemental bone graft. (thefreedictionary.com)
  • Outcome following open reduction and internal fixation of open pilon fractures. (thefreedictionary.com)
  • 10) Rush etal, Schumr, and many others described open reduction and internal fixation of the distal radius unstable intraarticular fractures. (thefreedictionary.com)
  • However, if fracture fragments are 5 mm apart or the angle between the fragments is more than 45 degrees, they are considered displaced and will require surgical intervention such as open reduction and internal fixation. (richarddias.co.uk)
  • The open reduction and internal fixation surgery involves the reduction of the fracture and securing the correctly aligned bones to allow healing. (richarddias.co.uk)
  • In the illustrated case, reduction and fixation of the palatal fracture should be the first step in the procedure. (aofoundation.org)
  • Perform the reduction by applying pressure laterally on the two maxillary halves to reduce the splayed fracture. (aofoundation.org)
  • Reduction might be facilitated by placing a transpalatal wire to span the molars and compress whereby the fracture is reduced. (aofoundation.org)
  • One alignment hole is configured for aligning the plate during an osteotomy procedure, while other alignment holes are configured for use after fracture reduction and receive K-wires to temporarily stabilize the fracture and secure the plate to the bone and determine whether pegs inserted through adjacent respective peg holes will be properly located before drilling relatively larger holes for such pegs. (google.com)
  • Large coronoid fractures are often linked with persistent elbow instability even after reduction of the dislocation. (drgshoulder.com)
  • Open reduction and internal fixation is the procedure employed most often to treat severely displaced coronoid fractures. (drgshoulder.com)
  • Open reduction and internal fixation is a procedure most commonly used to treat severe hip fractures. (drjacobhaynes.com)
  • On a cadaver, through two mini portals, a full reduction and solid internal fixation with an intramedullary screw and suture cerclage with Fiberwire of a fifth metatarsal base fracture is achieved. (springeropen.com)
  • In this case, we perform an open reduction and internal fixation of a diaphyseal periprosthetic humeral fracture with a posterior triceps sparing approach. (jomi.com)
  • 155 patients treated with open reduction and fixation were studied. (elsevier.com)
  • Conclusions: We advocate traditional techniques for patients with mandible fractures requiring open reduction and fixation. (elsevier.com)
  • Options for operative fixation are numerous, and include either open or closed reduction with fracture stabilization utilizing sutures, nails, and plates. (renalandurologynews.com)
  • In certain types of femur fractures, your femur has broken, but its pieces still line up correctly. (hopkinsmedicine.org)
  • To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. (hindawi.com)
  • Both the PFNA and the reversed LISS are effective in the treatment of different types of intertrochanteric femur fractures. (hindawi.com)
  • Numerous internal fixation devices have been used to stabilise intertrochanteric femur fractures, and they can be divided into 2 categories: extramedullary fixation devices and intramedullary fixation devices. (hindawi.com)
  • It is generally accepted that dynamic hip screw (DHS) is the implant of choice in the treatment of stable intertrochanteric femur fractures (AO/OTA 31-A1) [ 1 ]. (hindawi.com)
  • For unstable intertrochanteric femur fractures (AO/OTA 31-A2 and 31-A3), the commonly used extramedullary fixation devices, such as DHS, dynamic condylar screw (DCS), and angular blade plates are sometimes problematic [ 1 - 3 ]. (hindawi.com)
  • As to intramedullary fixation devices, so far, proximal femur nail antirotation (PFNA) is one of the most effective methods in the treatment of intertrochanteric femur fractures [ 6 - 10 ]. (hindawi.com)
  • The purpose of the present study was to compare reverse LISS with PFNA clinically and to determine the preferred method in stabilisation of intertrochanteric femur fractures. (hindawi.com)
  • [ 1 ] Supracondylar nonphyseal femur fractures are rare in the pediatric population. (medscape.com)
  • Careful examination of a distal pulse is important in supracondylar femur fractures because the fracture may injure the nearby superficial femoral artery. (medscape.com)
  • Treatment of supracondylar femur fractures depends on fracture displacement. (medscape.com)
  • Kirschner wires (K-wires) and Steinmann pins may also be used to stabilize supracondylar femur fractures in children who are 6-10 years of age or who weigh less than approximately 50 kg. (medscape.com)
  • Immobilization by casting, bracing, or splinting a joint above and below the fracture was used for most long-bone fractures-except femur fractures, for which traction was the mainstay of treatment. (medscape.com)
  • Seventeen, supracondylar femur fractures in 15 severely osteoporotic patients (average age, 81.9 years) were treated with a 95° supracondylar plate and dynamic compression screw supplemented with intramedullary methyl methacrylate and massive cancellous bone graft harvested from the distal femoral metaphysis. (elsevier.com)
  • Complications included two early postoperative deaths and three femur fractures above the plate. (elsevier.com)
  • Sadler, Arthur H. / Cemented internal fixation for supracondylar femur fractures in osteoporotic patients . (elsevier.com)
  • Early surgical fixation initially was complicated by many obstacles, such as infection, poorly conceived implants and techniques, metal allergy, and a limited understanding of the biology and mechanics of fracture healing. (medscape.com)
  • A good outcome can be expected in over 80% of scapular fractures requiring surgical fixation. (scielo.org.za)
  • Results: This video discusses the case presentation of an unstable ankle fracture necessitating surgical fixation. (aaos.org)
  • Conclusion: Immediate surgical fixation is a treatment option for the management of unstable ankle fractures, if the soft tissues allow. (aaos.org)
  • Tibia fractures are a common and often complicated injury that is at risk of infection following surgical fixation. (biomedcentral.com)
  • Methods/Design: We will conduct a randomised controlled trial (RCT) of 438 adult patients with a "clear" and "bicortical" scaphoid waist fracture on plain radiographs to evaluate the clinical effectiveness and cost-effectiveness of plaster cast treatment (with fixation of those that fail to unite) versus early surgical fixation. (worktribe.com)
  • If non-union is confirmed on plain radiographs and/or Computerised Tomogram at 6 to 12 weeks, then urgent surgical fixation will be performed. (worktribe.com)
  • This is being compared with immediate surgical fixation with surgeons using their preferred technique and implant. (worktribe.com)
  • There is a rapidly increasing trend for immediate surgical fixation of these fractures but there is insufficient evidence from existing RCTs to support this. (worktribe.com)
  • Scaphoid Waist Internal Fixation for Fractures Trial (SWIFFT) protocol: a pragmatic multi-centre randomised controlled trial of cast treatment versus surgical fixation for the treatment of bi-cortical, minimally displaced fractures of the scaphoid waist in adults. (worktribe.com)
  • Exclusion criteria included no available contact information, pathological fracture, incomplete postoperative clinical records and/or radiographs, concomitant or previous surgery of the ipsilateral and/or contralateral femur, and secondary arthroplasty. (springer.com)
  • Internal fixation has been the preferred treatment in Scandinavia, whereas primary hemi- or total arthroplasty have been more prevalent in the rest of Europe and North America. (diva-portal.org)
  • In this study, patients 75 years or older, including those with mental impairment, were randomized to either internal fixation or cemented primary total hip arthroplasty (THA). (diva-portal.org)
  • In the internal fixation group 90 patients required 111 additional surgical procedures while only 15 additional operations on the hip were needed in 12 patients in the arthroplasty group. (nih.gov)
  • We recommend that displaced intracapsular fractures in the elderly should generally be treated by arthroplasty but that internal fixation may be appropriate for those who are very frail. (nih.gov)
  • Arthroplasty or internal fixation for displaced femoral neck fractures: which is the optimal alternative for elderly patients? (semanticscholar.org)
  • Internal fixation versus arthroplasty for displaced femoral neck fractures: what is the evidence? (semanticscholar.org)
  • There is still a lack of evidence on the effectiveness of replacement arthroplasty compared to internal fixation for extracapsular hip fractures in adults. (evidenceaid.org)
  • This has led some surgeons to try replacing the proximal femur with an arthroplasty in the treatment of an extracapsular femoral fracture. (evidenceaid.org)
  • The objective of the review was to compare the relative effects (benefits and harms) of replacement arthroplasty versus internal fixation for the treatment of extracapsular proximal femoral fractures in adults. (evidenceaid.org)
  • Furthermore, the increasing use of arthroplasty for the most complex fracture patterns has made treatment decisions even more clouded. (renalandurologynews.com)
  • In addition, CRF-PEEK is a radiolucent material, offering the advantage of easier intraoperative and postoperative radiographic assessment of the fracture situation ( 11 ). (aerzteblatt.de)
  • This study aims to establish if routine check X-rays 1 day after internal fixation for hip fracture with adequate image intensifier guidance influence postoperative management. (springer.com)
  • Pattison RM, Calzada S. Postoperative radiographs or thermal prints after internal fixation of fractures? (springer.com)
  • Chakravarthy J, Mangat K. Postoperative radiographs following hip fracture surgery. (springer.com)
  • It was reflected in reducing blood loss, operation time, postoperative pain, or fracture healing time of the surgery and in improving recovery of muscle strength. (hindawi.com)
  • Patients with calcaneal fractures who smoked or had a higher level of Sanders type had a higher risk of increased postoperative drainage. (ovid.com)
  • Depending on the stability of the palatal unit, as well as other complicating issues regarding other midface fractures and postoperative airway, the surgeon may choose to leave the patient in postoperative MMF. (aofoundation.org)
  • This invention relates to an internal fixation device for bone fractures. (google.com)
  • The treatment of bone fractures by the use of surgery to place the bones in their proper position. (thefreedictionary.com)
  • Callus is formed, but the bone fractures have not joined. (wikipedia.org)
  • The distal tibia plates are made of stainless steel and are an extension of the ankle fracture management system. (arthrex.com)
  • Certain medical conditions may make tibia or fibula fractures more likely. (ahealthyme.com)
  • Motor vehicle or cycling accidents, contact sports, falls, and repetitive impact activities are common sources of injury that can lead to a tibia or fibula fracture. (ahealthyme.com)
  • For certain tibia fractures, a special metal rod may be put through the middle of the bone. (baycare.org)
  • The primary objectives of this cohort study were to determine the incidence of infection within one year of surgery and to describe the distribution of infections by location and time of diagnosis for tibia fractures in India. (biomedcentral.com)
  • Patients who presented with an open or closed tibia fracture treated with internal fixation to one of the participating hospitals in India were invited to participate in the study. (biomedcentral.com)
  • The primary objectives of the current study were to determine the incidence of infection within one year of surgery and to describe the distribution of infections by location (superficial, deep) and time of diagnosis (early, delayed, late) for open and closed tibia fracture patients in India. (biomedcentral.com)
  • 3D reconstruction from CT showing normal right tibia (on the left), and lateral tibial plateau fracture of the left tibia (on the right). (psychiatryadvisor.com)
  • Five years after an intramedullary nailing of a fractured humerus a fistula developed in a dog. (bmj.com)
  • We are reporting the anaesthetic management of a 58-year-old woman, diagnosed with EGPA 3 years ago, who underwent urgent intramedullary nail insertion for a femur fracture. (bmj.com)
  • Internal fixation of extracapsular fractures, using extramedullary or intramedullary devices, has been developed over the last 50 years. (evidenceaid.org)
  • Fix open distal/proximal metaphyseal lower limb fractures with a fixed angle plate or with an intramedullary nail. (richtlijnendatabase.nl)
  • On the grounds of the literature it is not possible to say unequivocally if it is best to treat open fractures of the lower limb with an intramedullary nail or with a plate. (richtlijnendatabase.nl)
  • In shaft fractures, the advice of the working party is to use an intramedullary nail, with the aim of making a construction that that can weight bear at an early stage. (richtlijnendatabase.nl)
  • Fractures of the proximal and distal tibial metaphyses that are stabilised with an intramedullary nail are at a biomechanical disadvantage compared with those stabilised with a plate. (richtlijnendatabase.nl)
  • These reports prompted us to look at new materials and a novel technique through fixation with an intramedullary screw combined with a high-resistance suture via the presented F.E.R.I. (Fifth metatarsal, Extra-portal, Rigid, Innovative) technique. (springeropen.com)
  • The purpose of this study was to report 1 year functional and radiological outcomes after intramedullary nailing for displaced proximal humerus fractures using the Marquardt Locking Blade Nail (LBN) system. (actaorthopaedica.be)
  • Purpose: Unstable ankle fractures may be a challenge for treating clinicians. (aaos.org)
  • Various approaches and techniques have been developed to manage unstable ankle fractures. (aaos.org)
  • Complications of anterior subcutaneous internal fixation for unstable pelvis fractures: a multicenter study. (semanticscholar.org)
  • MATERIALS AND METHODS: Sixty patients exhibiting a surgically unstable tetrapodal ZMC fracture were included in this multicenter retrospective study. (inserm.fr)
  • The combination of an external fixator and internal fixation in the treatment of unstable complex elbow fractures can better restore the stability and function of elbow joints than can adjustable brace fixation. (researchsquare.com)
  • Internal fixation may fail, particularly in unstable fractures. (evidenceaid.org)
  • These injuries are usually fractures that are displaced, unstable, or those that involve the joint. (healthline.com)
  • Horse hoof" nonunions: Mildly hypertrophic, poor in callus and is due to unstable fixation. (wikipedia.org)
  • The posterior tilt had no influence on the risk for reoperation due to fracture healing complication, nor had the age, gender, cognitive function, ASA classification, or the time to surgery. (ovid.com)
  • Nonunion is a serious complication of a fracture and may occur when the fracture moves too much, has a poor blood supply or gets infected. (wikipedia.org)
  • In other types of fractures (displaced fractures), the trauma moves the bone fragments out of alignment. (hopkinsmedicine.org)
  • In other types of fractures, the injury can move the bone fragments out of alignment. (hopkinsmedicine.org)
  • Small fragments of bone can stay inside the joint after a bone breaks (fractures). (ohsu.edu)
  • Stay sutures are placed in the tendons of the rotator cuff muscles to gain control of the fracture fragments. (richarddias.co.uk)
  • Then your surgeon brings the fractured fragments into the correct anatomic alignment by manipulation and pulling on the stay sutures. (richarddias.co.uk)
  • K-wires are used to temporarily secure the fracture fragments. (richarddias.co.uk)
  • After carefully visualizing the fracture, the bone fragments are first repositioned (reduced) back to their normal alignment. (drgshoulder.com)
  • For those able to range their shoulder, movement of the fracture fragments may cause crepitus. (renalandurologynews.com)
  • Oligotrophic nonunions: They are not hypertrophic but vascular, no callus seen and is due to severely displaced fracture or fixation without accurate apposition of fragments. (wikipedia.org)
  • Search terms included (1) femoral fractures , (2) long bone stabilization , (3) timing fixation , (4) delayed fixation , (5) early fixation , (6) immediate fixation , (7) fracture fixation , (8) timing fracture , and (9) timing osteosynthesis, alone or in combination. (east.org)
  • BACKGROUND Stabilization after a pelvic fracture can be accomplished with an anterior external fixator. (semanticscholar.org)
  • Tibial plateau fractures with a significant open component and contamination will commonly be treated with external fixation for stabilization with debridement and wound coverage, delaying definitive internal hardware fixation until the infection risk is lower (Figure 2). (psychiatryadvisor.com)
  • Your risk for complications may vary according to your age, the anatomy of your femur fracture, and other medical conditions. (hopkinsmedicine.org)
  • Other outcomes considered were respiratory complications of fixation such as adult respiratory distress syndrome, fat embolism, pneumonia, and other pulmonary dysfunction. (east.org)
  • Barei D, Nork S, Mills W, Henley M, Benirschke S (2004) Complications associated with internal fixation of high-energy bicondylar tibial plateau fractures utilizing a two-incision technique. (springer.com)
  • Shah S, Karunakar M (2007) Early wound complications after operative treatment of high energy tibial plateau fractures through two incisions. (springer.com)
  • To analyze factors influencing the reoperation rate due to fracture healing complications after internal fixation of Garden I and II femoral neck fractures with special reference to a new validated method assessing the preoperative posterior tilt on lateral radiographs. (ovid.com)
  • A Cox regression analysis was used to evaluate factors associated with reoperation due to fracture healing complications. (ovid.com)
  • Reoperation rate due to fracture healing complications with a minimal follow-up of 5 years. (ovid.com)
  • The overall reoperation rate was 19% (72 of 382 hips) and the reoperation rate due to fracture healing complications was 12% (45 of 382 hips). (ovid.com)
  • Preoperative posterior tilt measurement on lateral radiographs cannot be used as a discriminator for fracture healing complications in Garden I and II femoral neck fractures. (ovid.com)
  • Complications after hip fracture surgery: are they preventable? (semanticscholar.org)
  • Those RCTs that included mainly closed fractures showed no significant differences in outcomes or complications between these techniques. (richtlijnendatabase.nl)
  • Fractures in Zones 2 and 3 are commonly referred to as Jones' fractures, due to their similarity in symptoms, treatment and possible complications. (springeropen.com)
  • Depending on your fracture and risk for complications, your procedure might be done immediately or scheduled in advance. (healthline.com)
  • A significant population of those with humeral shaft fractures experience neurovascular complications such as radial nerve palsy. (jomi.com)
  • Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly. (nih.gov)
  • Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures: a long-term follow-up of a randomised trial. (semanticscholar.org)
  • Fixation versus hemiarthroplasty for undisplaced intracapsular hip fractures. (semanticscholar.org)
  • Internal fixation implants for intracapsular hip fractures in adults is a topic covered in the Evidence-Based Medicine Guidelines . (unboundmedicine.com)
  • Evidence Central , evidence.unboundmedicine.com/evidence/view/EBMG/452932/all/Internal_fixation_implants_for_intracapsular_hip_fractures_in_adults. (unboundmedicine.com)
  • Internal fixation refers to the method of physically reconnecting your bones. (hopkinsmedicine.org)
  • Only one of these bones might break, or you might have a fracture in 2 or more of these bones. (hopkinsmedicine.org)
  • Internal fixation is the method of physically reconnecting the bones. (rochester.edu)
  • For example, having weak, brittle bones (osteoporosis) increases the risk of clavicle fracture in many older adults. (rochester.edu)
  • Secondly, a certain amount of damage is occasioned to fractured bones during the drilling operation. (google.com)
  • He or she will secure the pieces of the broken bones to each other (fixation). (baycare.org)
  • The present invention is directed toward a method for performing an internal fixation of fractures of tubular bones using a balloon catheter fixation device which is inflated inside the bone and tightened by applying pressure on the catheter outside of the bone to apply a compression force across the fracture site enhancing the stability of the fractured bone and promoting osseous healing. (patents.com)
  • Only 1 of these bones might break, or you might have a fracture in both bones. (ketteringhealth.org)
  • Some hand fractures (broken bones in the hand) need surgery to put the bones back together correctly and make them stable. (ohsu.edu)
  • Even if the fracture is treated in the operating room, it may be possible to put the bones back together without making an incision. (ohsu.edu)
  • Fixation of fractures is a surgical method of reconnecting the broken or cracked bones and fixing them in the correct place using orthopedic hardware. (52bonesmd.com)
  • The devices are screwed into fractured bones to exit the skin and are attached to a stabilizing structure outside the body. (52bonesmd.com)
  • The main indication is a fracture in one or many bones of your foot and/or ankle. (52bonesmd.com)
  • The broken bones are put back and held together with fixation devices. (52bonesmd.com)
  • Weak and brittle bones (osteoporosis) can make a clavicle fracture more likely. (kramesonline.com)
  • The pieces of bones will be secured to each other (fixation). (kramesonline.com)
  • Hip fractures are most frequently caused after minor trauma in elderly patients with weak bones and by high-energy trauma or serious injuries in the young. (drjacobhaynes.com)
  • Long term use of certain medicines, such as bisphosphonates to treat osteoporosis (a disease causing weak bones) and other bone diseases, increases the risk of hip fractures. (drjacobhaynes.com)
  • The Scaphoid and the Radius bones are the two most common places for fractures. (colonialhealthcare.com)
  • Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: Retrospective and prospective analyses. (wikipedia.org)
  • In modern orthopedic practice, percutaneous fixation of the scaphoid is preferred where feasible because it is minimally invasive and there is no need for wide dissection and tissue injury caused by surgical dissection. (boneandspine.com)
  • Percutaneous fixation is largely indicated for undisplaced or minimally displaced fractures of the waist of the scaphoid. (boneandspine.com)
  • ">fracture is suitable for percutaneous technique, and that no secondary displacement has occurred. (boneandspine.com)
  • The aim of our study was to compare the functional and radiographic outcomes in patients with proximal humerus fracture treated with internal fixation using locking plates made of CRF-PEEK or titanium. (aerzteblatt.de)
  • To explore the clinical outcomes of a hinged external fixator combined with internal fixation in treating complex elbow fractures. (researchsquare.com)
  • A comparison of hip fracture outcomes in the very elderly population. (semanticscholar.org)
  • Secondary objectives were to: 1) describe the symptoms, management, and treatment outcomes of infections, 2) explore the effect of fracture type, hospital type, time to surgery, and planned duration of antibiotics on the incidence of infection, 3) compare the proportion of fractures healed at 12 months in patients with and without infections, and 4) evaluate health-related quality of life over 12 months in patients with and without infections. (biomedcentral.com)
  • Fixation using the LBN achieved robust fixation and satisfactory clinical outcomes at one year follow up in 2 and 3 part fractures. (actaorthopaedica.be)
  • The video discusses (1) axial classification schemes, (2) the posteromedial (Lobenhoffer) surgical exposure technique, (3) indications and case examples of retrocondylar access and fixation, and (4) the authors' clinical experience and outcomes. (aaos.org)
  • Although this classification system has a fairly good ability to predict fracture outcomes, it is not perfect. (wikipedia.org)
  • Therefore, in 1984, Gustilo subclassified Type III fractures into A, B, and C with the aim of guiding the treatment of open fractures, communication and research, and to predict outcomes. (wikipedia.org)
  • To our knowledge, there are no mid-to-long-term follow-up data available regarding femoral shortening in non-geriatric patients with femoral neck fractures after internal fixation. (springer.com)
  • The aim of the study was to evaluate the incidence and extent of femoral shortening in relation to the clinical outcome in non-geriatric patients with femoral neck fractures treated with osteosynthesis. (springer.com)
  • Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. (ru.nl)
  • A retrospective study was performed for all patients undergoing internal fixation of hip fractures with image intensifier guidance in the period from January 2006 until December 2007 in our hospital. (springer.com)
  • A retrospective study including 87 patients with 92 calcaneal fractures in our hospital was performed. (ovid.com)
  • MATERIALS AND METHODS: Eighty-three patients with a mandibular condylar fracture with articular impact were included in this retrospective study. (inserm.fr)
  • mandibular fracture with articular impact: a retrospective study of 83 adults Merlet Fanny-Laure (1), Grimaud Fanny (1), Pace Richard (2), Mercier Jacques-Marie(1), Paré Arnaud(3), Corre Pierre(1). (inserm.fr)
  • Hsu C, Chang W, Wong C (2001) Surgical treatment of tibial plateau fracture in elderly patients. (springer.com)
  • The ultimate goal of management of proximal humeral fractures in the elderly patient is to get the patient independently mobile. (scielo.org.za)
  • There remains little compelling evidence to guide decision-making for the complex proximal humeral fracture in the elderly, and the decision needs to be made on a case-by-case basis taking into account the patient's comorbidities, the fracture pattern and characteristics, the attending surgeon's skill sets, and the availability of equipment. (scielo.org.za)
  • Treatment of undisplaced femoral neck fractures in the elderly. (semanticscholar.org)
  • Internal screw fixation compared with bipolar hemiarthroplasty for treatment of displaced femoral neck fractures in elderly patients. (semanticscholar.org)
  • The elderly are more prone to proximal humerus fractures from accidents such as falling on an outstretched arm. (richarddias.co.uk)
  • fractures of this primary weight-bearing surface of the leg require substantial force in healthy individuals, or less dramatic force in elderly patients with osteoporosis (Figure 1). (psychiatryadvisor.com)
  • The second tibial fracture group of elderly, osteoporotic individuals, present a different set of considerations due to age-related decline in organ function and the presence of medical disease. (psychiatryadvisor.com)
  • The literature suggests increasing incidence in the elderly and recent estimates suggest that the number of proximal humerus fractures may triple over the next three decades. (renalandurologynews.com)
  • The type of hardware used depends on the location and type of fracture. (healthline.com)
  • Finally, the surgeon will close the incision with stitches or staples, apply a bandage, and may put the limb in a cast or splint depending on the location and type of fracture. (healthline.com)
  • Results: No significant difference was noted between the two groups for sex, treating service, delay in presentation, antibiotic coverage, mechanism of injury, or type of fracture. (elsevier.com)
  • There is also a risk that the fracture won't heal properly and that you'll need repeat surgery. (hopkinsmedicine.org)
  • There is also a risk that the fracture won't heal properly, and you'll need to repeat the surgery. (hopkinsmedicine.org)
  • Seventy-six patients with proximal humerus fractures requiring surgery were randomized to receive a fixed-angle plate made out of either titanium or CFR-PEEK. (aerzteblatt.de)
  • The internal fixation of proximal humerus fractures with either CFR-PEEK or titanium led to clinical improvement 6 months after surgery. (aerzteblatt.de)
  • Although previous studies showed that routine check of X-rays following hip fracture surgery is unnecessary, it remains routine in most clinics in the Netherlands. (springer.com)
  • Scapular fractures requiring surgery are relatively rare injuries. (scielo.org.za)
  • Anyone here had internal fixation surgery on JUST the fibula? (city-data.com)
  • Action has been taken for me to have this internal fixation surgery after my 2nd bone scan. (city-data.com)
  • Delay of surgery produces less optimal results and is associated with higher morbidity even after 24-48 hours of fracture event. (clinicaltrials.gov)
  • If indicated, the wrist fracture would be treated with surgery-the specific operative procedure would be randomized. (clinicaltrials.gov)
  • rnIn the surgery scene, the key steps of the IROF procedure are highlighted, including debridement and rearrangement, K-wire insertion, locking Synthes plate placement and multiple screw fixation. (doereport.com)
  • In the internal fixation group, 34 of 78 hips underwent secondary surgery. (diva-portal.org)
  • When secondary surgery was included, there was no difference in costs between the internal fixation and THR groups, or between the mentally impaired and lucid subgroups. (diva-portal.org)
  • In the internal fixation group, 44% underwent further surgery. (diva-portal.org)
  • Participants attended follow-up visits at 3, 6, and 12 months post-surgery, where they were assessed for infections, fracture healing, and health-related quality of life as measured by the EurQol-5 Dimensions (EQ-5D). (biomedcentral.com)
  • BACKGROUND: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. (ru.nl)
  • There are many ways of performing surgery on a distal radius fracture. (ohsu.edu)
  • Many fractures can be treated without surgery. (colonialhealthcare.com)
  • The surgery can take several hours, depending on the fracture. (healthline.com)
  • Leach, J & Truelson, J 1995, ' Traditional Methods vs Rigid Internal Fixation of Mandible Fractures ', Archives of Otolaryngology--Head and Neck Surgery , vol. 121, no. 7, pp. 750-753. (elsevier.com)
  • However, complex fractures and those with moderate to severe displacement are generally treated with surgery. (renalandurologynews.com)
  • Certain medical conditions may make fracturing your ankle more likely. (hopkinsmedicine.org)
  • Motor vehicle accidents, tripping or falling, contact sports, and twisting your ankle are some of the more common sources of injury that can lead to an ankle fracture. (hopkinsmedicine.org)
  • Smokers and overweight people are more likely to fracture their ankle and have increased difficulty with healing. (hopkinsmedicine.org)
  • Routine radiography following ankle fracture fixation: a case for limiting its use. (springer.com)
  • A fracture here might be called a "broken ankle. (ahealthyme.com)
  • Methods: Various surgical techniques and approaches have been developed for the management of ankle fractures. (aaos.org)
  • A pilon fracture is a severe break of the shin bone where it forms the ankle joint. (isrctn.com)
  • Foot and ankle fractures are breaks or cracks in any bone of your foot and ankle joint. (52bonesmd.com)
  • Fixation of foot and ankle fractures is performed under general anesthesia. (52bonesmd.com)
  • What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty? (semanticscholar.org)
  • Background: A scaphoid fracture is the most common type of carpal fracture affecting young active people. (worktribe.com)
  • Symptoms of a Scaphoid Fracture can be mild and differ from person to person. (colonialhealthcare.com)
  • A Scaphoid Fracture may cause a little swelling but no obvious hand deformity. (colonialhealthcare.com)
  • However, a Scaphoid Fracture can also cause swelling, pain, or tenderness on the back of the wrist near the thumb side. (colonialhealthcare.com)
  • National Institute for Health and Care Excellence and Consultant Orthopaedic Surgeons have recommended that high-quality research is needed to find out whether internal or external fixation is best for treating pilon fractures and which is the better use of NHS money. (isrctn.com)
  • This study aims to investigate the clinical and cost-effectiveness of internal plate fixation versus external fine wire fixation for the management of Type C pilon fractures. (isrctn.com)
  • Studies have shown an increasing incidence of this fracture, primarily explained by the increased risk of osteoporosis in the ageing population ( 4 ). (aerzteblatt.de)
  • Although the incidence of distal humerus fractures is low (2%), their complexity poses a challenge in treatment. (healio.com)
  • Aim of this study was to investigate the incidence and extent of femoral shortening in non-geriatric patients after internal fixation of femoral neck fractures in relation to the clinical outcome at mid-term follow-up. (springer.com)
  • The incidence of infection was 1.6% (10 infections) in closed and 8.0% (13 infections) in open fractures. (biomedcentral.com)
  • Periprosthetic humeral shaft fractures are increasing in incidence as shoulder replacements become more common. (jomi.com)
  • INTRODUCTION: Vascular injury may be encountered during an anterior approach to the pelvis or acetabulum-be it due to hematoma decompression, clot dislodgement during fracture manipulation, or iatrogenic. (uzh.ch)
  • If you think a broken (fractured) finger is a minor injury, think again. (ohsu.edu)
  • Coronoid fractures are a break in the coronoid process of the ulna due to trauma or injury. (drgshoulder.com)
  • When you present to the clinic with a fractured coronoid process of the ulna, your doctor will review your symptoms, perform a thorough physical examination, and may order an X-ray or CT scan to identify the type and severity of the fracture as well as injury to soft tissues. (drgshoulder.com)
  • The cuts from the injury and surfaces of the fractured bone are thoroughly cleaned out. (drgshoulder.com)
  • Different kinds of injury such as a car accident, sports injury, or fall can cause the femur to break (fracture) into 2 or more pieces. (kramesonline.com)
  • An injury may cause it to break (fracture) into 2 or more pieces. (kramesonline.com)
  • At the same time , 23 patients with old acetabular posterior wall fractures were treated with combined plate internal fixation, including 15 males and 8 females , aged 20 to 63 (43.0±5.1) years old, and the time from injury to operation was 23 to 101(47.0±10.5) days. (bvsalud.org)
  • Glasgow and Naranja Jr 1997 ) - is the usual mechanism of injury leading to this proximal fracture. (springeropen.com)
  • MT-5 fractures have been classified by Lawrence and Botte (Lawrence and Botte 1993 ) according to the anatomical area affected, and also the mechanism of injury, in Zone 1 (tuberosity area), Zone 2 (tuberosity - metaphyseal area) and Zone 3 (metaphyseal - diaphyseal area). (springeropen.com)
  • Axillary nerve neuropraxia is the most common neurologic injury associated with proximal humerus fractures. (renalandurologynews.com)
  • Neurologic injuries are more common in those with fracture dislocations and in injury patterns where a fracture fragment is displaced medial to the coracoid process. (renalandurologynews.com)
  • This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. (wikipedia.org)
  • Therefore, assessment of all open fractures should include the mechanism of injury, the appearance of soft tissues, the likely levels of bacterial contamination and the specific characteristics of the fractures. (wikipedia.org)
  • Su E, Westrich G, Rana A, Kapoor K, Helfet D (2004) Operative treatment of tibial plateau fractures in patients older than 55 years. (springer.com)
  • Colman M, Wright A, Gruen G, Siska P, Pape H, Tarkin I (2013) Prolonged operative time increases infection rate in tibial plateau fractures. (springer.com)
  • In a multicentre, prospective clinical trial [ 16 ], 132 patients with a displaced mid-shaft fracture of the clavicle were randomized to either operative treatment with plate fixation (67 patients) or nonoperative treatment with a sling (65 patients). (biomedcentral.com)
  • Operative fixation of a displaced fracture of the clavicular shaft resulted in improved functional outcome and a lower rate of mal-union and non-union compared with nonoperative treatment at one year of follow-up. (biomedcentral.com)
  • METHODS A retrospective comparative study was performed at a level 1 trauma center at which electronic medical records and digital radiographs were reviewed for 949 femoral neck fractures. (semanticscholar.org)
  • Fractures of the coronoid rarely occur in isolation and often occurs in association with elbow dislocations and play a significant role in elbow instability. (drgshoulder.com)
  • Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter. (drjacobhaynes.com)
  • Scaphoid fractures occur more commonly in men between the ages of 20 and 40 years old. (colonialhealthcare.com)
  • Approximately 70-80% of proximal humerus fractures occur in females and they are the third most common osteoporotic fracture after hip and distal radius fractures. (renalandurologynews.com)
  • The majority of these injuries are believed to occur when the shoulder sustains an impact force, leading the relatively hard bone of the glenoid to act as an anvil, fracturing the neck of the humerus. (renalandurologynews.com)
  • However, proximal humerus fractures also frequently occur from falls on outstretched hands. (renalandurologynews.com)
  • However, Type III fractures occur in 60% of all the open fracture cases. (wikipedia.org)
  • Nonetheless, observed excellent functional outcome at mid-term follow-up supports joint-preserving strategies in non-geriatric femoral neck fractures. (springer.com)
  • Stevens D, Beharry R, Waddell J, Schemitsch E (1999) Long term functional outcome of operatively treated tibial plateau fractures. (springer.com)
  • Management of this group of fractures is often challenging and the outcome can be unsatisfactory. (biomedcentral.com)
  • In this group of patients, internal fixation is often required to obtain a satisfactory outcome and time to return to play. (springeropen.com)
  • Recently, quite a few reports have addressed its use in the treatment of proximal femur fracture, [ 2 , 4 , 5 ] and the clinical results are encouraging. (hindawi.com)
  • All surgically treated scapular fractures from January 2000 to December 2006, with the exception of Ideberg type Ia (anterior rim) fractures of less than 25% with an associated dislocation, had their clinical notes and radiology reviewed. (scielo.org.za)
  • Conservative management will consist of immobilisation in a sling at the side in internal rotation for 6 weeks or until clinical or radiological union. (biomedcentral.com)
  • The SWIFFT Trial is a rigorously designed and adequately powered study which aims to contribute to the evidence-base to inform clinical decisions for the treatment of this common fracture in adults. (worktribe.com)
  • [email protected]#To explore the application value and clinical effect of three-dimensional printing combined with composite plate internal fixation in the treatment of old acetabular posterior wall fracture. (bvsalud.org)
  • While full strength will be impaired in the setting of acute fracture, the initial clinical evaluation should include an examination of muscular strength. (renalandurologynews.com)
  • [ 8 ] This method of fixation is not as strong as a nail or plate construct. (medscape.com)
  • This invention provides an internal fixation device for a bone fracture, the device comprising a metallic plate having edge fastening formations formed on at least two edges of the plate which is adapted to be secured to a bone fracture site by deforming the plate and engaging the fastening formations directly to the bone by penetration into the bone, thereby bridging a bone fracture. (google.com)
  • The aim of the study is to evaluate usefulness of absorbable mesh plate as a reconstructive material for orbital blowout fractures. (koreamed.org)
  • The internal plate is cheaper than the external ring but the internal plate may increase the chance of the patient getting a deep infection. (isrctn.com)
  • Participants are randomly allocated to undergo either internal plate fixation or external fine wire fixation. (isrctn.com)
  • Aim to achieve primary internal fixation with nail or plate if good soft tissue cover is possible and ensure the best possible way to bear weight. (richtlijnendatabase.nl)
  • From the perspective of the patient, there is no evidence that treatment with nail or with plate fixation is preferred. (richtlijnendatabase.nl)
  • In placing the second plate on the anterior alveolar fracture, consider the position of additional plates to be placed for the fixation of the Le Fort I fracture. (aofoundation.org)
  • In this axial CT scan the surgeon has chosen an X-plate for fixation of the palatal fracture. (aofoundation.org)
  • A fixation plate includes a set of threaded peg holes adapted to individually receive fixation pegs therethrough and non-threaded alignment holes having a relatively smaller diameter than the peg holes and preferably sized to closely receive a K-wire. (google.com)
  • each of said first set of peg holes is structurally adapted to engage the threaded head of one of the fixation pegs with a threaded head and retain the fixation pegs in a fixed angle relationship with said plate. (google.com)
  • All patients were treated with single Kocher-Langenbeck approach combined plate internal fixation, and the evaluation indexes were recorded during operation, after operation and during follow-up. (bvsalud.org)
  • In the case of a fracture in the neck region of a femur adjacent to the femoral head, a common surgical technique utilizes a compression tube and plate system (FIG. 1 ). (google.com)
  • An x-ray plate of the fractured bone shows a persistent radiolucent line at the fracture. (wikipedia.org)
  • Interfragmentary compression and rigid fracture fixation was obtained in all cases with the use of the A-O compression device. (elsevier.com)
  • Interventions: Sixty-nine patients were treated with interosseous wire fixation or external fixation, 86 patients with rigid internal fixation. (elsevier.com)
  • This can be due to inadequate fixation of the fracture, and treated with rigid immobilisation. (wikipedia.org)
  • Infected fractures took significantly longer to heal, and participants who had an infection had significantly lower EQ-5D scores. (biomedcentral.com)
  • Open tibial plateau fractures require urgent debridement to reduce infection risk, with soft tissue infection reported in over 20%, and osteomyelitis in over 5% with open tibial fractures. (psychiatryadvisor.com)
  • However, newer studies have shown that early wound closure and early fixation reduces infection rates, promotes fracture healing and early restoration of function. (wikipedia.org)
  • Infection of the Type III fractures is observed in 10% to 50% of the time. (wikipedia.org)
  • If the exact source of bleeding cannot be easily identified, compression of the internal iliac artery may be a lifesaving procedure. (uzh.ch)
  • This procedure is used to correct a "tongue-type" fracture of the calcaneus (the heel bone). (slocumcenter.com)
  • Twenty-four cases were treated with a hinged external fixator combined with internal fixation (external fixation group), including 14 cases of the terrible triad of the elbow, 5 cases of posterior Monteggia fracture, and 5 cases of transolecranon fracture-dislocation. (researchsquare.com)
  • The fracture should be primarily stabilised with an external fixator and definitive fixation carried out at a later stage. (richtlijnendatabase.nl)
  • As soon as the patient's condition permits it, the external fixator should be replaced with internal fixation after adequate soft tissue coverage has been achieved. (richtlijnendatabase.nl)
  • The theoretical advantages of TEA include better fixation in osteoporotic bone and comminuted fractures and earlier return to function. (healio.com)
  • Stent-screw-assisted internal fixation: the SAIF technique to augment severe osteoporotic and neoplastic vertebral body fractures. (harvard.edu)
  • Cianfoni A, Distefano D, Isalberti M, Reinert M, Scarone P, Kuhlen D, Hirsch JA, Bonaldi G. Stent-screw-assisted internal fixation: the SAIF technique to augment severe osteoporotic and neoplastic vertebral body fractures. (harvard.edu)
  • Honkonen S (1994) Indications for surgical treatment of tibial condyle fractures. (springer.com)
  • Ali A, Saleh M, Eastell R, Wigderowitz C, Rigby A, Yang L (2006) Influence of bone quality on the strength of internal and external fixation of tibial plateau fractures. (springer.com)
  • A variety of orthopedic classification systems are used to categorize tibial plateau fractures (AO/OTA, Schatzker, Hohl and Moore), ± joint dislocation, but these classifications are mainly important for orthopedic repair, wound and rehabilitation management. (psychiatryadvisor.com)
  • Once the patient is stabilized, attention to the tibial fracture is appropriate. (psychiatryadvisor.com)
  • If the tibial fracture occurred from a fall, the history of the fall is important. (psychiatryadvisor.com)
  • The less invasive stabilisation system-distal femur (LISS-DF) was designed for stabilisation of distal femur fracture. (hindawi.com)
  • The technique of limited internal fixation and Ilizarov tensioned-wire external fixation to treat severely comminuted intraarticular fractures of the distal femur is illustrated. (elsevier.com)
  • There was no statistically significant difference in mortality between the groups at one year (61/226 versus 63/229, p = 0.91), but there was a tendency for an improved survival in the older less mobile patients treated by internal fixation. (nih.gov)
  • Limb shortening was more common after internal fixation (7.0 mm versus 3.6 mm, p = 0.004). (nih.gov)
  • In that period 294 patients underwent internal fixation of hip fractures, 254 underwent a check X-ray and were included in this study. (springer.com)
  • A consecutive cohort of 382 hips in 379 patients who underwent internal fixation for a Garden I or II femoral neck fracture. (ovid.com)
  • Different kinds of trauma can damage this bone, causing it to fracture into 2 or more pieces. (hopkinsmedicine.org)
  • Motor vehicle accidents, sports-related injuries, gunshot injuries, and falls are common sources of trauma that can lead to a femur fracture. (hopkinsmedicine.org)
  • Disruption of the endosteal and periosteal blood supply occurs with the initial trauma, and maintaining adequate blood supply to the fracture site is essential for healing. (medscape.com)
  • Femoral neck fractures are most common in daily orthopaedic trauma practice. (springer.com)
  • In a panfacial trauma, which is the common situation where we see a palatal fracture, high priority should be given to reestablishment of the maxillomandibular unit early in the case. (aofoundation.org)
  • Fracture/dislocations can result in neurovascular trauma to the popliteal vessels and sciatic nerve, and the assessment of pulses and distal nerve function should be noted by the anesthesiologist. (psychiatryadvisor.com)
  • Open fractures are uncommon, though severely displaced fractures have been reported to cause skin breakdown and pressure necrosis. (renalandurologynews.com)
  • It is very important to assess for other associated injuries when presented with a supracondylar femur fracture. (medscape.com)
  • Also, of utmost importance, with a supracondylar femur fracture in a child younger than 1 year, the physician should be suspicious of child abuse. (medscape.com)
  • In preparing for surgical treatment of a supracondylar femur fracture, it is essential to have the necessary tools and equipment in place. (medscape.com)
  • However, it is feasible for low supracondylar fractures close to the physis, where other forms of fixation such as nails would be difficult. (medscape.com)
  • or simple intra-articular fracture with a single split between the scaphoid and lunate facets. (clinicaltrials.gov)
  • More complex articular fractures (i.e. anything more than a simple sagittal split between the scaphoid and lunate facets). (clinicaltrials.gov)
  • Common problems with distal humerus fractures include their intra-articular and comminuted nature and their predilection toward osteoporosis. (healio.com)
  • As 80% of the surface of the scaphoid is covered with articular cartilage and the scaphoid bone itself is curved, it makes it difficult to choose entry points for fixation and not many options are available. (boneandspine.com)
  • Surgical management of humeral shaft fractures can only be deemed appropriate when the degree of pain, the extent of disability, and the number of comorbid conditions are taken into consideration. (jomi.com)
  • Humeral shaft fractures are one of the most common fractures of the upper extremity. (jomi.com)
  • This is a 57-year-old female with a history of failed left total shoulder replacement with a revision to reverse total shoulder replacement, and who sustained a distal third humeral shaft fracture and resulting radial nerve palsy during a recent fall. (jomi.com)
  • Patients with humeral shaft fractures often experience pain, swelling, and weakness of the upper extremity. (jomi.com)
  • There is a diaphyseal humeral fracture distal to the cement mantle. (jomi.com)
  • The standard of treatment of humeral shaft fractures is nonoperative management with immediate immobilization via coaptation splint, sling, and/or swath followed by functional bracing. (jomi.com)
  • Cases of displaced proximal humeral fractures treated with locking blade fixation under the care of a single surgeon from July 2011 to June 2015 were identified. (actaorthopaedica.be)
  • Secondary measures assessed were the progression to bony union, evidence of avascular necrosis (AVN), loss of fracture alignment, humeral neck-shaft angle after fracture healing and implant related problems. (actaorthopaedica.be)
  • Accurate assessment of the fracture can only be performed inside an operating theatre. (wikipedia.org)
  • If possible, your doctor will treat your clavicle fracture with more conservative treatments. (rochester.edu)
  • What is a clavicle fracture? (kramesonline.com)
  • A clavicle fracture is most often caused by a direct hit to the shoulder. (kramesonline.com)
  • Falling on an outstretched arm can also cause a clavicle fracture. (kramesonline.com)
  • A clavicle fracture can often be treated with pain medicine and a splint or sling. (kramesonline.com)