scholarly journals 7-year follow-up after open reduction and internal screw fixation in Bennett fractures

2012 ◽  
Vol 132 (7) ◽  
pp. 1045-1051 ◽  
Author(s):  
Franck Marie Patrick Leclère ◽  
Achat Jenzer ◽  
Rolf Hüsler ◽  
David Kiermeir ◽  
Dietmar Bignion ◽  
...  
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Internal Screw

scholarly journals Therapeutic Analysis of Herbert Screw Fixation for Capitellar Fractures via the Anterior Approach in Children

2021 ◽  
Author(s):  
Lingpeng Ju ◽  
Linjun Jiang ◽  
Yuan Zhang ◽  
Jun Wu ◽  
Ming Li ◽  
...  
Keyword(s):  
Performance Index ◽  
Open Reduction ◽  
Anterior Approach ◽  
Screw Fixation ◽  
Rating System ◽  
Bony Union ◽  
Imaging Data ◽  
Herbert Screw ◽  
Elbow Function

Abstract Objective: To analyse the efficacy of open reduction and Herbert screw fixation for coronal fractures of the capitellum via the anterior approach in children.Methods: We retrospectively analysed the clinical and imaging data of 15 children with capitellar fractures who were admitted to our hospital from May 2014 to May 2019. The fracture was reduced through the cubital crease incision via the anterior approach and was internally fixated with Herbert screws. A follow-up was conducted after the operation to examine the fracture healing and elbow function. The postoperative functional recovery of patients was evaluated with the Mayo Elbow Performance index (MEPI) and the Broberg-Morrey rating system.Results: Patients underwent surgery 3.7 days after injury on average. Intraoperative fracture reduction was satisfactory. No vascular injury or nerve injury occurred. Bony union occurred in an average of 6 weeks after the operation. All children completed 12- to 36-month follow-up. At the last follow-up, the Mayo Elbow Performance index was considered excellent in 12 patients and good in three patients. The Broberg-Morrey score was considered excellent in 12 patients, good in two patients, and fair in one patient. Conclusion: Open reduction and Herbert screw fixation via the anterior approach are an ideal surgical method for the treatment of coronal fractures of the capitellum in children.Levels of Evidence: Therapeutic, retrospective study-Level IV

Dorsal Fracture Dislocations of the Proximal Interphalangeal Joint Treated by Open Reduction and Interfragmentary Screw Fixation: Indications, Approaches and Results

2006 ◽  
Vol 31 (2) ◽  
pp. 138-146 ◽  
Author(s):  
J. Y. L. LEE ◽  
L. C. TEOH
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Early Mobilization ◽  
Proximal Interphalangeal Joint ◽  
Patient Comfort ◽  
Joint Function ◽  
Fracture Dislocations ◽  
Pip Joint ◽  
Joint Congruity

Many operative and non-operative treatments of dorsal fracture dislocations of the proximal interphalageal (PIP) joint have been described. Return of good joint function requires anatomical reduction of the articular fragments and restoration of joint congruity and a stable functional arc of motion, with the fixation construct stable enough for early mobilization. To prevent recurrent dorsal subluxation, the attachments of the ligamentous palmar restraints and the bony buttress provided by the palmar lip of the middle phalanx base must be restored. Open reduction and internal interfragmentary screw fixation using 1.5 or 1.3 mm screws was employed in 12 fingers in 10 patients with unstable dorsal fracture dislocations of the PIP joints of Schenck grades III and IV. At an average follow-up of 8.7 months, all patients in this series achieved good to excellent results and an average total active interphalangeal motion of 132° (range 105°–165°). Additional benefits over non-operative techniques included improved patient comfort and simplified nursing care and therapy supervision.

scholarly journals Therapeutic analysis of Herbert screw fixation for capitellar fractures via the anterior approach in adolescent patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Lingpeng Ju ◽  
Linjun Jiang ◽  
Yuan Zhang ◽  
Jun Wu ◽  
Ming Li ◽  
...  
Keyword(s):  
Performance Index ◽  
Open Reduction ◽  
Anterior Approach ◽  
Screw Fixation ◽  
Rating System ◽  
Bony Union ◽  
Imaging Data ◽  
Herbert Screw ◽  
Elbow Function

Abstract Objective The aim of this study is to analyze the efficacy of open reduction and Herbert screw fixation for coronal fractures of the capitellum via the anterior approach in adolescents. Methods We retrospectively analyzed the clinical and imaging data of 15 adolescents with capitellar fractures who were admitted to our hospital from May 2014 to May 2019. The fracture was reduced through the cubital crease incision via the anterior approach and was internally fixated with Herbert screws. A follow-up was conducted after the operation to examine fracture healing and elbow function. The postoperative functional recovery of patients was evaluated with the Mayo Elbow Performance index (MEPI) and the Broberg-Morrey rating system. Results Patients underwent surgery 3.7 days after injury on average. Intraoperative fracture reduction was satisfactory. No vascular injury or nerve injury occurred. Bony union occurred in an average of 6 weeks after the operation. All adolescents completed a 12- to 36-month follow-up. At the last follow-up, the Mayo Elbow Performance index was considered excellent in 12 patients and good in three patients. The Broberg-Morrey score was considered excellent in 12 patients, good in two patients, and fair in one patient. Conclusion Open reduction with Herbert screw fixation via the anterior approach is a feasible surgical method for the treatment of coronal fractures of the capitellum in adolescents. Levels of evidence Therapeutic, retrospective study-Level IV

scholarly journals Missed Capitellar Fracture Caused by Avoidance of Radiological Evaluation in Pregnancy

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Barış Polat ◽  
Ramadan Özmanevra ◽  
Deniz Aydın ◽  
Enes Sarı ◽  
Mehmet Yalçınozan
Keyword(s):  
Pregnant Woman ◽  
Open Reduction ◽  
Screw Fixation ◽  
Posterolateral Approach ◽  
Radiological Evaluation ◽  
Compression Screw ◽  
Delayed Treatment ◽  
Headless Compression Screw ◽  
History Of

In this paper, we report a pregnant woman with a missed capitellar fracture of the elbow, who was treated successfully with open reduction and internal fixation using two headless screws. A 29-year-old 6-month pregnant woman presented to the emergency department due to a history of falling on her outstretched hand. A long-arm splint was applied without radiological evaluation due to pregnancy. She came to the orthopaedics and traumatology outpatient clinic 6 weeks after trauma and her examination after splint removal revealed pain and restriction in the elbow joint movements. Radiography was taken by using a lead shield in order to protect the fetus. Radiographs showed a displaced osteochondral capitellar fracture. Using the posterolateral approach as described by Kocher, the fracture was fixed using headless canulated compression screws. The follow-up examination showed excellent functional and radiological results. Radiological evaluation should not be avoided in case of obvious fracture findings after trauma even in case of pregnancy. It is also highlighted that good results in terms of union and functional recovery can be achieved with open reduction and headless compression screw fixation followed by early rehabilitation even in delayed treatment of capitellum fractures.

Z-bunionectomy with internal screw fixation

1989 ◽  
Vol 79 (7) ◽  
pp. 322-329 ◽  
Author(s):  
KH Zygmunt ◽  
CJ Gudas ◽  
GS Laros
Keyword(s):  
Internal Fixation ◽  
Hallux Valgus ◽  
Screw Fixation ◽  
Bone Screws ◽  
Rigid Internal Fixation ◽  
First Metatarsal ◽  
Satisfaction Rate ◽  
Internal Screw

A new procedure for the correction of hallux valgus was performed on 39 patients (66 feet). The follow-up period averaged 29 months, with a range of 24 to 32 months. The new procedure is a horizontally directed displacement Z-osteotomy in the head and shaft region of the first metatarsal. Rigid internal fixation is obtained with 3.5 or 2.7-mm bone screws. The surgeons' satisfaction rate of 79% compares favorably with the patients' complete satisfaction rate of 85%.

scholarly journals Clinical results of cannulated screw internal fixation via direct anterior approach for femoral neck fractures in young adults: a retrospective study

2020 ◽  
Author(s):  
Yi Yuan ◽  
Rui Huang ◽  
Jia-fu Yang ◽  
Fa-dong Li ◽  
zu-jian xu ◽  
...  
Keyword(s):  
Young Adults ◽  
Femoral Neck ◽  
Open Reduction ◽  
Anterior Approach ◽  
Screw Fixation ◽  
Direct Anterior Approach ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Harris Score

Abstract Purpose: To investigate the effectiveness of open reduction and cannulated screw fixation via direct anterior approach (DAA) for the treatment of femoral neck fractures in young adults. Methods: The data from 43 young patients with irreducible femoral neck fractures who underwent this procedure from January 2013 to December 2017 were retrospectively analyzed. Garden's alignment index was measured after the operation and at the final follow-up to determine the reduction quality, and the Harris score was recorded at the final follow-up to assess hip function. Results: The average follow-up duration was 19 months (range, 12-31 months). Implant failure was observed in 3 cases and was associated with femoral neck shortening, and nonunion occurred in 2 patients. A total of 6 patients Exhibited features of avascular necrosis (AVN), four of whom (Ficat grade III) underwent total hip arthroplasty and two of whom (Ficat grade II) were asymptomatic at the final follow-up. There were no statistically significant differences in Garden's alignment index, as measured on X-ray radiographs, immediately after surgery and at the final follow-up. At the final follow-up, the mean Harris score was 82.41±14.06. The Harris score was considered excellent for 17 cases, good for 13 cases, fair for 3 cases, and poor for 4 cases. The rate of excellent and good outcomes was 81.1%. Conclusions: For cases of irreducible femoral neck fractures, open reduction and cannulated screw fixation via DAA can yield relatively good clinical outcomes.

Reconstruction of the Cuboid in Compression Fractures: Short to Midterm Results in 12 Patients

2002 ◽  
Vol 23 (11) ◽  
pp. 1008-1013 ◽  
Author(s):  
Martin Weber ◽  
Siegfried Locher
Keyword(s):  
Open Reduction ◽  
Iliac Crest ◽  
Screw Fixation ◽  
Plate Fixation ◽  
Aggressive Treatment ◽  
Midterm Results ◽  
Residual Symptoms ◽  
Lateral Column ◽  
Compression Fractures

Cuboid compression fractures are rare injuries, usually occurring in combination with medial midfoot fractures or dislocations. During a three year period 12 patients with cuboid fractures were operatively treated at our institution. Eleven patients had involvement of the tarsometatarsal 4 and 5 joints, four of the calcaneocuboid joint, and three of both the proximal and distal joints. The lateral column was shortened in five patients. Open reduction was facilitated using a distracting external fixator. Iliac crest corticocancellous grafts were necessary in seven patients. Single or double plate fixation was performed in eight, screw fixation alone in four patients. Follow-up ranged from 12 to 47 months. Results were good with respect to restoration of length, reconstruction of the joint facets and overall return to function. Minor residual symptoms were noted in one (of four) injured calcaneocuboid joints, in none (of 11) of the tarsometatarsal joints 4 and in two (of 11) of the tarsometatarsal joints 5. More frequently and to a greater extent symptoms arose from the associated midfoot injuries. Deformity and disability from cuboid compression fractures can effectively be prevented by immediate aggressive treatment consisting of open reduction and internal fixation.

scholarly journals Bone Resection for Isolated Ulnar Head Fracture

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Hiromasa Akino ◽  
Shunpei Hama ◽  
Masataka Yasuda ◽  
Kenta Minato ◽  
Masahiro Miyashita
Keyword(s):  
Screw Fixation ◽  
Distal Radioulnar Joint ◽  
Difficult Case ◽  
Bone Fragment ◽  
Radius Fractures ◽  
Bone Resection ◽  
Ulnar Styloid ◽  
Ulnar Head ◽  
Internal Screw

Distal ulnar fractures often occur with distal radius fractures (DRFs), and ulnar styloid fractures commonly occur in the setting of DRF. However, isolated ulnar head fractures are rare. We report a case of isolated ulnar head fracture in which we performed bone resection because the ulnar head bone fragment fractured when internal screw fixation was attempted. His outcome at 18 months postoperatively was considered excellent. However, we do not advocate bone resection other than failure of fixation and the difficult case to perform internal fixation. Longer follow-up would be needed because bone resection might lead to osteoarthritis of the distal radioulnar joint in the future.

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