Internal Fixation of a Lateral Inverted Osteochondral Fracture of the Talus (LIFT) Lesion Using an Innovative Surgical Approach: Inverting the Capsulo-Lateral Fibulotalocalcaneal Ligament (LFTCL)–Fibular Periosteum Complex

Summary Objectives: To report on a new surgical approach to scapular neck fractures. Methods: A combined prospective and retrospective study of eight dogs that had sustained a fracture of the scapular neck between 1992 and 2005 was performed. All eight dogs had an internal fixation using a T plate through a muscle separation approach. Retraction of the supraspinatus from the deltoideus and infraspinatus allows an adequate surgical window to enable plating of the scapular neck. Results: Sixty-two percent had an excellent outcome without any lameness or stiffness detected. The remaining cases experienced infrequent bouts of stiffness, or, in one case lameness. Clinical significance: The current literature recommends that the surgical approach to the scapular neck is by osteotomy of the acromion process, which is unnecessary in the authors’ opinion as it increases surgical trauma, operating time and the number of implants required.

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Effects of surgical approach on functional outcomes of open reduction and internal fixation of intra-articular distal humeral fractures: a systematic review

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2011.06.020 ◽

2012 ◽

Vol 21 (1) ◽

pp. 126-135 ◽

Cited By ~ 19

Author(s):

Karin L. Ljungquist ◽

Matthew C. Beran ◽

Hisham Awan

Keyword(s):

Systematic Review ◽

Internal Fixation ◽

Surgical Approach ◽

Functional Outcomes ◽

Open Reduction ◽

Humeral Fractures ◽

Distal Humeral Fractures

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An Isolated Chronic Osteochondral Fracture of the Third Metatarsal Head Treated With Bioabsorbable Pins

Foot & Ankle Specialist ◽

10.1177/1938640016630064 ◽

2016 ◽

Vol 9 (6) ◽

pp. 555-559 ◽

Cited By ~ 1

Author(s):

Toshinori Kurashige ◽

Seiichi Suzuki

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Case Reports ◽

Metatarsophalangeal Joint ◽

Metatarsal Head ◽

Osteochondral Fracture ◽

The Third ◽

Freiberg’S Disease ◽

Type Of Fracture

An osteochondral fracture of the metatarsal head is generally the result of direct trauma and is associated with additional proximal fractures of the medially adjacent metatarsals. An isolated osteochondral fracture of the metatarsal head is extremely rare, with only 10 published case reports. Open reduction and internal fixation was performed in 6 of 10 cases and in 2 of 4 chronic cases, each with different implants previously. The mechanism of injury was considered to be shear force in 5 of the reported cases. It is difficult to achieve and maintain reduction in these cases, and the best method for treatment of this type of fracture is unclear. We report a case of an isolated chronic osteochondral fracture of the third metatarsal head in a 14-year-old boy. The boy reported pain in his third metatarsophalangeal joint on dismounting from a bicycle 2 months prior to presentation. He could play soccer at first; however, the pain worsened after running long distances. Therefore, he was referred to our department. Magnetic resonance imaging revealed an osteochondral fracture of the metatarsal head without Freiberg’s disease. We achieved a good result 12 months postoperatively by using open reduction and internal fixation with 2 bioabsorbable thread pins. Levels of Evidence: Therapeutic, Level IV: Case study

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The Technique: Surgical Approach and Tactics for Open Reduction/Internal Fixation of a Femoral Neck Fracture in a Young Patient

Techniques in Orthopaedics ◽

10.1097/bto.0b013e3181909770 ◽

2008 ◽

Vol 23 (4) ◽

pp. 296-300 ◽

Cited By ~ 1

Author(s):

Erika J. Mitchell

Keyword(s):

Femoral Neck ◽

Internal Fixation ◽

Femoral Neck Fracture ◽

Young Patient ◽

Surgical Approach ◽

Open Reduction ◽

Open Reduction Internal Fixation ◽

Neck Fracture

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Talar Fractures

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-91-8-415 ◽

2001 ◽

Vol 91 (8) ◽

pp. 415-421 ◽

Cited By ~ 2

Author(s):

A. Louis Jimenez ◽

James H. Morgan

Keyword(s):

Internal Fixation ◽

Case Studies ◽

Early Treatment ◽

Open Reduction ◽

Surgical Intervention ◽

Osteochondral Fracture ◽

The Third ◽

Fracture Dislocations ◽

Talar Fractures

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)

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