Surgical Treatment with External Fixator for Posttraumatic Carpal Instability

Author(s):  
Kozo Shimada ◽  
Minoru Nishino ◽  
Tohru Kadowaki ◽  
Tomio Yamamoto
Author(s):  
S Pinna ◽  
C Tassani ◽  
M Rossini ◽  
F Lanzi

The aim of this study was to report the outcome of the use of an external fixator to treat a pelvic canal stenosis in a 5-month-old female cat. The cat was referred with a history of 3 weeks of intermittent signs of constipation refractory to the medical management, occurring after surgical treatment for a bilateral sacroiliac luxation and sacral fracture. The clinical examination revealed instability of the pelvis and a radiograph showed a pelvic canal stenosis and megacolon. External fixator was the method of choice to be used in this case. The manually applied tension on an external fixator resulted in a widening of the pelvic canal. At 45 days after surgery, there were no signs of constipation, and the radiological examination showed progressive bone healing. At 18 months post-op, the cat had no abnormalities both on the clinical examination and on the radiography. In conclusion, the use of an external fixator led to the widening of the pelvic canal using a minimally invasive procedure. To the authors’ knowledge, this case report represents the first surgical description and clinical outcome of the widening of the pelvic canal in cats using an external skeletal fixator.


2017 ◽  
Vol 34 (1) ◽  
pp. 77-83
Author(s):  
Predrag Stojiljković ◽  
Milan Jovanović ◽  
Ivan Golubović ◽  
Milan Mitković ◽  
Marko Mladenović ◽  
...  

SummaryOpen elbow dislocations with vascular injury are rare injuries and they most commonly occur after a fall from a high or in sports accidents. Close anatomic proximity of the joint to the neurovascular structures put them at risk of concomitant injury. The aim of this paper is to present the method of treatment of this severe injury.Herein we present a case of a female patient, 43 years old. She had suffered an open elbow dislocation with vascular injury as a result of a fall from the height of 1.5 meters. Seven hours after sustaining the injury and short preoperative preparation, reposition of the elbow, reconstruction of the vascular injury, adequate surgical treatment of the wound and external fixation of the elbow with the Mitković type external fixator were performed under general anesthesia. Four weeks after elbow stabilization with the external fixation, the external fixator was removed. The neurovascular status and final functional result of the treatment after six mounts were good.Urgent reposition, artery and vein reconstruction, and external fixation are essential in achieving good results in patients with open cubital dislocation accompanied with vascular injury. The Mitković type external fixator provides fast and stable fixation of the elbow after reposition and good conditions for wound care.


2012 ◽  
Vol 21 (7) ◽  
pp. 882-886 ◽  
Author(s):  
Jingwei Zhang ◽  
Nabil Ebraheim ◽  
Gregory E. Lause

2018 ◽  
Vol 32 (3) ◽  
pp. e102-e105
Author(s):  
Paul J. Nielsen ◽  
Leonid S. Grossman ◽  
Justin C. Siebler ◽  
Elizabeth R. Lyden ◽  
Lori K. Reed ◽  
...  

2006 ◽  
Vol 19 (04) ◽  
pp. 246-249 ◽  
Author(s):  
C. Nielsen ◽  
G. E. Pluhar

SummarySurgical treatment of Achilles tendon rupture in dogs is generally associated with a favourable outcome, although the recovery time to best function is relatively long at 20.2 weeks. Dogs with injuries of less than 21 days duration may have a better functional outcome. When comparing external fixator application to splint or cast management, initial tibiotarsal immobilization method does not significantly affect the complication rate, duration of immobilization, recovery time, or functional outcome.


Author(s):  
A. V. Sialitski ◽  
O. P. Kezlya

In the article, clinical experience of surgical treatment of 239 patients with complex segmental (segmental type C2) and complex irregular (irregular type C3 according to the AO classification) diaphysial fractures of tibia is studied. 215 (89.9 %) patients had Ilizarov’s external fixator and 24 (10.1 %) patients had blocked intramedullary nailing. The article determined the algorithm of preoperative and postoperative management, surgical treatment depending on the nature of bone tissue damage, the size and nature of wounds in open fractures, and the degree of damage to soft tissues in closed fractures.


2010 ◽  
Vol 35 (9) ◽  
pp. 754-756 ◽  
Author(s):  
F.D. Burke ◽  
C. Heras-Palou

We describe two films made by Geoffrey Fisk in 1973 that record midcarpal instability and its surgical treatment.


2001 ◽  
Vol 14 (01) ◽  
pp. 46-50 ◽  
Author(s):  
G. Ehrismann ◽  
H. G. Schmökel

SummaryThe surgical treatment of talocrural luxation in nine cats was evaluated. Stabilisation of the joint was achieved by internal fixation of fractures and ligament replacement. A splint provided external support in eight cats and an external fixator was used in one. The support remained in place for three to seven weeks in five cats (group #1) but is was removed after ten days in four (group #2) and physiotherapy applied to the leg. Using a scoring system the repairs were assessed at 5-30 months, when cats in group #2 had better function and less DJD than those in group #1. Early mobilisation and weight-bearing may have favourably influenced this result.The treatment of talocrural luxations in cats is reported. Early physiotherapy and mobilisation appeared to benefit the outcome.


2016 ◽  
Vol 51 (5) ◽  
pp. 501-508 ◽  
Author(s):  
Rodrigo Mota Pacheco Fernandes ◽  
Maurilio Darcy dos Santos Mendes ◽  
Renato Amorim ◽  
Marcus Aurélio Preti ◽  
Marcelo Back Sternick ◽  
...  

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