The use of nails that are inserted into bone cavities in order to keep fractured bones together.
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 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.
Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones.
Breaks in bones.
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.
Benign and malignant neoplasms which occur within the substance of the spinal cord (intramedullary neoplasms) or in the space between the dura and spinal cord (intradural extramedullary neoplasms). The majority of intramedullary spinal tumors are primary CNS neoplasms including ASTROCYTOMA; EPENDYMOMA; and LIPOMA. Intramedullary neoplasms are often associated with SYRINGOMYELIA. The most frequent histologic types of intradural-extramedullary tumors are MENINGIOMA and NEUROFIBROMA.
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)
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.
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.
Fractures of the larger bone of the forearm.
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.
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 in which there is an external wound communicating with the break of the bone.
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 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.
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.
A hinge joint connecting the FOREARM to the ARM.
The bony deposit formed between and around the broken ends of BONE FRACTURES during normal healing.
Pathologic conditions which feature SPINAL CORD damage or dysfunction, including disorders involving the meninges and perimeningeal spaces surrounding the spinal cord. Traumatic injuries, vascular diseases, infections, and inflammatory/autoimmune processes may affect the spinal cord.
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.
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)
The longest and largest bone of the skeleton, it is situated between the hip and the knee.
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.
The shaft of long bones.
Fractures in which the break in bone is not accompanied by an external wound.
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.
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.
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 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.
The positioning and accommodation of eyes that allows the image to be brought into place on the FOVEA CENTRALIS of each eye.
A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.
A tumor-like mass resulting from the enlargement of a tuberculous lesion.
A surgical procedure that entails removing all (laminectomy) or part (laminotomy) of selected vertebral lamina to relieve pressure on the SPINAL CORD and/or SPINAL NERVE ROOTS. Vertebral lamina is the thin flattened posterior wall of vertebral arch that forms the vertebral foramen through which pass the spinal cord and nerve roots.
Break or rupture of a tooth or tooth root.
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
Fractures of the articular surface of a bone.
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)
Union of the fragments of a fractured bone in a faulty or abnormal position. If two bones parallel to one another unite by osseous tissue, the result is a crossunion. (From Manual of Orthopaedic Terminology, 4th ed)
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)
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)
A benign tumor of the nervous system that may occur sporadically or in association with VON HIPPEL-LINDAU DISEASE. It accounts for approximately 2% of intracranial tumors, arising most frequently in the cerebellar hemispheres and vermis. Histologically, the tumors are composed of multiple capillary and sinusoidal channels lined with endothelial cells and clusters of lipid-laden pseudoxanthoma cells. Usually solitary, these tumors can be multiple and may also occur in the brain stem, spinal cord, retina, and supratentorial compartment. Cerebellar hemangioblastomas usually present in the third decade with INTRACRANIAL HYPERTENSION, and ataxia. (From DeVita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2071-2)
Elements of limited time intervals, contributing to particular results or situations.
Glioma derived from EPENDYMOGLIAL CELLS that tend to present as malignant intracranial tumors in children and as benign intraspinal neoplasms in adults. It may arise from any level of the ventricular system or central canal of the spinal cord. Intracranial ependymomas most frequently originate in the FOURTH VENTRICLE and histologically are densely cellular tumors which may contain ependymal tubules and perivascular pseudorosettes. Spinal ependymomas are usually benign papillary or myxopapillary tumors. (From DeVita et al., Principles and Practice of Oncology, 5th ed, p2018; Escourolle et al., Manual of Basic Neuropathology, 2nd ed, pp28-9)
Displacement of bones out of line in relation to joints. It may be congenital or traumatic in origin.
Increase in the longest dimension of a bone to correct anatomical deficiencies, congenital, traumatic, or as a result of disease. The lengthening is not restricted to long bones. The usual surgical methods are internal fixation and distraction.
Bone in humans and primates extending from the SHOULDER JOINT to the ELBOW JOINT.
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)
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 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.
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.
Animal reproductive bodies, or the contents thereof, used as food. The concept is differentiated from OVUM, the anatomic or physiologic entity.
Longitudinal cavities in the spinal cord, most often in the cervical region, which may extend for multiple spinal levels. The cavities are lined by dense, gliogenous tissue and may be associated with SPINAL CORD NEOPLASMS; spinal cord traumatic injuries; and vascular malformations. Syringomyelia is marked clinically by pain and PARESTHESIA, muscular atrophy of the hands, and analgesia with thermoanesthesia of the hands and arms, but with the tactile sense preserved (sensory dissociation). Lower extremity spasticity and incontinence may also develop. (From Adams et al., Principles of Neurology, 6th ed, p1269)
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)
The surgical cutting of a bone. (Dorland, 28th ed)
Devices which are used in the treatment of orthopedic injuries and diseases.
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.
Blocking of a blood vessel by fat deposits in the circulation. It is often seen after fractures of large bones or after administration of CORTICOSTEROIDS.
Bone lengthening by gradual mechanical distraction. An external fixation device produces the distraction across the bone plate. The technique was originally applied to long bones but in recent years the method has been adapted for use with mandibular implants in maxillofacial surgery.
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.
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.
Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.
Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma.
The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.
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 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.
Surgery performed on the nervous system or its parts.
Injuries to the wrist or the wrist joint.
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.
Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.
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.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.
Fractures around joint replacement prosthetics or implants. They can occur intraoperatively or postoperatively.
Multiple physical insults or injuries occurring simultaneously.
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.
Mild to moderate loss of bilateral lower extremity motor function, which may be a manifestation of SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; MUSCULAR DISEASES; INTRACRANIAL HYPERTENSION; parasagittal brain lesions; and other conditions.
The properties, processes, and behavior of biological systems under the action of mechanical forces.
The plan and delineation of prostheses in general or a specific prosthesis.
VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE.
A prominent projection of the ulna that that articulates with the humerus and forms the outer protuberance of the ELBOW JOINT.
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.
Pathological processes involving any of the BLOOD VESSELS feeding the SPINAL CORD, such as the anterior and paired posterior spinal arteries or their many branches. Disease processes may include ATHEROSCLEROSIS; EMBOLISM; and ARTERIOVENOUS MALFORMATIONS leading to ISCHEMIA or HEMORRHAGE into the spinal cord (hematomyelia).
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.
Fractures of the zygoma.
Bones that constitute each half of the pelvic girdle in VERTEBRATES, formed by fusion of the ILIUM; ISCHIUM; and PUBIC BONE.
Acute and chronic conditions characterized by external mechanical compression of the SPINAL CORD due to extramedullary neoplasm; EPIDURAL ABSCESS; SPINAL FRACTURES; bony deformities of the vertebral bodies; and other conditions. Clinical manifestations vary with the anatomic site of the lesion and may include localized pain, weakness, sensory loss, incontinence, and impotence.
Recession of the eyeball into the orbit.
A vascular anomaly composed of a collection of large, thin walled tortuous VEINS that can occur in any part of the central nervous system but lack intervening nervous tissue. Familial occurrence is common and has been associated with a number of genes mapped to 7q, 7p and 3q. Clinical features include SEIZURES; HEADACHE; STROKE; and progressive neurological deficit.
A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER.
The performance of surgical procedures with the aid of a microscope.
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).
Methods of creating machines and devices.
Failure of equipment to perform to standard. The failure may be due to defects or improper use.
Fractures of the upper jaw.
Falls due to slipping or tripping which may result in injury.
X-ray visualization of the spinal cord following injection of contrast medium into the spinal arachnoid space.
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)
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)
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".
Benign unilocular lytic areas in the proximal end of a long bone with well defined and narrow endosteal margins. The cysts contain fluid and the cyst walls may contain some giant cells. Bone cysts usually occur in males between the ages 3-15 years.
Neoplasms of the brain and spinal cord derived from glial cells which vary from histologically benign forms to highly anaplastic and malignant tumors. Fibrillary astrocytomas are the most common type and may be classified in order of increasing malignancy (grades I through IV). In the first two decades of life, astrocytomas tend to originate in the cerebellar hemispheres; in adults, they most frequently arise in the cerebrum and frequently undergo malignant transformation. (From Devita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2013-7; Holland et al., Cancer Medicine, 3d ed, p1082)
Removal of an implanted therapeutic or prosthetic device.
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.
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.
Infection of the brain, spinal cord, or perimeningeal structures with the larval forms of the genus TAENIA (primarily T. solium in humans). Lesions formed by the organism are referred to as cysticerci. The infection may be subacute or chronic, and the severity of symptoms depends on the severity of the host immune response and the location and number of lesions. SEIZURES represent the most common clinical manifestation although focal neurologic deficits may occur. (From Joynt, Clinical Neurology, 1998, Ch27, pp46-50)
Mild or moderate loss of motor function accompanied by spasticity in the lower extremities. This condition is a manifestation of CENTRAL NERVOUS SYSTEM DISEASES that cause injury to the motor cortex or descending motor pathways.
A genus of small, straight gram-negative rods which are facultatively anaerobic, chemoorganotrophic, and usually motile by peritrichous flagella. Members of this genus are usually found in the intestines of cold-blooded animals and in fresh water. They are pathogenic for eels, CATFISHES, and other animals and are rare opportunistic pathogens for humans. (From Bergey's Manual of Determinative Bacteriology, 9th ed)
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.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
The constricted portion of the thigh bone between the femur head and the trochanters.
A twisting deformation of a solid body about an axis. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Inflammation of the spinal cord. Relatively common etiologies include infections; AUTOIMMUNE DISEASES; SPINAL CORD; and ischemia (see also SPINAL CORD VASCULAR DISEASES). Clinical features generally include weakness, sensory loss, localized pain, incontinence, and other signs of autonomic dysfunction.
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.
Replacement for a hip joint.
The toothlike process on the upper surface of the axis, which articulates with the CERVICAL ATLAS above.
Tuberculosis of the brain, spinal cord, or meninges (TUBERCULOSIS, MENINGEAL), most often caused by MYCOBACTERIUM TUBERCULOSIS and rarely by MYCOBACTERIUM BOVIS. The infection may be limited to the nervous system or coexist in other organs (e.g., TUBERCULOSIS, PULMONARY). The organism tends to seed the meninges causing a diffuse meningitis and leads to the formation of TUBERCULOMA, which may occur within the brain, spinal cord, or perimeningeal spaces. Tuberculous involvement of the vertebral column (TUBERCULOSIS, SPINAL) may result in nerve root or spinal cord compression. (From Adams et al., Principles of Neurology, 6th ed, pp717-20)
Replacement for a knee joint.
A form of osteogenic sarcoma of relatively low malignancy, probably arising from the periosteum and initially involving cortical bone and adjacent connective tissue. It occurs in middle-aged as well as young adults and most commonly affects the lower part of the femoral shaft. (Stedman, 25th ed)
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)
The methyl esters of methacrylic acid that polymerize easily and are used as tissue cements, dental materials, and absorbent for biological substances.
Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.
Replacement of the hip joint.
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.
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.
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 eight bones of the wrist: SCAPHOID BONE; LUNATE BONE; TRIQUETRUM BONE; PISIFORM BONE; TRAPEZIUM BONE; TRAPEZOID BONE; CAPITATE BONE; and HAMATE BONE.
A neoplasm that arises from SCHWANN CELLS of the cranial, peripheral, and autonomic nerves. Clinically, these tumors may present as a cranial neuropathy, abdominal or soft tissue mass, intracranial lesion, or with spinal cord compression. Histologically, these tumors are encapsulated, highly vascular, and composed of a homogenous pattern of biphasic fusiform-shaped cells that may have a palisaded appearance. (From DeVita Jr et al., Cancer: Principles and Practice of Oncology, 5th ed, pp964-5)
Rare, slow-growing, benign intraventricular tumors, often asymptomatic and discovered incidentally. The tumors are classified histologically as ependymomas and demonstrate a proliferation of subependymal fibrillary astrocytes among the ependymal tumor cells. (From Clin Neurol Neurosurg 1997 Feb;99(1):17-22)
The cavity within the SPINAL COLUMN through which the SPINAL CORD passes.
Replacement of the knee joint.
The bone which is located most lateral in the proximal row of CARPAL BONES.
A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)
Surgical insertion of a prosthesis.
Infection occurring at the site of a surgical incision.
The largest of the TARSAL BONES which is situated at the lower and back part of the FOOT, forming the HEEL.
The hemispheric articular surface at the upper extremity of the thigh bone. (Stedman, 26th ed)
The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)
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.
Production of an image when x-rays strike a fluorescent screen.
The seven bones which form the tarsus - namely, CALCANEUS; TALUS; cuboid, navicular, and the internal, middle, and external cuneiforms.
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.
Any adverse condition in a patient occurring as the result of treatment by a physician, surgeon, or other health professional, especially infections acquired by a patient during the course of treatment.
A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA.
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.
Injuries involving the vertebral column.
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
Procedures to repair or stabilize vertebral fractures, especially compression fractures accomplished by injecting BONE CEMENTS into the fractured VERTEBRAE.
Abnormal formation of blood vessels that shunt arterial blood directly into veins without passing through the CAPILLARIES. They usually are crooked, dilated, and with thick vessel walls. A common type is the congenital arteriovenous fistula. The lack of blood flow and oxygen in the capillaries can lead to tissue damage in the affected areas.
Inflammation of the SPINE. This includes both arthritic and non-arthritic conditions.
Accumulation of purulent material in tissues, organs, or circumscribed spaces, usually associated with signs of infection.
Intradermal or subcutaneous saclike structure, the wall of which is stratified epithelium containing keratohyalin granules.
Artificial substitutes for body parts and materials inserted into organisms during experimental studies.
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 joint that is formed by the inferior articular and malleolar articular surfaces of the TIBIA; the malleolar articular surface of the FIBULA; and the medial malleolar, lateral malleolar, and superior surfaces of the TALUS.
Benign and malignant intra-axial tumors of the MESENCEPHALON; PONS; or MEDULLA OBLONGATA of the BRAIN STEM. Primary and metastatic neoplasms may occur in this location. Clinical features include ATAXIA, cranial neuropathies (see CRANIAL NERVE DISEASES), NAUSEA, hemiparesis (see HEMIPLEGIA), and quadriparesis. Primary brain stem neoplasms are more frequent in children. Histologic subtypes include GLIOMA; HEMANGIOBLASTOMA; GANGLIOGLIOMA; and EPENDYMOMA.
The white of an egg, especially a chicken's egg, used in cooking. It contains albumin. (Random House Unabridged Dictionary, 2d ed)
The duration of a surgical procedure in hours and minutes.
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.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
The outer shorter of the two bones of the FOREARM, lying parallel to the ULNA and partially revolving around it.
The five cylindrical bones of the METACARPUS, articulating with the CARPAL BONES proximally and the PHALANGES OF FINGERS distally.
Biocompatible materials usually used in dental and bone implants that enhance biologic fixation, thereby increasing the bond strength between the coated material and bone, and minimize possible biological effects that may result from the implant itself.
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.
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.
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.
COLLAGEN DISEASES characterized by brittle, osteoporotic, and easily fractured bones. It may also present with blue sclerae, loose joints, and imperfect dentin formation. Most types are autosomal dominant and are associated with mutations in COLLAGEN TYPE I.
A calcification of the posterior longitudinal ligament of the spinal column, usually at the level of the cervical spine. It is often associated with anterior ankylosing hyperostosis.
Fractures of the upper or lower jaw.
A bone that forms the lower and anterior part of each side of the hip bone.
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 benign tumor composed of fat cells (ADIPOCYTES). It can be surrounded by a thin layer of connective tissue (encapsulated), or diffuse without the capsule.
A congenital or acquired protrusion of the meninges, unaccompanied by neural tissue, through a bony defect in the skull or vertebral column.
Infections resulting from the implantation of prosthetic devices. The infections may be acquired from intraoperative contamination (early) or hematogenously acquired from other sites (late).
Restoration of integrity to traumatized tissue.
Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.
A vascular anomaly that is a collection of tortuous BLOOD VESSELS and connective tissue. This tumor-like mass with the large vascular space is filled with blood and usually appears as a strawberry-like lesion in the subcutaneous areas of the face, extremities, or other regions of the body including the central nervous system.
A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
The administration of medication or fluid through a needle directly into the bone marrow. The technique is especially useful in the management of pediatric emergencies when intravenous access to the systemic circulation is difficult.
Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.

Stimulation of the inflammatory system by reamed and unreamed nailing of femoral fractures. An analysis of the second hit. (1/428)

It has been suggested that reamed intramedullary nailing of the femur should be avoided in some patients with multiple injuries. We have studied prospectively the effect of femoral reaming on the inflammatory process as implicated in the pathogenesis of acute respiratory distress syndrome (ARDS) and multiple-organ failure (MOF). We studied changes in the levels of serum interleukin-6 (IL-6) (proinflammatory cytokine), neutrophil CD11b (C3) receptor expression (activated neutrophil adhesion molecule), serum soluble intracellular adhesion molecule (s-ICAM-1), serum soluble E-selectin (the soluble products of endothelial adhesion molecules) and plasma elastase (neutrophil protease) in a series of patients with femoral fractures treated by nailing. We have also compared reamed nailing with unreamed nailing. We found that the levels of serum IL-6 and elastase rose significantly during the nailing procedure indicating a measurable 'second hit'. There was no clear response in leukocyte activation and no difference in the release of endothelial adhesion molecule markers. There was no significant difference between groups treated by reamed and unreamed nailing. Although clinically unremarkable, the one patient who died from ARDS was shown to be hyperstimulated after injury and again after nailing, suggesting the importance of an excessive inflammatory reaction in the pathogenesis of these serious problems. Our findings have shown that there is a second hit associated with femoral nailing and suggest that the degree of the inflammatory reaction may be important in the pathogenesis of ARDS and MOF.  (+info)

New concepts and advances of immobilization of long bones. (2/428)

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)

The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails. (3/428)

Intramedullary nailing of metaphyseal fractures may be associated with deformity as a result of instability after fixation. Our aim was to evaluate the clinical use of Poller screws (blocking screws) as a supplement to stability after fixation with statically locked intramedullary nails of small diameter. We studied, prospectively, 21 tibial fractures, 10 in the proximal third and 11 in the distal third in 20 patients after the insertion of Poller screws over a mean period of 18.5 months (12 to 29). All fractures had united. Healing was evident radiologically at a mean of 5.4+/-2.1 months (3 to 12) with a mean varus-valgus alignment of -1.0 degree (-5 to 3) and mean antecurvatum-recurvatum alignment of 1.6 degrees (-6 to 11). The mean loss of reduction between placement of the initial Poller screw and follow-up was 0.5 degrees in the frontal plane and 0.4 degrees in the sagittal plane. There were no complications related to the Poller screw. The clinical outcome, according to the Karstrom-Olerud score, was not influenced by previous or concomitant injuries in 18 patients and was judged as excellent in three (17%), good in seven (39%), satisfactory in six (33%), fair in one (6%), and poor in one (6%).  (+info)

Stabilisation of acute femoral fractures in Paget's disease. (4/428)

Eleven cases of acute femoral fractures in patients with Paget's disease are presented following stabilisation with the solid AO femoral nail. In three cases with severe deformity of the femur, reaming was required to enable implant insertion. No corticotomies were required. The median operation time was 55 (35-65) min. There was no operative mortality and no patient developed signs of acute respiratory distress syndrome/fat embolism. Skeletal stability was achieved in all cases. The reconstruction proximal locking option (spiral blade) was utilised in ten of the eleven cases. In all cases a 9 mm nail was inserted. One patient (pagetic sarcoma) died 23 months after surgery. Ten of the eleven fractures healed uneventfully. The mean time to union was 32 (26-42) weeks.  (+info)

Proximal entry for intramedullary nailing of the tibia. The risk of unrecognised articular damage. (5/428)

The risk of articular penetration during tibial nailing is well known, but the incidence of unrecognised damage to joint cartilage has not been described. We have identified this complication in the treatment of tibial fractures, described the anatomical structures at risk and examined the most appropriate site of entry for tibial nailing in relation to the shape of the bone, the design of the nail and the surgical approach. We studied the relationship between the intra-articular structures of the knee and the entry point used for nailing in 54 tibiae from cadavers. The results showed that the safe zone in some bones is smaller than the size of standard reamers and the proximal part of some nails. The structures at risk are the anterior horns of the medial and lateral menisci, the anterior part of the medial and lateral plateaux and the ligamentum transversum. This was confirmed by observations made after nailing 12 pairs of cadaver knees. A retrospective radiological analysis of 30 patients who had undergone tibial nailing identified eight at risk according to the entry point and the size of the nail. Unrecognised articular penetration and damage during surgery were confirmed in four. Although intramedullary nailing has been shown to be a successful method for treating fractures of the tibia, one of the most common problems after bony union is pain in the knee. Unrecognised intra-articular injury of the knee may be one cause of this.  (+info)

Complications of Marchetti locked nailing for humeral shaft fractures. (6/428)

In this retrospective study 50 humeral fractures (36 acute, 6 pathological fractures and 8 non-unions) were treated by retrograde locked bundled Marchetti nailing. No intraoperative complications occurred. Postoperative complications included 7 non-unions (4/36 acute fractures and 3/8 delayed union), and 2 intraarticular penetrations of the secondary nails. However, at the subsequent removal of the implant 5 supracondylar fractures occurred.  (+info)

McIndoe's scissors--a simple technique to aid distal locking of an intramedullary nail. (7/428)

Distal locking of intramedullary nails may be difficult and time consuming. We describe a simple technique using a readily available instrument (McIndoe's scissors) to aid start of this procedure and to locate both distal locking holes at one time. By holding the scissors out of the operative field and facilitating rapid incisions, the operative procedure time and, importantly, the radiation exposure time may be reduced.  (+info)

Analysis of muscle function in the lower limb after fracture of the diaphysis of the tibia in adults. (8/428)

We examined the recovery of power in the muscles of the lower limb after fracture of the tibial diaphysis, using a Biodex dynamometer. Recovery in all muscle groups was rapid for 15 to 20 weeks following fracture after which it slowed. Two weeks after fracture the knee flexors and extensors have about 40% of normal power, which rises to 75% to 85% after one year. The dorsiflexors and plantar flexors of the ankle and the invertors and evertors of the subtalar joint are much weaker two weeks after injury, but at one year their mean power is more than that of the knee flexors and extensors. Our findings showed that age, the mode of injury, fracture morphology, the presence of an open wound and the Tscherne grade of closed fractures correlated with muscle power. It is age, however, which mainly determines muscle recovery after fracture of the tibial diaphysis.  (+info)

Introduction: Femoral shaft fractures are an incapacitating peadiatric injury accounting for 1.6% of all paediatric bony injuries. Management of these fractures is largely directed by age, fracture pattern, associated injuries, built of the child and socioeconomic status of the family. We retrospectively evaluated the use of elastic stable intramedullary nail (ESIN) in surgical management of femoral shaft fractures in children and its complications.Materials and Methods: 52 children were treated with titanium elastic nails (TEN) from June 2009 to June 2014 at our institution.At the end of the study there were 48 children. Fractures were classified according to Winquest and Hansens as Grade I(n=32),Grade II(n=10),Grade III(n=6 ) and compound fractures by Gustilo and Andersons classification, Grade I (n=5), Grade II (n=3 ). There were 36 mid-shaft fractures, 7 proximal third shaft fractures, 5 distal third shaft fractures. The final results were clinically evaluated by using Flynns criteria and
TY - JOUR. T1 - Intramedullary fixation of humeral shaft fractures using an inflatable nail. AU - Lorich, Dean G.. AU - Geller, David S.. AU - Yacoubian, Shahan V.. AU - Leo, Andrew J.. AU - Helfet, David L.. PY - 2003/10/1. Y1 - 2003/10/1. N2 - Intramedullary fixation has become increasingly popular for humeral shaft fracture treatment. New inflatable intramedullary devices offer indirect reduction and improved load-sharing biomechanics without the need for interlocking screws.. AB - Intramedullary fixation has become increasingly popular for humeral shaft fracture treatment. New inflatable intramedullary devices offer indirect reduction and improved load-sharing biomechanics without the need for interlocking screws.. UR - http://www.scopus.com/inward/record.url?scp=0142217451&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0142217451&partnerID=8YFLogxK. M3 - Article. C2 - 14577523. AN - SCOPUS:0142217451. VL - 26. SP - 1011. EP - 1014. JO - Orthopedics. JF - ...
BACKGROUND: Our aim was to make a comparative analysis of radiological and clinical outcomes of using either one or two interlocking distal screws on a Polarus intramedullary nail for the internal fixation of humeral shaft fractures. METHODS: From January 2008 to March 2014, we enrolled 26 patients with humeral shaft fractures who were operated on using intramedullary nails. The patients were divided into 2 groups according to how many interlocking distal screws were used to lock the Polarus nail: in group 1, a single interlocking distal screw was used in 12 patients; and in group 2, double interlocking distal screws, in 14 patients. We compared the degree of recovery of the displaced fracture fragments between the two groups. To compare the nonunion and shoulder function, we assessed each patients modified American Shoulder and Elbow Surgerns (ASES) score. RESULTS: We found that 10 of 12 fractures achieved union in group 1, and 13 of 14 fractures, in group 2. We did not find a meaningful ...
A fixation system, including an intramedullary fixation assembly and an instrument for coupling the intramedullary fixation assembly to bones. The intramedullary fixation assembly includes a proximal screw member positioned at a proximal end of the intramedullary fixation assembly, a distal member positioned at a distal end of the intramedullary fixation assembly, where the proximal screw member is slideably coupled to the distal member and makes a fixed angle with the distal member.
Abstract:. Background and Objective: Femoral shaft fractures account for 1.6% of all Pediatric bony injuries. Angulation, malrotation and shortening are not always corrected effectively. Fixation of femur fractures in children and adolescents by elastic stable intramedullary nailing is becoming widely accepted because of the lower chance of iatrogenic infection and prohibitive cost of in-hospital traction and spica cast care. The objective of the study was to study the functional outcome, duration of union and the complications following the use of elastic nail for femoral shaft fractures in children & adolescents. Method: Children and adolescents between the age group of 5-16 years with Femoral shaft fractures were admitted to Navodaya Medical College and Research, Raichur from August 2011 to August 2012. All patients underwent elastic stable intramedullary nailing fixation for the sustained fracture. Patients were followed up from 3 weeks to 6 months after surgery. A minimum of 30 cases were ...
TY - JOUR. T1 - Complications of intramedullary fixation of pediatric forearm fractures. AU - Cullen, Mark C.. AU - Roy, Dennis R.. AU - Giza, Eric. AU - Crawford, Alvin H.. PY - 1998. Y1 - 1998. N2 - A retrospective review of 20 children with forearm fractures treated with intramedullary fixation is presented. Indications for surgery included fracture malreduction, open fracture, polytrauma, unstable fracture pattern, and compartment syndrome. Both radius and ulna were fractured in 17 patients. Intramedullary fixation of both bones was performed in eight cases, ulna alone in nine, and isolated radius in three. A limited open approach to one or both bones was necessary for insertion of the intramedullary rod in 15 of 20 cases, including the eight open fractures. Eighteen complications occurred in 10 of 20 patients, including hardware migration, infection, loss of reduction, reoperation, nerve injury, significant decreased range of motion, synostosis, muscle entrapment, and delayed union. Despite ...
BACKGROUND: From 1989 to 1997, 1507 fractures of the shaft of the femur were treated with intramedullary nailing at The R Adams Cowley Shock Trauma Center. Fifty-nine (4 percent) of those fractures were treated with early external fixation followed by planned conversion to intramedullary nail fixation. This two-stage stabilization protocol was selected for patients who were critically ill and poor candidates for an immediate intramedullary procedure or who required expedient femoral fixation followed by repair of an ipsilateral vascular injury. The purpose of the current investigation was to determine whether this protocol is an appropriate alternative for the management of fractures of the femur in patients who are poor candidates for immediate intramedullary nailing.. METHODS: Fifty-four multiply injured patients with a total of fifty-nine fractures of the shaft of the femur treated with external fixation followed by planned conversion to intramedullary nail fixation were evaluated in a ...
Devices, systems and methods are provided for treating fractures and correcting malunions and non-unions of long bones. The subject devices include intramedullary nails for implantation into a long bone. The intramedullary nails are configured such that they are very versatile and usable for treating many types of fractures, malunions and non-unions in both left and right corresponding long bones and by means of either an antegrade or retrograde approach. In particular, the subject nails provide a universal bore pattern for receiving one or more screws for locking the nail within the bone. The subject systems include ancillary and accessory devices for implantation of the intramedullary nails. The methods of the present invention include using the subject intramedullary nails to treat many fractures, malunions and non-unions in both left and right corresponding long bones and by means of either an antegrade or retrograde approach, and employing the subject systems to insert and secure the subject nails
Aprospective randomised control study found that patients operated on a fracture table had a higher incidence of internal rotation malignment (29%) compared to those operated on the regular table (7%).4 One of the probable causes of this internal rotation malignment caused by fracture table may be explained by forceful internal rotation of the limb to aid in making the entry point and to improve the fluoroscopic image of the proximal femur in the lateral plane.3 Further, when the limb is placed in the hemi-lithotomy position on the fracture table, it is difficult to compare rotation as that limb is not readily movable.13 With manual traction, both limbs may be imaged with fluoroscopy and rotation compared with the uninjured limb using the lesser trochanter and patella as landmarks.6,14-17 ...
Axial alignment of the femur and tibia is often misdiagnosed in patients with patellofemoral stability problems. Femoral torsion is critical for patellofemoral biomechanics, so it must be evaluated in every patient before the plan of surgery is decided. This case describes a femoral derotational osteotomy due to excessive internal torsion of the femur fixed with a retrograde femoral nail. This type of fixation provides a biomechanical advantage compared to plates. At the two-year follow-up, the patient achieved excellent results, reaching a functional score of 91 points on the Lysholm scale. Derotational femoral osteotomy should be considered in patellofemoral pathology, and a retrograde femoral nail is a valid fixation method for this surgery.
The present retrospective study aims to evaluate the outcome in 41 patients of femoral shaft fractures, who had closed intramedullary nailing in lateral decubitus position without fracture table or image intensifier. Mean age was 33.2 (range, 18-70)
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VAN HEUKELUM, M; FERREIRA, N and MARAIS, L. Intramedullary nail after Masquelet bone graft fracture: A case report. SA orthop. j. [online]. 2015, vol.14, n.3, pp.70-74. ISSN 2309-8309. http://dx.doi.org/10.17159/2309-8309/2015/V14N3A8.. Large bone defects are challenging to reconstruct and often require specialised treatment strategies, multiple surgeries and long treatment periods. When these bone defects are the result of chronic infection the complexity of the reconstructive process increases exponentially. In the subtrochanteric area of the femur, bone defects secondary to infection are especially challenging as skeletal stabilisation is difficult and internal fixation is considered with caution due to the risk of recurrent infection. We report a case of a 24-year-old male who was successfully treated with an intramedullary nail after a fracture through a subtrochanteric Masquelet bone graft site.. Keywords : intramedullary nail; bi-Masquelet; Ilizarov; bone defect; reconstruction. ...
TY - JOUR. T1 - Use of a Tilting Orthopedic Fracture Table to Facilitate Proper Patient Positioning During Intrathecal Neurolysis With Hyperbaric Phenol. T2 - A Case Report. AU - Loo, Nathaniel H.. AU - Matchett, Gerald. PY - 2017/9/15. Y1 - 2017/9/15. N2 - We describe the case of a 41-year-old woman with metastatic cervical cancer and a large mass eroding into the pelvis and left lumbosacral plexus. The patient had intractable left lower extremity pain refractory to standard therapies, and she elected to undergo intrathecal neurolysis. A diagnostic intrathecal block was performed at the T11-12 interspace followed by intrathecal neurolysis with 6% phenol in glycerin on a subsequent date. During both procedures, we used a tilting radiolucent orthopedic fracture table to maintain strict left lateral-supine positioning. A tilting orthopedic fracture table may be a valuable adjunct to ensure positional stability during intrathecal neurolysis.. AB - We describe the case of a 41-year-old woman with ...
An intramedullary fracture fixation device is provided which includes an intramedullary rod, a lag screw and a lag screw collar. The rod has a proximal end with a transverse bore extending therethrough. The lag screw has a distal end with coarse bone engaging thread elements and a proximal end with screw threads. When in use, the lag screw is substantially axially aligned with the transverse bore of the rod. The lag screw collar has an outer diameter sized to rotatably fit within the transverse bore of the rod. The collar also has an inner diameter and internal screw threads adapted to cooperate with the screw threads of the proximal end of the lag screw. The lag screw collar may have an increased outer diameter at one end thereof which is at least slightly larger than a diameter of the transverse bore of the rod. The device preferably includes a longitudinal bore which extends through the proximal end of the rod so as to open into the transverse bore. The longitudinal bore is preferably angularly
In a prospective study, 53 fractures of the distal fifth of the tibia were stabilized by unreamed nailing. Additional involvement of the ankle joint occurred in 18 patients. 50 patients returned for follow-up. In 30 patients tibia and fibula were fractured at the same (distal) level; in 20 patients the fracture of the fibula was located more proximally. In 12 patients the fractures extended into the tibial pilon. Severe soft tissue damage was seen in 24 fractures (18 open, 6 closed). Ninety percent of all fractures healed uneventfully without further surgical intervention after unreamed nailing. In two patients the unreamed nail had to be exchanged for a reamed tibial nail. Bone grafting and secondary dynamization of the nail by removal of a proximal interlocking bolt were performed in one case each. Thirty-one fractures healed in anatomical position. Valgus or varsus angulation of less than 5 degrees occurred in 18 patients. One fracture healed with rotatory angulation of 15 degrees. The ...
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A distal targeting device for locating at least one distal screw hole in an intramedullary nail that is positioned within a medullary canal of a bone, the device including an elongated and reconfigura
INTRODUCTION: There is no consensus yet on the impact of timing of femur fracture (FF) internal fixation on the patient outcomes. This meta-analysis was conducted to evaluate the contemporary data in patients with traumatic FF undergoing intramedullary nail fixation (IMN). METHODS: English language literature was searched with publication limits set from 1994 to 2016 using PubMed, Scopus, MEDLINE (OVID), EMBASE (OVID), Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL). Studies included randomized controlled trials (RCTs), prospective observational or retrospective cohort studies, and case-control studies comparing early versus late femoral shaft fractures IMN fixation. Variable times were used across studies to distinguish between early and late IMN, but 24 h was the most frequently used cutoff. The quality assessment of the reviewed studies was performed with two instruments. Observational studies were assessed with the Newcastle-Ottawa Quality Assessment Scale. RCTs were
An intramedullary nail for repair of bone fractures. The intramedullary nail is of a modular configuration including a nail member having a chamber formed on the proximal end thereof. An insert having at least one opening therein for receiving a bone screw or fastener is disposed within the chamber and is secured therein by a locking ring. Accordingly, various inserts may be used to achieve selected bone screw or fastener configurations.
An intramedullary nail for repair of bone fractures. The intramedullary nail is of a modular configuration including a nail member having a chamber formed on the proximal end thereof. An insert having at least one opening therein for receiving a bone screw or fastener is disposed within the chamber and is secured therein by a locking ring. Accordingly, various inserts may be used to achieve selected bone screw or fastener configurations.
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Accurately depicts internal fixation of a right femoral fracture using an intramedullary rod, and lower leg injuries requiring a tibial traction pin. Shows the fracture sites and location of the tibial traction pin. Surgery steps: A. Incision made into the right leg; B. An intramedullary nail being hammered into the femur across the fracture site in the mid-thigh; C. Proximal and distal fixation screws inserted into intramedullary nail, along with the incision site closed by surgical staples.
Accurately depicts internal fixation of a right femoral fracture using an intramedullary rod, and lower leg injuries requiring a tibial traction pin. Shows the fracture sites and location of the tibial traction pin. Surgery steps: A. Incision made into the right leg; B. An intramedullary nail being hammered into the femur across the fracture site in the mid-thigh; C. Proximal and distal fixation screws inserted into intramedullary nail, along with the incision site closed by surgical staples.
We investigated whether a proximal femoral nail (PFN) having two lag screws can be implanted without distal locking screws in AO/OTA 31-A1 and 31-A2 intertrochanteric femur fractures. Twenty-four patients with AO/OTA 31-A1 and 31-A2 fractures were treated with a PFN without distal interlocking by a single surgeon. The mean follow-up was 12 months (range: 7-23). Clinical and functional outcome was assessed according to the Harris hip score and Barthels activity score. The fractures healed in all patients; the average consolidation time was 14 weeks (range: 9-28). Fourteen patients had excellent and good results, nine patients had fair results, and one patient had a poor result according to the Harris hip score; 17 patients had a high range of mobility according to the Barthel activity score. Our results suggested that the PFN can be successfully implanted without distal interlocking in 31-A1 and 31-A2 fractures. ...
This study compares results of unreamed Schneider intramedullary nailings with reamed Küntscher intramedullary nailings. Eighty consecutive closed intramedullary roddings of femoral shaft fractures performed at Parkland Memorial Hospital, Dallas, were reviewed. In the first 40 cases, straight, narrow Schneider or Küntscher rods with an average diameter of 10 mm were inserted following closed reduction. No reaming maneuvers and no effort to attain rigid cortical contact with either fracture fragment were made. In the next 40 cases, the standard Küntscher technique with reaming and cortical impingement of the nail on both fragments was employed using Küntscher nails of an average diameter of 13 mm. All patients were followed to fracture union. Analysis of patient and fracture variables (such as anatomic location and degree of comminution) showed no significant differences in the two groups. While both groups demonstrated multiple minor complications, including slight shortening, mild ...
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An intramedullary nail comprising an elongate tubular rod with upper proximal and lower distal ends and positioned within and extending longitudinally of the intramedullary canal of a fractured bone. A pair of adjacent, elongate anchor blades with upper and lower ends are positioned with their upper end portions within a transverse slot in the distal end of the rod and are connected therewith by a single transverse pivot pin. The blades normally extend downwardly from the rod and are pivoted radially outwardly from opposite sides of the rod to deployed positions where they establish anchoring engagement within the bone. The blades have cam parts and stop edges at their upper ends. An elongate setting tool is slidably engaged in and shiftable downwardly in the rod. The tool has a downwardly-disposed surface normally engaging said cam parts to pivot the blades to their deployed positions when the tool is moved downwardly and to establish stopped engagement with said stop edges when the blades are
Intramedullary versus extramedullary fixation in the management of subtrochanteric femur fractures: a meta-analysis Pengcheng Liu,1,2,* Xing Wu,1,* Hui Shi,1,2 Run Liu,1 Hexi Shu,1 JinPeng Gong,1 Yong Yang,1 Qi Sun,1 Jiezhou Wu,1,2 Xiaoyang Nie,1 Ming Cai1 1Department of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University, School of Medicine, Shanghai, 2First Clinical Medical College, Nanjing Medical University, Nanjing, People’s Republic of China *These authors contributed equally to this work Background: Intramedullary and extramedullary fixation methods are used in the management of subtrochanteric femur fractures. However, whether intramedullary or extramedullary fixation is the primary treatment for subtrochanteric femur fractures in adults remains debatable.Level of evidence: Meta-analyses of prospective studies, level I.Materials and methods: The Cochrane library, Embase, Google Scholar, and PubMed databases were searched separately for all relevant studies published
Apfna femur short intramedullary nail enp cap is used for protect nail threads from tissue ingrowth also fixates compression and blade screws of APFNA
The best mode of treatment is elusive in high-energy tibial fractures. Because of the tenuous soft-tissue coverage of the tibia, plate fixation has typically been associated with an unacceptably high prevalence of wound complications, especially when it has been performed for more severe fractures (2,9). Tibial nailing though in popular use also has its own share of complications. Malunion occurs after up to 37% of tibial nailing procedures (10) and it is particularly common following fractures of the proximal third of the tibia (11). Severe comminution further adds to the complication. Twenty one (51%) proximal tibial comminuted fractures were treated with Ilizarov fixator with only one case of malunion. Intramedullary nail insertion is also shown to interfere with circulation in the diaphyseal cortex (12,13). Current debate concerns the use of reamed and unreamed intramedullary nailing because both techniques, to varying degrees negatively affect the circulation of cortical bone (14,15). In ...
TRIGEN INTERTAN is an intertrochanteric antegrade proximal femoral nailing system used to treat hip fractures. TRIGEN INTERTAN can also be used as an intramedullary and cephalomedullary nailing system.
The European orthopedic trauma device market includes segments for plates and screws, cannulated screws, intramedullary nails, hip intramedullary nails, compression hip screws and external fixation devices. All segments in this market declined in 2014 due largely to the continued rise in public tendering. However, over the forecast period, prices drops will lessen. Stable, positive unit sales growth for nearly all segments of the European trauma market will help resist market declines. Intramedullary nail unit sales are projected to grow; surgeons continue to adopt their use in long bone fracture repair due to their ease-of-use and less invasive nature compared to plates and screws. In recent years much of Europe has dealt with, and continues to deal with, large amounts of national debt. Austerity measures decreased medical device prices significantly and price decreases continue throughout the continent due largely to tender systems. Unit sales growth, however, remains positive due to the ...
The aim of this study was to analyze the effect of intramedullary nailing (IMN), open plating and percutaneous plating on the induction of IL-6 in patients with tibia fractures. A total of 30 patients with tibia shaft fracture underwent either intramedullary nailing (IMN, n = 15; 14 males and 1 female; mean age: 32.1 ± 15.6), ORIF plating (n = 8; 5 males and 3 females; mean age: 60.0 ± 17.8), or percutaneous plating (n = 7; 6 males and 1 female; mean age: 43.1 ± 21.4). Serum IL-6 cytokine levels were measured prior to, and 6 and 24 h after the surgery, using a special ELISA kit. The IL-6 concentration increased to peak levels at 6 h in both IMN and percutaneous plating groups, and at 24 h in ORIF plating group (p < 0.001). The mean IL-6 concentration of percutaneous plating group was significantly lower than that of the IMN group at 6 h following the surgery (p = 0.022). In addition, the mean IL-6 concentration of ORIF plating group was significantly higher than that of the percutaneous ...
Apparatus for treating a fracture of a bone of a subject includes an intramedullary (IM) nail, adapted to be inserted in a medullary canal of the bone of the subject, and having a proximal head that defines at least one hole therethrough. The apparatus also includes a sleeve, which includes a locking mechanism, which locking mechanism is adapted to engage the hole when the sleeve is inserted in the hole, such engagement preventing rotational and longitudinal movement between the sleeve and the hole. In an embodiment, the apparatus includes a screw, the sleeve being adapted to slidably receive the screw.
A minimally invasive reaming assembly for creating an entry portal into the canal of a bone and for providing a working channel in which to ream the canal of a bone. The assembly includes a sleeve, a housing and an inner reamer. The sleeve is an elongated cylindrically-shaped hollow sleeve that has a proximal and a distal end, with the distal end having a plurality of cutting blades. The housing is attached to the sleeve and is generally cylindrical in shape and it has a top portion, a bottom portion and a through bore. The top portion includes a releaseable locking mechanism for engaging the inner reamer within the housing. The inner reamer has an elongated cannulated body and proximal and distal ends. The distal end has a rotatable reaming head and the proximal end has a drill shaft and a connector for connection to a drill. A portion of the body includes an annular collar with a tab for engaging a notch in the housing. The reamer is sized and shaped for insertion through the bore of the housing and
The authors describe a case of sudden onset of numbness and weakness of both lower limbs along with bladder involvement, magnetic resonance imaging (MRI) of the dorsolumbar spine revealed an intramedullary mass. Surgery revealed it to be an intramedullary hematoma. The relevant literature is reviewed.. ...
Intramedullary metastasis.: Three cases of intramedullary metastases and one of a metastasis into the medulla oblongata are described. In two cases the primary
Long natural nails insertion - General Principles of Internal Fixation - Medscape Reference. Healthy blood flow is the key to Natural Male Enhancement. Decreased blood flow can be the result of smoking, poor diet, or even just getting older.
Mauffrey C, Hak DJ, Giannoudis P, Alt V, Nau C, Marzi I, Augat P, Oh JK, Frank J, Mavrogenis A, Flecher X, Argenson JN, Gavaskar A, Rojas D, Bedeir YH. Treatment of infection following intramedullary nailing of tibial shaft fractures-results of the ORS/ISFR expert group survey. Int Orthop. 2019 02; 43(2):417-423 ...
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An improved and re-useable end cap for use with common, hand-held lancet devices, of the type having a main body and an actuatable lancet receiving assembly structured to temporarily hold a lancet inserted thereinto and to drive the lancet into a piercing orientation so as to prick a patients skin. The re-useable end cap of the present invention includes a housing having a first end defining an open mouth for removable attachment to the lancet device, a second end having an opening therein and defining a tubular, hollow, main body between therebetween. The open mouth and main body of the cap are structured and disposed to permit at least partial passage of the lancet and lancet receiving assembly therethrough and into a piercing orientation wherein a sharp tip of said lancet is exposed through the opening of the second cap end. The improved re-usable end cap of the present invention, which are intended for use after the lancet receiving assembly has been fired, includes at least one member attached to
Hi Ive passed AOSB and have a place at the factory, which I havent currently taken up. In the interim a moron turned across me on my motorcycle...
Fingerprint Dive into the research topics of Thoracic subpial intramedullary schwannoma involving a ventral nerve root: A case report and review of the literature. Together they form a unique fingerprint. ...
Perfusion of the renal medulla and osmotic hypertonicity of its interstitium are the two important features of this zone which can influence body fluid homeostasis, especially arterial blood pressure. Separate manipulation of the two variables is best obtained with the intramedullary infusion of active agents. In this study, a set-up combining the possibility of infusion into the medulla with measurement of local blood flow (MBF, laser-Doppler flux) and extracellular ion concentration (tissue electrical admittance, Y) was used to determine effects of intramedullary indomethacin (Indo) and adenosine (Ado) in anaesthetized rats. Intramedullary Indo, 1 mg kg|sup|-1 |/sup|h|sup|-1|/sup|, significantly increased tissue Y, by 12 ± 3%, and significantly decreased MBF by 20 ± 3%. There was also an unexplained increase of sodium excretion (U|sub|Na|/sub|V) by 169 ± 24% and of urine flow (V) by 62 ± 6% (n = 10, both p | 0.03). Intramedullary Ado, 5 µg kg|sup|-1|/sup| h|sup|-1|/sup|, did not alter Y, MBF or
Now approximately one week post-injury, we performed an antegrade IMN of Khans left femur fracture through an enoxaparin window and chose a lateral position because of Khans body size. We didnt have a fracture table, so we had to be creative. I felt particularly lucky because previous surgeons were nailing without the benefit of a C-arm (X-ray image intensifier), which is particularly challenging. They had to resort to a modified open technique.. In other patients, to nail supine with a standard Steris OR table, we reversed the table and placed the head extension on the foot. This allowed C-arm imaging proximally. We did not have a well leg holder, but found that a well-padded Mayo stand with the hip and knee of the well leg flexed actually worked - but barely. We would tape sand bags to the Mayo base to prevent the C-arm from knocking it over when coming in for lateral. (I recommend making sure you can image everything you need ahead of time before prepping, and of course, telling your C-arm ...
AccessGUDID - Fixion Nailing System (07290109331720)- Hip peg used with the Fixion proximal femur intramedullary nail (intended for use in the fixation of proximal fractures in the femur).
TY - JOUR. T1 - Intramedullary Fixation of Tibial Shaft Fractures Using an Expandable Nail. T2 - Early Results of 54 Acute Tibial Shaft Fractures. AU - Steinberg, Ely L.. AU - Geller, David S.. AU - Yacoubian, Shahan V.. AU - Shasha, Nadav. AU - Dekel, Shmuel. AU - Lorich, Dean G.. PY - 2006/5. Y1 - 2006/5. N2 - To evaluate and present our experience using the expandable nail system for the treatment of acute tibial shaft fractures. Retrospective study. Two level-1 trauma centers-University teaching hospitals.. AB - To evaluate and present our experience using the expandable nail system for the treatment of acute tibial shaft fractures. Retrospective study. Two level-1 trauma centers-University teaching hospitals.. KW - Expandable nail.. KW - Fracture. KW - Intramedullary fixation. KW - Tibia. UR - http://www.scopus.com/inward/record.url?scp=33748210746&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=33748210746&partnerID=8YFLogxK. U2 - ...
Background: Fractures of the femoral shaft are mostly the result of high-energy accidents that also cause multiple trauma injuries, in particular ipsilateral knee and hip injuries. The purpose of this study was to investigate the incidence of injuries associated with femoral shaft fractures and how many of them were undetected. Methods: We studied 148 patients (150 femoral shaft fractures) with an average age of 52 (range: 18-97). Femoral shaft fractures were treated with antegrade intramedullary nailing in 118 cases (78.7%), and with open reduction and internal fixation in 32 cases (21.3%). Unlocked reamed intramedullary nailing was performed in Winquist type I and type II fractures, while statically locked unreamed intramedullary nailing was carried out in Winquist type III and type IV fractures. Results: There were 70 patients with associated injuries (46.4%). The associated injuries went undetected in 18 out of 70 patients (25.5%). Six femoral nonunions (4%) occurred in patients under 70 years of
INTRODUCTION: Femoral shaft fractures are commonly thought to be primarily associated with high-energy trauma in young persons. Only limited attention has been given to low-energy violence as a cause of these fractures among the elderly. National epidemiological data on characteristics of patients with femoral shaft fractures are lacking, so the purpose of this study was to analyse the incidence, admissions, causes of fracture and operations for these fractures on a nationwide basis in Sweden during 1998-2004. PATIENTS AND METHODS: Data on all femoral shaft fractures were extracted from the Swedish National Hospital Discharge Registry. Sex- and age-specific fracture incidence, hospital admissions, mechanisms of injury and surgical procedures were analysed using descriptive analysis, linear-regression analysis and other methods as appropriate. RESULTS: Over a period of 7 years, 6409 patients with femoral shaft fractures were identified, corresponding to an annual incidence of 10 per 100,000 ...
Intramedullary fixation has emerged as a promising alternative to traditional open reduction and internal plate fixation. Advantages of this minimally invasive treatment option include maintaining the fracture hematoma and keeping the periosteum intact, which positively in consequences bone formation and improves cosmetics owing to the small incisions used. Different techniques and examples of intramedullary fixation devices have been reported and include the Hagie, Knowles and Rockwood pins and titanium elastic nails (TEN).. A spectrum of possible postoperative complications, including pin migration, implant failure, deep and supercial infections, refractures and mal or nonunions has been reported. In the current literature, however, the scientific level of evidence for reported complications from intramedullary fixation of DMCF and the quality of the studies reporting them varies. The aim of this systematic review was to answer the following questions:. 1. What is the incidence of major and ...
KING, PR y IKRAM, A. Intramedullary locked fixation of clavicle shaft fractures: review of early results. SA orthop. j. [online]. 2011, vol.10, n.4, pp.67-74. ISSN 2309-8309.. Background To assess the effectiveness of a novel locked intramedullary device in the treatment of acute clavicle shaft fractures. Description of methods Patients admitted with midshaft clavicle fractures were assessed to determine whether operative fixation of the fracture was required. Indications for surgery were: midshaft clavicle fractures with 100% displacement; more than 1.5 cm of shortening; presence of a displaced butterfly segment; bilateral clavicle fractures; ipsilateral displaced glenoid neck fractures; skin and neurovascular compromise. Patients who matched the criteria for surgery were treated operatively with an intramedullary locked device by the author. Postoperatively, patients were kept in a shoulder immobiliser for a period of 6 weeks. Patients were invited to attend a scheduled followup visit where ...
Intertrochanteric fractures are common fractures in which severe complications such as non-union, implant cut-out and postoperative wound-infections occur at very low rates with modern surgical techniques. While severe complications are rare, the patient reported outcome is less satisfactory with roughly half of the patients complain of thigh pain and others failing to regain their walking ability. The current leading methods for osteosynthesis of intertrochanteric fractures are intramedullary (IM) nails and sliding hip screws (SHS).. Over the period 1998 to 2007 the use of IM nails for pertrochanteric fractures increased from 5% to 20% in Sweden, at the expense of the use of SHS (5). IM nailing has also become more common at our clinic where we since February 2008 use the 3rd generation of the Gamma nail. In this study we investigate if the increased pain after IM nailing, reduced hip function and life quality may correlate to the compression over the fracture and the lateral protrusion of the ...
TY - JOUR. T1 - Torsional stability of intramedullary compression nails. T2 - Tibial osteotomy model. AU - Brown, Nicholas A.T.. AU - Bryan, Nathaniel A.. AU - Stevens, Peter M.. PY - 2007. Y1 - 2007. N2 - Background: Studies comparing intramedullary compression nailing to conventional dynamized intramedullary nailing contend that better clinical outcomes of intramedullary compression techniques result from greater rotational stability of fracture or osteotomy sites. However, there appears to be no experimental evidence that rotational stability is improved with intramedullary nail compression. This study evaluated the effect of intramedullary nail compression on cadaveric and composite tibial fragment rotation above and below a mid-tibial transverse osteotomy. Methods: Twelve composite and four matched pairs of human cadaveric tibiae were randomized into either a compression group or a non-compressed dynamized group. A bi-axial servo-hydraulic testing machine applied 5 N m of internal and ...
Dr. Weaver treats a periprosthetic femur fracture with the patient positioned supine on a fracture table using a cephalomedullary nail. The fracture table
Between 1978 and 1982 154 femoral shaft fractures were treated in 145 adults in our department of general surgery and traumatology. 52 fractures were nailed intramedullary. We reserved the intramedullary nailing for ideal cases like the transverse and the short oblique fractures in the middle 3/5 of the shaft. 102 fractures were treated by a dynamic compression plate applying the AO principles correctly. Condylar plates were not included in this study. 88 patients with 95 FSF were followed up. In our prospective study a significant relationship was found between the types of fractures, the consolidation, the rehabilitation (including walking), the hospitalisation time and the full weight-bearing results. The prognosis for simple fractures was better than for comminuted fractures. Polytrauma patients showed a significantly slower limb rehabilitation, a longer hospitalisation and a worse clinical result than patients with isolated fractures. A significant relationship was shown between the ...
TY - JOUR. T1 - Use of inherent anteversion of an intramedullary nail to avoid malrotation in femur fractures. AU - Espinoza, Chris. AU - Sathy, Ashoke K.. AU - Moore, Daniel S.. AU - Starr, Adam J.. AU - Reinert, Charles M.. PY - 2014/2/1. Y1 - 2014/2/1. N2 - Rotational malalignment after intramedullary (IM) nailing of femoral fractures remains a significant problem. A technique using intraoperative fluoroscopy and the anteversion inherent to the IM nail for obtaining appropriate femoral rotational alignment is presented. The technique is advocated as a simple alternative to more complex methods for estimation of femoral anteversion during placement of femoral IM nails. This method is simple and requires intraoperative fluoroscopy on the injured extremity alone. It reliably sets the femoral anteversion within a normal physiologic range with minimal additional intraoperative steps and without preoperative measurements.. AB - Rotational malalignment after intramedullary (IM) nailing of femoral ...
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Objective: To determine whether low intensity pulsed ultrasound (LIPUS), compared with sham treatment, accelerates functional recovery and radiographic healing in patients with operatively managed tibial fractures. Design: A concealed, randomized, blinded, sham controlled clinical trial with a parallel group design of 501 patients, enrolled between October 2008 and September 2012, and followed for one year. Setting: 43 North American academic trauma centers. Participants: Skeletally mature men or women with an open or closed tibial fracture amenable to intramedullary nail fixation. Exclusions comprised pilon fractures, tibial shaft fractures that extended into the joint and required reduction, pathological fractures, bilateral tibial fractures, segmental fractures, spiral fractures |7.5 cm in length, concomitant injuries that were likely to impair function for at least as long as the patients tibial fracture, and tibial fractures that showed 1 cm gap after surgical fixation. 3105 consecutive patients
TY - JOUR. T1 - Surgical outcome of intramedullary nailing in patients with complete atypical femoral fracture. T2 - A multicenter retrospective study. AU - Lee, Kyung Jae. AU - Yoo, Jeong Joon. AU - Oh, Kwang Jun. AU - Yoo, Je Hyun. AU - Rhyu, Kee Hyung. AU - Nam, Kwang Woo. AU - Suh, Dong Hun. PY - 2017/4/1. Y1 - 2017/4/1. N2 - Background Management of atypical femoral fracture on bisphosphonate therapy still remains controversy and is reported high rate of complications. The aim of this study was to evaluate the outcome of intramedullary nailing in patients with atypical femoral fracture who took bisphosphonate more than one year through the multicenter retrospective study. Methods We gathered 75 atypical femoral fractures from seven institutions between 2009 and 2014. Among them 46 atypical femoral fractures which met the inclusion criteria was evaluated in this study. The average age was 70.1 years (53-80) and the average duration of bisphosphonate use was 5.1 years (1-15 years). Medical ...
This retrospective study was designed to define the technical details for the treatment for distal tibial fractures with intramedullary nails and blocking screws, and to assess the effectiveness of the method based on our clinical practice. ...
Objective: To compare and analyse retrospectively the clinical effect of Proximal Femoral Nail Anti- Rotation II (PFNA-II) and Proximal Femur Locking ..
|p|This week we review femoral shaft fractures with a focus on assessment and analgesia|br/||a class=read-more href=https://coreem.net/podcast/episode-154-0/|Read More|/a||/p|
Nail Removal Definition Nail removal is a form of treatment that is sometimes necessary following traumatic injuries or recurrent infections in the area of the nail. There are nonsurgical as well as surgical methods of nail removal. Source for information on Nail Removal: Gale Encyclopedia of Medicine, 3rd ed. dictionary.
This project is designed as a prospective, randomized, comparative study between the Trigen Trochanteric Femoral Nail (Smith & Nephew, Memphis) and a standard femoral intramedullary nail that utilizes a piriformis fossa portal in the treatment of fractures of the subtrochanteric and diaphyseal shaft regions of the femur. The hypothesis is that the trochanteric insertion portal will have no difference when compared with the piriformis fossa portal in terms of pain and strength of the hip abductor muscles, while allowing faster surgical fixation of the femur fracture.. Any patient who has sustained a fracture of the femur, is at least 19 years of age, and meets the studys inclusion and exclusion criteria will be asked to participate in the study. After informed consent has been obtained, the patient will be taken to the Operating Theater for surgical fixation of the femur fracture. No fracture will be entered into the study unless antegrade femoral nailing is the treatment of choice of the ...
Metastases account for approximately 2% of intramedullary tumors. This low prevalence is likely due to the small size of the spinal cord and its poor vascular accessibility to hematoge-nous tumor emboli.12. Other non-neoplastic entities can occur as intramedullary spinal lesions.33,38 Vascular malformations, particularly cavernous angiomas, may occur in the spinal cord. Inclusion tumors and cysts are rarely intramedullary. Lipomas are the most common dysembryogenic lesion and account for approximately 1% of intramedullary masses. These are not true neoplasms but probably arise from inclusion of mesenchymal tissue within the spinal cord itself. They typically enlarge and produce symptoms in early and middle adult years through increased fat disposition in metabolically normal fat cells. Lipomas are often considered juxtamedullary, because they occupy a subpial location.. ...
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NESPS 2017 Abstracts: The Living Intramedullary Nail: A Comparison of Vascularized Free Fibula and Bone Transport for Reconstruction of Intercalary Tibial Defects
0003] In one aspect, the disclosure describes an installation assembly for installing an intramedullary medical device into a patient. In one embodiment, the installation assembly includes a distal drill guide holder carriage connecting a first distal drill guide holder to a second distal drill guide holder, wherein the distal drill guide holder carriage is further connected to a distal anchor element lock adapted to attach the distal drill guide holder carriage to a distal anchor element of an intramedullary medical device having a central axis. The distal drill guide holder carriage is further adapted to translate both the first and second distal drill guide holders parallel to the central axis of the intramedullary medical device and registered to a first position along the central axis that includes the distal anchor element. The installation assembly further includes a proximal drill guide holder carriage connecting a first proximal drill guide holder to a second proximal drill guide ...
The Orthopaedic Trauma Service is an integral part of the multispecialty trauma services that provide a Level 1 Trauma Referral Center for Central Kentucky. The orthopaedic trauma team provides comprehensive 24-hour service specializing in the patient with multiple system injuries.. The service emphasizes early stabilization of fractures and aggressive rehabilitation of victims of major trauma. Specialized surgical techniques include closed intramedullary fixation, combinations of internal and external fixation, and complex fracture treatment of the pelvis, acetabulum and extremities. ...
This 3d medical animation features a dramatic surgical overview during the operative placement of an intramedullary nail into the right leg to secure a comminuted femur fracture.
This 3d medical animation features a dramatic surgical overview during the operative placement of an intramedullary nail into the right leg to secure a comminuted femur fracture.
This 3d medical animation features a dramatic surgical overview during the operative placement of an intramedullary nail into the right leg to secure a comminuted femur fracture.
Definition : Surgical bone drill bits designed to excavate the intramedullary bone canal when held and revolved by a rotatory manually propelled or powered device (e.g., a handpiece or hand drill). These devices typically consist of a hollow cylindrical shank of steel or other hard metal with a uniform cross-section. They include a working end with cutting edges and a notched or elongated proximal end that may be an integral part of a manually propelled instrument or fit into the rotary device. Intramedullary cannulated drill bits are frequently used to excise tissue from the bone stem in orthopedic procedures prior to prosthesis implantation.. Related Terms : Drill Bits, Surgical, Craniotomy. Entry Terms : Bone Surgical Hand Drills, Intramedullary , Drills, Intramedullary , Intramedullary Bone Surgical Hand Drills. UMDC code : 11338 ...
Comparative study of functional outcome of dynamic compression plating with intramedullary interlocking nailing in close fracture shaft of humerus in adults
In this case, Dr. Michael Weaver performs an intramedullary fixation of a reverse oblique trochanteric femoral fracture in a lateral position. Neutralizing
In this case, Dr. Michael Weaver performs an intramedullary fixation of a reverse oblique trochanteric femoral fracture in a lateral position. Neutralizing
Indian Journal of Orthopaedics Surgery-IJOS-Print ISSN No:-2395-1354 Online ISSN No:-2395-1362Article DOI No:-10.18231,Fixation in bimalleolar fractures of ankle-a comparative study between fibula plating versus intramedullary nailing with medial malleolar screw-IP Innovative Publication Pvt Limited, Medical Journals
Methods and devices for treating fractures in or adjacent the wrist and distal forearm employ an intramedullary interlocking fixation rod (i.e, it interlocks the distal and proximal fracture fragments together) to stabilize the skeletal structure in a manner which can inhibit the amount of collapse or loss in skeletal length exhibited by a patient with a distal radius fracture.
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PARSIPPANY, New Jersey, October 2, 2009Extremity Medical, LLC announced today the release of the TarsX Intramedullary Midfoot Fusion Device. The TarsX system is
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Cephalomedullary nailing system for the treatment of a wide range of proximal femur fractures as well as associated femoral shaft fractures.
A femoral hip prosthesis comprises a main member, a modular member and a means for connecting the two. The main member has a stem portion and a body portion which are adapted for insertion into the intramedullary canal. The body portion has lateral, posterior, and anterior sides adapted to mate with the bone and has a medial side configured and dimensioned to receive a modular member. The modular member is chosen from a plurality of such members of various shapes and sizes and is adapted to fit accurately into the intramedullary canal, especially after the intramedullary canal has been deformed through the prior implantation of a prosthetic hip device.
AccessGUDID - Fixion Nailing System (07290109330860)- An interlocking intramedullary nail intended for use in fixation of various types of fractures, including diaphyseal fractures and short distal or proximal fragments in the long bones. Includes nail cap.
2DS analysis was performed at the time of the exam by a sonographer. Design, synthesis, and characterization of an 86-residue analog of tropomyosin. On the use of antibacterial preparations in urology (review of foreign literature) Magnetic resonance imaging is an accurate non-invasive tool for visualizing muscles, tendons, and bones. Compared with observation alone, bracing treatment following PFD in patients with CMS was observed to reduce the rates of curve progression and scoliosis surgery.. The levels of glucose and lactate increased in both blood and skeletal muscle during anesthesia and remained elevated throughout the period studied but the lactate:pyruvate ratio was unchanged. Fracture Table Application for where to buy viagra Pediatric Femur Fractures: Incidence and Risk Factors Associated With Adverse Outcomes. Positron emission tomographic-computed tomographic scanning was performed as part of the prospective studies used to diagnose or stage the tumors. Prevention of postoperative ...
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... s are used as intramedullary rods for the fixation of long bone fractures. The central hollow promotes marrow ... In this application, a Kirschner wire may be fed through the hollow to provide fixation and traction at each end of the implant ...
1967 - Robert Zickel, MD, described a new fixation device for subtrochanteric femur fracture, the precursor of intramedullary ...
... wrist fractures and hand injuries). In some settings they can be used for intramedullary fixation of bones such as the ulna. ... For hand fracture fixation, whether K-wires should be buried or left protruding from the skin remains a topic of debate and a ... Breakage: K-wires may bend or break, especially if the fracture does not heal. Loss of fixation: Smooth K-wires may back out of ... Suzuki frame Sussex Hand Surgery (January 2018). "K Wire Fixation of Hand Fractures" (PDF). Retrieved 30 June 2019. CS1 maint: ...
"External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage ... Early total care (ETC) became widespread in the 1980s, when studies showed early definitive fixation of long bone fractures ... EAC prescribes that definitive management of unstable axial skeleton and long bone fractures should only be undertaken within ... often with the use of external fixation systems. The term early appropriate care was first proposed in 2013 as an evolution of ...
A load-sharing intramedullary nail or rod is the best surgical treatment for complete fractures, symptomatic pseudofractures, ... but they may not heal until they break completely or the patient receives intramedullary fixation. These patients may also ... One case report details a 35-year old female with low serum ALP and mild pains but no history of rickets, fractures or dental ... Bony deformities and fractures are complicated by the lack of mineralization and impaired skeletal growth in these patients. ...
... open tibia shaft fractures with intramedullary nail fixation. In these products, BMPs are delivered to the site of the fracture ... The BMPs are eluted through a purified collagen matrix which is implanted in the site of the fracture. rhBMP-2 helps grow bone ...
16th century Spanish texts talk about the Aztecs use of reduction of fractures, as well intramedullary fixation using fir ... Fractures, dislocations, diseases and deformities of the bones of the trunk and upper extremities (1887) and Fractures, ... Percivall Pott published his book Some Few Remarks upon Fractures and Dislocations following his compound femoral fracture on ... It was not until after World War II that orthopaedics became the dominant field treating fractures in much of the world. Later ...
Fractures have been treated using a variety of methods such as bone grafting, internal fixation, corticoplasty, Ilizarov ... Elastic stable intramedullary nailing system (ESIN) requires a longer duration of external fixation for most procedures ... Elastic stable intramedullary nailing system (ESIN) and flexible intramedullary nailing (FIN) are more recent surgical ... Both the elastic stable intramedullary nailing system (ESIN) and flexible intramedullary nailing (FIN) use two bent elastic ...
... an internal fixation device used to maintain the position of the fracture fragments during healing. The nail is rigid and has a ... was a German surgeon who inaugurated the intramedullary nailing of long bone fractures. Küntscher was born in Zwickau, Germany ... 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 ...
... when the Harborview Medical Center group in Seattle popularized intramedullary fixation without opening up the fracture. The ... The use of intramedullary rods to treat fractures of the femur and tibia was pioneered by Gerhard Küntscher of Germany. This ... External fixation of fractures was refined by American surgeons during the Vietnam War, but a major contribution was made by ... of injured German soldiers during World War II and led to more widespread adoption of intramedullary fixation of fractures in ...
It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, especially ... Historically, bone malrotation occurred due to a lack of adequate treatment measures, where fixation methods such as traction, ... Whilst tibial fractures are the most common long bone fractures, it is malrotation of the femur which can cause the most ... 2016). "Malrotation After Closed Reduction and Intramedullary Nailing of Femoral Shaft Fractures", Journal of Orthopedic and ...
... fracture fixation, internal MeSH E04.555.300.300.300 - fracture fixation, intramedullary MeSH E04.555.300.380 - ilizarov ... jaw fixation techniques MeSH E04.545.500 - mandibular advancement MeSH E04.545.510 - maxillofacial prosthesis implantation MeSH ...
Radiography Reduction Splinting and casting Traction Fixation Internal fixation Intramedullary rod External fixation ... Avulsion fracture, Stress fracture, Burst fracture, Compression fracture Pathologic fracture Arthritis Osteoarthritis Septic ... Trauma surgery and traumatology is a sub-specialty dealing with the operative management of fractures, major trauma and the ... Synovial joint Fibrous joint Cartilaginous joint Physiology Bone healing Ossification Pathology Bone fracture Spiral fracture, ...
Distraction osteogenesis Bone fracture Trauma surgery Traumatology External fixation S. Robert Rozbruch, Svetlana Ilizarov, ed ... "A Fully Implantable Motorized Intramedullary Nail for Limb Lengthening and Bone Transport". Clinical Orthopaedics & Related ... The Octopod Circular External Fixator is medical device developed to treat bone fractures and deformities. The device consists ...
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 ... Internal fixation. Orthopedic implants to repair fractures to the radius and ulna, note the visible break in the ulna (right ... Closed Reduction Internal Fixation[edit]. Closed Reduction Internal Fixation (CRIF) is reduction without any open surgery, ...
Jordan, R. W.; Saithna, A. (October 2015). "Defining the role of intramedullary nailing for fractures of the distal radius: a ... also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), ... One potential complication of intramedullary nailing after a fracture is bone malrotation, where the broken bone is fixated out ... "Long-Term Follow-up of Tibial Shaft Fractures Treated with Intramedullary Nailing". Journal of Orthopaedic Trauma. 22 (8): 525- ...
An alternative to plate fixation is elastic TEN intramedullary nailing. These devices are implanted within the clavicle's canal ... of all fractures. This type of fracture occurs more often in males. About half of all clavicle fractures occur in children ... If the fracture is at the lateral end, the risk of nonunion is greater than if the fracture is of the shaft. For breaks in the ... A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Symptoms typically include pain at ...
Senekjian, L; Nirula, R (January 2017). "Rib Fracture Fixation: Indications and Outcomes". Critical Care Clinics. 33 (1): 153- ... They have two options: a precontoured metal plate that uses screws to secure the plate to the rib; and/or an intramedullary ... Rib fractures are also a sign of more serious injury in elderly people. Illustration showing rib fracture at 3rd, 4th and 5th ... The middle ribs are most commonly fractured. Fractures of the first or second ribs are more likely to be associated with ...
Tension band fixation is the most common form of internal fixation used for non-comminuted olecranon fractures. It is typically ... Single intramedullary screws can be used to treat simple transverse or oblique fractures. Plates can be used for all proximal ... Communuted fracture Type E - More distal fracture, extra-articular Type F - Fracture-dislocation In fractures with little or no ... Fracture dislocation Type A - Simple transverse fracture Type B - Transverse impacted fracture Type C - Oblique fracture Type D ...
"External Fixation versus Unreamed Tibial Intramedullary Nailing for Open Tibial Fractures: A Meta-analysis of Randomized ... An open fracture, also called a compound fracture, is a type of bone fracture in orthopedics that is frequently caused by high ... Infection rates for Gustilo Grade I fractures is 1.4%, followed by 3.6% for Grade II fractures, 22.7% for Grade IIIA fractures ... with 3 litres for type I fractures, 6 litres for type II fractures, and 9 litres for type III fractures. The purpose of wound ...
For three- and four-part proximal fractures, standard practice is to have open reduction and internal fixation to realign the ... and intramedullary nailing. Joint replacement may be another option. Proximal and shaft fractures generally have a good outcome ... Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures ( ... Fractures of the humerus shaft are subdivided into transverse fractures, spiral fractures, "butterfly" fractures, which are a ...
Intramedullary rod fixation Shoulder arthroplasty Reverse shoulder arthroplasty Proximal humerus fractures account for ... It is the most common fracture of the humerus, as well as the most common fracture at the shoulder girdle. They are more common ... In this age group they are the third most common fractures after hip and Colles fractures. Women are more often affected than ... The average age of people who sustain a proximal humerus fracture is 63-66 years. A proximal humerus fracture in a young child ...
Intramedullary nailing is a common technique, but external fixation may have equivalent outcomes. Tibia shaft fractures are the ... Tibia shaft fracture is a fracture of the proximal (upper) third of the tibia (lower leg bone). Due to the location of the ... These open fractures are most commonly caused by high velocity trauma (e.g. motor vehicle collisions), while closed fractures ... Two systems of fracture classification are commonly used to aid diagnosis and management of tibia shaft fractures:[citation ...
Fixation (surgical) - Flat bone - Flat feet - Flexion teardrop fracture - Foot drop - Foot fracture - Forearm fracture - ... Internal fixation - Intervertebral disc annuloplasty - Intervertebral disc arthroplasty - Intramedullary rod - Intramembranous ... Hip fracture - Hip replacement - Hip resurfacing - Hip spica cast - Hoffa fracture - Holdsworth fracture - Holstein-Lewis ... Gosselin fracture - Greenstick fracture - Grosse-Kempf nail - Gruen zone - Gustilo open fracture classification - Guyon's Canal ...
Intramedullary Fixation of the Femur; Techniques detailed (23 min., color). PMF 5200 (1951) - Breast Cancer Symptoms; Clinical ... traction for fractures; surgery for wounds; physical medicine and care; use of Stryker Frame; occupational therapy (17 min). ... all phases of fixation, grafting, and replacement (17 min; color). PMF 5074 - PMF 5075 (1947) - Reconstruction of the Lower Lip ... case history of 20-year-old male with fracture of right mandible; complete wiring procedure in the case of this patient (28 min ...
Orthopaeidc surgeons forego X-ray and diagnose fractures by feel for treatment with external fixation. Perforated bowel ... or intramedullary fixation). The goal of these surgical interventions is to resuscitate and stabilize, not repair. Those ... For orthopaedic injuries, preliminary fixation is achieved with external fixation through minimally invasive incisions rather ... He explains the focus of the forward surgical teams being that of "damage control" in lieu of definitive fixation and repair. ...
"Polyaxially-locked plate screws increase stability of fracture fixation in an experimental model of calcaneal fracture". J Bone ... Richter, M; Zech, S (2016). "Tibiotalocalcaneal arthrodesis with a triple-bend intramedullary nail (A3)-2-year follow-up in 60 ... "Biomechanical comparison of stability of tibiotalocalcaneal arthrodesis with two different intramedullary retrograde nails". ...
... a hook-pin used for fractures of the femoral neck Harrington rod for fixation of the spine Hartshill rectangle for fixation of ... Barry, M; Paterson, JM (2004). "A flexible intramedullary nails for fractures in children". The Journal of Bone and Joint ... Talwalkar, AK; Talwalkar, OA (1967). "Treatment of simple fractures of radius and ulna with internal fixation without external ... fracture Seidel nail for fracture of the shaft of humerus Souter's prosthesis for elbow replacement Steffee plate for fixation ...
For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding ... Both intertrochanteric and pertrochanteric fractures may be treated by a dynamic hip screw and plate, or an intramedullary rod ... 2002) "Femoral Neck Fractures." Rockwood & Green's Fractures in Adults. pp. 1579-1586. Fractures of the Femoral Neck Wheeless ... This treatment can also be offered for displaced fractures after the fracture has been reduced. Fractures managed by closed ...
... of injured German soldiers during World War II and led to more widespread adoption of intramedullary fixation of fractures in ... External fixation of fractures was refined by American surgeons during the Vietnam War but a major contribution was made by ... The use of intramedullary rods to treat fractures of the femur and tibia was pioneered by Gerhard Küntscher of Germany. This ... bone fractures until the late 1970s when the Harborview Medical Center in Seattle group popularized intramedullary fixation ...
... of injured German soldiers during World War II र led to more widespread adoption of intramedullary fixation of fractures in the ... The use of intramedullary rods to treat fractures of the femur र tibia was pioneered by Dr. Kunchner of Germany. This made a ... External fixation of fractures was refined by American surgeons during the Vietnam War but a major contribution was made by ... of treating thigh bone fractures until the late 1970s when the Seattle Harborview group popularized intramedullary fixation ...
The surgical treatment of mandibular angle fracture; fixation of the bone fragments by the plates, the principles of ... X-ray showing the proximal portion of a fractured tibia with an intramedullary nail ... Spinal fracture *Cervical fracture *Fracture of C1, including Jefferson fracture. *Fracture of C2, including Hangman's fracture ... Arm fracture *Humerus fracture (fracture of upper arm) *Supracondylar fracture. *Holstein-Lewis fracture - a fracture of the ...
Test Method for Metallic Bone Plates F384-17 Specifications and Test Methods for Metallic Angled Orthopedic Fracture Fixation ... of Overtest Data in Radiation Testing of Electronic Parts F1264-16e1 Specification and Test Methods for Intramedullary Fixation ... Pipe F3374-19 Guide for Active Fixation Durability of Endovascular Prostheses F3375-19 Test Method for Assessing Non-Metered ... Specification for Molybdenum Flattened Wire for Electron Tubes F366-17 Specification for Fixation Pins and Wires F373-13(2017) ...
This method comes at the risk of fracturing bone that is mid-way in the process of osseointegration. It is also unreliable in ... In short it represents a process whereby clinically asymptomatic rigid fixation of alloplastic materials is achieved, and ... Sydney Australia utilised a high tensile strength titanium implant with high prose plasma sprayed surface as an intramedullary ... the screws were so tight that in one specimen the femur was fractured when an attempt was made to remove the screw. Microscopic ...
The result is intramedullary pressure increase, potentially driving fat into the circulation. If the patient is known to have ... self-curing organic or inorganic material used to fill up a cavity or to create a mechanical fixation. Note 1: In situ self- ... either anchor metal or plastic prosthetic device to bone or used alone in the spine to treat osteoporotic compression fractures ...
... two months following fracture) X-Ray of the fracture site, part 2 (two months following fracture) X-Ray of the fracture site ( ... Intramedullary limb lengthening devices are also available, but are also a very costly option. The device is a specialized form ... Ilizarov used external fixation devices on patients to treat non-unions in the 1950s. Ilizarov observed the callus formation ... X-Ray of the fracture site, part 2 (three months following fracture). Note formation of bone callus around fracture site. X-Ray ...
An intramedullary fracture fixation device is provided which includes an intramedullary rod, a lag screw and a lag screw collar ... It is an object of the present invention to provide an intramedullary fracture fixation device for fixation of fractures of the ... An intramedullary fracture fixation device is provided which includes an intramedullary rod, a lag screw and a lag screw collar ... An intramedullary fracture fixation device is provided which includes an intramedullary rod, a lag screw and a lag screw collar ...
describe a distal humeral fracture in a 72-year-old man following intramedullary fixation of a midshaft humeral fracture [3]. ... Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture. Hiren M. Divecha and Hans A. J. Marynissen ... Fractures occurring below a humeral intramedullary nail are rare and present a unique challenge to management. Distal fixation ... aware of two cases reports of distal humeral periprosthetic fractures following intramedullary humeral nail fracture fixation. ...
The device focuses on the concept of internal fixation with consideration for the natural frequency of the bone. The device for ... for the application of simultaneous axial and transversal prestressing to obtain stable and elastic osteosynthesis of fractures ... The invention refers to a device for fracture fixation. Devices for fracture fixation are known from EP 0 698 800, which ... Intramedullary fracture fixation devices and methods. US20030153918 *. 14 Feb 2002. 14 Aug 2003. Putnam Matthew D.. Volar ...
Apparatus for treating a fracture of a bone of a subject includes an intramedullary (IM) nail, adapted to be inserted in a ... Intramedullary fracture fixation device. US6443954. 24 Abr 2001. 3 Sep 2002. Dale G. Bramlet. Femoral nail intramedullary ... Intramedullary nail system and method for fixation of a fractured bone. US20080183171 *. 26 Ene 2007. 31 Jul 2008. Ebi, L.P.. ... Intramedullary nail system and method for fixation of a fractured bone. US8029573 *. 7 Dic 2006. 4 Oct 2011. Ihip Surgical, Llc ...
... biomechanical stability and higher complication rates when treating distal tibiofibular fractures with an intramedullary tibia ... Intramedullary tibial nailing of distal tibiofibular fractures: additional fibular fixation or not?. ... Effect of fibular plate fixation on rotational stability of simulated distal tibial fractures treated with intramedullary ... Distal tibial metaphyseal fractures: the role of fibular fixation. Strateg Trauma Limb Reconstr. 2006;1:42-50.CrossRefGoogle ...
unreamed Intramedullary Nailing tibial fracture fixed with unreamed Intramedullary Nailing. Procedure: Unreamed intramedullary ... Study of Tibial Shaft Fracture Fixation: Intramedullary Nailing Comparing With Dynamic Compression Plate. The safety and ... Tibial fracture is more common fracture. We aimed to compare unreamed intramedullary nailing (UTN) and dynamic compression ... Tibial Shaft Fracture Procedure: Dynamic Compression Plate Procedure: Unreamed intramedullary nailing Phase 2 ...
Procedure: Intramedullary Nailing fracture fixation of the tibial shaft fracture with an intramedullary nail. ... Procedure: External Ring fixation fracture fixation of the tibial shaft fracture with an external ring fixator. ... Intramedullary Nailing vs External Ring Fixation for the Treatment of Tibial Shaft Fractures (IMVEX). The safety and scientific ... Tibial Shaft Fracture Procedure: Intramedullary Nailing Procedure: External Ring fixation Not Applicable ...
Conclusion Locked intramedullary fixation of clavicle shaft fractures that matches the criteria for operative fixation was ... KING, PR y IKRAM, A. Intramedullary locked fixation of clavicle shaft fractures: review of early results. SA orthop. j. [online ... Description of methods Patients admitted with midshaft clavicle fractures were assessed to determine whether operative fixation ... Summary of results Twentynine patients (31 clavicle fractures - two patients sustained bilateral fractures), 18 males and 11 ...
Locked intramedullary fixation of clavicle shaft fractures that matches the criteria for operative fixation was found to be a ... Numerous intramedullary fixation devices for the treatment of middle third clavicle fractures are available on the market and ... Intramedullary nailing of the clavicle holds considerable advantages over other forms of fixation of clavicle fractures. Due to ... Intramedullary fixation of displaced middle third clavicle fractures are associated with a significantly reduced nonunion rate ...
This video demonstrates intramedullary screw fixation of metaphyseal-diaphyseal injuries, or Jones fractures, of the base of ... If surgical intervention is warranted, intramedullary screw fixation of proximal fifth metatarsal fractures is the preferred ... The patient underwent cannulated intramedullary screw fixation and successfully returned to sports activity. The results of ... primary surgical fixation with the use of a cannulated intramedullary screw is technically feasible and affords reliable ...
Forearm diaphyseal fractures in children: Intramedullary Kirschners wire fixation treatment Fracturas diafisarias del ... This study shows that intramedullary fixation with Kirschner nails in radius and ulna diaphysis fractures in children is a safe ... A retrospective descriptive case series of patients treated with intramedullary fixation of forearm fractures. The radiological ... The aim is to show the radiological and functional outcomes, and complications of intramedullary fixation with Kirschner nails ...
Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A Subgroup ... Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A Subgroup ... 2013) Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A ... TibialshaftfracturesTypeUnreamedintramedullaynailingExternalfixationMetaanalysis PMC/PubMed Indexed Articles. Enhancing ...
Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A Subgroup ... 2013) Unreamed Intramedullary Nailing Versus External Fixation for Type IIIA and IIIB Open Fractures of Tibial Shaft: A ... The following keywords were used: open fracture of tibia; type IIIA or IIIB; unreamed intramedullary nailing; external fixation ... unreamed intramedullary nailing in open grade IIIA-IIIB tibial shaft fractures: a single-center randomized clinical trial. Pak ...
Intramedullary Fixation of High Subtrochanteric Femoral Fractures: A Study Comparing Two Implant Designs, the Gamma Nail and ... patients with high subtrochanteric fractures of the Russell-Taylor Types 1A and 1B were treated with intramedullary fixation. ... The number of noninfectious complications (intraoperative fractures, postoperative refractures and fixation failures) was ... The IMHS group included two mechanical fixation failures.. Conclusions:. The lower complication rate associated with the use of ...
While not as popular as plating, intramedullary fixation has distinct advantages, which are highlighted in this video. The ... summarizes the current thinking on midshaft clavicle fractures and leads through a case demonstrating intramedullary fixation ... In recent years, several studies demonstrated better results with operative treatment, especially for displaced fractures. This ... Classic treatment is nonoperative for midshaft fractures. But treatment options have recently been discussed controversially. ...
An intramedullary nail being hammered into the femur across the fracture site in the mid-thigh; C. Proximal and distal fixation ... Shows the fracture sites and location of the tibial traction pin. Surgery steps: A. Incision made into the right leg; B. ... Accurately depicts internal fixation of a right femoral fracture using an intramedullary rod, and lower leg injuries requiring ... screws inserted into intramedullary nail, along with the incision site closed by surgical staples. ...
... a fracture of the fifth metatarsal bone of the foot. During this procedure, the surgeon inserts a screw into the metatarsal to ... This procedure is used to correct a Jones fracture - ... Femur Fracture Fixation (Stryker® Gamma Nail). *Femur Fracture ... Jones Fracture Fixation (Intramedullary Screw). This procedure is used to correct a Jones fracture - a fracture of the fifth ... Calcaneal Fracture Fixation (Open Reduction and Internal Fixation). *Calcaneal Tongue-Type Fracture Fixation (Open Reduction ...
Journal of Clinical and Diagnostic Research aims to publish findings of doctors at grass root level and post graduate students, so that all unique medical experiences are recorded in literature.
GB2442706A - An intramedullary rod for the fixation of bone fractures - Google Patents. An intramedullary rod for the fixation ... Method and device for internal fixation of bone fractures US6527775B1 (en) 2003-03-04. Intramedullary interlocking fixation ... Balloon compressor for internal fixation of bone fractures US20110282346A1 (en) 2011-11-17. Fracture Fixation Device, Tools and ... An intramedullary rod for the fixation of bone fractures PCT/GB2007/003840 WO2008044011A2 (en) 2006-10-09. 2007-10-08. ...
Combined Intramedullary and External Skeletal Fixation of Metatarsal and Metacarpal Fractures in 12 Dogs and 19 Cats. Objective ... Combined Intramedullary and External Skeletal Fixation of Metatarsal and Metacarpal Fractures in 12 Dogs and 19 Cats ... Clinical and radiographic records of animals managed by combined intramedullary/external fixation of MT/MC fractures were ... Combined Intramedullary and External Skeletal Fixation of Metatarsal and Metacarpal Fractures in 12 Dogs and 19 Cats ...
Flexible intramedullary nailing has become a popular method of fixation of pediatric femoral fractures. The authors analyzed ... Flexible intramedullary nailing has become a popular method of fixation of pediatric femoral fractures. The authors analyzed ... Complications of Elastic Stable Intramedullary Nail Fixation of Pediatric Femoral Fractures, and How to Avoid Them ... Comminuted fractures should be monitored carefully and might benefit from additional immobilization. ...
"Fracture Fixation, Intramedullary" by people in this website by year, and whether "Fracture Fixation, Intramedullary" was a ... Fracture Fixation, Intramedullary*Fracture Fixation, Intramedullary. *Fixation, Intramedullary Fracture. *Fixations, ... "Fracture Fixation, Intramedullary" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH ... Below are the most recent publications written about "Fracture Fixation, Intramedullary" by people in Profiles. ...
... or splinting a joint above and below the fracture was used for most long bone fractures - except femur fractures, for which ... fractures have been treated with immobilization, traction, amputation, and internal fixation. Immobilization by casting, ... Intramedullary nailing of femoral shaft fractures. Part II:Fracture-healing with static interlocking fixation. J Bone Joint ... Intramedullary nailing of femoral shaft fractures. Part I: Decision-makingerrors with interlocking fixation. J Bone Joint Surg ...
Expedited return to play following intramedullary headless screw fixation of metacarpal fractures in elite athletes ... Expedited return to play following intramedullary headless screw fixation of metacarpal fractures in elite athletes. Gilad ... Key words: Metacarpal fracture, hand trauma, headless screw, intramedullary fixation, minimally invasive surgery, clinical ... Limited open retrograde IMHS fixation is safe and reliable for metacarpal neck/subcapital and axially stable shaft fractures, ...
Complications of intramedullary fixation of pediatric forearm fractures. Mark C. Cullen, Dennis R. Roy, Eric Giza, Alvin H. ... Complications of intramedullary fixation of pediatric forearm fractures. / Cullen, Mark C.; Roy, Dennis R.; Giza, Eric; ... Complications of intramedullary fixation of pediatric forearm fractures. Journal of Pediatric Orthopaedics. 1998;18(1):14-21. ... Cullen, MC, Roy, DR, Giza, E & Crawford, AH 1998, Complications of intramedullary fixation of pediatric forearm fractures, ...
In the UK, open reduction and internal fixation with locking-plates and intramedullary nailing are the two most common forms of ... functional differences in patients treated with nail versus locking-plate fixation for fractures of the distal tibia and ... Both techniques provide reliable fixation but both are associated with specific complications. There is little information ... or an intramedullary nailing (n = 12). At six months, there was an adjusted difference of 13 points in the Disability Rating ...
... plate fixation versus intramedullary nail fixation in the treatment of adult patients with a displaced fracture of the distal ... plate fixation versus intramedullary nail fixation in the treatment of adult patients with a displaced fracture of the distal ... 2015) UK Fixation of Distal Tibia Fractures (UK FixDT) : protocol for a randomised controlled trial of locking ... UK Fixation of Distal Tibia Fractures (UK FixDT) : protocol for a randomised controlled trial of locking ...
OBJECTIVE: To compare the treating effects of different intramedullary nailing methods on tibial fractures in adults. METHODS: ... But there was a significantly higher fixation failure rate in the unreamed group than in the reamed group (RR=4.29; 95%CI, 2.58 ... Reamed or unreamed intramedullary nailing for tibial fractures: a meta-analysis.. *Yu G ... OBJECTIVE: To compare the treating effects of different intramedullary nailing methods on tibial fractures in adults. METHODS: ...
24Clavicle Fractures Intramedullary Fixation of Midshaft Clavicle Fractures Editorial Commentary: Is Posterior Distal Clavicle ... Complications of Clavicle Fractures Treated with Intramedullary Fixation Treatment of Clavicle Fractures: Current Concepts ... Systematic review of complications after intramedullary fixation for displaced midshaft clavicle fractures Fractures of the ... Intramedullary Fixation of Midshaft Clavicle Fractures Surgical Anatomy of the Sternoclavicular Joint The acutely injured ...
The role of intramedullary fixation in ankle fractures - A systematic review. Foot and ankle surgery : official journal of the ... Studies were excluded if the intramedullary device utilised was an adjunct to plate fixation or where a variety of surgical ... Only studies assessing ankle fractures that were treated with either an intramedullary fibula nail or TTC implant were included ... Ankle fractures are one of the most commonly occurring fractures in the elderly population. The overall incidence has been ...
  • The primary aim of the project is to compare the one-year Knee Injury and Osteoarthritis Outcome Score - Sport (KOOS-Sport) after standard intramedullary nailing with external ring fixation for patients with tibial shaft fractures. (clinicaltrials.gov)
  • External Ring fixation: Closed or limited open reduction of the fracture is performed. (clinicaltrials.gov)
  • Variables Associated With Lag Screw Sliding After Single-Screw Cephalomedullary Nail Fixation of Intertrochanteric Fractures. (ucdenver.edu)
  • Parry JA, Barrett I, Schoch B, Cross W, Yuan B. Validation of Neck-Shaft Angle Correction After Cephalomedullary Nail Fixation. (ucdenver.edu)
  • When closed techniques alone prove inadequate to facilitate reduction, open reduction methods can be used prior to intramedullary nail fixation. (healio.com)
  • Fifty-nine (4 percent) of those fractures were treated with early external fixation followed by planned conversion to intramedullary nail fixation. (qxmd.com)
  • Fifty-four multiply injured patients with a total of fifty-nine fractures of the shaft of the femur treated with external fixation followed by planned conversion to intramedullary nail fixation were evaluated in a retrospective review to gather demographic, injury, management, and fracture-healing data for analysis. (qxmd.com)
  • For fifty-five of the fifty-nine fractures, the external fixation was converted to intramedullary nail fixation in a one-stage procedure. (qxmd.com)
  • Conclusions: Our study demonstrates promising outcomes associated with intramedullary nail fixation of unstable fibula fractures. (uthscsa.edu)
  • We recommend intramedullary nail fixation of fibula fractures to be a safe procedure with a low complication rate. (uthscsa.edu)
  • A transverse, angulated, midshaft fracture of the left humerus (Figure 1 ) was confirmed, and the patient underwent an uneventful open reduction and internal fixation with a locking compression plate (Synthes). (hindawi.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)
  • 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 technique is stable enough to allow early rehabilitation and expedited return to play in elite and professional athletes, and obviates the need for K-wire fixation or formal open reduction and internal fixation. (handsurgery.org)
  • In the UK, open reduction and internal fixation with locking-plates and intramedullary nailing are the two most common forms of treatment. (ox.ac.uk)
  • Background: Open reduction and internal fixation remains the standard treatment for displaced unstable ankle fractures. (uthscsa.edu)
  • Open reduction and internal fixation of proximal humerus fractures using a proximal humeral locked plate: a prospective multicenter analysis. (springer.com)
  • Obtain an orthopedic consultation for displaced (depressed) fractures, which require open reduction and internal fixation. (medscape.com)
  • We aimed to compare unreamed intramedullary nailing (UTN) and dynamic compression plate (DCP) with regard to fracture healing and complications in patients with closed tibial shaft fractures. (clinicaltrials.gov)
  • All three fractures achieved union despite the respective complications and achieved union in an acceptable position. (scielo.org.za)
  • This study was conducted to assess the effectiveness of this novel device in achieving fracture union with minimum complications to allow patients to return to their previous level of functioning. (scielo.org.za)
  • The aim is to show the radiological and functional outcomes, and complications of intramedullary fixation with Kirschner nails in children. (elsevier.es)
  • The number of noninfectious complications (intraoperative fractures, postoperative refractures and fixation failures) was significantly higher (p = 0.037) in the Gamma group (11 of 50, 22 percent) than in the IMHS group (2 of 37, 5 percent). (ovid.com)
  • Although excellent clinical results can be expected with intramedullary fixation, complications related to the surgical technique can be expected. (elsevier.com)
  • Crawford, Alvin H. / Complications of intramedullary fixation of pediatric forearm fractures . (elsevier.com)
  • Both techniques provide reliable fixation but both are associated with specific complications. (ox.ac.uk)
  • This study suggests that there may be clinically relevant, functional differences in patients treated with nail versus locking-plate fixation for fractures of the distal tibia and differences in related complications. (ox.ac.uk)
  • In the current literature, however, the scientific level of evidence for reported complications from intramedullary fixation of DMCF and the quality of the studies reporting them varies. (drmillett.com)
  • 1. What is the incidence of major and minor complications associated with intramedullary fixation of acute DMCF? (drmillett.com)
  • The studies reviewed suggest that fibula nails may be capable of producing similar functional outcomes with lower rates of complications to plate fixation. (heartofengland.nhs.uk)
  • In some instances enlargement of the hole in the shaft and/ or manipulation of the nail in a misplaced opening has been known to cause the remaining bone structure to fracture during the operation or to fracture following the operation, causing the shaft to drift medially with resultant severe complications. (google.com)
  • We determined intraoperative data, postoperative complications, fracture fixation complications, wound infection, hospital stay days, and final outcome measures to assess the relative effects of different internal fixation methods for the treatment of subtrochanteric femur fractures in adults. (dovepress.com)
  • No significant differences were found between the intramedullary group and extramedullary group for intraoperative data, postoperative complications, wound infection, hospital stay days or final outcome measures. (dovepress.com)
  • In conclusion, our meta-analysis suggests that there was no significant difference in intraoperative data, postoperative complications, wound infection, hospital stay days or final outcome measures between intramedullary and extramedullary internal fixation. (dovepress.com)
  • However, a significant decrease occurred in the rate of fracture fixation complications for patients treated with intramedullary internal fixation, especially in elderly patients. (dovepress.com)
  • Prevention of the complications of long-time immobilization and the beginning of early mobilization becomes increasingly important for subtrochanteric femur fractures. (dovepress.com)
  • but may associated with significant complications , While we found that [IMS] fixation is much easier Jess operating time , less tissue destruction with more or less fewer complication such as post operative pain , wound infection , soft tissue irritation and the implant removal is much faster and easier. (bvsalud.org)
  • It is concluded that using intra-medullary screw fixation in the clinical situation might provide better results with fewer complications than the currently recommended tension band technique? (bvsalud.org)
  • Open reduction and intramedullary nailing results in rates of union, time to union, and rates of significant complications similar to those of closed reduction and intramedullary nailing. (healio.com)
  • these include increased risk of deep infection and wound complications as well as nonunion secondary to disruption of fracture hematoma. (healio.com)
  • range=16-50 years] undergoing UTN and plate-screw in the treatment of uncomminuted closed tibial shaft fractures [50 patients in each group] were compared regarding the union time and complications after a mean follow up of 16 months [12-20 months]. (bvsalud.org)
  • Complications associated with specific modalities of fixation were also studied. (ipinnovative.com)
  • There were 7 complications (28%), including one fixation failure, four protruded screws, one superficial infection and one case of impingement. (biomedcentral.com)
  • The aim of the study was to assess the fixation of fracture shaft of humerus with interlocking nail and in terms of duration of operating time,amount of blood loss,rate of infection,pain at the fracture site,time to achieve union,functional outcome(DASH score),complications of surgery. (orthopaper.com)
  • We conducted a prospective comparative study to compare outcomes and complications of closed displaced midshaft clavicular fractures treated with precontoured dynamic compression plate or with single titanium elastic intramedullary nail. (jorjournal.com)
  • Beaty, Austin and Canale [ 12 ] studied the preliminary results and complications of interlocking intramedullary nailing of femoral shaft fractures in adolescents. (biomedcentral.com)
  • The purpose of this study is to compare two methods of fixation for two-part proximal humerus fractures, locking plate (LP) with screws versus intramedullary nailing (IMN), with respect to alignment, healing, patient outcomes, and complications. (springer.com)
  • Early complications in proximal humerus fractures (OTA Types 11) treated with locked plates. (springer.com)
  • Complications of reamed intramedullary nailing of the tibia. (springer.com)
  • Usoro AO, Bhashyam A, Mohamadi A, Dyer GS, Zirkle L, von Keudell A. Clinical Outcomes and Complications of the Surgical Implant Generation Network (SIGN) Intramedullary Nail: A Systematic Review and Meta-analysis. (medscape.com)
  • Bringing together the many considerations and complexities surrounding the management pediatric femur fractures, this up-to-date, comprehensive book discusses all aspects of these common but challenging injuries, where the treatment strategies are rapidly changing and which have the potential for complications and less than ideal outcomes. (ebooks.com)
  • Concluding chapters discuss pathological fractures and the evaluation and management of complications. (ebooks.com)
  • Evaluation and Management of Complications of Pediatric Femur Fractures. (ebooks.com)
  • However, complications arising from nondegradable equipment (stainless steel & titanium) have led to complications, such as risk for the development of infections and metallosis, or metal poisoning, resulting in the development of absorbable and biocompatible internal bone fixation equipment. (grandviewresearch.com)
  • Overall, the weak evidence available for all 12 comparisons showed no important differences in outcome (function, mobility , pain, death, fracture fixation complications and revision surgery) between the two nails or two nail designs under test. (cochrane.org)
  • Intramedullary tibial nailing of distal tibiofibular fractures: additional fibular fixation or not? (springer.com)
  • Intramedullary nailing versus plating for distal tibia fractures without articular involvement: a meta-analysis. (springer.com)
  • Morin PM, Reindl R, Harvey EJ, Beckman L, Steffen T. Fibular fixation as an adjuvant to tibial intramedullary nailing in the treatment of combined distal third tibia and fibula fractures: a biomechanical investigation. (springer.com)
  • Kuhn S, Hansen M, Rommens PM. Extending the indications of intramedullary nailing with the Expert Tibial Nail? (springer.com)
  • The influence of distal locking on the need for fibular plating in intramedullary nailing of distal metaphyseal tibiofibular fractures. (springer.com)
  • This study is a pragmatic assessor blinded randomized and prospective clinical trial in which standard intramedullary nailing is compared with external ring fixator for patients with tibial shaft fractures. (clinicaltrials.gov)
  • Intramedullary Nailing: Alignment will be obtained by closed or limited open reduction of the fracture. (clinicaltrials.gov)
  • The aim of this article is to provide a comprehensive and concise review of the literature and subsequent meta-analysis of data regarding the effect of unreamed intramedullary nailing versus external fixation for type IIIA and IIIB open tibial fractures . (omicsonline.org)
  • Ovid and the relevant English orthopedic journals and pooled data from eligible trials including six eligible prospective randomized trials comparing unreamed intramedullary nailing and external fixation for type IIIA or IIIB open tibial fractures to conduct a subgroup analysis, aiming to summarize the best available evidence. (omicsonline.org)
  • The results showed compared with external fixation, unreamed intramedullary nailing led to fewer superficial infection rate in patients with type IIIA (95% confidence interval (CI) 0.04-0.39, P=0.0003) and type IIIB open tibial fractures (95% CI 0.22-0.86, P=0.02). (omicsonline.org)
  • And there was the trend of obtaining better clinical effect towards less deep infection rate in unreamed intramedullary nailing group for patients with type IIIA and IIIB open tibial fractures, respectively (95% CI 0.29-1.77, P=0.47) and (95% CI 0.12-1.17, P=0.09), although no significant differences were viewed. (omicsonline.org)
  • We suggest that the final results are significant and there are some evidences supporting the use of unreamed intramedullary nailing for type IIIA and IIIB open tibial shaft fractures. (omicsonline.org)
  • For the treatment of type III open fractures of tibia, it still rests controversy in the choice of various fixation methods such as reamed intramedullary nailing (IMN), unreamed intramedullary nailing and external skeletal fixation. (omicsonline.org)
  • Data from the SPRINT trial [ 2 ] and the recent Meta-analysis [ 3 ] demonstrated that no significant differences were viewed comparing reamed and unreamed nailing in patients with open tibial fractures. (omicsonline.org)
  • Flexible intramedullary nailing has become a popular method of fixation of pediatric femoral fractures. (ovid.com)
  • Treatment of infection following intramedullary nailing of tibial shaft fractures-results of the ORS/ISFR expert group survey. (ucdenver.edu)
  • 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)
  • A randomised pilot trial of "locking plate" fixation versus intramedullary nailing for extra-articular fractures of the distal tibia. (ox.ac.uk)
  • We performed a randomised pilot trial to determine the functional outcome of 24 adult patients treated with either a locking-plate (n = 12) or an intramedullary nailing (n = 12). (ox.ac.uk)
  • Reamed or unreamed intramedullary nailing for tibial fractures: a meta-analysis. (mendeley.com)
  • OBJECTIVE: To compare the treating effects of different intramedullary nailing methods on tibial fractures in adults. (mendeley.com)
  • METHODS: Literature reports in both Chinese and English languages were retrieved (from the earliest available records to October 1, 2013) from the PubMed, FMJS, CNKI, Wanfang Data using randomized controlled trials (RCTs) to compare reamed and unreamed intramedullary nailing for treatment of tibial fractures. (mendeley.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)
  • Retrograde Fixation of the Ulna in Pediatric Forearm Fractures Treated With Elastic Stable Intramedullary Nailing. (derbyhospitals.nhs.uk)
  • Introduction Concomitant plate fixation as an adjunct to intramedullary nailing (IMN) of proximal third tibia fractures is a proven technique. (elsevier.com)
  • The purpose of this study was to assess union and complication rates among patients treated with open vs closed reduction and intramedullary nailing of closed femoral shaft fractures. (healio.com)
  • Those undergoing open reduction prior to intramedullary nailing were compared with those undergoing closed reduction. (healio.com)
  • As techniques associated with intramedullary fixation have advanced, femoral shaft fractures are often treated with intramedullary nailing, with predictably good outcomes expected. (healio.com)
  • Closed reduction as well as percutaneous reduction techniques have been well described in association with intramedullary nailing of the femur. (healio.com)
  • Although both closed and open reduction techniques have been previously described, there are limited data analyzing the outcome of closed femoral shaft fractures in adults treated with open reduction and intramedullary nailing. (healio.com)
  • We concluded that Fibula Plating is a better method of fixation in AO type B2, B3 and C2 fractures while Intramedullary Nailing in Fibula is a better method of fixation in AO type A2 fractures with respect to clinical and functional outcomes. (ipinnovative.com)
  • Unreamed locking intramedullary nailing of humeral fractures--basic evaluation of a patient group]. (qxmd.com)
  • Prospective randomized comparative study of antegrade and retrograde locked nailing for middle humeral shaft fracture. (qxmd.com)
  • Locked intramedullary nailing versus dynamic compression plating for humeral shaft fractures. (qxmd.com)
  • From 1989 to 1997, 1507 fractures of the shaft of the femur were treated with intramedullary nailing at The R Adams Cowley Shock Trauma Center. (qxmd.com)
  • The purpose of the current investigation was to determine whether this protocol is an appropriate alternative for the management of fractures of the femur in patients who are poor candidates for immediate intramedullary nailing. (qxmd.com)
  • Intramedullary nailing was delayed secondary to medical instability in forty-six patients and secondary to vascular injury in eight. (qxmd.com)
  • The other four fractures were associated with draining pin sites, and skeletal traction to allow pin-site healing was used for an average of ten days (range, eight to fifteen days) after fixator removal and before intramedullary nailing. (qxmd.com)
  • We concluded that immediate external fixation followed by early closed intramedullary nailing is a safe treatment method for fractures of the shaft of the femur in selected multiply injured patients. (qxmd.com)
  • Retrograde versus antegrade nailing of femoral shaft fractures. (qxmd.com)
  • Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these fractures. (biomedcentral.com)
  • However, it appears that antegrade intramedullary nailing causes higher residual pain in the shoulder. (biomedcentral.com)
  • The proposal of this work is to evaluate through the WORC protocol (Western Ontario Rotator Cuff Index) the consequences in the quality of life of patients submitted to osteosynthesis of the humerus with antegrade locked intramedullary nailing. (biomedcentral.com)
  • This work is a cohort retrospective study in addition to the application of a questionnaire for self-rated quality of life with its 05 domains (WORC - Western Ontario Rotator Cuff Index) for patients ( N = 26) classified in the Trauma Sector of the Department of Orthopedics and Traumatology of the Federal University of São Paulo (DOT/UNIFESP) submitted to Humerus Osteosynthesis with Antegrade Locked Intramedullary Nailing. (biomedcentral.com)
  • The WORC Quality of Life Protocol shows good results for evaluating patients submitted to humerus osteosynthesis with antegrade locked intramedullary nailing. (biomedcentral.com)
  • Recently, intramedullary nailing techniques have been suggested as a viable alternative resulting in less soft tissue disruption. (uthscsa.edu)
  • Intramedullary nailing of femoral shaft fractures in children by stainless steel Kirschner wires is an effective method, which compares well with other studies. (biomedcentral.com)
  • Radiographic analysis of tibial fracture malalignment following intramedullary nailing. (springer.com)
  • Treatment of humeral shaft fractures by retrograde locked nailing. (medscape.com)
  • Pretell J, Rodriguez J, Blanco D, Zafra A, Resines C. Treatment of pathological humeral shaft fractures with intramedullary nailing. (medscape.com)
  • The standard today for the care of closed femoral shaft fractures is closed intramedullary locked nailing. (orthopaedicweblinks.com)
  • The purpose of the study is to evaluate the safety and efficacy of the composite Nail - the Quantum interlocking intramedullary nailing system in the reduction of humeral fractures. (bioportfolio.com)
  • The aim of the present study is to assess the relationship between lateral wall fractures, helical blade telescoping and neck shortening in fractures treated with intramedullary nailing. (elsevier.es)
  • Other factors that can influence the selection of a technique-which range from skeletal traction with spica casting to immediate spica casting, flexible intramedullary nailing, rigid intramedullary rodding, or plate fixation-are weight, fracture severity, associated injuries, and underlying medical or musculoskeletal conditions. (pubmedcentralcanada.ca)
  • Intramedullary nailing is a common technique, but external fixation may have equivalent outcomes. (wikipedia.org)
  • however, primary surgical fixation with the use of a cannulated intramedullary screw is technically feasible and affords reliable outcomes. (aaos.org)
  • Novais EN, Maranho DA, Heare T, Sink E, Carry PM, O'Donnel C. The modified Dunn procedure provides superior short-term outcomes in the treatment of the unstable slipped capital femoral epiphysis as compared to the inadvertent closed reduction and percutaneous pinning: a comparative clinical study. (ucdenver.edu)
  • Hence, we have evaluated clinical, functional, and radiographic outcomes and time to return to play following limited open intramedullary headless screw (IMHS) fixation of metacarpal neck and shaft fractures in elite athletes. (handsurgery.org)
  • Two comparative studies reported a statistically significant increase in complication rate with plate fixation but similar functional outcomes. (heartofengland.nhs.uk)
  • Fixation using the LBN achieved robust fixation and satisfactory clinical outcomes at one year follow up in 2 and 3 part fractures. (actaorthopaedica.be)
  • Further analysis of outcomes with intramedullary splints is warranted as well as further development of intramedullary rib fixation solutions. (biomedcentral.com)
  • Expanding its indications as adjunct fixation to IMN throughout the tibia, we aimed to study outcomes in a multi-centre initiative. (elsevier.com)
  • Plate fixation represents the most frequently used instrumentation option in fibula fractures and favourable outcomes have been reported. (uthscsa.edu)
  • It is a mistake to consider fracture healing apart from soft tissue healing, because successful outcomes require the return of functional integrity to both tissues. (scribd.com)
  • Similar outcomes for nail versus plate fixation of three-part proximal humeral fractures. (springer.com)
  • He has published over thirty-five papers in peer-reviewed journals focusing on optimizing surgical techniques in fracture care, patient outcomes, and orthopedic education. (hss.edu)
  • What are some potentially negative outcomes of internal fixation of proximal humeral shaft fractures in the older patient? (brainscape.com)
  • Opening with chapters on development and anatomy as well as radiological evaluation, each fracture type-specific chapter discusses the indications and contra-indications, advantages and disadvantages, technical principles and published outcomes associated with each of the accepted techniques, from casting and traction to external and internal fixation. (ebooks.com)
  • 4,14,15) Open clavicle fractures are rare injuries, and currently there is a paucity of information in the orthopaedic literature regarding appropriate management techniques and treatment outcomes. (thefreelibrary.com)
  • The requirement for better clinical outcomes post surgeries to address the fight against osteoporosis and fractures, is driving the need for new technological advancements. (grandviewresearch.com)
  • This review aims to discuss the recent contributions to the literature that may enhance our understanding of pediatric diaphyseal femur fracture treatment methods and their outcomes. (pubmedcentralcanada.ca)
  • Wähnert D, Stolarczyk Y, Hoffmeier KL, Raschke MJ, Hofmann GO, Mückley T. Long-term stability of angle-stable versus conventional locked intramedullary nails in distal tibia fractures. (springer.com)
  • The treatment depends on the age and type of displacement, and conservative and surgical management with fixation of intramedullary nails, among other techniques, is valid. (elsevier.es)
  • The use of nails that are inserted into bone cavities in order to keep fractured bones together. (ucdenver.edu)
  • The standard sagittal starting point and entry angle for tibia intramedullary nails results in malreduction of proximal tibial fractures. (ucdenver.edu)
  • Surgical treatment options are expanding and include locked intramedullary nails, plate and screw fixation and external fixator systems. (warwick.ac.uk)
  • Different techniques and examples of intramedullary fixation devices have been reported and include the Hagie, Knowles and Rockwood pins and titanium elastic nails (TEN). (drmillett.com)
  • This systematic review aims to analyse the use of both fibula nails and talo-tibial-calcaneal (TTC) implants in the management of fragility ankle fractures. (heartofengland.nhs.uk)
  • In my Patent No. 2,874,691, dated February 24, 1959, an improvement in femoral nails is disclosed and claimed, wherein certain of the problems encountered during manipulation of the nail in fixing femoral fractures are obviated. (google.com)
  • Randomized prospective study of humeral shaft fracture fixation: intramedullary nails versus plates. (qxmd.com)
  • Treatment of type II, IIIA, and IIIB open fractures of the tibial shaft: a prospective comparison of unreamed interlocking intramedullary nails and half-pin external fixators. (qxmd.com)
  • Gonzalez and Herranz[ 13 ] recommend the avoidance of rigid intramedullary nails introduced through the piriformis fossa in children less than 13 years of age. (biomedcentral.com)
  • Options for operative fixation are numerous, and include either open or closed reduction with fracture stabilization utilizing sutures, nails, and plates. (renalandurologynews.com)
  • This book focuses on the internal fixation of long bones by using intramedullary locked nails in a closed technique. (indigo.ca)
  • Applications for these resorbable biocomposites span fracture fixation devices including, plates, screws and intramedullary nails. (nottingham.ac.uk)
  • Osteosynthesis devices in the form of specifically designed metal plates, screws, and nails are used to scientifically repair the bone through inter-fragmental compression and achieve fracture union. (grandviewresearch.com)
  • Internal fixation equipment such as metal plates, screws, and nails is used most commonly for fracture fixation. (grandviewresearch.com)
  • Are some intramedullary nails better than others for these fractures? (cochrane.org)
  • In conclusion, the available evidence is insufficient to determine whether there are important differences in outcome between different designs of intramedullary nails used for fixing extracapsular hip fractures. (cochrane.org)
  • In terms of future research , we propose that priority is given to comparisons of intramedullary nails with another type of device in common use, the sliding hip screw. (cochrane.org)
  • Given the evidence of superiority of the sliding hip screw compared with intramedullary nails for extracapsular hip fractures, further studies comparing different designs of intramedullary nails are not a priority. (cochrane.org)
  • Intramedullary nails may be used for the surgical fixation of extracapsular hip fractures in adults. (cochrane.org)
  • To assess the effects (benefits and harms) of different designs of intramedullary nails for treating extracapsular hip fractures in adults. (cochrane.org)
  • All randomised or quasi-randomised trials comparing different types, or design modifications, of intramedullary nails in the treatment of extracapsular hip fractures in adults. (cochrane.org)
  • Description of methods Patients admitted with midshaft clavicle fractures were assessed to determine whether operative fixation of the fracture was required. (scielo.org.za)
  • Summary of results Twentynine patients (31 clavicle fractures - two patients sustained bilateral fractures), 18 males and 11 females with a mean age of 28 years attended the schedule data collection visit and were included in the study. (scielo.org.za)
  • Although most fractures are benign and heal with minimal attention to give excellent results, some clavicle fractures need extra attention for satisfactory results to be achieved. (scielo.org.za)
  • Clavicle fractures are common fractures comprising 2.6%-4% of all adult fractures and account for 35% of injuries to the shoulder girdle. (scielo.org.za)
  • Clavicle fractures are common in the adult patient. (vumedi.com)
  • This video summarizes the current thinking on midshaft clavicle fractures and leads through a case demonstrating intramedullary fixation with a clavicle pin. (vumedi.com)
  • The authors have included many surgical pearls and pitfalls for these two procedures, which should help both the novice and the experienced traumatologist, shoulder specialist, or general orthopaedic surgeon in the management of midshaft clavicle fractures. (vumedi.com)
  • The incidence of surgical treatment for completely displaced midshaft clavicle fractures (DMCF) is rising owing to poor results reported after nonoperative treatment for this specific subset of patients in recent years. (drmillett.com)
  • EIN is a safe, minimally invasive surgical technique with lower complication rate, faster return to daily activities, excellent cosmetic and comparable functional results and can be used as an equally effective alternative of plate fixation in displaced midshaft clavicle fractures. (jorjournal.com)
  • Displacement occurs in about 73% of all midshaft clavicle fractures [2]. (jorjournal.com)
  • Clavicle fractures are common skeletal injuries that are typically managed nonoperatively, which results in a high rate of fracture union with few or no long-term sequelae. (thefreelibrary.com)
  • 1,4) Type II distal clavicle fractures are an exception, with reported rates of nonunion ranging from 22% to 44%.5-7 This high rate of nonunion has led to controversy regarding the appropriate treatment of type II injuries. (thefreelibrary.com)
  • Advocates of nonoperative treatment of type II clavicle fractures point to the low incidence of symptoms and shoulder disability related to the presence of nonunion, suggesting that fibrous union provides sufficient stability for painless mobility. (thefreelibrary.com)
  • In the acute setting, indications for operative management of clavicle fractures include neurovascular compromise, open fractures, gross displacement of fracture fragments, polytrauma, tenting of the overlying skin, and inability of a patient to tolerate prolonged conservative treatment. (thefreelibrary.com)
  • Large multi-centre studies of clavicle fractures have so far been missing. (biomedcentral.com)
  • The aim of this observational study was to describe the epidemiology, classification and treatment of clavicle fractures in the The Swedish Fracture Register (SFR) that collects national prospective data from large fracture populations. (biomedcentral.com)
  • Data were retrieved from the SFR on all clavicle fractures sustained by patients ≥ 15 years of age in 2013-2014 ( n = 2 422) with regards to date of injury, cause of injury, fracture classification and treatment. (biomedcentral.com)
  • Sixty-eight per cent of the clavicle fractures occurred in males. (biomedcentral.com)
  • The largest subgroup was males aged 15-24 years, representing 21% of clavicle fractures. (biomedcentral.com)
  • At the ages of 65 years and above, females sustained more clavicle fractures than males. (biomedcentral.com)
  • Traditionally, clavicle fractures have been treated almost exclusively non-operatively, regardless of the type of fracture. (biomedcentral.com)
  • Optimal treatment of clavicle fractures however remains a debated subject. (biomedcentral.com)
  • Previous studies on clavicle fractures have generally been limited to one specific orthopaedic department at a time and thus to a limited patient material [ 2 - 4 ] with susceptibility to local treatment traditions that may not adequately reflect a more general treatment routine. (biomedcentral.com)
  • Unfortunately, the patient developed a distal 1/5th humeral periprosthetic fracture, which was then successfully addressed with a single-contoured, extra-articular, distal humeral locking compression plate (Synthes) with unicortical locking screws and cerclage cables proximally around the distal nail tip region. (hindawi.com)
  • We assessed the value of additional fibular fixation, angular stable interlocking screws (ASLS) and multiplanar screw configuration in IMTN. (springer.com)
  • Relevant demographic, fracture-related (type and level of the tibia and fibula fracture) and operative variables (depth of the nail, screw type and configuration, use of polar screws, fibular fixation) were studied. (springer.com)
  • One or more cortical screws may be used if deemed appropriate due to fracture pattern. (clinicaltrials.gov)
  • C. Proximal and distal fixation screws inserted into intramedullary nail, along with the incision site closed by surgical staples. (doereport.com)
  • However, rib fractures underneath the scapula are particularly problematic as it is almost impossible to ensure that drill holes and screws are placed perfectly perpendicular to the plates in this area. (biomedcentral.com)
  • In this type of operation, metal pins or screws are placed into the bone above and below the fracture site. (emoryhealthcare.org)
  • A volar fixation system includes a T-shaped plate intended to be positioned against the volar side of the radial bone, a plurality of bone screws for securing the plate along an non-fractured portion of the radial bone, and a plurality of bone pegs which extend from the plate and into bone fragments. (google.se)
  • Biomechanical comparison of fully and partially threaded screws for fixation of slipped capital femoral epiphysis. (rchsd.org)
  • Biomechanical stability of bioabsorbable screws for fixation of acetabular osteotomies. (rchsd.org)
  • An intramedullary fracture fixation device is provided which includes an intramedullary rod, a lag screw and a lag screw collar. (google.com)
  • Plain radiographs demonstrated a transverse fracture of the distal 1/5th of the humerus propagating through the distal locking screw site, which, despite conservative treatment with bracing for 2 months, progressed to a hypertrophic non-union (Figure 4 ). (hindawi.com)
  • This video demonstrates intramedullary screw fixation of metaphyseal-diaphyseal injuries, or Jones fractures, of the base of the fifth metatarsal. (aaos.org)
  • The patient underwent cannulated intramedullary screw fixation and successfully returned to sports activity. (aaos.org)
  • If surgical intervention is warranted, intramedullary screw fixation of proximal fifth metatarsal fractures is the preferred treatment option. (aaos.org)
  • To compare two implants, the Gamma nail and the intramedullary hip screw (IMHS®), in the treatment of high subtrochanteric femoral fractures. (ovid.com)
  • 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. (warwick.ac.uk)
  • Two cases (3.9%) demonstrated a varus loss of alignment post-operatively, and there was 1 case (2.0%) of screw penetration of the glenohumeral joint due to fracture impaction. (actaorthopaedica.be)
  • Use of a single large-diameter cancellous screw for repair of olecranon fractures has been advocated for a long time . (bvsalud.org)
  • Was to determine and compare the clinical and radiological outcome after tension band wiring and intra-medullary screw [IMS] fixation of olecranon fractures and to compare the incidence of hardware removal and residual pain or disability. (bvsalud.org)
  • 35 patients presented with an isolated transverse olecranon fracture, 15 patients from them, treated by Tension band wiring [TBW] fixation methods , while 20 patients treated by intra-medullary screw, The fracture pattern was assessed using the Mayo classification . (bvsalud.org)
  • the mean time to union was 16 weeks with UTN and 14.3 weeks with plate-screw fixation. (bvsalud.org)
  • The Polarus intramedullary nail (Acumed, Inc, Beaverton, OR, USA) is one of the available locked antegrade intramedullary (IM) devices for the surgical treatment of proximal humeral fractures and it allows screw stabilisation of the humeral head and tuberosities. (biomedcentral.com)
  • Comparison of effectiveness between minimally invasive cannulated screw and open reduction and plate fixation in treatment of humeral greater tuberosity fracture]. (qxmd.com)
  • Saxer[ 14 ] advises the introduction of intramedullary Kuntscher nail through the sub-trochanteric zone or the use of plate and screw. (biomedcentral.com)
  • Management of Tc fractures involved 3 methods: coaptation, single-screw fixation, and 2-screw fixation. (nih.gov)
  • This invention is an intramedullary nail (13) for use in combination with a proximal bone screw (S). The nail (13) includes an elongated body (15) having a proximal end and a distal end with a central axis extending between the proximal end and the distal end. (google.com)
  • Xin1 Humerus system is an X-ray-based tracking and navigation system designed to calculate the plate position and all required proximal screw lengths for proximal humerus plate fixation. (bioportfolio.com)
  • More unstable lesions are not candidates for isolated subchondral bone drilling and screw fixation. (aaos.org)
  • Surgical steps are outlined and include pre-op planning, evaluation of lesion stability, setup of the mini C-arm, drilling, screw fixation, and the capture of multiple C-arm images. (aaos.org)
  • Type II tibial plateau fracture in a young active adult with good bone stock treated with percutaneous elevation and cannulated cancellous screw fixation without bone grafting. (medscape.com)
  • Type III tibial plateau fracture with central depression in an elderly person treated surgically using percutaneous elevation, bone grafting, and cancellous screw fixation. (medscape.com)
  • Biomechanical analysis of single screw fixation for slipped capital femoral epiphysis: are more threads across the physis necessary for stability? (rchsd.org)
  • Â Â Â Â Â - ref: Intramedullary Screw Fixation of Jones Fractures. (si.com)
  • There was weak evidence from one trial of 215 older adults that the ENDOVIS nail resulted in poorer mobility (more people could not walk after their operation) when compared with the intramedullary hip screw (IMHS). (cochrane.org)
  • Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. (hindawi.com)
  • The device focuses on the concept of internal fixation with consideration for the natural frequency of the bone. (google.co.uk)
  • When used for long bone fractures, the device is an intramedullar flexible bar, with which we apply adjustable and measurable axial prestressing in order to compress the bone fragments and preload the bone. (google.co.uk)
  • By doing so we compress the bone fragments in order to neutralize the tension forces on the fracture and to avoid interfragmentary motions. (google.co.uk)
  • Apparatus for treating a fracture of a bone of a subject includes an intramedullary (IM) nail, adapted to be inserted in a medullary canal of the bone of the subject, and having a proximal head that defines at least one hole therethrough. (google.es)
  • The present invention relates generally to implantable devices for treating femoral fractures, and specifically to an intramedullary system for coupling bone portions across a fracture. (google.es)
  • The clavicle is a bone frequently fractured through a number of mechanisms. (scielo.org.za)
  • Tibial fractures are one of the most common long bone fractures, constituting the majority of emergency operating room procedures in most trauma centers. (omicsonline.org)
  • This procedure is used to correct a Jones fracture - a fracture of the fifth metatarsal bone of the foot. (slocumcenter.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)
  • Although this process has been called secondary bone union or indirect fracture repair, it is the natural and expected way fractures heal. (medscape.com)
  • In this model, cutter heads of the osteons reach the fracture and cross it where bone-to-bone contact exists. (medscape.com)
  • Fractures of the clavicle account for 5% of all fractures, and 80% of these fractures are located in the middle third of this S-shaped bone. (drmillett.com)
  • Advantages of this minimally invasive treatment option include maintaining the fracture hematoma and keeping the periosteum intact, which positively in consequences bone formation and improves cosmetics owing to the small incisions used. (drmillett.com)
  • In the treatment and repair of hip fractures, i.e., fractures of the neck of the femur, it has become common practice in the medical profession to employ a hip or femoral nail to mechanically fix the fractured fragment to enable knitting or mending of the bone structure. (google.com)
  • 13. The device according to claim 1 , further comprising a distal fixation member sized and configured to extend across substantially an entire width of the distal fracture fragment from a radial to an ulnar region, and sized and configured to reside internally in the distal radial bone to provide support to a central and an ulnar aspect of the distal radius fracture fragment. (google.com.au)
  • 14. The device according to claim 1 , further comprising a distal fixation member sized and configured to extend across at least a major portion of a width but less than a full width of the distal fracture fragment in a metaphysis region of the distal radius to reside within the distal radius bone. (google.com.au)
  • A device for intramedullary fixation of a fractured bone is disclosed. (google.co.uk)
  • A surgical appliance for the fixation of fractured bones includes two anchoring members each adapted to be imbedded into a respective segment of a fractured bone. (google.com.au)
  • The shaft of the bolt is adapted to pass through the channel of the first anchoring member and to be threadedly received in the channel of the second anchoring member so as to exert a compressional force on the segment of the fractured bone when the bolt is tightened. (google.com.au)
  • This invention relates to a surgical appliance for the fixation of fractured bones and, more particularly, to an extramedullary surgical appliance which, when in use, exerts a desirable compressional force on the segments of the fractured bone. (google.com.au)
  • This device is particularly adapted for the fixation of fractured bone segments in a femur. (google.com.au)
  • The pieces of bone may line up correctly or be out of alignment (displaced), and the fracture may be closed (skin intact) or open (the bone has punctured the skin). (emoryhealthcare.org)
  • Comminuted fracture - The bone has broken into three or more pieces. (emoryhealthcare.org)
  • Open fracture - If a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an open or compound fracture. (emoryhealthcare.org)
  • Successful rehabilitation of hand fractures addresses the need to (1) maintain fracture stability for bone healing, (2) introduce soft tissue mobilization for soft tissue integrity, and (3) remodel any restrictive scar from injury or surgery. (scribd.com)
  • It is important to recognize the intimate relationship of these 3 tissues (bone, soft tissue, and scar) when treating hand fractures. (scribd.com)
  • A total of 114 central tarsal bone (Tc) fractures, including associated secondary fractures, were identified in 114 racing Greyhounds. (nih.gov)
  • A Tc fracture alone, or a Tc fracture with associated fractures of the 4th tarsal bone (T4), calcaneus, or T4 and lateral base of the 5th metatarsal bone were the most commonly observed. (nih.gov)
  • The majority of severe chest traumas are associated with significant concomitant injuries such as long bone fractures, abdominal injuries and hemorrhagic shock 1 , 2 . (nature.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)
  • Subchondral bone drilling combined with fixation may work well for more advanced but slightly unstable lesions. (aaos.org)
  • Bone grafting, fixation, or more advanced techniques (OC allograft, ACI, OATS) may be necessary with more advance/unstable cases. (aaos.org)
  • Court-Brown CM, Rimmer S, Prakash U, McQueen MM. The epidemiology of open long bone fractures. (medscape.com)
  • Hannon M, Hadjizacharia P, Chan L, Plurad D, Demetriades D. Prognostic significance of lower extremity long bone fractures after automobile versus pedestrian injuries. (medscape.com)
  • Among Dr. Cooke?s clinical research interests is fracture healing, including gene expression following administration of medication to stimulate bone repair. (stanford.edu)
  • Osteoporosis is a skeletal disorder characterized by compromised bone strength predisposing to an increased risk of fragility fractures that could induce long-term morbidity, functional limitation, decreased quality of life, and increase mortality. (springer.com)
  • Disability after clinical fracture in postmenopausal women with low bone density: the fracture intervention trial (FIT). (springer.com)
  • Osteoporosis, or reduction in bone mass, can result in painful fractures and is responsible for causing more than 8.9 million fractures annually leading to an osteoporotic fracture every 3 seconds. (grandviewresearch.com)
  • External fixators are used in a per-cutaneous approach to provide a stabilizing frame to the injured bone and are mostly used when it is unsuitable to execute internal fixation as primary treatment. (grandviewresearch.com)
  • Additive Orthopaedics' system allows area of plate to provide additional fixation & strength over time enabling bone to grow. (odtmag.com)
  • This is concerning because low vitamin D and calcium levels put people at risk for osteoporosis and bone fractures. (annals.org)
  • Fractures of the upper part of the thigh bone (femur) are termed hip or proximal femoral fractures. (cochrane.org)
  • Tibia shaft fracture is a fracture of the proximal (upper) third of the tibia (lower leg bone). (wikipedia.org)
  • Thus it is the most commonly fractured long bone in the body. (wikipedia.org)
  • Fractures that are open (bone exposed or breaking the skin) are common. (wikipedia.org)
  • Tibia shaft fractures are the most common long bone fractures. (wikipedia.org)
  • Cannulated bars are used as intramedullary rods for the fixation of long bone fractures. (wikipedia.org)
  • Diaphyseal fractures of the forearm comprise 6%-10% of all fractures in children. (elsevier.es)
  • A retrospective descriptive case series of patients treated with intramedullary fixation of forearm fractures. (elsevier.es)
  • A comparison of fixation methods in adolescent patients with diaphyseal forearm fractures. (ucdenver.edu)
  • Heare A, Goral D, Belton M, Beebe C, Trizno A, Stoneback J. Intramedullary Implant Choice and Cost in the Treatment of Pediatric Diaphyseal Forearm Fractures. (ucdenver.edu)
  • A retrospective review of 20 children with forearm fractures treated with intramedullary fixation is presented. (elsevier.com)
  • Materials and Methods A retrospective analysis was conducted by reviewing patient records of forearm fractures treated with ESIN by retrograde fixation. (derbyhospitals.nhs.uk)
  • Retrograde fixation of the ulna in pediatric forearm fractures treated with ESIN is a safe and effective alternative to common fixation (antegrade ulnar fixation) and offers technical advantages. (derbyhospitals.nhs.uk)
  • Methods and devices for treating fractures in or adjacent the wrist and distal forearm employ an intramedullary interlocking fixation rod (i.e, it interlocks the distal and proximal fracture fragments together) to stabilize the skeletal structure in a manner which can inhibit the amount of collapse or. (google.com.au)
  • Pediatric Forearm Fractures. (nih.gov)
  • Nonoperative management of forearm fractures in children has a good outcome in over 90% of all cases. (nih.gov)
  • On the left side, a distal forearm fracture with anterior displacement was associated with a transverse midscaphoid fracture. (biomedsearch.com)
  • On the right side, there was only a distal forearm fracture. (biomedsearch.com)
  • In fact, children with distal forearm injury should be well examined both clinically and radiologically in order to search for an associated scaphoid fracture. (biomedsearch.com)
  • Compartment syndrome following intramedullary fixation of pediatric forearm fractures. (rchsd.org)
  • Male pigs ( sus scrofa ) sustained severe trauma (including unilateral chest trauma, femur fracture, liver laceration and hemorrhagic shock). (nature.com)
  • This review is designed to provide perspective for some of the most recent influential literature on pediatric diaphyseal femur fracture treatment in light of established evidence and evolving controversies. (pubmedcentralcanada.ca)
  • Athletes and highly active individuals may elect to undergo surgical fixation to accelerate recovery and return to sport. (aaos.org)
  • 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)
  • The objectives of this study are to describe the surgical technique and to evaluate the safety and efficacy of using an intramedullary nail in patients undergoing surgical fixation of their fibula fracture. (uthscsa.edu)
  • Methods and analysis Adult patients presenting at trial centres with an acute fracture of the distal tibia will be considered for inclusion. (warwick.ac.uk)
  • Materials and methods From May 1999 to March 2010, a total of 1302 operatively treated tibial fractures (including plateau and pilon fractures) with complete medical records were identified for review. (elsevier.com)
  • Intramedullary and extramedullary fixation methods are used in the management of subtrochanteric femur fractures. (dovepress.com)
  • and to compare the functional outcome of bimalleolar ankle fracture managed by these two methods at 9 months post-operative interval. (ipinnovative.com)
  • This was a randomized, prospective and comparative study for the methods used for management of the fracture done in Department Of Orthopedics and Traumatalogy at USSC, Indore from January 2014 to April 2016. (ipinnovative.com)
  • Methods: A total of 30 skeletally mature patients with unstable ankle fracture who underwent intramedullary fixation of their fibula fractures from February 2016 to July 2017 were included in this retrospective study. (uthscsa.edu)
  • But above that age, all such fractures cannot be treated by conservative methods. (biomedcentral.com)
  • Current closed- and open-fixation methods for metacarpal and phalangeal fractures are addressed for each fracture location. (scribd.com)
  • The potential soft tissue problems that are often associated with each type of fracture are explained, with preventative methods of splinting and treatment. (scribd.com)
  • Furthermore, some treatment methods for diaphyseal fractures in children have seen a relatively rapid evolution of understanding, leaving the topic in somewhat continual flux. (pubmedcentralcanada.ca)
  • Conclusion Locked intramedullary fixation of clavicle shaft fractures that matches the criteria for operative fixation was found to be a reliable method of achieving fracture reduction and fracture union. (scielo.org.za)
  • The debate on which type of operative treatment is appropriate for each type of fracture is less well resolved with numerous treatment options available with various positive and negative aspects attached to each of them. (scielo.org.za)
  • In recent years, several studies demonstrated better results with operative treatment, especially for displaced fractures. (vumedi.com)
  • Operative alternatives for subtrochanteric femur fractures differ worldwide but primarily include intramedullary and extramedullary internal fixation. (dovepress.com)
  • All patients with fractures of shaft of humerus that met the criteria for operative interventions (intramedullary interlocking nail) presenting to the department of Orthopaedics BPKIHS over a period of 3 years from July 2006 to August 2009 and giving informed consent were included in the study.The study enrolled 30 patients. (orthopaper.com)
  • In the last few decades, the trend worldwide has been towards some form of fixation for children's fractures, especially the femoral shaft, and the indications for operative management have been widened. (biomedcentral.com)
  • Twelve shoulders were treated using IMN fixation and 12 others were fixated with LP. Data collected included sociodemographic, operative details, and postoperative care and function. (springer.com)
  • Humeral shaft fractures: retrospective results of non-operative and operative treatment of 186 patients. (medscape.com)
  • Indications for operative stabilization are the following: compound fractures, fractures associated with vessel and nerve injuries, joint fractures, dislocated fractures of the middle and proximal third, and Monteggia/Galeazzi injuries. (nih.gov)
  • The purpose of this study to investigate post-operative pain control in pediatric patients with closed supracondylar humerus fracture who undergo closed reduction and percutaneous pinning. (bioportfolio.com)
  • Are Continuous Femoral Nerve Catheters Beneficial for Pain Management After Operative Fixation of Tibial Plateau Fractures? (stanford.edu)
  • Thorough operative debridement, fracture stabilization via external fixation, and identification of the causative organism allowed for successful outcome in the management of this complex presentation. (thefreelibrary.com)
  • Seventeen per cent of the patients underwent operative treatment within 30 days of the injury, where plate fixation was the choice of treatment in 94% of fractures. (biomedcentral.com)
  • The type of fracture that needs to be treated surgically has been well researched and seems to be resolved. (scielo.org.za)
  • A twisting force to the thigh causes this type of fracture. (emoryhealthcare.org)
  • The progression of motion protocols is dependent on the type of fracture healing, either primary or secondary, which in turn is determined by the method of fracture fixation. (scribd.com)
  • Many different treatment options exist to treat this type of fracture. (bioportfolio.com)
  • Pediatric supracondylar humerus fractures are the most common type of fracture of the elbow in children. (bioportfolio.com)
  • Distribution of the patients according to type of fracture and the main statistical associations with fracture focus collapse and plate telescoping. (elsevier.es)
  • Displaced midshaft fractures were the most common type of clavicle fracture as well as the most frequently operated type of fracture. (biomedcentral.com)
  • Accurately depicts internal fixation of a right femoral fracture using an intramedullary rod, and lower leg injuries requiring a tibial traction pin. (doereport.com)
  • During the 1950s, Danis and Muller began to define the principles and techniques of internal fixation. (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)
  • Intramedullary fixation has emerged as a promising alternative to traditional open reduction and internal plate fixation. (drmillett.com)
  • Surgical management of fractured ribs with internal fixation is an increasingly accepted therapy. (biomedcentral.com)
  • Prospective randomized controlled trials that compared intramedullary or extramedullary internal fixation to repair subtrochanteric femur fractures in adults were included. (dovepress.com)
  • Some differences were not significant, but the treatment of elderly subtrochanteric femur fractures using intramedullary internal fixation is recommended. (dovepress.com)
  • LCP was used for internal fixation in 22 cases (LCP group), and IMN in 24 cases (IMN group). (qxmd.com)
  • To evaluate internal fixation by intramedullary Kirschner wires as a surgical technique in the treatment of femoral shaft fractures in children by a prospective study. (biomedcentral.com)
  • The technique was successfully applied for internal fixation of other diaphyseal fractures in children and some selected diaphyseal fractures in adults. (biomedcentral.com)
  • Closed reduction and internal fixation using percutaneous Kirschner wires (K-wires) are widely recommended for Gartland type II and III fractures. (bioportfolio.com)
  • Is a radiograph needed one week after internal fixation of a supracondylar humeral fracture? (bioportfolio.com)
  • Parry JA, Barrett I, Schoch B, Yuan B, Cass J, Cross W. Does the Angle of the Nail Matter for Pertrochanteric Fracture Reduction? (ucdenver.edu)
  • The fractures are usually isolated and due to its intra-articular extension of fractures, anatomic reduction and early mobilization should be achieved in any case. (bvsalud.org)
  • Intramedullary rod fixation is a common technique for treatment of femoral shaft fractures, with both open and closed reduction techniques described. (healio.com)
  • Emphasis is placed on initial hand positioning to protect the fracture reduction, exercise to maintain or regain joint range of motion, and specific tendon-gliding exercises to prevent restrictive adhesions, all of which are necessary to assure return of function post fracture. (scribd.com)
  • Following open fractures or open reduction procedures, a wound is created that must heal with scar tissue-another tissue to be remodeled and considered during rehabilitation. (scribd.com)
  • Results of corrective surgical procedures, such as capsulectomies for joint release and tenolysis to restore tendon gliding, were poor for patients with fractures.16,43,101,113 Joints with stiffness and abnormal articular surfaces, due to limited reduction techniques in small bones, faced the choice of fusion (arthrodesis) or joint replacement (arthroplasty). (scribd.com)
  • Distal migration of a K-wire could result in loss of reduction and fixation. (bioportfolio.com)
  • Closed Reduction Percutaneous Pinning of a Pediatric Supracondylar Distal Humerus Fracture. (bioportfolio.com)
  • Displaced supracondylar fractures of the humerus (SCFH) require surgical treatment, most commonly closed reduction with pin fixation. (bioportfolio.com)
  • A careful neurovascular assessment should be performed, and an emergent fracture reduction should be performed if neurovascular deficits are present. (medscape.com)
  • Reduction of the radius fracture should be done carefully to avoid possible displacement of the scaphoid fracture. (biomedsearch.com)
  • Orthopaedic resident preparedness for closed reduction and pinning of pediatric supracondylar fractures is improved by e-learning: a multisite randomized controlled study. (rchsd.org)
  • The invention refers to a prosthetic device for the application of simultaneous axial and transversal prestressing to obtain stable and elastic osteosynthesis of fractures. (google.co.uk)
  • and this diversity of options implies that there is an ongoing effort to find out what is the best osteosynthesis technique to stabilise certain fracture patterns. (biomedcentral.com)
  • Plate osteosynthesis remains the gold standard of fixation for humeral shaft fractures. (orthopaper.com)
  • Immediate plate osteosynthesis of open fractures of the humeral shaft. (medscape.com)
  • The growing demand for minimally invasive surgery is retaining the high demand of external fixation osteosynthesis devices. (grandviewresearch.com)
  • The level of the tibial fracture (AO/OTA type) and (suprasyndesmotic) fibular fractures were the main determinants of LOR after IMTN. (springer.com)
  • Tibial fracture is more common fracture. (clinicaltrials.gov)
  • Radiographic Predictors of Compartment Syndrome Occurring After Tibial Fracture. (medscape.com)
  • Surgical technique involved retrograde intramedullary pin placement into fractured MT/MC bones, and transverse pin placement in the base of the MT/MCs or tarsal/carpal bones. (fitzpatrickreferrals.co.uk)
  • Limited open retrograde IMHS fixation is safe and reliable for metacarpal neck/subcapital and axially stable shaft fractures, allows for early postoperative motion without affecting union rates, and obviates immobilization. (handsurgery.org)
  • Modified retrograde rotative-type interlocking intramedullary nail for humeral shaft fractures]. (qxmd.com)
  • We present the case of a midshaft humeral fracture treated with a locking compression plate that developed a nonunion, in a 60-year old female. (hindawi.com)
  • We present a case of a periprosthetic distal humeral fracture (occurring below an intramedullary humeral nail inserted for revision fixation of a midshaft humeral nonunion) that was successfully managed using a contoured locking plate. (hindawi.com)
  • This non-union was addressed via a posterior triceps split, debridement of the non-union site, application of DBX putty (Synthes), and fixation with an extra-articular distal humeral locking compression plate (Synthes). (hindawi.com)
  • Plate Fixation: When, Where, How? (vumedi.com)
  • A total of seven patients required further surgery in the locking-plate group and one in the intramedullary nail group. (ox.ac.uk)
  • Studies were excluded if the intramedullary device utilised was an adjunct to plate fixation or where a variety of surgical treatments were included in the study. (heartofengland.nhs.uk)
  • Conclusion Combined IMN and plate fixation is a reliable tool not only in the treatment of fractures of the proximal tibia, but also for those fractures in the diaphysis and segmental fractures with proximal and/or distal metadiaphyseal extension with consistent ability to maintain high union rates and maintained alignment. (elsevier.com)
  • To compare the effectiveness between locking compression plate (LCP) and locked intramedullary nail (IMN) for humeral shaft fractures of types B and C. (qxmd.com)
  • Treatment of humeral shaft fractures with humeral locked nail and comparison with plate fixation. (qxmd.com)
  • This study introduces a prospective comparative study to evaluate the effectiveness of implants of different design (titanium elastic intramedullary nail versus anatomical precontoured dynamic compression plate) in displaced midshaft clavicular fractures. (jorjournal.com)
  • They were randomized in two groups to be treated with either elastic intramedullary nail (EIN) or plate. (jorjournal.com)
  • Esser RD. Treatment of three- and four-part fractures of the proximal humerus with a modified cloverleaf plate. (springer.com)
  • Heineman DJ, Poolman RW, Nork Sean SE, Ponsen KJ, Bhandari M. Plate fixation or intramedullary fixation of humeral shaft fractures. (medscape.com)
  • Complication Rates after Lateral Plate Fixation of Periprosthetic Distal Femur Fractures: A Multicenter Study. (hss.edu)
  • Treatment of Pediatric Diaphyseal Femur Fractures with Plate Fixation. (ebooks.com)
  • Does the fracture of the lateral wall affect the degree of collapse and the degree of sliding of the cephalic plate, in pertrochanteric fractures treated by intramedullary interlocking? (elsevier.es)
  • A retrospective cohort study was performed including 184 distal tibial fractures and associated fibula fracture treated with IMTN. (springer.com)
  • Although sagittal LOR 5°-9° was associated with fibular fractures (non-fixated suprasyndesmotic, p = 0.011), conversely we could not demonstrate the added value of (suprasyndesmotic) fibula fixation in IMTN. (springer.com)
  • Therefore, a future prospective study with uniform treatment strategy for IMTN of distal tibiofibular fractures, with or without fixation of the fibula, is mandatory. (springer.com)
  • Prasad M, Yadav S, Sud A, Arora NC, Kumar N, Singh S. Assessment of the role of fibular fixation in distal-third tibia-fibula fractures and its significance in decreasing malrotation and malalignment. (springer.com)
  • The annual incidence of 492,000 fractures of the tibia and fibula has been reported by the national center for Health Statistics in the United States [ 1 ] and type III open fractures of the tibia are among the most difficult to treat, because of the poor softtissue cover and blood supply of the tibial shaft. (omicsonline.org)
  • Only studies assessing ankle fractures that were treated with either an intramedullary fibula nail or TTC implant were included. (heartofengland.nhs.uk)
  • Isolated fractures of the tibia with intact fibula in children: a review of 95 patients. (medscape.com)
  • What is included in the physical exam for tibia and fibula fracture? (medscape.com)
  • They are noncomminuted, transverse fractures with medial spiking of the femoral cortex and increased lateral cortical thickness. (nih.gov)
  • Transverse fracture - The break is a straight horizontal line going across the femoral shaft. (emoryhealthcare.org)
  • The first case was in a 13-year-old boy who presented a transverse midscaphoid fracture associated with a Salter type II distal radial fracture. (biomedsearch.com)
  • This two-stage stabilization protocol was selected for patients who were critically ill and poor candidates for an immediate intramedullary procedure or who required expedient femoral fixation followed by repair of an ipsilateral vascular injury. (qxmd.com)
  • external skeletal stabilization is indicated for temporary fixation in compound fractures. (nih.gov)
  • The method provides rapid stabilization of fractures and eliminates the chances of surgical injury. (grandviewresearch.com)
  • Soft tissues commonly involved with fractures include cartilage (with intra-articular fractures), joint capsule, ligaments, fascia, and the enveloping dorsal hood fibers. (scribd.com)
  • Does Surgical-approach Affect Outcome After Fixation of Intra-articular Fractures of Distal Humerus? (bioportfolio.com)
  • The entirety of the pediatric femur is considered, including femoral head and neck fractures, diaphyseal, physeal and epiphyseal fractures, and intra-articular fractures of the distal femur. (ebooks.com)
  • Physeal, Epiphyseal, & Intra-Articular Fractures of the Distal Femur. (ebooks.com)
  • The optimum management of displaced proximal humerus fractures remains a contro-versial topic. (actaorthopaedica.be)
  • From January 2007 to December 2009, all consecutive patients that were treated in our institution with the Polarus nail for stabilisation of fractures of the proximal humerus were included in this retrospective study. (biomedcentral.com)
  • There are very few studies comparing intramedullary interlocking nail and dynamic compression plating in fracture shaft of humerus and virtually no study in this part of world. (orthopaper.com)
  • It is concluded that dynamic compression plating is better in our study for fracture shaft of humerus. (orthopaper.com)
  • Humerus fractures are frequent, corresponding to approximately 3% of all fractures in adults. (biomedcentral.com)
  • Two-part proximal humerus fractures are common orthopedic injuries for which surgical intervention is often indicated. (springer.com)
  • To our knowledge, a direct comparison of these two devices in treating two-part proximal humerus fractures has never before been studied. (springer.com)
  • A retrospective chart review was performed on 24 cases of displaced two-part surgical neck fractures of the humerus. (springer.com)
  • Our results suggest that either LP fixation or IMN fixation for a two-part proximal humerus fracture provides acceptable fixation and results in a similar range of shoulder motion. (springer.com)
  • Analysis of efficacy and failure in proximal humerus fractures treated with locking plates. (springer.com)
  • Protocol for the ProFHER (PROximal Fracture of the Humerus: Evaluation by Randomisation) trial: a pragmatic multi-centre randomised controlled trial of surgical versus non-surgical treatment for proximal fracture of the humerus in adults. (springer.com)
  • Hawkins RJ, Bell RH, Gurr K. The three-part fracture of the proximal part of the humerus. (springer.com)
  • Epidemiology of fracture of the upper end of the humerus. (springer.com)
  • Persad IJ, Kommu S. U cast or functional bracing following fractures of the shaft of humerus. (medscape.com)
  • The aim of this study is to determine if antibiotics affect the outcome after percutaneous surgery for pediatric supracondylar humerus fractures. (bioportfolio.com)
  • observational study at tertiary care hospital and level 1 trauma centre aiming to evaluate the difference between two common surgical approaches to distal humerus fracture fixation. (bioportfolio.com)
  • Proximal humerus fractures account for 5% of all fractures of the appendicular skeleton. (renalandurologynews.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 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)
  • Overall, 75% of proximal humerus fractures are the result of low-energy domestic falls. (renalandurologynews.com)
  • However, proximal humerus fractures also frequently occur from falls on outstretched hands. (renalandurologynews.com)
  • The majority of proximal humerus fractures are treated conservatively. (renalandurologynews.com)
  • Proximal humerus fractures usually present acutely with pain, swelling, and deformity of the upper arm. (renalandurologynews.com)
  • Axillary nerve neuropraxia is the most common neurologic injury associated with proximal humerus fractures. (renalandurologynews.com)
  • Head splitting fractures of the humerus usually require what type of treatment? (brainscape.com)
  • Atypical femur fractures have common radiographic features that set them apart from more typical higher-energy subtrochanteric femur fractures. (nih.gov)
  • From this case, we call attention to bisphosphonate use as not the only cause of subtrochanteric femur fractures with atypical features and highlight that some patients may sustain these injuries even bilaterally without use of the medications. (nih.gov)
  • However, whether intramedullary or extramedullary fixation is the primary treatment for subtrochanteric femur fractures in adults remains debatable. (dovepress.com)
  • Subtrochanteric femur fractures are common in elderly patients. (dovepress.com)
  • The management of subtrochanteric femur fractures remains challenging for surgeons because of the focus of the muscles that act on the distal and proximal fragments and the inherent instability of the pattern. (dovepress.com)
  • Subtrochanteric Femur Fractures in Children. (ebooks.com)
  • The purpose of this study is to evaluate the functional outcome, union and complication rates after surgical treatment of unstable or displaced proximal humeral fractures using the Polarus intramedullary nail, by reviewing our institutional experience and the relevant current literature. (biomedcentral.com)
  • Disruption of the endosteal and periosteal blood supply occurs with the initial trauma, and maintaining adequate blood supply to the fracture site is essential for healing. (medscape.com)
  • A fracture is considered to be displaced if the fracture fragment has a displacement more than 1 cm or an angulation more than 45° in at least one view of the trauma-series radiographs [ 5 ]. (biomedcentral.com)
  • A fall or a direct blow to the shoulder, giving an axial compressive force on the clavicle, is the most common trauma mechanism of injury for any clavicular fracture [4,5]. (jorjournal.com)
  • The Orthopaedic Trauma Association (OTA) and the Arbeitsgemeinschaft für Osteosynthesefragen (AO) developed a system of classification applicable to humeral shaft fracture. (medscape.com)
  • At Harborview, the only level I trauma center in the Washington, Wyoming, Alaska, Montana, and Idaho region, he gained experience treating complex periarticular fractures, fractures of the pelvis and acetabulum, non- and malunions, and critically injured polytrauma patients. (hss.edu)
  • Intramedullary fixation fulfils the biological requirements for fracture healing and minimises surgical trauma. (indigo.ca)
  • These open fractures are most commonly caused by high velocity trauma (e.g. motor vehicle collisions), while closed fractures most commonly occur from sports injuries or falls. (wikipedia.org)
  • Surgical treatment is typically indicated for high-energy trauma fractures. (wikipedia.org)
  • Although proximal tuberosity fractures often are managed nonsurgically, injuries in the metaphyseal-diaphyseal region (commonly referred to as Jones fractures) are problematic. (aaos.org)
  • Olecranon fractures are common injuries of the proximal ulna which constitute about 10% of all upper extremity lesions. (bvsalud.org)
  • Fractures of the clavicle account for 2.6 to 4 % of all adult fractures, 35 % of all injuries to the shoulder girdle and 69-82% of these fractures occur in the middle-third [1]. (jorjournal.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)
  • Her primary clinical interests are nerve compression (carpal tunnel), nerve injuries (traumatic/lacerations), joint instability/arthritis (degenerative conditions of the hand wrist and elbow), sports/athletic injuries, fracture care, and pediatric & congenital conditions of the hand and upper extremity. (stanford.edu)
  • 1-3) These injuries are generally managed nonoperatively, which allows a high rate of fracture union with few or no long-term sequelae. (thefreelibrary.com)
  • Femoral shaft fractures rank among the most common traumatic musculoskeletal injuries requiring inpatient care in children [ 1 , 2 ] with an incidence of hospitalization for femoral fracture estimated at 27.2 per 10,000 children in the United States, which accounts for nearly 22% of hospitalized traumatic orthopaedic conditions [ 2 ]. (pubmedcentralcanada.ca)
  • The incidence of diaphyseal femur fractures in adults varies, with recent epidemiologic studies reporting 10 to 21 such fractures per 100,000 person-years. (healio.com)
  • This is an international, multi-center, randomized, double blind, placebo controlled study of AMG 785 in skeletally mature adults with a fresh unilateral tibial diaphyseal fracture status post a definitive fracture fixation with an intramedullary (IM) nail. (clinicaltrials.gov)
  • The USPSTF reviewed studies about the benefits and harms of vitamin D and calcium supplementation when taken to prevent fractures in adults who do not have known osteoporosis. (annals.org)
  • Two trials compared the ACE intramedullary nail with the Gamma nail in 185 older adults. (cochrane.org)
  • The results of surgical and nonsurgical management of Jones fractures and recommended postoperative management strategies are reviewed. (aaos.org)
  • The complication most often associated with the Gamma nail, postoperative fracture of the femoral shaft (six in our Gamma group), was not encountered with the use of the IMHS. (ovid.com)
  • Postoperative improvement of walking capacity in patients with trochanteric hip fracture: a prospective analysis 3 and 6 months after surgery. (wheelessonline.com)
  • Postoperative displacement following pin fixation is uncommon. (bioportfolio.com)
  • Background To assess the effectiveness of a novel locked intramedullary device in the treatment of acute clavicle shaft fractures. (scielo.org.za)
  • Acute fractures in the metaphyseal-diaphyseal region of the proximal fifth metatarsal may be difficult to manage. (aaos.org)
  • 2 women), mean age 21 years (range, 19-28 y) treated with IMHS fixation for acute displaced metacarpal neck/subcapital (N=12) and shaft (N=4) fractures at a single academic practice between 2010 and 2017. (handsurgery.org)
  • To evaluate and present our experience using the expandable nail system for the treatment of acute tibial shaft fractures. (elsevier.com)
  • 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)
  • He specializes in the treatment of acute fractures of the upper and lower extremity, pelvis, and acetabulum. (hss.edu)
  • OTA/AO Classification Is Highly Predictive of Acute Compartment Syndrome After Tibia Fracture: A Cohort of 2885 Fractures. (medscape.com)
  • Pautasso A, Lea S, Arpaia A, Ferrero G, Bellato E, Castoldi F. Six-year experience with antegrade intramedullary nail for the treatment of proximal and diaphyseal humeral fractures. (medscape.com)
  • To report surgical technique, clinical experiences, and long-term out- comes of combined intramedullary/external skeletal fixation of metatarsal (MT) and metacarpal (MC) fractures in dogs and cats. (fitzpatrickreferrals.co.uk)
  • Clinical and radiographic records of animals managed by combined intramedullary/external fixation of MT/MC fractures were reviewed. (fitzpatrickreferrals.co.uk)
  • Strengthening was initiated when clinical union was demonstrated (no tenderness at fracture site). (handsurgery.org)
  • In the present study, our aim is to report on our clinical experience from the surgical treatment of unstable or displaced proximal humeral fractures using this intramedullary device. (biomedcentral.com)
  • Between January 2010 and January 2012, 46 patients with humeral shaft fractures of types B and C were treated, and the clinical data were retrospectively analyzed. (qxmd.com)
  • Displaced midshaft fractures have traditionally been treated non-operatively because of early reports suggesting that clavicular non-unions are very rare and clavicular mal-union being of radiographic interest only, without clinical importance [6,7]. (jorjournal.com)
  • With an increase in public interest in physical fitness, clinical practitioners are diagnosing stress fractures with greater frequency.1 First described by Aristotle in 200 BC, stress fractures were initially recorded in the medical literature in 1855 by the Prussian military physician Breithaupt, who described what is now known as a. (orthopaedicweblinks.com)
  • The purposes of this study are to optimize the K-wire external fixation device and test its function in real clinical practice. (bioportfolio.com)
  • In addition to her clinical practice, she has conducted extensive research to investigate clubfoot, developmental dislocations of the hip, slipped capital femoral epiphysis, Perthes disease and fracture management. (rchsd.org)
  • Vertebral fractures: clinical importance and management. (springer.com)
  • The Gamma group also included three cases of intraoperative trochanteric extension of the fracture versus none in the IMHS group. (ovid.com)
  • Sauer P, Leidig G. Spine deformity index versus other objective procedures in vertebral fractures identification in patients with osteoporosis: a comparative study. (springer.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)
  • Twenty-seven patients were treated operatively for proximal humeral fracture using the Polarus nail. (biomedcentral.com)
  • The Polarus nail was found to be an effective implant for stabilisation of proximal humeral fractures. (biomedcentral.com)
  • Proximal humeral fractures most commonly occur in which scenarios? (brainscape.com)
  • What is the main reason the humeral shaft is displaced in proximal humeral fractures? (brainscape.com)
  • When would a shoulder replacement be considered in a proximal humeral fracture? (brainscape.com)
  • Persistantly displaced humeral neck fractures are usually treated in which way? (brainscape.com)
  • Spontaneous bilateral femoral neck fractures in a young adult with chronic renal failure. (biomedsearch.com)
  • Pediatric radial neck fractures: when and how to fix. (rchsd.org)
  • Surgical treatment of nonarticular distal tibia fractures. (springer.com)
  • Based on my experience and a review of the literature, I recommend this technique as a modality for treatment of femoral shaft fractures in children aged 2 to 14 years. (biomedcentral.com)
  • Conventional treatment of femoral shaft fractures in children is by traction followed by a hip spica or a Thomas' splint. (biomedcentral.com)
  • The optimal method of humeral shaft fracture fixation remains in debate. (orthopaper.com)
  • Treatment of Pediatric Diaphyseal Femur Fractures: Spica Casting & Traction. (ebooks.com)
  • Treatment of Pediatric Diaphyseal Femur Fractures: External Fixation. (ebooks.com)
  • A variety of strategies are utilized for management of pediatric diaphyseal femur fractures, depending chiefly on the age of the patient. (pubmedcentralcanada.ca)
  • Despite the frequency and impact, treatment of pediatric diaphyseal femur fractures continues to evolve as an area of controversy, particularly in the middle age group of patients aged approximately 5 to 12 years. (pubmedcentralcanada.ca)