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At least 1,027 records · Page 57Linked to original sources
PubMed1994

Complete fracture-dislocation of the atlantoaxial complex: case report and recommendations for a new classification of dens fractures.

A 77-year-old man fell and sustained a fracture-dislocation of the atlantoaxial complex with 20 mm of posterior displacement. Initial and repeat examinations failed to diagnose the fracture-dislocation, which was first diagnosed by a magnetic resonance imaging study 16 weeks after the injury and after the patient had developed a profound myelopathy. The patient was treated by a C2 decompressive laminectomy and an in situ posterior fusion with iliac bone graft and internal fixation with gradual resolution of his myelopathy. Postoperatively he developed respiratory problems and persistent difficulties swallowing, believed to be at least partly due to cranial nerve involvement. A new classification system for dens fractures is suggested.

Accidents↗
PubMed1998

[Transverse and T fractures with fracture of the posterior wall of the acetabulum. Results of orthopedic and surgical treatment. Apropos of 52 cases].

Fifty two cases of transverse and T fractures associated with a posterior wall fracture of the acetabulum were followed after conservative and surgical treatment. The mean follow-up was 3.5 years. There was marked displacement in 71% of cases, and a transverse fracture of the acetabular roof in 48% of case. There was no joint congruence in 50% of cases. The conservative and surgical results are the same without anatomical reduction, but the functional result seems better after surgical treatment with perfect reduction. However conservative management is necessary when anatomical reduction is impossible.

Acetabulum↗
PubMed1998

Pathologic fractures due to metastatic disease. A retrospective study of 160 surgically treated fractures.

Orthopaedic surgeons are increasingly confronted with metastatic fractures. As the majority of metastatic fractures never heal, surgical treatment is required. The goals of surgical therapy are to achieve early mobilization, relief pain and improve quality of life. One hundred twenty nine patients with 160 metastatic fractures of a long bone, completed or impending, were retrospectively analysed with regard to the type of treatment, effect on pain relief and mobility. Seven of the patients (4.4%) died postoperatively, a good functional result was obtained in 86.9% of the cases and for all patients a good analgesic effect was achieved. In 3.75% of the cases a mechanical complication was seen which needed reintervention. In general, the only indication for endoprosthesis is an intracapsular or very proximal lesion. In almost all other cases, intramedullary nailing is preferred.

Aged↗
PubMed1987

[Femoral shaft fracture. Treatment and results of 209 fractures].

This is a report of treatment, complications and results of 209 fractures of the femoral shaft: 114 compressions plates, 63 medullary nails, four fixateur externe, 28 vertical tractions after Weber. The most frequent complication after compression plate was the delayed fracture healing (5.9%) and the malrotation after medullary nails (8%). 2% of the cases developed an osteitis, no pseudoarthrosis was observed. All complications could be successfully treated by second operation. 92.8% of the long-term results could be judged as good to very good. The fixateur externe was rarely used, the vertical traction after Weber in childhood proved to be successful in spite of some complications.

Adolescent↗
PubMed2004

Trochanteric osteotomy for acetabular fractures and proximal femur fractures.

Anatomic reconstruction of the articular surface is a primary goal of internal fixation of fractures of the hip joint. The quality of the reduction correlates with long-term outcomes. The traditional Kocher-Langenbeck and the ilioinguinal approaches, however, rely on extra-articular assessment of the quality of the reduction. Ganz et al described a technique of trochanteric osteotomy combined with a Kocher-Langenbeck approach that allows direct visualization of the joint without the risk for avascular necrosis of the femoral head. This article reviews the indications of this approach in the treatment of fractures around the hip joint.

Acetabulum↗
PubMed2003

Subtrochanteric fracture after cannulated screw fixation of femoral neck fractures: a report of four cases.

Subtrochanteric fractures after screw or pin fixation of femoral neck fractures are a recognized complication. No literature is available on this complication after fixation using the recently popularized cannulated screws. We present our experience in treating four of these complications. The common denominator for all four patients seemed to be an entry point in the lateral cortex below the level of the most inferior edge of the lesser trochanter.

Aged↗
PubMed1995

Thrower's fracture: a comparison of two presentations of a rare fracture.

We report two similar rare types of fracture of the lower end of the humerus sustained in fit young adults while throwing a ball. Both cases were seen within 1 week in a busy accident and emergency (A&E) department. The types of fracture in each case are unusual and, in the past, have been attributed to fatigue or to a repetitive strain pattern.

Adult↗
PubMed1985

Skeletal management of humeral shaft fractures associated with forearm fractures.

Nine cases of ipsilateral humeral shaft and forearm fractures in multiply injured patients were reviewed in an attempt to ascertain the preferred management of these complex injuries. Satisfactory anatomic and functional results were achieved only in those cases treated by rigid internal fixation of the humeral fractures. Nonoperative management is associated with a significant risk of malunion or nonunion of the humerus.

Adult↗
PubMed1997

[Bosworth's fracture (fracture-luxation of the ankle with retro-tibial luxation of the fibula). Presentation of a case].

The author reports a case of fracture-dislocation of the ankle associated with a posterior dislocation of the proximal part of the fibula behind the tibia: Bosworth's fracture. Hugier first described this "new dislocation of the ankle" in 1848, and Bosworth classified it in 1947. Because the correct diagnosis was not done at first in our patient, our attempt at closed reduction failed. Open reduction was performed, followed by internal fixation of the fibula. A good functional result was obtained at 12 weeks.

Ankle Injuries↗
PubMed2004

[Therapy of unstable sacrum fractures in pelvic ring fractures with dorsal sacrum distraction osteosynthesis].

Unstable pelvic ring injuries AO type C ("vertical shear") with a fractured sacrum are treated operatively in less than 50% of the cases (DGU pelvis study group). Furthermore, only 12% of these ORIF involve the sacrum bone itself. No specific technique has gained wide acceptance in treating transsacral instability. In accordance with earlier publications (Käch, Josten) suggesting an internal fixator, we developed the dorsal sacrum fracture distantly anchored ORIF (DSDO). This procedure closes the dorsal pelvic ring by joining the two dorsal iliac crests (fixed-angle screws inserted in the posterior superior iliac spine) and additionally anchors in a lumbar pedicle. Thus, a three-dimensional reduction and stable fixation device with optional local nerve decompression and even plating possibility is achieved. Between January 1996 and July 2001, 35 unstable sacrum disruptions were treated with DSDO in 180 patients operated for pelvic trauma. This allowed immediate mobilization in all cases. The radiologic follow-up examination ( n=20) revealed a solid union in all patients. Complications focused on management of the soft tissue degloving injury (Morel-Lavalleé lesion), which needs special attention.

Adolescent↗
PubMed2000

A new fracture of the forearm adjacent to a healing fracture.

A 10-year-old girl sustained closed fractures of the distal radius and ulna. This was manipulated and she was treated in an above-elbow plaster for 4 weeks. Two weeks later she was discharged, only to have a second injury to the same forearm. X-ray showed a new fracture distal to undisrupted callus.

Accidental Falls↗
PubMed2007

Endoscopic controlled intramedullary fracture reduction. A case report about closed fracture reduction under visual control.

Intramedullary bone endoscopy (IBE) was introduced as a new endoscopic technique in the year 2002 to achieve and manipulate the medullary canal of long bone under direct visual control. We report on a patient with a proximal femur fracture, where the new technique of IBE was used for intramedullary fracture reduction under visual control for the first time. Thus, the intraoperative use of an image intensifier was reduced.

Endoscopes↗
PubMed1992

Pilon fractures of the wrist. Displaced intra-articular fractures of the distal radius.

22 patients who sustained high energy wrist injuries are reported. These complex injuries resulted in articular disruption of the distal radius. Associated injuries included scapho-lunate dissociation (18%), central die-punch injuries (14%), ulnar fractures (41%) and diastasis at the distal radioulnar joint (23%). Nine fractures (41%) were open and almost a third of patients had other skeletal injuries. All patients were treated by external fixation and reviewed after a mean follow-up of 2 1/2 years. There were no excellent results and only ten good ones (45%). The mean functional impairment was 32%. The external fixator was effective in maintaining extra-articular alignment, but not in ensuring accurate reduction of the articular surface. Residual incongruity of the joint surface was an adverse prognostic feature. All five patients (22%) with an articular step of more than 2 mm. developed symptomatic arthritis. Failure to restore the joint line did not account for all the unsatisfactory results; persistent scapho-lunate dissociation and problems at the distal radioulnar joint were also important.

Adult↗
PubMed1993

Bennett's fracture combined with fracture of the trapezium. A report of three cases.

Three cases are reported in which open reduction and internal fixation were required to stabilize an unstable first carpometacarpal joint with simultaneous fracture of the trapezium and Bennett's fracture. The results were good in terms of range of movement and radiological appearance, all of them returning to normal activities, including heavy manual work.

Adult↗
PubMed1980

Intertrochanteric fracture of the femur with ipsilateral central fracture of the acetabulum.

The management of three patients each of whom sustained an intertrochanteric fracture of the femur with an ipsilateral central fracture of the acetabulum is described. Complications encountered in the first patient, using a standard nail and plate type of fixation, suggested that a screw compression system should be used for this combination of injuries. This method of internal fixation was successful in the treatment of the two other patients.

Acetabulum↗