Transscaphoid fracture/dislocations treated with open reduction and Herbert screw internal fixation

1987 ◽  
Vol 12 (6) ◽  
pp. 992-999 ◽  
Author(s):  
Steven F Viegas ◽  
James W. Bean ◽  
Richard A. Schram
1998 ◽  
Vol 23 (6) ◽  
pp. 798-801 ◽  
Author(s):  
O. ISHIDA ◽  
Y. IKUTA

We reviewed 20 cases of chronic dorsal fracture-dislocation of the proximal interphalangeal joint, with a mean follow-up period of 74 months. In patients without comminuted palmar fragments, open reduction and internal fixation or osteotomy of the malunited fragment provided good results. In treating patients with damaged articular cartilage or with comminuted palmar fragments by palmar plate arthroplasty, poor results were obtained because of secondary osteoarthritic changes.


2019 ◽  
Vol 40 (11) ◽  
pp. 1338-1345 ◽  
Author(s):  
Connor Delman ◽  
Midhat Patel ◽  
Mark Campbell ◽  
Christopher Kreulen ◽  
Eric Giza

Injuries to the Lisfranc complex range from purely ligamentous disruptions to fracture-dislocations of the tarsometatarsal joint. Treatment options include closed/open reduction with percutaneous pinning, open reduction and internal fixation (ORIF), and primary arthrodesis. We present a ligament reinforcement technique utilizing a flexible fixation device for the treatment of ligamentous Lisfranc injuries. Level of Evidence: Level V, expert opinion.


2001 ◽  
Vol 91 (8) ◽  
pp. 415-421 ◽  
Author(s):  
A. Louis Jimenez ◽  
James H. Morgan

Three case studies of fractures are presented that demonstrate the potential morbidity that these injuries can cause as well as the acceptable outcomes if treated appropriately. Two of the cases are talar fracture dislocations; the third is an osteochondral fracture of the talus. The importance of early treatment with open reduction and internal fixation is demonstrated. Success following surgical intervention in a nonhealed osteochondral fracture of the talus is also demonstrated. (J Am Podiatr Med Assoc 91(8): 415-421, 2001)


Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 107-114 ◽  
Author(s):  
Kentaro Watanabe ◽  
Yoshitake Kino ◽  
Hiroki Yajima

To clarify the factors affecting functional results of fracture-dislocations of the proximal interphalangeal (PIP) joint treated by open reduction and internal fixation (ORIF), 60 patients, including 38 patients with a dorsal fracture-dislocation and 22 with a pilon fracture, were analysed. The mean ratio of articular surface involvement was 48.5% and a depressed central fragment existed in 75.3% of the cases. ORIF was performed in 47 patients through a lateral approach using Kirschner wires and in 13 through a palmar approach using a plate or screws. The mean flexion, extension and range of motion (ROM) of the PIP joint was 89.5°, 11.5° and 78.0°, respectively. Stepwise regression analysis revealed that a delayed start of active motion exercise after surgery, elderly age and ulnar ray digit were factors affecting functional outcomes. Although ORIF allows accurate restoration of the articular surfaces, an early start of motion exercise is essential for good results.


Hand Surgery ◽  
1996 ◽  
Vol 01 (01) ◽  
pp. 31-35 ◽  
Author(s):  
Ueli Büchler

A method is presented for open reduction, bone grafting, minimal internal fixation and ancillary dynamic external fixation of unstable impacted fracture-dislocations of the proximal interphalangeal joint of the finger involving more than 40% of the surface of the joint plateau.


1998 ◽  
Vol 23 (2) ◽  
pp. 266-268 ◽  
Author(s):  
R. PANDIT

Various patterns of transscaphoid, transcapitate fracture-dislocations have been described in the literature. There is little information on the method of management and the long-term results of such severe and rare injuries. The case described here involved a transscaphoid, transcapitate, palmar perilunate fracture-dislocation with ejection of the proximal pole of the scaphoid and lunate into the palmar aspect of the forearm. The functional result 32 months after delayed open reduction and internal fixation is reported.


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