Computed tomographic guidance for internal fixation of type II distal phalangeal fractures in 51 horses

2021 ◽  
Author(s):  
Lauren E. Smanik ◽  
Darko Stefanovski ◽  
Patrick T. Reilly ◽  
Dean W. Richardson
Keyword(s):  
Internal Fixation ◽  
Type Ii ◽  
Computed Tomographic ◽  
Phalangeal Fractures

scholarly journals Open reduction and internal fixation with bone grafts for comminuted mason type II radial head fractures

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Guanyi Liu ◽  
Erman Chen ◽  
Dingli Xu ◽  
Weihu Ma ◽  
Leijie Zhou ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Bone Grafts ◽  
Type Ii ◽  
Radial Head Fractures

scholarly journals Cost-utility Analysis of Extensile Lateral Approach Versus Sinus Tarsi Approach in Sanders type II/III Calcaneus Fractures

2020 ◽  
Author(s):  
Zihua Li ◽  
Xinbo Wu ◽  
Haichao Zhou ◽  
Shaochen Xu ◽  
Fajiao Xiao ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Internal Fixation ◽  
Incremental Cost ◽  
Lateral Approach ◽  
Type Ii ◽  
Calcaneus Fracture ◽  
Sinus Tarsi Approach ◽  
Significant Difference ◽  
Extensile Lateral Approach ◽  
Calcaneus Fractures

Abstract Background Extensile lateral approach had been recognized as the gold standard technique for displaced intra-articular calcaneus fractures (DIACFs) while sinus tarsi approach had been increasingly valued by surgeons. And comparative clinical outcome was shown in both techniques. Appropriate decisions could be made by the clinicians with the help of CUA about optimal healthcare for type II/III calcaneus fracture. Method A single-center, retrospective study was conducted in which basic characteristics, clinical outcomes and health care costs of 109 patients had been obtained and analyzed. Changes in health-related quality of life (HRQoL) scores, validated by EuroQol five-dimensional-three levels (EQ-5D-3L), were used to enumerate quality-adjusted life-years (QALYs). Cost-effectiveness was determined by the incremental cost per QALY. Results 109 patients were enrolled in our study including 62 in the ELA group and 47 in the STA group. There were no significant differences between these two groups in mean total cost, laboratory and radiographic evaluation expense, surgery, anesthesia and antibiotic expense. The expense of internal fixation materials ($3289.0 ± 543.9) versus ($2630.6 ± 763.7) and analgesia ($145.8 ± 85.6) versus ($102.9 ± 62.7) in ELA group were significantly higher than in the STA group ( P <.001, P =.008, respectively). Visual Analogue Scale (VAS) scores showed significant difference at postoperative 3 and 5 days ( P <.001). American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores and the Bohlers’ and Gissane angle showed no significant differences between the two groups before and after the operation. The cost-effectiveness ratios of ELA and STA were $8766.8±2835.2/QALY and $7914.9 ± 1822.0/QALY respectively and incremental cost-effectiveness ratio (ICERs) of ELA over STA was $32110.00/QALY, but both showed no significant difference. Conclusion Both ELA and STA techniques are effective operative procedures for the patients with calcaneus fracture. Moreover, STA seems to be more reasonable for its merits including less postoperative pain, and less expense of analgesia as well as internal fixation materials.

scholarly journals A study of clinical outcome of unstable metacarpal and phalangeal fractures treated by internal fixation

2019 ◽  
Vol 3 (1) ◽  
pp. 85-87
Author(s):  
Dr. Rahmat Ali ◽  
Dr. Shakeel Ahmad Qidwai ◽  
Dr. Amit Nandan Mishra ◽  
Dr. Sandhya Mishra
Keyword(s):  
Clinical Outcome ◽  
Internal Fixation ◽  
Phalangeal Fractures

Fractures of the Phalanges: Results of Internal Fixation Using 1.5mm and 2mm A. O. Screws

1987 ◽  
Vol 12 (1) ◽  
pp. 28-33
Author(s):  
D. J. FORD ◽  
S. EL-HADIDI ◽  
P. G. LUNN ◽  
F. D. BURKE
Keyword(s):  
Internal Fixation ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Active Movement ◽  
Flexion Deformity ◽  
The Mean ◽  
Condylar Fractures ◽  
Phalangeal Fractures ◽  
Mean Time

Thirty-six patients were treated for 38 phalangeal fractures using 1.5 mm and 2 mm A. O. screws. Plates were not used in the fingers. Oblique fractures of the condyles, shafts or bases of the proximal or middle phalanges were treated by internal fixation because of instability, displacement or rotation. 40% of fractures had associated skin wounds, were comminuted or had damage to the extensor mechanism. The mean duration of post-operative immobilization was 9 days and the mean time off work was 6 weeks. Total active movement in the involved ray was 220 degrees or greater in 24 cases, 180 degrees to 215 degrees in eight cases, and less than 180 degrees in two patients at follow up. The patients were reviewed between three and 54 months after treatment and the mean duration of follow up was 24 months. The most frequent complication was 10 degrees to 30 degrees of flexion deformity of the proximal interphalangeal joint after internal fixation of condylar fractures. Results were satisfactory in 90% of cases.

scholarly journals Temporal lung changes in high-resolution chest computed tomography for coronavirus disease 2019

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095099
Author(s):  
Chengyang Chen ◽  
Xing Wang ◽  
Jia Dong ◽  
Dianer Nie ◽  
Qianlan Chen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
High Resolution ◽  
Type I ◽  
Type Ii ◽  
High Resolution Computed Tomography ◽  
Computed Tomographic ◽  
Reticular Pattern ◽  
Ct Radiation ◽  
Diffuse Distribution

Objective To evaluate temporal lung changes in coronavirus disease 2019 (COVID-19) in high-resolution computed tomography (HRCT) and to determine the appropriate computed tomographic (CT) follow-up time. Methods Eighty-six patients with two or more HRCT scans who were diagnosed with COVID-19 were included. The CT score and major CT findings were evaluated. Results Eighty-two (95.3%) patients had lesions on the initial HRCT scans. Most scans showed bilateral, multifocal lung lesions, with multiple lobes involved and diffuse distribution. For fifty-seven patients with type I (progress compared with the initial CT score), the CT score reached a peak at 12 days and the nadir at 36 days. For twenty-nine patients with type II (no progress compared with the initial CT score), the lowest CT score was reached at 23 days. On the final HRCT scans (>21 days), patients with a reticular pattern were older than those without a reticular pattern. Conclusion The appropriate follow-up time of CT scans is during the second week (approximately 12 days) and the fourth to fifth weeks (approximately 23–36 days) from the onset of illness. These times could help reduce the CT radiation dose and show timely changes in the course of the disease by CT.

OPEN REDUCTION AND INTERNAL FIXATION OF TYPE II FRACTURES OF THE RADIAL HEAD

1992 ◽  
Vol 85 (Supplement) ◽  
pp. 3S-64
Author(s):  
Felix H. Savoie ◽  
Shannon E. Cooke ◽  
Robert D. Teasdall
Keyword(s):  
Internal Fixation ◽  
Radial Head ◽  
Open Reduction ◽  
Type Ii
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