84 results match your criteria General Principles of Internal Fixation


What Factors Are Associated With Outcomes Scores After Surgical Treatment Of Ankle Fractures With a Posterior Malleolar Fragment?

Clin Orthop Relat Res 2019 Jan 4. Epub 2019 Jan 4.

D. T. Meijer, B. D. J. G. Deynoot, S. A. Stufkens, G. M. M. J. Kerkhoffs, J. N. Doornberg, Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands D. T. Meijer, Trauma Unit, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands I. N. Sierevelt, Slotervaart Center of Orthopedic Research and Education, Department of Orthopaedic Surgery, Medical Centre Slotervaart, Amsterdam, The Netherlands J. C. Goslings, Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands G. M. M. J. Kerkhoffs, Academic Center for Evidence-based Sports Medicine, Amsterdam Collaboration for Health and Safety in Sports, IOC Research Center, Amsterdam, The Netherlands J. N. Doornberg, Flinders University, Adelaide, Australia.

Background: Psychosocial factors, such as depression and catastrophic thinking, might account for more disability after various orthopaedic trauma pathologies than range of motion and other impairments. However, little is known about the influence of psychosocial aspects of illness on long-term symptoms and limitations of patients with rotational-type ankle fractures, including a posterior malleolar fragment. Knowledge of the psychosocial factors associated with long-term outcome after operative treatment of trimalleolar ankle fractures might improve recovery. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000623DOI Listing
January 2019
2 Reads

[Reduction techniques for osteosynthesis of intra-articular fractures].

Unfallchirurg 2018 Oct 24. Epub 2018 Oct 24.

Klinik für Unfallchirurgie, Departement Chirurgie, Kantonsspital Graubünden, Loëstr. 170, 7000, Chur, Schweiz.

The cornerstones for treatment of articular fractures are gentle handling of soft tissues and anatomical reconstruction of the articular surface with stable fixation, which enables a functional aftercare. By respecting these principles, satisfactory functional and radiological results with low complication rates can be achieved even for complex fracture patterns. Fracture complexity varies with the energy load during the trauma mechanism. Read More

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http://dx.doi.org/10.1007/s00113-018-0570-zDOI Listing
October 2018

Why and how do locking plates fail?

Injury 2018 Jun;49 Suppl 1:S56-S60

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany.

Locking plates have led to important changes in bone fracture management, allowing flexible biological fracture fixation based on the principle of an internal fixator. The technique has its indications and limitations. Most of the typical failure patterns arise from basic technical errors. Read More

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http://dx.doi.org/10.1016/S0020-1383(18)30305-XDOI Listing

Spinopelvic injuries. Facts and controversies.

Injury 2018 Mar;49(3):449-456

Academic Department of Trauma & Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, LS1 3EX Leeds, United Kingdom.

Spinopelvic injuries result from high energy trauma with overloading through the sacrum. These lesions can accomplish either bone fractures, ligament injuries or, most commonly, both. They may be accompanied with other associated life threatening injuries and cause biomechanical instability with potential fracture non-union, mal-union and subsequent lifetime pain and disability. Read More

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http://dx.doi.org/10.1016/j.injury.2018.03.001DOI Listing
March 2018
2 Reads

Complex Tibial Plateau Fractures Treated by Hybrid External Fixation System: A correlation of followup computed tomography derived quality of reduction with clinical results.

Indian J Orthop 2018 Mar-Apr;52(2):161-169

Fourth Department of Orthopaedics and Traumatology, KAT Hospital, Kifissia, 2 Nikis Street, 145 61, Athens, Greece.

Background: Tibial plateau fractures are common due to high energy injuries. The principles of treatment include respect for the soft tissues, restoring the congruity of the articular surface and reduction of the anatomic alignment of the lower limb to enable early movement of the knee joint. There are various surgical fixation methods that can achieve these principles of treatment. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_300_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858210PMC
March 2018
7 Reads

The principles and practice of open fracture care, 2018.

Chin J Traumatol 2018 Aug 21;21(4):187-192. Epub 2018 Feb 21.

Department of Orthopaedics, Harvard Medical School, Chief Orthopaedic Trauma Service, Massachusetts General Hospital, Boston, MA, USA. Electronic address:

The principles of open fracture management are to manage the overall injury and specifically prevent primary contamination becoming frank infection. The surgical management of these complex injuries includes debridement & lavage of the open wound with combined bony and soft tissue reconstruction. Good results depend on early high quality definitive surgery usually with early stable internal fixation and associated soft tissue repair. Read More

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http://dx.doi.org/10.1016/j.cjtee.2018.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085196PMC

A Review of Subbrow Approach in the Management of Non-Complicated Anterior Table Frontal Sinus Fracture.

Arch Craniofac Surg 2016 Dec 23;17(4):186-189. Epub 2016 Dec 23.

Department of Plastic Surgery, Konkuk University School of Medicine, Seoul, Korea.

Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are controversial. The subbrow approach enables accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by allowing direct visualization of the fracture. Read More

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http://e-acfs.org/journal/view.php?doi=10.7181/acfs.2016.17.
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http://dx.doi.org/10.7181/acfs.2016.17.4.186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556834PMC
December 2016
6 Reads

Current treatment of infected non-union after intramedullary nailing.

Injury 2017 Jun 9;48 Suppl 1:S82-S90. Epub 2017 May 9.

Department of Trauma and Orthopaedics, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK.

Non-union is a devastating consequence of a fracture. Non-unions cause substantial patient morbidity with patients suffering from loss of function of the affected extremity, increased pain, and a substantial decrease in the quality of life. The management is often associated with repeated, unsuccessful operations resulting in prolonged hospital stays, which has social and economic consequences to both the patient and the healthcare system. Read More

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http://dx.doi.org/10.1016/j.injury.2017.04.026DOI Listing
June 2017
38 Reads

Repair of comminuted fracture of the lower patellar pole.

Ulus Travma Acil Cerrahi Derg 2017 Mar;23(2):150-155

Department of Orthopaedic, Sohag Teaching Hospital, General Organization for Teaching Hospitals and Institutes, Egypt.

Background: Comminuted fracture of the lower patellar pole has characteristics of both patellar fracture and avulsion of the patellar tendon. Therefore, components of both injury types should be considered during treatment. None of the traditional techniques has proven sufficient alone. Read More

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http://dx.doi.org/10.5505/tjtes.2016.46402DOI Listing
March 2017
3 Reads

Tension band wiring for simple olecranon fractures: evaluation of surgical technique.

J Orthop Traumatol 2017 Sep 28;18(3):275-281. Epub 2017 Feb 28.

Orthotrauma Research Center, University of Amsterdam Orthopaedic Residency Program (PGY 4), Amsterdam, The Netherlands.

Background: In some settings, specific techniques for open reduction and internal fixation are preferred based on the eminence of a surgeon or professional organization. An emphasis on technical aspects of surgery that are not proved superior and vary substantially from surgeon to surgeon can be confusing for trainees. This study applied a numerical grading of the technical aspects of tension band wire (TBW) fixation for olecranon fracture; assessed the interobserver agreement of each criterion; and measured the correlation of the technical grading and objective and subjective long-term outcomes. Read More

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http://dx.doi.org/10.1007/s10195-017-0450-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5585090PMC
September 2017
8 Reads

Current management of open fractures: results from an online survey.

Arch Orthop Trauma Surg 2016 Dec 15;136(12):1663-1672. Epub 2016 Sep 15.

Department of Trauma, Reconstructive Surgery and Rehabilitation Medicine, Ferdinand-Sauerbruch-Str., 17475, Greifswald, Germany.

Background: Open fractures are orthopaedic emergencies that carry a high risk for infection, non-union and soft tissue complications. Evidence-based treatment is impeded by the lack of high-quality evidence-based studies. The aim of this investigation was to elucidate the current practice of open fracture management in Germany and to determine major differences in treatment. Read More

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http://dx.doi.org/10.1007/s00402-016-2566-xDOI Listing
December 2016
11 Reads

Return to Sport After Tibial Shaft Fractures: A Systematic Review.

Sports Health 2016 Jul 18;8(4):324-30. Epub 2015 Aug 18.

Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, UK.

Context: Acute tibial shaft fractures represent one of the most severe injuries in sports. Return rates and return-to-sport times after these injuries are limited, particularly with regard to the outcomes of different treatment methods.

Objective: To determine the current evidence for the treatment of and return to sport after tibial shaft fractures. Read More

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http://dx.doi.org/10.1177/1941738115601425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4922516PMC
July 2016
9 Reads

Experimental study on treatment of acetabular anterior column fractures: applyment of a minimally invasive percutaneous lag screw guide apparatus.

BMC Musculoskelet Disord 2016 Jan 15;17:27. Epub 2016 Jan 15.

Department of Orthopedics, Chinese PLA General Hospital, No.28 Fuxing Road, Haidian District, Beijing, 100853, People's Republic of China.

Background: The aim of this study was to design a new minimally invasive percutaneous lag screw guide apparatus and to verify its adjuvant treatment of acetabular anterior column fracture on pelvis specimens.

Methods: This guide apparatus was self-developed based on the principles of "two points form a line" and "Rectangle". Using C-arm fluoroscopy, this guide apparatus was used to conduct minimally invasive percutaneous lag screw internal fixation of acetabular anterior column fractures. Read More

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http://dx.doi.org/10.1186/s12891-015-0846-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4714437PMC
January 2016
3 Reads

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates.

Ulus Travma Acil Cerrahi Derg 2015 Jul;21(4):279-84

Department of Hand and Upper Extremity Surgery, Metin Sabancı Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.

Background: Metacarpal fractures are among the most common fractures of the hand. They may lead to loss of function if treated improperly. These injuries can be treated conservatively. Read More

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http://www.journalagent.com/travma/pdfs/UTD-01651-CLINICAL_A
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http://dx.doi.org/10.5505/tjtes.2015.01651DOI Listing
July 2015
7 Reads

Circummandibular Wires for Treatment of Dentoalveolar Fractures Adjacent to Edentulous Areas: A Report of Two Cases.

Authors:
Karl Maloney

Craniomaxillofac Trauma Reconstr 2015 Sep 13;8(3):246-50. Epub 2015 Jan 13.

Department of Oral and Maxillofacial Surgery, St. Luke's Hospital, Bethlehem, Pennsylvania.

In general, dentoalveolar fractures are a common injury seen in emergency departments, dental offices, and oral and maxillofacial surgery practices. These injuries can be the result of direct trauma or indirect trauma. Direct trauma more often causes trauma to the maxillary dentition due to the exposure of the maxillary anterior teeth. Read More

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http://dx.doi.org/10.1055/s-0034-1399801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4532572PMC
September 2015
2 Reads

Development and Clinical Evaluation of MatrixMANDIBLE Subcondylar Plates System (Synthes).

Craniomaxillofac Trauma Reconstr 2015 Jun 31;8(2):94-9. Epub 2014 Oct 31.

Gradute School of Maxillo-facial Surgery, University of Bari, Bari, Italy.

In this article, authors report the different steps of development and clinical validation of MatrixMANDIBLE Subcondylar Plates (Synthes, Soletta, Switzerland), a specialized osteosynthesis system developed by Synthes during the past 4 years. Between 2009 and 2013, a total of 62 patients were treated for subcondylar and condylar neck fractures via a preauricular or retromandibular/transparotid approach. The MatrixMANDIBLE Subcondylar Plates System consists of a Trapezoidal Plate, a three-dimensional (3D) 4-hole 1. Read More

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http://dx.doi.org/10.1055/s-0034-1395382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4428734PMC
June 2015
9 Reads

Imaging the knee in the setting of metal hardware.

Magn Reson Imaging Clin N Am 2014 Nov 28;22(4):765-86. Epub 2014 Aug 28.

Radiology Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161, USA; Department of Radiology, University of California San Diego Medical Center, 200 West Arbor Drive, San Diego, CA 92103, USA.

Magnetic resonance (MR) imaging is an established modality for the evaluation of musculoskeletal structures, including the knee. Metallic implants are increasingly used and techniques to minimize artifacts are continuously improving. This article reviews the general principles behind the effects of metal on MR imaging, various MR imaging techniques that are available or have been recently described in the literature, and abnormalities that can be encountered during MR imaging of patients related to knee arthroplasty, hardware after internal fixation, or hardware used for soft tissue fixation. Read More

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http://dx.doi.org/10.1016/j.mric.2014.07.009DOI Listing
November 2014
8 Reads

Subbrow approach as a minimally invasive reduction technique in the management of frontal sinus fractures.

Arch Plast Surg 2014 Nov 3;41(6):679-85. Epub 2014 Nov 3.

Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Chungju, Korea.

Background: Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures. Read More

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http://dx.doi.org/10.5999/aps.2014.41.6.679DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228210PMC
November 2014
5 Reads

Immunohistochemistry in surgical pathology: principles and practice.

Authors:
Clive R Taylor

Methods Mol Biol 2014 ;1180:81-109

Department of Pathology, HMR 311, Keck School of Medicine, University of Southern California, 2011 Zonal Avenue, 90033, Los Angeles, CA, USA,

The extent to which data from immunohistochemical (IHC) staining are useful is critically dependent not only upon the proper performance and control of the method but also upon appropriate interpretation. A decade ago an individual pathologist may have nurtured a reasonable expectation of achieving a comprehensive understanding of the IHC literature across the whole field of pathology. Today such an expectation is clearly unreasonable with a simple Medline search of the IHC literature postdating the general adoption of antigen retrieval (arbitrarily 1996), yielding more than 100,000 "relevant" articles. Read More

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http://dx.doi.org/10.1007/978-1-4939-1050-2_5DOI Listing
February 2015
4 Reads

[Pelvic fracture as part of multiple trauma].

Rozhl Chir 2014 May;93(5):292-6

A patient with pelvic injury, especially if the injury is part of multiple trauma, must be initially treated in accordance with the principles of Advanced Trauma Life Support®. The authors define the indications of procedures corresponding to damage control surgery with regard to pelvic injury, and also to the timing of and performing the individual internal fixation techniques in pelvic fracture. A multidisciplinary approach with the individual treatment procedures reflecting the general condition of the injured patient is a key to favourable outcome. Read More

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May 2014
6 Reads

Principles of osteoporotic fracture treatment.

Best Pract Res Clin Rheumatol 2013 Dec;27(6):757-69

Department for Trauma Surgery and Sports Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. Electronic address:

The number of osteoporotic fractures is still increasing and the overall management of these multimorbid patients is demanding. Surgical management of these fractures is challenging due to often comminuted fractures and poor purchase of implants. New implants and some with add-on possibilities such as standardized cement augmentation have been developed to address these problems. Read More

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http://dx.doi.org/10.1016/j.berh.2014.02.005DOI Listing
December 2013
5 Reads

Gamma nail in the treatment of closed trochanteric fractures. Results and indications of 121 cases.

Orthop Traumatol Surg Res 2014 Feb 20;100(1):75-83. Epub 2014 Jan 20.

Centre de Traumatologie et d'orthopédie, 67400 Illkirch-Grafenstaden, France.

The Gamma Nail is the latest advance in the treatment of trochanteric fractures based on intramedullary nailing principles during closed procedures. Its design is based on Küntscher's Y-nail and locking intramedullary (IM) nails. This paper reports the results from the first-ever series of 121 patients operated between 1988 and 1990. Read More

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http://dx.doi.org/10.1016/j.otsr.2013.12.013DOI Listing
February 2014
1 Read

Operative strategy for different types of thoracolumbar stress fractures in ankylosing spondylitis.

J Spinal Disord Tech 2014 Dec;27(8):423-30

Department of Orthopedics, Yancheng First People's Hospital, Jiangsu Province, China.

Study Design: There are no accurate guidelines on the operative treatment of ankylosing spondylitis (AS)-related thoracolumbar stress fractures. For this reason, we categorized such bone fractures into 2 types: vertebral body type and intervertebral space type, according to the damage mechanism, cross-section spot, and iconography, and devised a targeted surgical plan based on the characteristics of each fracture type.

Objective: To investigate the types and surgical treatment of thoracolumbar stress fractures in AS. Read More

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http://dx.doi.org/10.1097/BSD.0b013e31828e9f0eDOI Listing
December 2014
9 Reads

Return to sports after ankle fractures: a systematic review.

Br Med Bull 2013 19;106:179-91. Epub 2012 Dec 19.

Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London, UK.

Introduction: This review aims to provide information on the time athletes will take to resume sports activity following ankle fractures.

Sources Of Data: We systematically searched Medline (PubMED), EMBASE, CINHAL, Cochrane, Sports Discus and Google scholar databases using the combined keywords 'ankle fractures', 'ankle injuries', 'athletes', 'sports', 'return to sport', 'recovery', 'operative fixation', 'pinning', 'return to activity' to identify articles published in English, Spanish, French, Portuguese and Italian.

Areas Of Agreement: Seven retrospective studies fulfilled our inclusion criteria. Read More

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http://dx.doi.org/10.1093/bmb/lds039DOI Listing
December 2013
10 Reads

Modified Gillies approach for zygomatic arch fracture reduction in the setting of bicoronal exposure.

J Craniofac Surg 2012 May;23(3):859-62

Division of Plastic & Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Zygomatic arch fractures are common injuries, occurring in isolation in 5% of all patients with facial fractures and in 10% of patients with any fracture to the zygomaticomaxillary complex. Isolated noncomminuted depressed zygomatic arch fractures are easily treated with the minimally invasive Gillies approach, which most often provides long-term stability. However, zygomatic arch fractures often occur in conjunction with zygomaticomaxillary complex, Le Fort, calvarial, and naso-orbitoethmoid fractures. Read More

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http://dx.doi.org/10.1097/SCS.0b013e31824dd5c3DOI Listing
May 2012
43 Reads

Soft tissue tumor recurrence after intramedullary stabilization of impending pathologic fractures.

Orthopedics 2012 Mar 7;35(3):e448-52. Epub 2012 Mar 7.

The Ohio State University College of Medicine, Columbus, Ohio, USA.

This article describes the cases of 3 patients who were treated for impending pathologic fractures with intramedullary stabilization who developed soft tissue tumor recurrence along the surgical tract site postoperatively, with confirmed histologic diagnoses consistent with each of their prior-known metastatic primaries. This sequela of treatment can lead to additional surgical procedures, longer recovery, and a delay in further systemic treatment, which negatively affects patient outcomes and survival. This can occur despite the use of adjuvant radiation therapy to the surgical site. Read More

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http://dx.doi.org/10.3928/01477447-20120222-43DOI Listing
March 2012
4 Reads

Techniques of anterior pelvic fixation.

Authors:
Brian H Mullis

Instr Course Lect 2012 ;61:19-25

Department of Orthopaedics, Indiana University School of Medicine, Indianapolis, IN, USA.

Although definitive fixation of anterior pelvic ring injuries is usually referred to an orthopaedic trauma surgeon or a surgeon proficient in pelvic surgery, all orthopaedic surgeons should be familiar with the initial management and resuscitation of patients with high-energy pelvic ring injuries. The initial treatment may be limited to sheet or binder application in the emergency department to allow transfer of the patient to a trauma center or the application of an external fixator by an on-call surgeon, even though that surgeon may not be responsible for definitive fixation. It is important to understand the general principles and approaches used at the time of definitive surgery because decisions made by the initial treating physician may affect (or limit) the ability of the orthopaedic traumatologist to provide definitive care. Read More

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June 2013
3 Reads

[Open stabilization and primary hip arthroplasty in geriatric patients with acetabular fractures: combination of minimally invasive techniques].

Unfallchirurg 2011 Dec;114(12):1122-7

Klinik für Traumatologie, Universitätsspital Basel, Spitalstraße 21, CH-4031, Basel, Schweiz.

Fractures of the acetabulum after low-energy trauma in geriatric patients suffering from osteoporosis are increasing in number and significance due to demographic changes. The results of current therapeutic principles though tend to be poor in this population, while risk and treatment-related morbidity of surgical or conservative approaches are substantial.The treatment of geriatric patients can be challenging, not only because of their often complex medical history. Read More

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http://dx.doi.org/10.1007/s00113-011-2064-0DOI Listing
December 2011
1 Read

General management considerations in pediatric facial fractures.

J Craniofac Surg 2011 Jul;22(4):1190-5

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.

The treatment of pediatric facial fractures, although similar to that of adults, requires a separate and thorough understanding of the unique developmental issues inherent to this age group. The contribution of several of these factors allows for a large portion of these injuries to be managed more conservatively; however, operative indications still exist. The optimal form of management in these situations must balance the risks of impacting dentition or future skeletal growth versus obtaining acceptable stability and reduction for healing. Read More

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http://dx.doi.org/10.1097/SCS.0b013e31821c0cf9DOI Listing
July 2011
3 Reads

Facial trauma: general principles of management.

J Craniofac Surg 2010 Jul;21(4):1051-3

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas, USA.

Facial fractures are common problems encountered by the plastic surgeon. Although ubiquitous in nature, their optimal treatment requires precise knowledge of the most recent evidence-based and technologically advanced recommendations. This article discusses a variety of contemporary issues regarding facial fractures, including physical and radiologic diagnosis, treatment pearls and caveats, and the role of various synthetic materials and plating technologies for optimal facial fracture fixation. Read More

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http://pdfs.journals.lww.com/jcraniofacialsurgery/2010/07000
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SCS.0b013e3181e5701cDOI Listing
July 2010
4 Reads

[Monteggia lesions in the growing skeleton: principles of therapy].

Authors:
T Pesl P Havránek

Acta Chir Orthop Traumatol Cech 2010 Feb;77(1):32-8

Klinika detské chirurgie a traumatologie 3. LF UK, Fakultní Thomayerova nemocnice, Praha.

Purpose Of The Study: In this retrospective study we analyse the methods of Monteggia lesion (ML) treatment in children used in our department. Based on the results we propose several general principals for the therapy of this complex injury to the forearm in agrowing skeleton.

Material: The group included patients with the diagnosis of acute ML treated at our department in the 2003-2007 period. Read More

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February 2010
4 Reads

Surgical techniques: how I do it? The Reamer/Irrigator/Aspirator (RIA) system.

Injury 2009 Nov 23;40(11):1231-6. Epub 2009 Sep 23.

Department of Trauma and Orthopaedics, Academic Unit, Clarendon Wing, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.

Although reamed intramedullary nailing has long been considered a safe procedure, pulmonary complications have been reported in some groups of patients. Concerns over fat embolisation, adult respiratory distress syndrome (ARDS), and sudden intraoperative death have prompted some authors to question whether the benefits of reaming are outweighed by its potential adverse effects to the patient. In response to these complications, recent evaluations have focused on alternative systems that reduce intramedullary pressure during reaming. Read More

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http://dx.doi.org/10.1016/j.injury.2009.07.070DOI Listing
November 2009
2 Reads

Outcome and complications of treatment of ankle diastasis with tightrope fixation.

Injury 2009 Nov 22;40(11):1204-6. Epub 2009 Jul 22.

Department of Trauma and Orthopaedics, Maidstone General Hospital, Kent, UK.

Fixation of ankle syndesmosis injury with a fibre-wire tightrope has previously been reported. Early clinical results indicate that it can remain in situ indefinitely without complications. We are the first to report complications with the use of this device. Read More

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http://dx.doi.org/10.1016/j.injury.2009.05.008DOI Listing
November 2009
5 Reads

"Challenges in the management of fractures in osteopetrosis"! Review of literature and technical tips learned from long-term management of seven patients.

Injury 2009 Nov 2;40(11):1167-71. Epub 2009 Jul 2.

Wansbeck General Hospital, Northumberland, United Kingdom.

Osteopetrosis is a metabolic disorder with diminished bone resorption due to osteoclastic abnormality. It causes hard and brittle marble bone which fractures easily. Most of these fractures can be treated conservatively. Read More

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http://dx.doi.org/10.1016/j.injury.2009.02.009DOI Listing
November 2009
4 Reads

Closing lateral wedge valgus osteotomy with dynamic hip screw for the treatment of varus nonunion of pertrochanteric fracture: can restoration of biomechanics and stabilization alone heal?

Arch Orthop Trauma Surg 2009 Jun 24;129(6):827-32. Epub 2008 Dec 24.

Department of Spine Surgery, Manipal Hospital, Bangalore, Karnataka, India.

Introduction: Nonunion of pertrochanteric fracture is rare and its occurrence especially without prior surgical intervention has been hardly ever reported. Hence there is not much literature describing the best way to treat them. Nonunion of pertrochanteric fracture collapses in to varus by virtue of deforming action of muscles and thus deranging the biomechanics of the hip and indirectly preventing fracture union further. Read More

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http://dx.doi.org/10.1007/s00402-008-0791-7DOI Listing
June 2009
2 Reads

Computer assisted percutaneous placement of augmented iliosacral screws: a reasonable alternative to sacroplasty.

Spine (Phila Pa 1976) 2008 Jun;33(13):1497-500

Department of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne Merheim Medical Center, Ostmerheimerstrasse 200, 51109 Cologne, Germany.

Study Design: A technical report of fluoroscopy guided placement of augmented iliosacral screws in osteoporotic insufficiency fractures of the sacrum.

Objective: To describe a combined approach of navigated iliosacral screw placement and screw augmentation as an option for osteosynthesis of sacral insufficiency fractures in the elderly.

Summary Of Background Data: The incidence of sacral insufficiency fractures is increasing. Read More

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http://dx.doi.org/10.1097/BRS.0b013e318175c25cDOI Listing
June 2008
17 Reads

[Treatment of femoral fracture on previous implants with minimally-invasive surgery and total weight-bearing: benefit of locking plate. Preliminary report].

Rev Chir Orthop Reparatrice Appar Mot 2008 Feb 20;94(1):26-36. Epub 2008 Feb 20.

Service de traumatologie, hôpital universitaire de Strasbourg, CHU de Hautepierre, 1, avenue Molière, 67098 Strasbourg cedex, France.

Purpose Of The Study: We report a consecutive prospective series of femoral fractures on previous implants. The purpose was to assess treatment with locking compression plates and total weight-bearing.

Material And Method: From June 2002 to December 2005, we treated 21 patients (16 women, five men) for fractures on previous implants: total hip arthroplasty (n=11), total knee arthroplasty (n=1), unicompartmental prosthesis (n=1), gamma nail (n=4), hip screw (n=1). Read More

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http://linkinghub.elsevier.com/retrieve/pii/S003510400700016
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http://dx.doi.org/10.1016/j.rco.2007.07.006DOI Listing
February 2008
4 Reads

Primary epithelioid hemangioendothelioma of the lumbar spine.

Spine J 2008 Mar-Apr;8(2):385-90. Epub 2007 Jan 2.

Aristotelian University of Thessaloniki, G. Papanikolaou Hospital, Exohi, TK 57010, Thessaloniki, Greece.

Background Context: Primary epitheliod hemangioendotheliomas of the lumbar spine are extremely rare tumors with an unpredictable clinical course.

Purpose: To present a case of primary lumbar epithelioid hemangioendothelioma and its treatment protocol.

Study Design/setting: A tertiary Spinal Unit. Read More

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http://dx.doi.org/10.1016/j.spinee.2006.10.016DOI Listing
May 2008
3 Reads

Principles of internal fixation and selection of implants for periprosthetic femoral fractures.

Injury 2007 Jun 30;38(6):669-87. Epub 2007 Apr 30.

Department of Trauma & Orthopaedic Surgery, Academic Unit, School of Medicine, University of Leeds, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds, United Kingdom.

Periprosthetic femoral fractures (PFF) are increasing as a result of changes in population demographics and the increase in the number of total hip replacements performed. The overall incidence has been reported to range from 0.1% to 6% of all total hip arthroplasties. Read More

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http://dx.doi.org/10.1016/j.injury.2007.02.050DOI Listing
June 2007
2 Reads

Retrograde nailing versus fixed-angle blade plating for supracondylar femoral fractures: a randomized controlled trial.

ANZ J Surg 2006 May;76(5):290-4

Department of Orthopaedics, Liverpool Hospital, Liverpool, New South Wales, Australia.

Background: A variety of devices have been used in the treatment of supracondylar femoral fractures. The condylar blade plate relies on the principles of open reduction, absolute stability and interfragmentary compression to achieve union. The technique of retrograde nailing uses indirect reduction of the metaphyseal fracture component, offering relative stability and a less invasive approach. Read More

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http://dx.doi.org/10.1111/j.1445-2197.2006.03714.xDOI Listing
May 2006
8 Reads

The use of computer navigation in performing minimally invasive surgery for intertrochanteric hip fractures--The experience in Singapore.

Injury 2006 Aug;37(8):755-62

Department of Orthopaedic Surgery, Trauma Service, Singapore General Hospital, Outram Road, Singapore 169608, Singapore.

Objective: Intertrochanteric hip fractures are very common and early mobilisation correlates with a better outcome. The ideal surgical procedure should protect the soft tissue envelope, thereby preserving blood supply and reducing blood loss. Furthermore, occupational exposure to fluoroscopy that is used in hip fracture fixation remains a concern amongst orthopaedic surgeons. Read More

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http://dx.doi.org/10.1016/j.injury.2006.03.002DOI Listing
August 2006
3 Reads

Bimalleolar ankle fracture with proximal fibular fracture.

Arch Orthop Trauma Surg 2005 Oct 22;125(8):571-4. Epub 2005 Oct 22.

Department of General Surgery, St. Lucas Andreas Hospital, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.

A 56-year-old female patient suffered a bimalleolar ankle fracture with an additional proximal fibular fracture. This is an unusual fracture type, seldom reported in literature. It was operatively treated by open reduction and internal fixation of the lateral malleolar fracture. Read More

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http://link.springer.com/content/pdf/10.1007/s00402-005-0035
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http://link.springer.com/10.1007/s00402-005-0035-z
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http://dx.doi.org/10.1007/s00402-005-0035-zDOI Listing
October 2005
2 Reads

Fixation principles in metaphyseal bone--a patent based review.

Osteoporos Int 2005 Mar 3;16 Suppl 2:S54-64. Epub 2004 Nov 3.

AO Development Institute, Davos, Switzerland.

Osteoporotic changes start in cancellous bone due to the underlying pathophysiology. Consequently, the metaphyses are at a higher risk of "osteoporotic" fracture than the diaphysis. Furthermore, implant purchase to fix these fractures is also affected by the poor bone quality. Read More

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http://dx.doi.org/10.1007/s00198-004-1763-6DOI Listing
March 2005
5 Reads

General principles for the clinical use of the LCP.

Authors:
Michael Wagner

Injury 2003 Nov;34 Suppl 2:B31-42

Klinik für Traumaand Sportmedizin, Wilhelminspital Wien, Austria.

The basic principles of an internal fixation procedure using a conventional plate and screw system (compression method) are direct, anatomical reduction and stable internal fixation of the fracture. Wide exposure of the bone is usually necessary to gain access to and provide good visibility of the fracture zone to allow reduction and plate fixation to be performed. This procedure requires pre-contouring of the plate to match the anatomy of the bone. Read More

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November 2003
6 Reads

Classification and surgical management of orbital fractures: experience with 111 orbital reconstructions.

J Craniofac Surg 2002 Nov;13(6):726-37; discussion 738

Bobby R. Alford Department of Otolaryngology-Head & Neck Surgery and Communicative Sciences, Baylor College of Medicine, Houston, Texas, U.S.A.

Orbital skeletal injuries are frequently associated with other significant injuries and require a substantial surgical effort to correct. The use of a unified classification of orbital injury may better predict the surgical effort required to correct such injuries and help with future comparisons of results. In an attempt to summarize the principles of reconstruction of the orbital skeleton following trauma and introduce a unified classification system for orbital injuries, a retrospective review of all consecutive orbital reconstructions in a tertiary care teaching hospital was conducted. Read More

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November 2002
2 Reads

Fracture-dislocation of the elbow.

Hand Clin 2002 Feb;18(1):55-63

Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusets General Hospital, Harvard Medical School, ACC 525, 15 Parkman Street, Boston, MA 02114, USA.

Recognition of the pattern of an elbow fracture-dislocation allows immediate knowledge of the treatment principles, pitfalls, and prognosis of the injury. Specific techniques for each injury component increase the surgeon's ability to restore stability to the elbow. When complications are anticipated and avoided or addressed expediently, it is possible to restore elbow function in spite of the complexity of these injuries. Read More

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February 2002
28 Reads

[Treatment of united or malunited fractures of the elbow].

Orthopade 2001 Sep;30(9):627-34

Klinik für orthopädische Chirurgie, Universitätsspital AMC, Meibergdreef 9, Postbus 22660, 1100 DD Amsterdam Z-O, Niederlande.

Nonunions and malunions around the elbow are often due to incorrect initial treatment of a fracture. We have to differentiate between nonunions and malunion of adults and children. There are general principles for the treatment of nonunions and malunions of the distal humerus. Read More

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September 2001
3 Reads

Maxillofacial trauma in the elderly.

J Oral Maxillofac Surg 1999 Jul;57(7):777-82; discussion 782-3

Division of Maxillofacial Surgery, University of Turin, Italy.

Purpose: This article gives a general description of the incidence, causes, and complexity of maxillofacial fractures in the elderly and discusses whether modification is required in assessment, surgical indications, and techniques in such cases.

Patients And Methods: A retrospective clinical and radiologic study evaluated 222 patients older than 60 years of age (mean age, 70.3) hospitalized with maxillofacial trauma over the period 1987 to 1996 in the Division of Maxillofacial Surgery, University of Turin. Read More

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July 1999
2 Reads

Kinetic mechanisms of biological regulation in photosynthetic organisms.

J Biol Phys 1999 Jun;25(2-3):177-92

Dept. Biophysics, Biological Faculty, Moscow State University, Vorobjevy Gory, Moscow, 119899 Russia; Tel.

Principles of regulation on different levels of photosynthetic apparatus are discussed. Mathematical models of isolated photosynthetic reaction centers and general system of energy transduction in chloroplast are developed. A general approach to model these complex metabolic systems is suggested. Read More

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http://dx.doi.org/10.1023/A:1005101703188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3455964PMC
June 1999
1 Read

Surgical results of open reduction and plating of humeral shaft fractures.

Ann Acad Med Singapore 1998 Nov;27(6):772-5

Department of Orthopaedic Surgery, Changi General Hospital, Singapore.

Thirty-five patients who sustained humeral shaft fractures were treated by open reduction internal fixation using AO techniques between 1992 and 1997. Open fractures occurred in 8 patients. Primary radial nerve palsy was present in 5 cases. Read More

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November 1998
1 Read