Adults fracture fixation. Medical search. Frequent questions

Streubel, Philipp N. / Adult Distal Humerus Fractures : Open Reduction Internal Fixation . (nebraska.edu)
To evaluate the complications associated with anterior pelvic external fixation and the success of this device in maintaining reduction when used in conjunction with sacroiliac screws. (nih.gov)
Reduction was maintained (rated as fair, good or excellent) in all patients with radiographic follow-up (n = 74, average radiographic follow-up of 216 days) following removal of their anterior pelvic external fixation. (nih.gov)
While previous data suggest high complication rates in definitive anterior pelvic external fixation, we present the largest cohort of patients receiving anterior pelvic external fixation and sacroiliac screws, demonstrating a low complication rate while maintaining reduction of the pelvic ring. (nih.gov)
Various treatment strategies, including compression screws, locked plates, dynamic condylar screws, and sliding hip screws, are available to treat young patients with FNFs by anatomic reduction and stable fixation to minimize the possibility of nonunion and osteonecrosis [ 3 - 5 ]. (hindawi.com)
Challenges are osteoporotic bone, bone vascularity, muscle-attachments, maintaining fracture reduction and slow fracture healing in the often-elderly population and, although reduced in recent years, still 5-20 % of patients need a reoperation, mainly depending on fracture type and choice of surgery. (springer.com)
all 13 with good fracture reduction). (mcmaster.ca)
He was planned for open reduction and internal fixation. (researchgate.net)
The system also offers instrumentation to aid in fracture reduction, provisional fixation, implant adaptation and construct creation. (aofoundation.org)
The technology behind the instrumentation has also been advanced to overcome specific problems such as screwdriver retention (Fig 4), plate contouring and cutting and fracture reduction (Fig 5). (aofoundation.org)
Devices and designs were evaluated and improved to achieve stable fixation, anatomic reduction, accommodation of soft tissues and early functional aftercare. (aofoundation.org)
Fig 5 Forceps that aid in fracture reduction and lag screw application. (aofoundation.org)
Once mounted, the LRF can be unlocked and used as a fracture reduction tool. (stryker.com)
We recommend a reduction at this time to confirm that there is enough exposure to reduce the fracture (Figure 4). (foreonline.org)
Satisfactory exposure is confirmed with reduction of the fracture. (foreonline.org)
Use of the Titanium Elastic Nail (TEN) in displaced clavicle fractures offers a means of minimally invasive fixation that allows for early motion and function, immediate pain reduction and a lower rate of fracture non-union and malunion compared to non operative treatments. (aofoundation.org)
The risks of infection and non-union often associated with open reduction and internal plate fixation can be minimized by a percutaneous procedure (Keener). (aofoundation.org)
A study by Rehm reported on 136 fractures in 132 patients treated with the TEN with 78 placed entirely percutaneously, and the remaining required a limited exposure for fracture reduction. (aofoundation.org)
If closed reduction manoeuvres are unsuccessful, an additional skin incision has to be made at the level of the fracture site enabling direct manipulation of the fragments. (aofoundation.org)
Although the concept of internal fixation dates back to the mid-1800s, Lister introduced open reduction, internal fixation (ORIF) of patella fractures in the 1860s. (medscape.com)
Fractures with less than an anatomic reduction and less rigid fixation (ie, those with large gaps and low strain via external fixator, casting, and intramedullary [IM] nailing) heal with callous formation or secondary healing with progression through several different tissue types and eventual remodeling. (medscape.com)
Anatomic reduction and absolute stabilization of a fracture by internal fixation alter the biology of fracture healing by diminishing strain (elongation force) on the healing tissue at the fracture site. (medscape.com)
Absolute stability with no fracture gap (eg, via open reduction and internal fixation using interfragmental compression and plating) presents a low strain and results in primary healing (cutting cone) without the production of callus. (medscape.com)
Multiple metacarpal shaft fractures are higher-energy injuries than single metacarpal shaft injuries and are considered relatively unstable because reduction is easily lost after splinting. (handmicro.org)
In the surgical treatment of facial fractures, there are principles that should be followed for a successful outcome: fracture reduction (replacement of bone segments in their correct anatomical positions), fixation and containment of bone segments and immobilization at the fracture site 3 . (bvsalud.org)
Specifically to the mandible, the treatment can follow a more conservative approach such as the maxillomandibular fixation (MMF) with stainless steel wires or the procedures under general anesthesia with surgical exploration, reduction and fixation of the fracture 4 . (bvsalud.org)
Open reduction and internal fixation with volar locking plate is reliable and excellent methods of management of intra-articular fracture of distal end of radius especially shear type of injury (AO type B2 and B3) in adults. (ijoro.org)
Doi K, Hattori Y, Otsuka K, Abe Y, Yamamoto H. Intra-articular fractures of distal aspect of radius: arthroscopically assisted reduction compared with open reduction and internal fixation. (ijoro.org)
Open reduction and internal fixation of displaced intra-articular fractures of the distal radius. (ijoro.org)
Acetabular fractures: long-term follow up of open reduction and internal fixation. (jhsmr.org)
Open reduction internal fixation and primary total hip arthroplasty of selected acetabular fractures. (jhsmr.org)

Options for surgery may include a total hip replacement or stabilizing the fracture with screws. (wikipedia.org)
In the present study, we evaluated the mechanical outcome of different configurations of cannulated compression screws for the fixation of Pauwels type III femoral neck fracture and the stress distribution around the holes corresponding to fixation protocol after screws removal. (hindawi.com)
The Pauwels type III of femoral neck fracture was created in 3-matic software and the models of cannulated compression screws were constructed using UG-NX software. (hindawi.com)
Our study indicated that different cannulated compression screws fixation configurations for the unstable femoral neck fractures showed the different mechanical efficiency. (hindawi.com)
Fixation by three cannulated compression screws (CCS) has been remained a standard method for fixation of FNFs for many years [ 7 , 8 ], although debate continues regarding the configurations of screws fixation. (hindawi.com)
We also evaluate stress distribution around the holes corresponding to fixation protocol after screws removal. (hindawi.com)
The extensive literature has created partial treatment consensus: Undisplaced femoral neck fractures seem adequately treated with parallel screws/pins or a sliding hip screw, while the displaced femoral neck fractures should be given a prosthesis in elderly patients. (springer.com)
Bhandari M, Schemitsch E, Jönsson A, Zlowodzki M, Haidukewych GJ (2009) Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis. (springer.com)
BACKGROUND: Shortening of the femoral neck after fracture fixation with multiple parallel screws decreases the moment arm for the abductor muscles of the hip. (mcmaster.ca)
This study aimed to assess the incidence of femoral neck shortening quantitatively and qualitatively in patients with femoral neck fractures treated with multiple cannulated screws, and to investigate its influence on functional outcome. (mcmaster.ca)
METHODS: We conducted an observational study in a consecutive series of 56 patients with united fractures of the femoral neck treated with multiple cancellous screws. (mcmaster.ca)
CONCLUSIONS: Femoral neck shortening after femoral neck fracture fixation with multiple cancellous screws is common and it has a significant negative impact on physical functioning. (mcmaster.ca)
Deformities of the spine in adults are currently corrected by fixing the spine with rods, screws, and hooks, but this type of rigid fixation surgery is not yet optimal and, in many cases, can lead to complications such as screw pull-out and fracture of vertebrae. (dsm.com)
A study looking at the surgery to openly reduce the fracture and fix it with a plate and screws showed that 94% returned to the same level of sports. (drdavidgeier.com)
Fractures were fixed using a plate and screws. (handmicro.org)
The use of mini plates has been changing the treatment of fractures in the last two decades 5 , in addition to various methods of mandible fixation, such ascompressive and non-compressive plates, reconstructive plates, isolated screws, either by intra or extra oral access, have been used with varying degrees of success 6 . (bvsalud.org)
Other possibilities are the use of lag screws for oblique fractures of mandibular body, a hybrid technique with lag screw and miniplate 8-9 , 2.4 mm reconstruction plate placed along the inferior border of the mandible or two in the mandibular tension and compression zone 10 . (bvsalud.org)
Therefore, the objective of this study was to evaluate the mechanical strength of plates and screws from the 2.0 mm system in two types of fixation techniques, using human hemi-mandible polyurethane resin replicas, subjected to mechanical linear load testing. (bvsalud.org)

Early attempts at internal fixation of such fractures achieved little success until Küntscher developed and utilized the intramedullary nail in 1937. (medscape.com)
Cochrane Abstracts , Evidence Central , evidence.unboundmedicine.com/evidence/view/Cochrane/435296/all/Internal_fixation_implants_for_intracapsular_hip_fractures_in_adults. (unboundmedicine.com)
Results were stratified into external rotation and internal rotation fracture patterns. (nih.gov)
Even if fractures have healed uneventfully, internal fixation can sometimes cause functional impairment and local irritation [ 9 , 10 ]. (hindawi.com)
The evolution of such internal fixation in the hand to now include variable angle technology (Fig 1) provides a perfect display of a variety of fixed angle devices that are more anatomically adapted with a lower profile design to accommodate the gliding structures of periarticular zones of the hand. (aofoundation.org)
Motor vehicle collisions and interpersonal violence account for the majority of injuries, 12 frequently resulting in open or closed fractures that require internal or external fixation. (scielo.org.za)
During the 1950s, Danis and Muller began to define the principles and techniques of internal fixation. (medscape.com)
mandibular fractures, bone plates, internal fixation of fractures. (bvsalud.org)
Few studies have been published on the analysis of fixation techniques for mandibular body fractures 5,7-8,10-11 , and further research is needed relating to the biomechanical study of the different techniques for the internal fixation of mandibular body fractures. (bvsalud.org)
The literature offers no clear evidence that one rigid internal fixation technique for the treatment of simple (linear) fractures of the mandibular body is superior to another 11 . (bvsalud.org)
Rader CP, Rauber C, Rehm KE, Koebke J. Internal fixation of the distal radius. (ijoro.org)

Distal clavicle fractures account for 20-25% of all clavicle fractures. (york.ac.uk)
Warsaw, Indiana) provides a viable alternative to plate fixation for young, active patients with simple displaced mid-shaft clavicle fractures (Figure 1). (foreonline.org)
Intramedullary fixation has been shown to provide a shorter time to union in clavicle fractures. (foreonline.org)
The traditional treatment of midshaft clavicle fractures has been non operative. (aofoundation.org)
Although minimally displaced fractures do well, outcome studies have shown higher incidences of fracture malunion, non-union, and patient dissatisfaction after non operative treatment of displaced midshaft clavicle fractures. (aofoundation.org)
Percutaneous Pinning of Displaced Midshaft Clavicle Fractures. (aofoundation.org)
Clavicle fractures are common injures and account for approximately 2.6%-5% of all fractures in adults. (drdavidgeier.com)

Orthopedic surgeons often encounter diaphyseal femur fractures. (medscape.com)
Before the 1900s, diaphyseal femur fractures were treated with various types of splinting. (medscape.com)
A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. (wikipedia.org)
Nonunion, failure of the fracture to heal, is common in fractures of the neck of the femur, but much more rare with other types of hip fracture. (wikipedia.org)
Metastatic cancer deposits in the proximal femur may weaken the bone and cause a pathological hip fracture. (wikipedia.org)
For fixation of fractures and osteotomies of the proximal and distal femur in adolescents and adults. (fda.gov)
Short Versus Long Cephalomedullary Nails for Fixation of Stable Versus Unstable Intertrochanteric Femur Fractures at a Level 1 Trauma Center. (utah.edu)
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)
Supracondylar femur fractures in adults is a complex fracture constitutes approximately 1% of total fractures and 4-7% of all femoral fractures (Kolmert, 1982)1. (webmedcentral.com)

A way of determining early onset of union problems in a young cohort is by gently testing the fracture site at 6 weeks(14) and later for the elderly(15). (researchsquare.com)

Although delayed surgical fixation leads to high union rates(12), the PROMs are inferior compared to primary fixation(11,13). (researchsquare.com)
In adults with a radiological diagnosis of a displaced fracture of the distal clavicle that does not involve the acromioclavicular joint is sling immobilisation non-inferior to surgical fixation using a patient self-reported functional outcome at 12 months? (york.ac.uk)
Sling immobilization - upper limb support with a sling, typically for 2 to 4 weeks, followed by surgical fixation if symptomatic non-union of the fracture typically at the 3-month follow-up. (york.ac.uk)
In the adult, these injuries usually require surgical fixation. (orthopaedia.com)
Early surgical fixation initially was complicated by many obstacles, such as infection, poorly conceived implants and techniques, metal allergy, and a limited understanding of the biology and mechanics of fracture healing. (medscape.com)

Sequelae from clavicular fractures are common: a prospective study of 222 patients. (aofoundation.org)
has been favored as the treatment for most clavicular fractures. (drdavidgeier.com)

Fatal PE may have an incidence of 2% after hip fracture and may contribute to illness and mortality in other cases. (wikipedia.org)
The incidence of humeral shaft fracture is between 13.5-20 per 100.000 annually(1,2). (researchsquare.com)
It is projected that the incidence of humeral shaft fractures will increase due to changing demographics(1). (researchsquare.com)
The incidence of ankle fractures is increasing rapidly due to the ageing demographic. (degruyter.com)
2] Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. (degruyter.com)
7] Kannus P, Palvanen M, Niemi S, Parkkari J, Jarvinen M. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970-2000 and projections for the future. (degruyter.com)
Mandibular body fractures are considered common but there are discrepancies among the studies, such as epidemiological surveys, regarding their incidence. (bvsalud.org)
The aims of this study were to report the incidence and to analyze the risk factors for infection after proximal humeral fracture treatment. (unito.it)
With the increase in high velocity trauma, the incidence of intra-articular fractures of distal end of radius, particularly in adults- the working class of society is increasing. (ijoro.org)
Throwing grenades during military training has a particularly high incidence of spiral fracture of the humerus! (evidencesportandspinal.com)
The incidence of these fractures in the US was declining, but in recent years this improvement has reversed. (aoao.org)

Shortening, varus deformity, valgus deformity, and rotational malunion all occur often because the fracture may be unstable and collapse before it heals. (wikipedia.org)
Therefore, we have designed this study to compare the mechanical distinction of different CCS scenarios for the fixation of unstable FNFs. (hindawi.com)
The stable trochanteric fractures are well treated with a sliding hip screw, while intramedullary nails seem superior for the unstable trochanteric and the sub-trochanteric fractures. (springer.com)
Ban I, Birkelund L, Palm H, Brix M, Troelsen A (2012) Circumferential wires as a supplement to intramedullary nailing in unstable trochanteric hip fractures: 4 reoperations in 60 patients followed for 1 year. (springer.com)
Purpose: To compare intraoperative and postoperative outcomes of two cephalomedullary implants in treatment of unstable intertrochanteric fracture. (ijsr.net)
Method: A comparative follow up study was conducted at a tertiary care hospital of north India in which we included 144 hemodynamically stable patients of unstable intertrochanteric fracture who were treated with two cephalomedullay implants viz Proximal femoral nail antirotation (PFNA) and Inter-Tan. (ijsr.net)
Conclusion: This study compared two newer cephalomedullary nails which are comparably effective in managing unstable intertrochanteric fractures. (ijsr.net)
This could be a recommendable approach for two unstable adjoining metacarpal shaft fractures. (handmicro.org)
hours) for polytrauma patients with unstable spinal fractures" (2016). (barrowneuro.org)
Treatment of unstable distal radial fractures with volar locking plate system. (ijoro.org)

A paradigm shift in the surgical reconstruction of extra-articular distal humeral fractures: Single-column plating. (wheelessonline.com)
Background: The rate of acute infection after surgery for proximal humeral fractures is not known. (unito.it)
Materials and methods: We report a retrospective multicenter study of 452 proximal humeral fractures. (unito.it)
Conclusion: This study suggests that washing the shoulder with chlorhexidine gluconate and avoiding the use of first-generation cephalosporin in favor of more effective prophylactic therapy are effective at reducing the risk of infection after treatment for proximal humeral fractures. (unito.it)
Proximal humeral fractures are especially common among older patients. (msdmanuals.com)

Methods Sixty-four adult patients with TL vertebral fractures who underwent open or percutaneous posterior short-segment transpedicular screw fixation between January of 2013 and September of 2015 were retrospectively reviewed. (researchgate.net)
Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)

Plate fixation and external fixation are used less frequently, but these have a place in the decision-making process for the ideal treatment in certain cases. (medscape.com)
An adapted 12-hole strut plate from the variable angle locking hand system was the implant of choice for fixation (Figs 2 - 4). (aofoundation.org)
The strut plate provided good stability in a comminuted extraaricular fracture pattern and enables immediate mobilization. (aofoundation.org)
Surgery - locking plate fixation, with or without coracoclavicular (CC) sling, or CC reconstruction alone when the distal fragment is very small. (york.ac.uk)
Anterior old plating systems are designed to provide flexibility and simplicity for the spinal surgeon, allowing replication of normal anatomical function and safe fixation of the plate. (medicregister.com)
The Rockwood clavicle pin requires a smaller incision over the fracture compared with plate fixation. (foreonline.org)
Hardware removal after plate fixation leaves multiple bicortical holes. (foreonline.org)
Disadvantages to the use of the Rockwood clavicle pin include weaker initial fixation from an intramedullary device compared with plate fixation, as well as the inherent need for a second surgery to remove the pin. (foreonline.org)
Biomechanical studies have shown that intramedullary pin fixation provides less rotational stiffness and allows for more displacement at equal loads when compared with plate fixation. (foreonline.org)
Plate fixation through a single incisional approach performed for adjacent metacarpal shaft fractures showed satisfactory results. (handmicro.org)
The study employed 10 polyurethane hemi-mandible replicas, which simulated simple fractures of the mandibular body, divided into two groups: one group comprised 5 hemi-mandibles with two 2.0 mm system plates in the tension and compression zones, while the other group contained 5 hemi-mandibles with an Erich bar and a 2.0 mm system plate in the tension and neutral zones, respectively. (bvsalud.org)
The test results indicated that the fixation using 2.0 mm system plates offered significantly more resistance to the loads and presented significantly larger displacement compared to the fixation using just one 2.0 mm system plate and the Erich bar. (bvsalud.org)
7 (2009) reported that for simple linear fractures, the application of a single mini plate of the 2.0 mm system along the lower edge, combined with a bar, is usually an adequate fixation. (bvsalud.org)
The purpose of this scoping review was to provide a comprehensive overview of factors that have been evaluated for their influence on hand functioning following volar plate fixation of DRFs. (actaorthop.org)
This scoping review identified an extensive number of factors evaluated within 6 weeks after surgery for their influence on functioning at least 3 months after volar plate fixation of a DRF and the existing research has primarily evaluated factors related to "body functions and structures," with limited focus on factors related to "activities and participation. (actaorthop.org)
The present study was undertaken to evaluate the results of using volar locking plate for fixation of intra-articular fractures of distal end radius, with emphasis on return to pre-injury employment assessment. (ijoro.org)
Twenty patients of intra-articular fractures of distal end of radius (AO type B2 and B3) were treated with volar locking plate through volar approach. (ijoro.org)
Drobetz H, Kutscha-Lissberg E. Osteosynthesis of distal radial fractures with a volar locking screw plate system. (ijoro.org)
Volar fixation of dorsally displaced distal radial fracture using locking compression plate. (ijoro.org)

A meta-analysis by Hill found a non-union rate of 15.1% following non-operative care of these fractures. (aofoundation.org)
However, recent evidence has emerged indicating that operative fixation presents lower nonunion rates, better functional outcomes, improved cosmesis, and greater patient satisfaction compared with closed treatment. (drdavidgeier.com)
However, few studies have been published on operative treatment because these fractures are rare. (handmicro.org)

Medical records of patients with adjacent metacarpal shaft fractures who underwent surgery were retrospectively analyzed. (handmicro.org)
mean follow-up duration, 27.8 months) with Mayo type IIB olecranon fractures who underwent triple suture fixation were included in the study. (bvsalud.org)

The Variable Angle Locking Hand System offers a solution for fracture fixation, arthrodesis, non-unions and the reconstruction of small bones and small bone fragments particularly in adults with osteopenic bone. (aofoundation.org)
The Variable Angle Locking Hand System contains implants that extend the possibilities of stable fixation where none could be provided before (osteoporotic bone, small fragments). (aofoundation.org)
Surgery, where the bone fragments are realigned and fixed into place, may reduce the risk of the fracture not healing (non-union) and may lead to quicker recovery. (york.ac.uk)
Fractures of the shaft of the humerus that occur from bending forces may have a short oblique pattern or may have multiple fragments. (evidencesportandspinal.com)
The rationale of using this technique is that the sutures have been used to stabilize multiple fracture fragments in all sides of the olecranon. (bvsalud.org)

Avascular necrosis of the femoral head occurs frequently (20%) in intracapsular hip fractures, because the blood supply is interrupted. (wikipedia.org)

Handoll H H, Elliott J. Rehabilitation for distal radial fractures in adults. (actaorthop.org)

The purpose of the study is to compare patient reported outcome after surgical and non-surgical treatment for humeral shaft fractures. (researchsquare.com)
A pragmatic randomized controlled trial is planned with two study groups (SHAFT-Y and SHAFT-E). A total of 287 eligible acute humeral shaft fractures are scheduled to be recruited and randomly allocated to surgical or non-surgical treatment with the option of early crossover due to delayed union. (researchsquare.com)
SHAFT will provide information on the effectiveness of two standard treatments for humeral shaft fractures, while taking the dilemmas within the population into account. (researchsquare.com)
One of the main challenges with humeral shaft fractures is the choice between surgical and non-surgical treatment(3). (researchsquare.com)
In children, ulnar and radial shaft fractures are amenable to casting. (orthopaedia.com)
Ulnar shaft fractures are most often caused by a direct blow to the border of the ulna on the medial forearm. (orthopaedia.com)

Purpose To compare the efficacy and safety of the percutaneous screw fixation (PSF) and the open pedicle screw fixation (OPSF) on thoracolumbar (TL) fracture. (researchgate.net)

In adults, distal radius fractures are the most common forearm fractures and are typically caused by a fall onto an outstretched hand. (aafp.org)
1 - 3 The rate of distal radius fractures is highest (nearly double) in people younger than 18 years and older than 65 years. (aafp.org)
A better understanding of factors that influence functioning may improve the identification of patients with distal radius fractures (DRFs) who need hand therapy. (actaorthop.org)
Lichtman DM, Bindra RR, Boyer MI, Putman MD, Ring D. Distal radius work group: the treatment of distal radius fractures. (ijoro.org)
Handoll HH, Huntley JS, Madhok R. External Fixation versus conservative treatment for distal radius fractures in adults. (ijoro.org)
External Fixation of distal radius fractures. (ijoro.org)
Schnall SB, Kim BJ, Abramo A, Kopylov P. Fixation of distal radius fractures using a fragment-specific system. (ijoro.org)
Vargaonkar G. Distal end radius fractures: evaluation of results of various treatments and assessment of treatment choice. (ijoro.org)

Chirodian N, Arch B, Parker MJ (2005) Sliding hip screw fixation of trochanteric hip fractures: outcome of 1024 procedures. (springer.com)
The mean surgery time was 62 minutes (range 42-130 minutes) for open and 58 minutes (range 35 to 128 minutes) for percutaneous screw fixation. (researchgate.net)
Conclusion Both open and percutaneous screw fixations are safe and effective. (researchgate.net)
Two-screw odontoid fixation is an optimal treatment for type II odontoid fractures. (medicregister.com)
Anterior odontoid screw fixation is a safe and efficacious treatment for odontoid fractures, especially type II odontoid fractures. (medicregister.com)
STUDY DESIGN: A matched cohort comparison of adult idiopathic scoliosis (AdIS) patients treated with all pedicle screw constructs compared to hook/hybrid constructs. (londonspine.com)

Adam P, Philippe R, Ehlinger M, Roche O, Bonnomet F, Molé D, Fessy MH, French Society of Orthopaedic Surgery and Traumatology (SoFCOT) (2012) Dual mobility cups hip arthroplasty as a treatment for displaced fracture of the femoral neck in the elderly. (springer.com)
Bretherton CP, Parker MJ (2015) Early surgery for patients with a fracture of the hip decreases 30-day mortality. (springer.com)
Clifton R, Haleem S, Mckee A, Parker MJ (2008) Closed suction surgical wound drainage after hip fracture surgery: a systematic review and meta-analysis of randomised controlled trials. (springer.com)
Background: Observational studies have suggested that accelerated surgery is associated with improved outcomes in patients with a hip fracture. (researchgate.net)
Determine the effectiveness of surgery versus sling immobilisation in adults with a displaced fracture of the distal clavicle. (york.ac.uk)
Predictors of short-term functional outcome following ankle fracture surgery. (degruyter.com)
These fractures are treated with immobilization or surgery, depending on the degree of displacement and angulation. (aafp.org)
One of the biggest changes I have enjoyed in the field has been the development of minimally invasive surgery to fix athletic injuries and fractures. (stanfordchildrens.org)
Accelerated surgery after a hip fracture can decrease the exposure time to such contributors and may reduce the risk of AKI. (mcmaster.ca)
Patients who suffer a hip fracture are randomly allocated to either accelerated medical assessment and surgical repair with a goal of surgery within 6 hours of diagnosis or standard care where a repair typically occurs 24 to 48 hours after diagnosis. (mcmaster.ca)

It offers stable fixation without loss of atiantoaxial motion. (medicregister.com)
Elastic stable intramedullary nailing of midclavicular fractures in athletes. (aofoundation.org)
PURPOSE: To report the outcome of a novel fixation technique using three high-strength sutures which is including articular buttress suture, cerclage suture, and tension band with off-loading triceps suture (triple suture fixation) in the treatment of displaced comminuted olecranon fracture with a stable ulnohumeral joint (Mayo type IIB). (bvsalud.org)

The best use of this implant is fixation of simple fractures in which good cortical contact and compression can be achieved. (foreonline.org)
Incomplete compression fractures without cortical disruption, called buckle (torus) fractures, are common in children. (aafp.org)
At a two-month follow-up, imaging showed a fracture, compression and lesion enlargement. (revistaneurocirugia.com)
Early decompression and spinal fixation are critical for preserving neurologic and spinal functions in ES complicated by a compression fracture. (revistaneurocirugia.com)
Compression fractures happen when the force is primarily along the line of the bone. (evidencesportandspinal.com)

It is used for treatment of humeral, femoral and tibial fractures in adolescents and children, or small statured adults. (aofoundation.org)

This review assessed evidence from randomised controlled trials (RCTs) and quasi-RCTs, on the benefits and harms of different types of hip replacement used to treat hip fracture in adults. (cochrane.org)

Pelvic fractures were temporarily stabilized with a PCCD until definitive stabilization was provided. (nih.gov)
RESULTS: Corroborating previous studies, our study shows polytrauma patients undergoing a hyperacute stabilization of a spinal fracture displayed a trend towards better neurological outcome and decreased hospital stays while having a similar complication rate to those operated on in a delayed fashion. (barrowneuro.org)

[ 1 ] Because these fractures most often result from high-energy trauma, one must have a high index of suspension for complications or other injuries. (medscape.com)
Through a retrospective clinical study at an academic Level I Trauma Center, 129 patients fit the criteria for inclusion with a mean duration of anterior pelvic external fixation of 62 days and mean follow-up of 360 days. (nih.gov)
Patients with fractures of the shaft of the ulna and radius present following trauma with pain in the forearm, at time with gross deformity. (orthopaedia.com)
Radial head fractures may be difficult to visualize on initial imaging but should be suspected when there are limitations of elbow extension and supination following trauma. (aafp.org)
Disruption of the endosteal and periosteal blood supply occurs with the initial trauma, and maintaining adequate blood supply to the fracture site is essential for healing. (medscape.com)
Herein, is the described the case of a 60-year-old male with osteogenesis imperfecta (OI), presenting with an acetabulum fracture after low-energy trauma. (jhsmr.org)
Objetivo: Generar recomendaciones basadas en la mejor evidencia disponible acerca del manejo de personas con trauma ocular. (bvsalud.org)

The classic clinical presentation of a hip fracture is an elderly patient who sustained a low-energy fall and now has groin pain and is unable to bear weight. (wikipedia.org)
Burgers PT, Van Geene AR, Van den Bekerom MP, Van Lieshout EM, Blom B, Aleem IS, Bhandari M, Poolman RW (2012) Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly: a meta-analysis and systematic review of randomized trials. (springer.com)
The fracture demography follows a typical bimodal pattern with young adults injured in sports, vehicular road-traffic accidents and other high energy traumas and the elderly injured with simple falls, respectively². (researchsquare.com)
Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
This is a relatively common cause of an isolated humerus fracture and occurs quite frequently in the elderly. (evidencesportandspinal.com)

However, with the discovery of skeletal radiology near the end of the 19th century came an understanding of the forces acting on fractured bones and a change in the treatment of such injuries. (medscape.com)
Monteggia fractures' are injuries to the proximal third of the ulna associated with a dislocation of the head of the radius. (orthopaedia.com)
Open fractures occur with high-energy impact injuries and with gunshot wounds but are much less common with lower energy events such as falls and throwing injuries. (evidencesportandspinal.com)
Twisting injuries result in a spiral fracture pattern in the shaft of the humerus. (evidencesportandspinal.com)
In addition to fractures, musculoskeletal injuries include Joint dislocations. (msdmanuals.com)

Welcome to Evidence Sport and Spine's guide to adult humerus fractures. (evidencesportandspinal.com)
What symptoms do humerus fractures cause? (evidencesportandspinal.com)

Enocson A, Tidermark J, Tornkvist H, Lapidus LJ (2008) Dislocation of hemiarthroplasty after femoral neck fracture: better outcome after the anterolateral approach in a prospective cohort study on 739 consecutive hips. (springer.com)
Factors associated with mobility outcomes in older people post-ankle fracture: an observational cohort study focussing on peripheral vessel function. (degruyter.com)
Harris J E, MacDermid J C , Roth J. The International Classification of Functioning as an explanatory model of health after distal radius fracture: a cohort study. (actaorthop.org)

Considering this demographic difference, the importance of age in terms of patient expectations, upper limb function and patient-reported outcome measures (PROM) in humeral shaft fracture treatment is not well understood. (researchsquare.com)
For people undergoing HA for intracapsular hip fracture, it is likely that a cemented prosthesis will yield an improved global outcome, particularly in terms of HRQoL and mortality. (cochrane.org)
Jubel showed that the use of the TEN in displaced midclavicular fractures was successful in terms of clinical outcome and rapid resumption of sporting activities. (aofoundation.org)
12] Nilsson G, Jonsson K, Ekdahl C, Eneroth M. Outcome and quality of life after surgically treated ankle fractures in patients 65 years or older. (degruyter.com)

Therefore, surgeons are asked to remove implant after fracture healing by some patients with persistent complaints. (hindawi.com)
This new system was developed to include the best practices in fracture care and to present a system that revolutionized both implant design and instrumentation in a complete overhaul of previous designs. (aofoundation.org)
The Titanium Elastic Nail was invented primarily for fixation of fractures where the medullary canal is narrow or flexibility of the implant is needed. (aofoundation.org)
05). No complication of implant prominence, fixation failure, nonunion, infection or heterotopic ossification was found postoperatively. (bvsalud.org)

The ulnar and radial nerves are located most medially and laterally, respectively, thus they are most susceptible to damage with fracture of the shaft of their adjacent bones. (orthopaedia.com)
A radial shaft fracture with distal radial ulnar joint (DRUJ) instability is known by its eponym, the 'Galeazzi fracture. (orthopaedia.com)
Fractures of the ulnar and radial shaft can occur across all age groups but are most common in children. (orthopaedia.com)
Treatment of radial head fractures depends on the specific characteristics of the fracture using the Mason classification. (aafp.org)

The Pauwels classification is based on the angle that is formed by the fracture line and the horizontal line. (hindawi.com)
Letournel E. Letournel E. Acetabulum fractures: classification and management. (jhsmr.org)

Pediatric fractures can be complete (involving a through-and-through break of the bone) or so-called "greenstick fractures," a break on one surface of the bone that does not extend to the other side. (orthopaedia.com)
Greenstick fractures, which have cortical disruption, are also common in children. (aafp.org)
Depending on the degree of angulation, buckle and greenstick fractures can be managed with immobilization. (aafp.org)

Infection in the bone is a rare cause of hip fracture. (wikipedia.org)
Mid-year population estimates from 2013 indicate 10% of the almost 53 million people in South Africa are infected with HIV 1 KwaZulu-Natal has the highest infection rate with over 21 % of adults between the ages of 15 and 49 years infected. (scielo.org.za)

Despite the method of the fixation, prevalence of complications like nonunion and fixation failure has been reported between 10 and 30% [ 6 ]. (hindawi.com)
But subtrochanteric fractures and other complications related to hardware removal have been well documented [ 11 - 13 ]. (hindawi.com)

It brings information about the treatment of acute renal failure in adults by using renal replacement therapy, comparing the efficacy of its application intermittently and continuously. (bvsalud.org)
Update to Management of Acute Scaphoid Fractures This review provides an update to the surgical and nonsurgical management options for acute scaphoid fractures. (medscape.com)

Hip fracture following a fall is likely to be a pathological fracture. (wikipedia.org)
Pathological fractures through abnormal bone occur frequently in osteoporosis and may also happen if there is a deposit of cancer in the shaft of the humerus. (evidencesportandspinal.com)

Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. (aafp.org)
External Fixation for Managing Upper Extremity Fractures This review explores the use of external fixation in managing fractures of the upper extremity. (medscape.com)

The mainstay of treatment has been reamed interlocking intramedullary nailing, but a variety of treatment options now exist for solitary fractures or fractures with associated injury. (medscape.com)
Surgical options in adults include the mainstays of intramedullary nailing, either antegrade or retrograde. (medscape.com)
Intramedullary Nailing of Midclavicular Fractures with an Elastic Titanium Nail. (aofoundation.org)

When evaluating the functional stability of the fixations by simulating the vectors and load intensity that they will be subjected to, the results may be associated with the clinical practice, which implicates the need for a model simulating the human mandible anatomy. (bvsalud.org)

This case supports the inclusion of ES in the differential diagnosis of pathologic spinal fracture. (revistaneurocirugia.com)

The aim of this study was to analyze the characteristics of this rare type of fracture and report the surgical outcomes. (handmicro.org)

The extrinsic muscles of the hand originate in the forearm (and elbow) and therefore forearm fractures, if not treated properly, can also lead to hand dysfunction. (orthopaedia.com)

Femoral head fractures are a rare kind of hip fracture that may also be the result of a fall but are more commonly caused by more violent incidents such as traffic accidents. (wikipedia.org)

Because of the thick layers of muscle around the shaft of the humerus, open fractures are uncommon. (evidencesportandspinal.com)

A nondisplaced, or minimally displaced, distal radius fracture is initially treated with a sugar-tong splint, followed by a short-arm cast for a minimum of three weeks. (aafp.org)
1 , 2 Although nondisplaced, or minimally displaced, fractures of the radius and ulna usually can be managed by family physicians, it is important to identify fractures that require referral to an orthopedist. (aafp.org)

Treatment recommendations depend on the patient's age and fracture type [ 2 ]. (hindawi.com)
Closed treatment of displaced middle-third fractures of the clavicle gives poor results. (aofoundation.org)
In older patients with compromised distal circulation, conservative treatment of fractures may be indicated. (degruyter.com)
Hip fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) is a multicentre, international, parallel-group randomised controlled trial (RCT). (mcmaster.ca)

Ankle fractures have features of an osteoporotic fracture. (degruyter.com)

Anatomy37

Diseases59

Chemicals and Drugs17

Analytical, Diagnostic and Therapeutic Techniques and Equipment68

Phenomena and Processes20

Disciplines and Occupations1

Technology, Industry, Agriculture5

Information Science3

Health Care13

Reduction31

Screws18

Internal11

Clavicle fractures7

Femur9

Testing the fracture site1

Surgical fixation5

Clavicular fractures2

Incidence11

Unstable10

Humeral fractures5

Methods2

Plate19

Operative3

Underwent2

Fragments5

Intracapsular hip fractures1

Distal radial fractures1

Shaft fractures6

Pedicle screw fixation1

Radius Fractures8

Screw6

Surgery10

Stable3

Compression5

Tibial fractures1

Evidence from randomised controlled trials1

Stabilization2

Trauma7

Elderly5

Injuries5

Humerus Fractures2

Cohort3

Outcome4

Implant4

Radial4

Classification2

Greenstick fractures3

Infection2

Complications2

Acute2

Pathological2

Upper extremity2

Intramedullary Nailing3

Functional1

Spinal fracture1

Outcomes1

Forearm fractures1

Femoral head1

Open fractures1

Minimally displaced2

Treatment4

Osteoporotic1