Operative Treatment of Intraarticular Fractures of the Os Calcis—The Role of Rigid Internal Fixation and Primary Bone Grafting

1989 ◽  
Vol 3 (3) ◽  
pp. 232-240 ◽  
Author(s):  
Kwok-Sui Leung ◽  
Wai-Shing Chan ◽  
Wan-Yim Shen ◽  
Paulino P. L. Pak ◽  
Wing-Shun So ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Operative Treatment ◽  
Bone Grafting ◽  
Os Calcis ◽  
Rigid Internal Fixation ◽  
Intraarticular Fractures ◽  
Primary Bone

Displaced Fractures of the Os Calcis Involving the Subtalar Joint: The Key Role of the Superomedial Fragment

Foot & Ankle ◽  
1983 ◽  
Vol 4 (2) ◽  
pp. 91-101 ◽  
Author(s):  
John R. Stephenson
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Subtalar Joint ◽  
Postoperative Management ◽  
Lateral Approach ◽  
Normal Anatomy ◽  
Os Calcis ◽  
Articular Fractures

Fourteen displaced intra-articular fractures of the os calcis are reviewed following open reduction and internal fixation using a lateral approach with an average follow-up of 22 months (range, 12 to 44 months). Postoperative management consisted of early subtalar motion with delayed weightbearing. Twelve of 14 fractures were considered good results on the basis of no pain, 50% normal subtalar motion, and near-normal anatomy. Pain correlated with incomplete reduction of the superomedial fragment and, thus, incongruent reduction of the posterior facet in two cases. The importance of effecting a reduction of the superomedial border of the os calcis is emphasized.

Current concepts in bone healing. Review of the literature

1993 ◽  
Vol 83 (3) ◽  
pp. 123-129 ◽  
Author(s):  
MA Greenbaum ◽  
IO Kanat
Keyword(s):  
Internal Fixation ◽  
Bone Healing ◽  
Review Of The Literature ◽  
Rigid Internal Fixation ◽  
Primary Bone ◽  
Secondary Bone Healing

Bone healing is a process of reconstitution of tissue. With the development of rigid internal fixation, primary bone healing has exhibited certain histologic characteristics not previously seen. The authors discuss the histologic, biochemical, and physiologic processes seen in primary and secondary bone healing following fracture or osteotomy.

Rigid Internal Fixation of Basilar Fractures of the Proximal Phalanges by Cancellous Bone Grafting Only

2001 ◽  
Vol 26 (5) ◽  
pp. 455-458 ◽  
Author(s):  
M. STRICKLER ◽  
L. NAGY ◽  
U. BÜCHLER
Keyword(s):  
Return To Work ◽  
Internal Fixation ◽  
Cancellous Bone ◽  
Bone Healing ◽  
Bone Grafting ◽  
Cancellous Bone Grafting ◽  
Rigid Internal Fixation ◽  
Secondary Displacement

Ten patients with 13 basilar metaphyseal impaction fractures of the proximal phalanges of the fingers were treated with “rigid internal fixation” by bone grafting alone. When retrospectively reviewed at a mean follow-up of 32 months, bone healing had occurred without any relevant secondary displacement of the fracture fragments. The final ranges of motion were good and return to work was quicker than expected.

scholarly journals Operative treatment of the displaced intraarticular fractures of the calcaneus

2003 ◽  
Vol 60 (4) ◽  
pp. 421-426
Author(s):  
Zoran Popovic ◽  
Jovo Rajovic
Keyword(s):  
Internal Fixation ◽  
Operative Treatment ◽  
Operative Technique ◽  
Plate Fixation ◽  
Postoperative Management ◽  
Current Treatment ◽  
Industrial Workers ◽  
Calcaneal Fractures ◽  
Computed Tomographic ◽  
Intraarticular Fractures

Most calcaneal fractures occur in male industrial workers, having significant economic repercussions. Although current operative treatment has improved the outcome of the treatment in many patients, there is still no consensus on the classification, treatment, operative technique, or postoperative management. Computed tomographic scanning has improved our understanding of these fractures substantially, and has allowed the consistent analysis of the results of the treatment. The focus of current treatment is on the operative methods, internal fixation by leg-screw and plate through the lateral Kocher approach. Between April 1998 and July 2002, we treated operatively 6 displaced intraarticular fractures of the calcaneus. A lateral Kocher incision, leg-screw, and plate fixation were used. Neither infection, nor nonunion, or malunion occurred. All the patients presently have painless foot, use normal footwear, and are capable of normal activities.

The Role of Internal Fixation in the Treatment of Jones Fractures in Diabetics

1996 ◽  
Vol 17 (9) ◽  
pp. 559-562 ◽  
Author(s):  
James J. Yue ◽  
Randall E. Marcus
Keyword(s):  
Diabetic Patient ◽  
Internal Fixation ◽  
Bone Grafting ◽  
Open Reduction ◽  
Autologous Bone Grafting ◽  
Jones Fracture ◽  
Autologous Bone ◽  
Effective Treatment Regimen ◽  
Radiographic Union

The purpose of this study was to evaluate the treatment of fractures of the proximal fifth metatarsal at the junction of the metaphysis and diaphysis (i.e., Jones fracture) in diabetics. Open reduction and internal fixation with bone grafting resulted in clinical and radiographic union 8 weeks after surgery in patients treated with either immediate or delayed open reduction and internal fixation. Open reduction and internal fixation with autologous bone grafting is an effective treatment regimen in the diabetic patient with a Jones fracture. An initial trial of casting can be attempted without any apparent deleterious effects on secondary open reduction and internal fixation.

scholarly journals Contemporary Management of Infected Mandibular Fractures

2008 ◽  
Vol 1 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Brian Alpert ◽  
George M. Kushner ◽  
Paul S. Tiwana
Keyword(s):  
Internal Fixation ◽  
Mandibular Fractures ◽  
Important Advance ◽  
Rigid Internal Fixation ◽  
The Past ◽  
Dead Bone ◽  
Primary Bone ◽  
The Dead ◽  
Contemporary Management ◽  
Primary Union

The treatment of infected mandibular fractures has advanced rather dramatically over the past 50 years. Immobilization with maxillomandibular fixation and/or splints, removal of diseased teeth in the fracture line, external fixation, use of antibiotics, debridement, and rigid internal fixation has played a role in management. Perhaps the most important advance was the realization that infected fractures also result from moving fragments and nonvital bone, not just bacteria. Controlling movement and eliminating the dead bone allowed body defenses to also eliminate bacteria. The next logical step in the evolution of treatment was primary bone grafting of the resulting defect following application of rigid internal fixation and debridement of the dead bone. We offer our results with this treatment in 21 infected fractures, 20 of which achieved primary union.

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