Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FRACTURE FIXATION”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,207 records · Page 67Linked to original sources
PubMed2005

Timing of fixation of major fractures in blunt polytrauma: role of conventional indicators in clinical decision making.

Grading of the clinical status in patients with multiple trauma is important regarding the treatment plan. In recent years, 4 different clinical conditions have been described: stable, borderline, unstable, in extremis. Clinical parameters have been widely used in patients with penetrating injuries, and 3 categories were found to be important: shock, hypothermia, coagulopathy. However, in blunt trauma patients, the role of conventional parameters for decision making regarding the timing of fracture treatment is poorly described. After blunt trauma, additional factors seem to play a role, because the injuries affect multiple body regions. These additional factors are summarized under the term, "soft-tissue injuries," which may include the soft tissues of the extremities, lung, abdomen, and pelvis. The study describes four pathophysiologic cascades that are relevant to the clinical conditions listed above. Threshold values for separation of the patient conditions are documented, leading to a staged surgical strategy.

Decision Making↗
PubMedDate not supplied

Biodegradable fixation of physeal fractures in goat distal femur.

We compared the effectiveness of absorbable polylactic acid (PLA) screws and polydioxanone (PDS) pins with that of ASIF cannulated screws in stabilizing Salter-Harris IV fractures in goat distal femur. Eighteen juvenile goats were randomly divided into control (cannulated screw), PLA screw, and PDS pin groups. A Salter-Harris IV medial femoral condyle fracture was created and stabilized, and the goats were sacrificed 8 weeks postoperatively. Articular cartilage displacement < 1 mm was considered anatomic. All PLA screws were anatomic as compared with 83% (five of six) of the controls and 17% (one of six) of the pins. Absorbable PLA screws stabilized Salter-Harris IV fractures as well as cannulated screws and better than PDS pins.

Animals↗
PubMed1977

Fractures of the femur during total hip replacement and their management.

Seventeen femoral fractures occurred in 1,751 operations for total hip replacement. They usually occurred during dislocation of the hip, reaming of the shaft, or insertion of the femoral component, and were common in second operations. The short oblique fracture can be controlled by use of the standard implant, and the long oblique fracture by internal fixation. Fractures well below the implant should probably be treated by continous traction. The eventual results were adequate in all cases. The liability to fracture can be reduced by taking special care during operation in particulary susceptible cases.

Adult↗
PubMed1975

Early weightbearing after classical internal fixation of medial fractures of the femoral neck.

This study is a survey of a series of 446 patients, treated in the city of Turku, Finland, between 1964 and 1971, for medial fractures of the femoral neck. Fractures were treated by means of the classical nailing method (nail placed along the central axis of the femoral neck, ad modum Smith-Petersen). An unselected group of patients were treated in such a way that they were already allowed to bear weight on the injured limb 2 weeks post-operatively (120 patients). The remaining patients were not allowed to bear weight on the injured limb until 12-14 weeks after nailing (261 patients). The progress of recovery was studied retrospectively, a comparison being made between the early and late weightbearers. Without reference to the type of fracture (according to the classifications of Garden or Pauwels) or to the method of fixing (Smith-Petersen nail, with or without side-plate) bone union was relatively more frequent and failures were relatively less frequent among early weightbearers than among late weightbearers. Early weightbearing had a beneficial effect upon the healing of the fracture and there was no evidence in the case of early weightbearers of any additional complications. A comparative study of the whole patient group on the basis of the time-lag between the accident and the operation--some were nailed 1-3 days, some 4-7 days and some more than a week after the fracture had taken place--revealed no significant differences.

Adolescent↗
PubMed1999

Use of the fork plate for internal fixation of periprosthetic fractures and osteotomies in connection with total knee replacement.

Six cases of periprosthetic fractures of the distal femur following total knee arthroplasty were treated with a newly developed fork plate. Instead of the blade of the condylar plate, this implant features two prongs that are adaptable in length. Because of the space between the prongs, the distal femoral fragment surrounds the anchorage pegs of the prosthesis and can be gripped near the joint line. The average patient age was 74 years. Follow-up ranged between 2 and 54 months. All patients were mobilized immediately postoperatively. Full weight bearing and bone consolidation was achieved by 9 weeks postoperatively.

Aged↗
PubMed1990

Use of flexible intramedullary rods for fixation of femoral fractures in eight dogs.

High-density, polysulfone rods were used to repair 4 comminuted and 4 short-oblique, mid-diaphyseal femoral fractures in 8 dogs. Bony union was achieved in 2 dogs at 10 and 12 weeks after surgery. In one dog, the femoral fracture was healing when amputation of the limb became necessary because of sciatic nerve damage secondary to an ipsilateral pelvic fracture. In a fourth dog, fracture repair resulted in nonunion, despite normal clinical function at 18 months after surgery. In the remaining 4 dogs (50%), the rods failed at 3.5, 4, 6, and 22 weeks after surgery. These fractures were then stabilized by use of other methods. Although several factors may have contributed to failure of the rods, multiple autoclaving of the thermoplastic implants may have caused embrittlement and subsequent breakage.

Animals↗
PubMed1989

Transposition of iliac periosteum with vascular pedicle and compression screw fixation for transcervical fracture of femur. Experimental research and clinical application.

The vascular pedicled periosteum was used in 11 cases in our hospital for the treatment of femoral neck fracture with good result. The follow-up period ranged from 2 to 6 years, with an average of 4 years. Animal experiment was made to elucidate the repairing process. It demonstrated that the pedicled periosteum played double roles, namely, blood supply and osteogenesis. The clinical and experimental results are presented.

Adolescent↗