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Results for “FRACTURE FIXATION”

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At least 1,333 records · Page 74Linked to original sources
PubMed1993

Static external fixation of the wrist.

Historical evolution in concepts, indications, application, reduction techniques, and the rehabilitation program and complications of external fixation of the wrist are discussed. Indirect reduction techniques using overdistraction and flexion are recommended. Additional stabilization of the epiphysis allows immediate reduction of overdistraction, thus eliminating the potential complications related to overdistraction. Used with the due attention to detail, external fixation of the wrist is a rewarding and efficient treatment method.

Exercise Therapy↗
PubMed2000

[The design and comparative biomechanical study of TDP&CS].

A new internal fixation device(TDP&CS) for subtrochanteric fracture of the femurs was designd and compared with Gamma nail and Jewwet nail biomechanically. A model with 5 mm bone deficit presenting as fracture fixation (mFF) and a model with nail holes presenting as fracture healed and nails removed(mFHNR) were designed. Four-point anti-bent test, anti-axial compression test and anti-torsion test were continually performed on mFF, and four-point anti-bent and anti-torsion tests were performed on mFHNR. The results showed that in mFF group, TDP&CS was stronger than Jewwet nail(P < 0.05) in all the three tests, but it was not statistically different from Gamma nail. In mFHNR group, TDP&CS had better features than Gamma nail and Jewett nail in anti-bent and anti-torsion tests (P < 0.05). These data indicate that TDP&CS is a good internal fixation device for subtrochanteric fracture of the femurs, it is as good as Gamma nail and better than Jewett nail in fixing the fracture, and its nail holes could do less injury to the bone as compared with those of the Gamma nail and Jewett nail.

Adult↗
PubMed1999

Femoral shaft fracture after hip arthroplasty: a system for classification and treatment.

Twenty-one consecutive cases of femoral shaft fracture after hip arthroplasty treated at the University of Illinois affiliated hospitals were reviewed. Adequate follow-up and radiographs were available for 19 patients. The length of follow-up after fracture ranged from 2 to 13 years, with a mean of 3.1 years. The time from index procedure to fracture averaged 2.6 years, with a range of 10 days to 11 years. The primary femoral stem was cemented in 11 hips and cementless in 8 hips. Six patients were treated nonoperatively and 13 operatively. Three had fracture fixation with retention of a well-fixed prosthesis and 10 had prosthetic revision. Cortical allograft was used in 5 cases. Sixteen of the 19 patients returned to their prefracture level of function and ambulation. The factors important to treatment are fracture stability, implant stability, and adequacy of bone stock. A classification system based on these factors and recommendations for treatment are proposed.

Adult↗
PubMed2005

Biomechanical evaluation of a new composite bioresorbable screw.

A new bioresorbable composite cannulated screw has been developed for small bone fracture fixation. The LG ("Little Grafter") screw is manufactured from Biosteon, which is a composite of poly L-lactic acid and hydroxyapatite. This study aimed to compare interfragmentary compression generated by this new screw with conventional metal screws commonly used in scaphoid fracture fixation. Four small metallic screws were compared with the LG screw, using a bone model produced from rigid polyurethane foam. The screws included the Acutrak, Asnis III, Herbert and Herbert-Whipple screws. The mean maximum compression forces for the LG screw, the Asnis and the Acutrak were comparable (LG 32.3 N, Asnis 32.8 N, Acutrak 38.3 N), whereas those using the Herbert and the Herbert-Whipple screw were significantly lower (Herbert 21.8 N, Herbert-Whipple 19.9 N). The bioresorbable LG screw has been shown to have good compressive properties compared to commonly used small bone fragment compression screws.

Absorbable Implants↗
PubMed1989

Use of dynamic compression plates for treatment of tibial diaphyseal fractures in foals: nine cases (1980-1987).

The medical records of 9 foals less than 4 months old, with fracture of the tibial diaphysis, were reviewed. Open reduction was accomplished by use of 3 approaches; however, a cranial approach was preferred and was used in 7 foals. Two dynamic compression plates were implanted in all foals except the first of this series. The technique of plate luting was used in 7 foals and appeared to improve the ability of implants to resist failure. Complications after surgery included partial or complete failure of fracture fixation (n = 3 foals), osteomyelitis (n = 2 foals), angular limb deformity (n = 2 foals), minor dehiscence of the surgical wound (n = 3 foals), and mild extensor deficits of the injured limb (n = 4 foals). One foal was euthanatized 12 hours after surgery because of complete loss of fracture fixation. All other foals were discharged 10 to 295 days after surgery. One or both plates were subsequently removed in 7 foals. Follow-up information was obtained 6 to 36 months after discharge. Excellent results were reported for 6 foals, and good or fair results were reported for the remaining 2 foals.

Animals↗
PubMed1984

[Functionally stable fixation in severe midface fractures using an external cranial fixator].

With the external Cranial-fixator we can achieve a stable fixation of the severe maxillofacial injuries. In a period of 10 years (1973-1982) 61 patients were treated with a external cranial fixation, which is tolerated very well by the patients. The intermaxillary fixation is not necessary, the application is easy, the morbidity rate is low and the results are good (table 3 und 4).

Adolescent↗
PubMedDate not supplied

Laceration of tibialis anterior tendon complicating a closed tibial fracture: a case report.

Traumatic laceration of the tibialis anterior tendon complicating a closed tibial shaft fracture is a rare injury pattern. Only 3 such cases have been reported to date in the English literature and all were missed on initial examination. A case of a 17-year-old motorcyclist with an acute laceration of the tibialis anterior tendon resulting from a closed oblique tibial shaft fracture is presented. The tendon laceration was suspected preoperatively because of the patient's inability to actively dorsiflex his ankle joint and the existence of a palpable gap in the soft tissues over the anterolateral aspect of his tibia. Tibialis anterior tendon repair was performed simultaneously with fracture fixation. The role of careful physical examination is stressed so that this rare injury combination will not be missed.

Adolescent↗