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Children (Basel) 2022 Jun 12;9(6). Epub 2022 Jun 12.

Orthopedic Surgery, Phoenix Children's Hospital, Phoenix, AZ 85016, USA.

Constriction band syndrome (CBS) is a rare condition where fibrous bands constrict one or more parts of the fetus with varying manifestations such as autoamputation, acrosyndactyly, and neuropathy. However, isolated extremity fractures in the setting of constriction band syndrome are even more rare, with only two reported cases in the literature. There are few guidelines on the management of CBS due to small case numbers, the variability of presentation between patients, and the lack of consensus on etiology and pathogenesis. Read More

Strategies Trauma Limb Reconstr 2022 Jan-Apr;17(1):55-58

Department of Trauma and Orthopaedics, Kings College Hospital, London, England, United Kingdom.

Aim: To present a novel technique developed in our institution to remove incarcerated and broken intramedullary (IM) tibial and femoral nails.

Background: IM nails are commonly used to treat diaphyseal fractures in both the tibia and femur. These nails can become problematic for the orthopaedic surgeon when they need to be removed, especially in the rare event that the nail has failed and broken. Read More

Tech Hand Up Extrem Surg 2022 May 5. Epub 2022 May 5.

Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital.

Although tension band wiring is effective for treating olecranon fractures, it is associated with a high reoperation rate because of hardware-related problems. The loop anchor tension band technique is a novel modification of the Arbeitsgemeinschaft für Osteosynthesefragen (AO)-modified tension band wiring technique. This technique is suitable for treating olecranon fractures without severe comminution and olecranon osteotomy. Read More

Radiol Case Rep 2022 Aug 8;17(8):2815-2819. Epub 2022 Jun 8.

Department of Trauma and Orthopaedics, Diana Princess of Wales Hospital, DN33 2BA, Grimsby, United Kingdom.

We report the unorthodox use of a retrograde intramedullary nail via antegrade technique for the treatment of a subtrochanteric pathological femur fracture in the presence of significant coxa vara. No similar use has been documented previously in literature. A standard approach to the proximal right femur was performed and standard antegrade technique used to introduce a guide wire into the proximal femur after which the femoral shaft was reamed. Read More

Int J Clin Pract 2022 27;2022:9317837. Epub 2022 Mar 27.

University of Missouri-Kansas City, Department of Orthopaedic Surgery, Kansas City, USA.

Aim: The purpose of this study was to compare the effects of using Kirschner-wire (K-wire) or titanium elastic nails (TEN) on the functional results of patients treated with the Métaizeau closed reduction technique, which is a popular treatment modality for pediatric radial neck fractures (PRNF).

Methods: Patients who underwent the Métaizeau closed reduction technique for PRNF between May 2017 and May 2019 were assessed retrospectively. The Judet classification was used for the PRNF classification. Read More