Fracture Dislocation of the Femoral Head Treated by Open Reduction and Internal Fixation

1986 ◽  
Vol 26 (11) ◽  
pp. 1041-1044 ◽  
Author(s):  
CAROL MOWERY ◽  
DAVID H. GERSHUNI
Keyword(s):  
Femoral Head ◽  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation

scholarly journals Nascent Malunion of an Isolated Intraarticular Fracture of the Ulnar Head

2019 ◽  
Vol 09 (03) ◽  
pp. 240-243
Author(s):  
Frank Nienstedt ◽  
Markus Mariacher ◽  
Günther Stuflesser ◽  
Wilhelm Berger
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Excellent Result ◽  
Corrective Osteotomy ◽  
Fracture Dislocation ◽  
Intraarticular Fracture ◽  
Ulnar Head ◽  
Ulnar Styloid Fracture ◽  
Palmar Approach

Abstract Background Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature. Case Description We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively. An associated displaced intraarticular fracture of the ulnar head has been overlooked. He presented late in our clinic with a symptomatic nascent malunion of the ulnar head fracture. A corrective osteotomy by a palmar approach was performed. Fixation by screws was used with an excellent result at 7-year follow-up. Literature Review The rare cases of isolated ulnar head fractures reported in literature were treated by open reduction and internal fixation only in case of fracture dislocation. Clinical Relevance The authors highlight the fact that even a nascent malunion of an isolated intraarticular fracture of the ulnar head may be treated successfully by open reduction and internal fixation.

Results of Treatment of Chronic Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joints of the Fingers

1998 ◽  
Vol 23 (6) ◽  
pp. 798-801 ◽  
Author(s):  
O. ISHIDA ◽  
Y. IKUTA
Keyword(s):  
Articular Cartilage ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Results Of Treatment ◽  
Palmar Plate ◽  
Fracture Dislocations

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.

scholarly journals Transtrapezial Peritrapezoidal Transcapital Axial Radial Fracture Dislocation of the Carpus

Hand ◽  
2009 ◽  
Vol 4 (3) ◽  
pp. 319-322 ◽  
Author(s):  
Jürg Häcki ◽  
Ladislav Nagy ◽  
Andreas Schweizer
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Open Reduction ◽  
Dislocation Line ◽  
Fracture Dislocation ◽  
Radial Fracture ◽  
Unique Pattern

We report a unique pattern of an axial radial fracture dislocation of the carpus. The fracture dislocation line runs transtrapezial peritrapezoidal transcapital transmetacarpal III/IV. Open reduction and internal fixation was performed 11 days after the accident. The result at 9 months is moderate, with a range of motion of 63% and strength of 46% compared to the opposite side.

scholarly journals Delayed Peroneal Neuropathy After Bosworth Fracture Dislocation of the Ankle

2021 ◽  
Vol 111 (4) ◽  
Author(s):  
Sung Hoon Choi ◽  
Jeong Min Hur ◽  
Kyu-Tae Hwang
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Tibial Tubercle ◽  
Proximal Fragment ◽  
Rare Injury ◽  
Soft Tissue Swelling ◽  
Severe Soft Tissue

The Bosworth ankle fracture-dislocation is a rare injury and is often irreducible because of an entrapped proximal fragment of the fibula behind the posterior tibial tubercle. Repeated closed reduction or delayed open reduction may result in several complications. Thus, early open reduction and internal fixation enable a better outcome by minimizing soft-tissue damage. We report on a 27-year-old man who underwent open reduction and internal fixation after multiple attempts at failed closed reduction, complicated by severe soft-tissue swelling, rhabdomyolysis, and delayed peroneal nerve palsy around the ankle.

Surgical Treatment of Trans-Scaphoid, Transcapitate, Transtriquetral, Perilunate Fracture–Dislocation with Open Reduction, Internal Fixation and Lunotriquetral Ligament Repair

2008 ◽  
Vol 33 (3) ◽  
pp. 377-379 ◽  
Author(s):  
E. SANDOVAL ◽  
D. CECILIA ◽  
E. GARCIA-PAREDERO
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Suture Anchor ◽  
Open Reduction Internal Fixation ◽  
Fracture Dislocation ◽  
Ligament Repair ◽  
Motorcycle Accident ◽  
Lunotriquetral Ligament ◽  
Perilunate Fracture Dislocation ◽  
The Right

This paper presents a rare case of trans-scaphoid, transcapitate, transtriquetral, perilunate fracture–dislocation of the right wrist as a result of a motorcycle accident. Open reduction and internal fixation of the scaphoid and capitate with one screw was performed and the lunotriquetral ligament was repaired using a suture anchor.

Arthrodesis or Open Reduction Internal Fixation for Lisfranc Injuries: A Meta-analysis

2020 ◽  
pp. 193864002097141
Author(s):  
Christopher J. Levy ◽  
David Yatsonsky ◽  
Muhammad Z. Moral ◽  
Jiayong Liu ◽  
Nabil A. Ebraheim
Keyword(s):  
Internal Fixation ◽  
Revision Surgery ◽  
Complication Rate ◽  
Open Reduction ◽  
Meta Analysis ◽  
Open Reduction Internal Fixation ◽  
T Test ◽  
Fracture Dislocation ◽  
Significant Difference ◽  
Vas Scores

The purpose of this study is to determine if arthrodesis, compared with open reduction and internal fixation (ORIF), produces favorable American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores, and to determine if differences in complication, revision surgery, and secondary arthrodesis rates exist for patients with Lisfranc fracture/dislocation injuries. Searches were performed in PubMed using the keywords “Lisfranc fracture,” “metatarsal fracture,” “ORIF,” “open reduction internal fixation,” “arthrodesis,” and “fusion.” These criteria left 183 articles for review. Exclusions left 21 articles and 2 translations of Chinese abstracts. Data analysis was performed using Student’s 2-sample t test for samples of equal variance, and chi-square test for goodness of fit. The t test revealed a significant difference ( P = .03) between the average AOFAS score for patients who underwent primary arthrodesis (84.7 ± 6.14) compared with those who were treated with ORIF (78.9 ± 5.09). There was no significant difference for the average VAS scores ( P = .33) of the arthrodesis and ORIF groups. The complication rate of arthrodesis patients was significantly lower than ORIF patients ( P = .04), and the rates of revision surgery ( P = .22) and secondary arthrodesis ( P = .53) were not significant between the groups. The results of this study indicate that arthrodesis may be a better surgical option than ORIF, due to the higher functional scores and the lower complication rate. Levels of Evidence: Level III: A meta-analysis

scholarly journals Open Reduction and Internal Fixation of Acute Lisfranc Fracture-Dislocation with Use of Dorsal Bridging Plates

2019 ◽  
Vol 9 (4) ◽  
pp. e39 ◽  
Author(s):  
Are Haukåen Stødle ◽  
Fredrik Nilsen ◽  
Marius Molund ◽  
Elisabeth Ellingsen Husebye ◽  
Kjetil Hvaal
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation

FACTORS AFFECTING THE FUNCTIONAL RESULTS OF OPEN REDUCTION AND INTERNAL FIXATION FOR FRACTURE-DISLOCATIONS OF THE PROXIMAL INTERPHALANGEAL JOINT

Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 107-114 ◽  
Author(s):  
Kentaro Watanabe ◽  
Yoshitake Kino ◽  
Hiroki Yajima
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Functional Results ◽  
Fracture Dislocation ◽  
Factors Affecting ◽  
Flexion Extension ◽  
Motion Exercise ◽  
Fracture Dislocations ◽  
Pip Joint ◽  
The Mean

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.

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