scholarly journals Pre- and postoperative complications of adult forearm fractures treated with plate fixation

2016 ◽  
Vol 102 (6) ◽  
pp. 781-784 ◽  
Author(s):  
P.-S. Marcheix ◽  
S. Delclaux ◽  
M. Ehlinger ◽  
B. Scheibling ◽  
F. Dalmay ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Plate Fixation ◽  
Forearm Fractures

scholarly journals Treatment of Distal Clavicle Fractures using a Scorpion Plate and Influence of Timing on Surgical Outcomes: A Retrospective Cohort Study of 105 Cases

2019 ◽  
Author(s):  
Ryogo Furuhata ◽  
Masaaki Takahashi ◽  
Teppei Hayashi ◽  
Miyu Inagawa ◽  
Aki Kono ◽  
...  
Keyword(s):  
Treatment Group ◽  
Postoperative Complications ◽  
Surgical Outcomes ◽  
Plate Fixation ◽  
Delayed Union ◽  
Distal Clavicle ◽  
Delayed Treatment ◽  
Clavicle Fractures ◽  
The Difference ◽  
Distal Clavicle Fractures

Abstract Background Plate fixation is the established method of treating unstable distal clavicle fractures. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal clavicle fractures. Methods We retrospectively reviewed 105 patients who underwent fixation for acute unstable distal clavicle fractures (Neer type II and V) using the Scorpion plate between 2008 and 2018. Patients were divided into early (45 patients) and delayed (60 patients) treatment groups based on the timing of the surgical intervention (within or after seven days). The outcomes were postoperative complications (delayed union, peri-implant fracture, plate loosening, plate-related pain, and stiffness). We evaluated the outcomes from X-ray radiographs and clinical notes.Results Among the 105 patients, delayed union, plate loosening, plate-related pain, and stiffness were observed in six patients (5.7%), four patients (3.8%), seven patients (6.7%), and one (1.0%) patient, respectively. The delayed union rate was significantly higher in the delayed treatment group than that in the early treatment group (P=0.036). Although the difference was not significant, plate loosening and stiffness were only observed in the delayed treatment group. Conclusion Our results demonstrated that osteosynthesis using Scorpion plates achieved satisfactory surgical outcomes for unstable distal clavicle fractures . In addition, this study suggested that performing surgery within six days after injury is recommended to reduce postoperative complications .

scholarly journals Refractures After Plate Fixation of Forearm Fractures

2018 ◽  
Vol 43 (9) ◽  
pp. S24-S25
Author(s):  
Nicolaas Wolvetang ◽  
Jonathan Lans ◽  
Neal C. Chen
Keyword(s):  
Plate Fixation ◽  
Forearm Fractures

scholarly journals Studies on Bending Limitations for the Optimal Fit of Orthopaedic Bone Plates

2012 ◽  
Vol 602-604 ◽  
pp. 1181-1185 ◽  
Author(s):  
Javad Malekani ◽  
Beat Schmutz ◽  
Prasad Gudimetla ◽  
Yuan Tong Gu ◽  
Michael Schuetz ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Comparative Analysis ◽  
Postoperative Complications ◽  
Large Deformations ◽  
Plate Fixation ◽  
Tibial Fractures ◽  
Patient Specific ◽  
Bone Morphology ◽  
Stainless Steel 316L ◽  
Distal Tibial Fractures

Distal tibial fractures are now commonly treated via intermedullary plate fixation due to higher rates of union and lower rates of postoperative complications. However, patient specific bone morphology demands manual deformation of the plate to ensure appropriate fit along the bone contours, and depending on the material of the plate, different outcomes have been reported along with postoperative complications. A comparative analysis of Stainless Steel 316L and Ti-6Al-4V alloys was carried to estimate the safe bending limit for appropriate fits. The results from the ANSYS FEA simulations were validated with experiments based on ASTM F382-99. It is found that SS316L is better suited for large deformations (up to 16˚ in proximal tip and 7.5˚ in distal end) and Ti for smaller deformation contours (up to 3˚ in proximal tip and 1.8˚ in distal end). The results of this study have profound implications for the choice of plates based on preliminary radiographical fracture examinations to ensure better fixation and higher rates of union of distal tibial fractures.

Complications of Plate Fixation of Forearm Fractures

1983 ◽  
Vol &NA; (175) ◽  
pp. 25???29 ◽  
Author(s):  
PETER J. STERN ◽  
WILLIAM J. DRURY
Keyword(s):  
Plate Fixation ◽  
Forearm Fractures

scholarly journals Treatment of Distal Clavicle Fractures using a Scorpion Plate and Influence of Timing on Surgical Outcomes: A Retrospective Cohort Study of 105 Cases

2020 ◽  
Author(s):  
Ryogo Furuhata ◽  
Masaaki Takahashi ◽  
Teppei Hayashi ◽  
Miyu Inagawa ◽  
Aki Kono ◽  
...  
Keyword(s):  
Treatment Group ◽  
Postoperative Complications ◽  
Surgical Outcomes ◽  
Plate Fixation ◽  
Distal Clavicle ◽  
Delayed Treatment ◽  
Surgery Timing ◽  
Clavicle Fractures ◽  
The Difference ◽  
Distal Clavicle Fractures

Abstract Background Plate fixation is an established method for treating unstable distal clavicle fractures. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal clavicle fractures. Methods We retrospectively reviewed 105 patients who underwent fixation for acute unstable distal clavicle fractures (Neer type II and V) using the Scorpion plate between 2008 and 2018. Patients were divided into early (45 patients) and delayed (60 patients) treatment groups based on the timing of the surgical intervention (within or after seven days). The outcomes were postoperative complications (nonunion, peri-implant fracture, plate loosening, plate-related pain, and stiffness). We evaluated the outcomes from X-ray radiographs and clinical notes. Results Among the 105 patients, nonunion, plate loosening, plate-related pain, and stiffness were observed in six patients (5.7%), four patients (3.8%), seven patients (6.7%), and one patient (1.0%), respectively. The nonunion rate was significantly higher in the delayed treatment group than that in the early treatment group (P=0.036). Although the difference was not significant, plate loosening and stiffness were only observed in the delayed treatment group. Conclusion Our results demonstrated that osteosynthesis using Scorpion plates achieved satisfactory surgical outcomes for unstable distal clavicle fractures . In addition, this study suggested that performing surgery within six days after injury is recommended to reduce postoperative complications .

Intramedullary Nailing Versus Plate Fixation for Unstable Forearm Fractures in Children

1998 ◽  
Vol 18 (1) ◽  
pp. 9-13 ◽  
Author(s):  
William L. Van der Reis ◽  
Norman Y. Otsuka ◽  
Paul Moroz ◽  
Jung Mah
Keyword(s):  
Intramedullary Nailing ◽  
Plate Fixation ◽  
Forearm Fractures ◽  
Fractures In Children

Complications of lateral plate fixation compared with tension band wiring and pin or lag screw fixation for calcaneoquartal arthrodesis

2013 ◽  
Vol 26 (06) ◽  
pp. 445-452 ◽  
Author(s):  
C. S. Knudsen ◽  
M. Gosling ◽  
M. McKee ◽  
R. G. Whitelock ◽  
G. I. Arthurs ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Screw Fixation ◽  
Plate Fixation ◽  
Tension Band ◽  
Complication Rates ◽  
Lateral Plate ◽  
Lag Screw ◽  
Tension Band Wire ◽  
Plate Group ◽  
Pin Fixation

SummaryObjective: To compare complication rates and the outcomes of these complications after lateral plate fixation with figure-ofeight tension-band-wire and pin or lag screw fixation for arthrodesis of the calcaneoquartal joint, following non-traumatic disruption of the plantar tarsal ligament in dogs.Methods: Data were collected retrospectively from five UK referral centres. Diplomate specialists and their residents performed all procedures. Referring veterinarians were contacted for long-term follow-up.Results: Seventy-four procedures were undertaken in 61 dogs. There were 58 arthrodeses in the lateral plate group (Plate), nine in the pin and tension-band-wire group (Pin), and seven in the lag screw and tension-band wire-group (Screw). Compared to Plate (17%), further surgical intervention was required more frequently following Pin (56%, OR = 3.2) or Screw (43%, OR = 2.5) fixation. Clinical failure of arthrodesis occurred less frequently with Plate (5%) compared with Screw (43%, OR = 8.6) and Pin fixation (22%, OR = 4.4). Cases managed with external coaptation postoperatively were more likely to suffer from postoperative complications (OR = 2.2).Clinical significance: Lateral plating was associated with fewer postoperative complications than pin and tension-band-wire fixation for arthrodesis of the calcaneoquartal joint in dogs with non-traumatic disruption of the plantar tarsal ligament.

scholarly journals Treatment of diaphyseal forearm fractures in children

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Matthew L. Vopat ◽  
Patrick M. Kane ◽  
Melissa A. Christino ◽  
Jeremy Truntzer ◽  
Philip McClure ◽  
...  
Keyword(s):  
Current Literature ◽  
Open Reduction ◽  
Pediatric Population ◽  
Plate Fixation ◽  
Optimal Treatment ◽  
Forearm Fractures ◽  
Optimal Method ◽  
Fractures In Children ◽  
Soft Tissue Dissection ◽  
Orthopedic Injuries

Both bone forearm fractures are common orthopedic injuries. Optimal treatment is dictated not only by fracture characteristics but also patient age. In the pediatric population, acceptable alignment can tolerate greater fracture displacement due to the bone’s ability to remodel with remaining growth. Generally, these fractures can be successfully managed with closed reduction and casting, however operative fixation may also be required. The optimal method of fixation has not been clearly established. Currently, the most common operative interventions are open reduction with plate fixation <em>versus</em> closed or open reduction with intramedullary fixation. Plating has advantages of being more familiar to many surgeons, being theoretically superior in the ability to restore radial bow, and providing the possibility of hardware retention. Recently, intramedullary nailing has been gaining popularity due to decreased soft tissue dissection; however, a second operation is needed for hardware removal generally 6 months after the index procedure. Current literature has not established the superiority of one surgical method over the other. The goal of this manuscript is to review the current literature on the treatment of pediatric forearm fractures and provide clinical recommendations for optimal treatment, focusing specifically on children ages 3-10 years old.

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