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At least 667 records · Page 37Linked to original sources
PubMed1984

Instability of trochanteric hip fractures following internal fixation. A radiographic comparison of the Richards sliding screw-plate and the McLaughlin nail-plate.

A comparison was made of the McLaughlin nail plate and the Richards sliding screw-plate techniques for fixation of trochanteric hip fractures. The series included 96 patients in each group. The fractures were followed radiographically for 3 months. Technical failures were encountered in 31 per cent of the McLaughlin fractures and in 8 per cent of the Richards fractures; reoperation was performed in 9 per cent in McLaughlin vs none in the Richards fractures. The main failure was varus displacement in both groups, always combined with lateral cutting of the screw in the Richards fractures, and often combined with failure of the nail-plate junction in McLaughlin fractures. Our study has shown that the sliding screw-plate is superior to the nail plate in both stable and unstable fractures.

Adult↗
PubMed1990

Internal fixation of 410 cervical hip fractures. A randomized comparison of a single nail versus two hook-pins.

Totally, 410 patients with a cervical hip fracture were randomized between two methods of osteosynthesis: a single nail (Rydell) and two hook-pins (LIH). Seventy-five percent of the patients were women. Sixty-nine percent were alive after 2 years. The patients were followed up with clinical and radiographic examinations for 2 years postoperatively. No difference between the two groups were found regarding quality of reduction, early displacement within 3 months, extraction after healing, nonunion, late segmental collapse, or reoperation with a total hip arthroplasty. Nor did we find any differences between the two groups when selecting those alive after 2 years or when dividing the fractures in displaced and nondisplaced fractures.

Aged↗
PubMed1995

Malleolar fractures in alcoholics treated with biodegradable internal fixation. 6/16 reoperations in a randomized study.

29 alcohol abusers with displaced malleolar fractures were randomized to treatment with biodegradable self-reinforced polyglycolide screws or metallic implants. During an average follow-up time of 7 (0-15) months, 8 patients out of 16 treated with biodegradable fixation had postoperative redisplacement of the fracture and 6 were reoperated. 1 fracture in 13 patients with metallic fixation had a slight displacement postoperatively which did not require reoperation.

Adult↗
PubMed1989

The biomechanics and biology of internal fixation using plates and nails.

In fracture healing, the mechanical environment and bone biology are closely related. Furthermore, the mechanics of the medullary nail fixation are, in many aspects, different from those of compression fixation using screws and plates. A few general items will be discussed to review the basic principles of the mechanics and biology involved and to clarify the terminology. This article outlines the basic ideas of mechanical and biological interaction.

Biomechanical Phenomena↗
PubMed2004

Open reduction and internal fixation of 117 tibial plateau fractures.

This retrospective study evaluated the surgical management of 117 tibial plateau fractures treated between 1990 and 1998. At last patient follow-up, results were rated good to excellent in 94, fair in 13, and poor in 10 cases. Follow-up radiographs showed degenerative changes in the lateral compartment in 29 cases. Other complications included five wound infections, two deep venous thromboses, five delayed unions, and three nonunions. Operative treatment of tibial plateau fractures is recommended as it enables better alignment, meniscal access, and other soft-tissue injury repair.

Adolescent↗
PubMed2005

Management of proximal femoral shaft fractures in osteopetrosis: a case series using internal fixation.

Osteopetrosis is a group of rare sclerosing bone dysplasias. Orthopedic concerns in osteopetrosis are principally related to the characteristic brittle "marble bone" in which fractures may be easily induced by relatively low-energy mechanisms. Femoral fractures are common in this patient population, and management presents a unique technical challenge. While osteopetrotic bone may be penetrated with a drill bit, the drill bit flutes are immediately filled with bone. This renders the drill ineffective, and generation of significant frictional heat can result in breakage of the drill. This case series describes the long-term management of nine osteopetrotic femoral fractures in three patients. The difficulties encountered in these cases prompted the development of a safe and efficacious technique for intramedullary fixation of these fractures.

Accidental Falls↗