The Long-Term Outcome of Open Reduction and Internal Fixation of Stable Displaced Isolated Partial Articular Fractures of the Radial Head

2009 ◽  
Vol 67 (1) ◽  
pp. 143-146 ◽  
Author(s):  
Anneluuk L. C. Lindenhovius ◽  
Quinten Felsch ◽  
David Ring ◽  
Peter Kloen
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Articular Fractures

Fractures and Fracture Dislocations of the Midfoot: Occurrence, Causes and Long-term Results

2001 ◽  
Vol 22 (5) ◽  
pp. 392-398 ◽  
Author(s):  
Martinus Richter ◽  
Burkhard Wippermann ◽  
Christian Krettek ◽  
Hanns Eberhard Schratt ◽  
Tobias Hufner ◽  
...  
Keyword(s):  
Open Reduction ◽  
Traffic Accidents ◽  
Fracture Dislocation ◽  
Long Term Results ◽  
Treatment Optimization ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Fracture Dislocations

Etiology and outcome of 155 patients with midfoot fractures between 1972 and 1997 were analyzed to create a basis for treatment optimization. Cause of injuries were traffic accidents (72.2%), falls (11.6%), blunt injuries (7.7%) and others (5.8%). Isolated midfoot fractures (I) were found in 55 (35.5%) cases, Lisfranc fracture dislocations (L) in 49 (31.2%), Chopart-Lisfranc fracture dislocations (CL) in 26 (16.8%) and Chopart fracture dislocations (C) in 25 (16%). One hundred and forty eight (95%) of the midfoot fractures were treated operatively; 30 with closed reduction, 115 with open reduction, 3 patients had a primary amputation. Seven (5%) patients were treated non-operatively. Ninety seven (63%) patients had follow-up at an average of 9 (1.3–25, median 8.5) years. The average scores of the entire follow-up group were as follows: AOFAS – sum of all four sections (AOFAS-ET): 296, AOFAS-Midfoot (AOFAS-M): 71, Hannover Scoring System (HSS): 65, and Hannover Questionnaire (Q): 63. Regarding age, gender, cause, time from injury to treatment and method of treatment no score differences were noted (t-test: p > 0.05). L, C or I showed similar scores and CL significantly lower scores (AOFAS-ET, AOFAS-M, HSS, Q). The highest scores in all groups were achieved in those fractures treated with early open reduction and operative fixation. Midfoot fractures, particularly fracture dislocation injuries, effect the function of the entire foot in the long-term outcome. But even in these complex injuries, an early anatomic (open) reduction and stable (internal) fixation can minimize the percentage of long-term impairment.

Long-Term Outcome of Articular Fractures of the Phalanges: An Eleven Year Follow Up

1989 ◽  
Vol 14 (2) ◽  
pp. 183-193
Author(s):  
S. K. O’ROURKE ◽  
S. GAUR ◽  
N. J. BARTON
Keyword(s):  
Range Of Motion ◽  
Persistent Pain ◽  
Cold Weather ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Articular Fractures ◽  
Significant Pain ◽  
Radiological Evidence

Fifty-four patients with fifty-nine intra-articular fractures of the phalanges have been followed prospectively for eleven years, at the end of which time only four had significant pain and sixteen others discomfort in cold weather. Improvement in the symptoms and in the range of motion often continued for more than a year after injury. Although 17% of joints developed minor osteophytes or cysts, only one had both radiological evidence of arthritis and persistent pain.

Intermediate-Term to Long-Term Outcome of Surgically and Nonsurgically Treated Congenital, Isolated Radial Head Dislocation

2012 ◽  
Vol 37 (12) ◽  
pp. 2495-2501 ◽  
Author(s):  
Matthew J. Bengard ◽  
Ryan P. Calfee ◽  
Jennifer A. Steffen ◽  
Charles A. Goldfarb
Keyword(s):  
Radial Head ◽  
Radial Head Dislocation ◽  
Term Outcome ◽  
Long Term Outcome

scholarly journals Long-term outcome after anterolateral open reduction and Salter osteotomy for late presenting developmental dysplasia of the hip

2018 ◽  
Vol 12 (4) ◽  
pp. 364-368 ◽  
Author(s):  
S. R. Y. W. Thomas
Keyword(s):  
Femoral Head ◽  
Open Reduction ◽  
Skeletal Maturity ◽  
Hip Dislocation ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Femoral Head Osteonecrosis ◽  
Salter Osteotomy ◽  
Innominate Osteotomy

IntroductionOnly a handful of studies report outcomes after open reduction for developmental hip dislocation beyond skeletal maturity. For successfully reduced hips it is the outcome into late adulthood on which the results of this intervention should be judged. These studies indicate clearly the importance of preservation of the acetabular growth centres during surgery. The acetabulum must also be addressed when insufficient growth remains reliably to remodel residual dysplasia even after stable, concentric reduction.SummaryComparing the longest-term outcome studies for open reduction to less invasive, but mainly historical, techniques of gradual traction reduction it is unsettling to note that the latter protocols are associated with the best results. Whereas open reduction and innominate osteotomy are practised as originally described by Salter, gradual traction reduction has largely been abandoned.ConclusionsThere are probably aspects of the more time-consuming methods of gradual reduction that do not violate the hip joint capsule that expose the femoral head to a lower risk of femoral head osteonecrosis leading to better long-term outcomes.

Long-term outcome of patients with avascular necrosis, after internal fixation of femoral neck fractures

Injury ◽  
2003 ◽  
Vol 34 (7) ◽  
pp. 525-528 ◽  
Author(s):  
K.E Nikolopoulos ◽  
S.A Papadakis ◽  
K.T Kateros ◽  
G.S Themistocleous ◽  
J.A Vlamis ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Avascular Necrosis ◽  
Femoral Neck Fractures ◽  
Term Outcome ◽  
Long Term Outcome

scholarly journals Short term outcome of open reduction and internal fixation with plating in displaced intra articular calcaneal fractures

2020 ◽  
Vol 8 (4) ◽  
pp. 1226
Author(s):  
Amit Thakur ◽  
Zubair A. Lone ◽  
John Mohd ◽  
Mohammad Azhar ud din Darokhan ◽  
Tanveer Ali ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Bone Fractures ◽  
Lateral Approach ◽  
Calcaneal Fractures ◽  
Management Options ◽  
Term Outcome ◽  
Articular Fractures ◽  
Effective Treatment Modality ◽  
No Gold Standard

Background: Calcaneum fractures constitute the majority of the tarsal bone fractures worldwide. There is no gold standard consensus as of now for the management of the displaced intra articular calcaneal fractures. Open reduction and internal fixation with plating is one of the management options available.Methods: Authors studied the results of open reduction and internal fixation with plating in 22 calcaneal fractures in a study with a minimum follow up of 6 months. Outcome was studied using Maryland foot score.Results: Authors observed excellent results in 5 patients (22.72%), good results in 12 patients (54.54%), fair results in 4 patients (18.18%) and poor result in 1 patient (04.54%). Authors encountered wound infection in 1 patient (4.54%), heel varus in 1 patient (4.54%), heel broadening in 1 patient (4.54%), reduced range of motion at ankle in 2 patients (9.9%) and persistent heel pain in 1 patient (4.54%).Conclusions: Open Reduction and Internal Fixation (ORIF) with calcaneum plating, through an extensive lateral approach, for displaced intra articular fractures of the calcaneum is an effective treatment modality with very good results in experienced hands.

Open reduction and internal fixation versus nonoperative treatment for closed, displaced, intra-articular fractures of the calcaneus: long-term follow-up from the HeFT randomized controlled trial

2021 ◽  
Vol 103-B (6) ◽  
pp. 1040-1046
Author(s):  
Edward J. Dickenson ◽  
Nick Parsons ◽  
Damian R. Griffin
Keyword(s):  
Randomized Controlled Trial ◽  
Internal Fixation ◽  
Surgical Procedures ◽  
Open Reduction ◽  
Controlled Trial ◽  
Nonoperative Treatment ◽  
Randomized Controlled ◽  
Articular Fractures ◽  
Difficulty Walking

Aims We report the long-term outcomes of the UK Heel Fracture Trial (HeFT), a pragmatic, multicentre, two-arm, assessor-blinded, randomized controlled trial. Methods HeFT recruited 151 patients aged over 16 years with closed displaced, intra-articular fractures of the calcaneus. Patients with significant deformity causing fibular impingement, peripheral vascular disease, or other significant limb injuries were excluded. Participants were randomly allocated to open reduction and internal fixation (ORIF) or nonoperative treatment. We report Kerr-Atkins scores, self-reported difficulty walking and fitting shoes, and additional surgical procedures at 36, 48, and 60 months. Results Overall, 60-month outcome data were available for 118 patients (78%; 52 ORIF, 66 nonoperative). After 60 months, mean Kerr-Atkins scores were 79.2 (SD 21.5) for ORIF and 76.4 (SD 22.5) for nonoperative. Mixed effects regression analysis gave an estimated effect size of -0.14 points (95% confidence interval -8.87 to 8.59; p = 0.975) in favour of ORIF. There were no between group differences in difficulty walking (p = 0.175), or on the type of shoes worn (p = 0.432) at 60 months. Additional surgical procedures were conducted on ten participants allocated ORIF, compared to four in the nonoperative group (p = 0.043). Conclusion ORIF of displaced intra-articular calcaneal fractures, not causing fibular impingement, showed no difference in outcomes at 60 months compared to nonoperative treatment, but with an increased risk of additional surgery. Cite this article: Bone Joint J 2021;103-B(6):1040–1046.

Repeat Russe Bone Grafting after Failed Bone Graft Surgery for Scaphoid Non-Union

1995 ◽  
Vol 20 (3) ◽  
pp. 373-378 ◽  
Author(s):  
E. B. BYNUM ◽  
R. W. CULP ◽  
T. J. BONATUS ◽  
C. E. ALEXANDER ◽  
H. R. McCARROLL
Keyword(s):  
Internal Fixation ◽  
Bone Grafting ◽  
Surgical Procedure ◽  
Full Employment ◽  
Salvage Procedure ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Non Union ◽  
Low Rate

We report the long-term outcome of repeat Russe bone grafting after failure of a previous Russe graft for scaphoid non-union. 15 patients were followed for a mean of 71 months after their last surgical procedure. 11 patients had undergone a single previous Russe graft and four patients had two previous graft attempts. Internal fixation was used in only three patients. Eight out of 15 (53%) patients achieved union after a single repeat graft and one out of four united after a third attempt. When union was achieved, range of motion was unchanged, grip strength was increased 10%, and pain was slight to none, allowing return to full employment in seven out of the nine patients. All patients who did not achieve union have either undergone a salvage procedure or are contemplating one. Based on the literature and our relatively low rate of union without internal fixation (53%), we recommend supplementary internal fixation if repeat Russe bone grafting is undertaken. When union is achieved, satisfactory results can be expected.

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