scholarly journals Humerus Diaphysis Fracture in a Newborn during Vaginal Breech Delivery

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Baris Kaya ◽  
Korkut Daglar ◽  
Ayse Kirbas ◽  
Abdullah Tüten
Keyword(s):  
Bone Fractures ◽  
Breech Presentation ◽  
Long Bone ◽  
Long Bones ◽  
Breech Delivery ◽  
Vaginal Breech Delivery ◽  
Long Bone Fractures ◽  
The Family ◽  
Long Term Prognosis

While most obstetricians are familiar with fracture of the clavicle in newborns during birth, an unlucky minority of obstetricians has encountered long-bone fractures in newborns as well. This complication is traumatic not only for the neonate, but also for the family and the obstetrician; it is also difficult to explain. Fortunately, the long-term prognosis for fracture of the long bones is excellent. Both vaginal and cesarean breech deliveries and maneuvers can be responsible for birth traumas, including long-bone fractures. This case report presents a newborn with breech presentation delivered vaginally that resulted in humerus diaphysis fracture.

scholarly journals Management of infected non-union of lower limb long bone fractures using ilizarov technique: a study of outcomes

2017 ◽  
Vol 3 (3) ◽  
pp. 557 ◽  
Author(s):  
Hrishikesh Pande ◽  
Chander Mohan Singh ◽  
Anjan Prabhakara ◽  
Vivek Mathew Philip ◽  
Mohd Shezan Iqbal ◽  
...  
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Lower Limbs ◽  
Long Bone ◽  
Long Bones ◽  
Ilizarov Technique ◽  
Infected Nonunion ◽  
Ring Fixator ◽  
Long Bone Fractures ◽  
Ilizarov Ring Fixator

<p class="abstract"><strong>Background:</strong> Nonunion of long bone fractures is a common condition treated by an orthopaedic surgeon. Many nonunions can be treated effectively by internal fixation with or without bone grafting but, an infected nonunion can prove to be a tough challenge. The Ilizarov method is effective in managing infected nonunion of long bones. This study aims to assess the outcome of management of infected nonunions of long bones of lower limb with Ilizarov Ring fixator using bone and functional results as per Association for the Study and Application of Methods of Ilizarov (ASAMI) Scoring System.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analysed 18 patients (16 Male: 2 Female; Mean age 43.2 years) managed with Ilizarov technique for an infected tibial or femoral nonunion between 01 January 2013 and 31 December 2014. They were followed up for an average of 25.4 months after removal of fixator. They were assessed for functional and Bone (radiological) outcomes using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> 17 limbs were salvaged and union could be achieved. One limb required amputation due to severe persistent intractable infection. None required any additional skeletal stabilisation after removal of fixator frame except casting in a few patients for a period of 6 weeks. Mean time to union was 211.83 days (range 136 - 320days/median 184) or 7.01 months. As per the ASAMI score, Bone results were excellent in 10, good in 5, fair in 2 and poor in 1. Functionally 7 were graded as excellent, 6 as good, 3 as fair and 1 as poor and 1 patient underwent amputation.</p><p><strong>Conclusions:</strong> The Ilizarov’s method remains one of the most versatile and successful means of achieving bone healing in infected nonunions of long bones of lower limbs with additional benefits of correcting bone defects, deformities and limb length inequalities. </p>

scholarly journals Conservative Care Cost Analysis of Patients of Long Bone Fracture in Emergency Room. A Review to See the Sufficiency of Health Insurance Costs

2020 ◽  
Vol 4 (2) ◽  
pp. 87-90
Author(s):  
Bayusentono Sulis ◽  
Cery Hajali
Keyword(s):  
Length Of Stay ◽  
Bone Fracture ◽  
Bone Fractures ◽  
Long Bone ◽  
Long Bones ◽  
Inclusion Criteria ◽  
Real Cost ◽  
Long Bone Fractures ◽  
Long Bone Fracture ◽  
The Cost

Long bones are bones that include the humerus, radius, ulna, femur, tibia and fibula. Aside from fibula, the main function of long bones is as the main skeleton in movement. Therefore, whenever there is a fracture in the long bone, the ability to move will be lost.The occurrence of this long bone fracture itself is still a global problem because the number of events is still quite large. This is in line with the increase in socioeconomic status and the incidence of traffic accidents which is one of the causes of fractures. METHOD This study is a prospective study to determine the magnitude of the cost of treatment conservatively in cases of long bone fractures in RSUD dr. Soetomo. The study design used was a prospective cohort. The sample size used in this study was determined by consecutive sampling, ie patients who met the inclusion criteria in the period May - August 2017. RESULTS From the observations for four months from May 2017 - August 2017 at Emergency Room Soetomo General Hospital, found 77 patients with long bone fractures that were casted. Of these patients, 38 patients were placed in a slab, 39 patients were placed in a circular cast. Among the 39 people, 17 patients were excluded according to the exclusion criteria and 22 patients were included as the study sample according to the inclusion criteria. By using a statistical test using paired sample T test with a value of α = 0.05, a significance of 0.025 was obtained. Because the significance value is 0.025 <0.05 (α). DISCUSSION From the resultsa difference between the BPJS rate of installing circular cast on long bone fractures with the real cost of installing circular cast on long bone fractures. In addition, from the value of the mean we get that the average value of the BPJS rate is greater than the real cost value, which means we can conclude that the BPJS cost can cover the cost of conservative therapy in cases of long bone fractures. CONCLUSION In the economic aspect, the longer the length of stay means the higher the costs that must be paid by the patient (the payer) and accepted by the hospital. This only applies to real tariffs, whereas to INACBG's long or short length of stay does not affect the cost.

scholarly journals Influence of pins configuration to balance of general transversal stability in long bone fractures external fixation

2010 ◽  
Vol 57 (4) ◽  
pp. 109-113
Author(s):  
Milan Mitkovic ◽  
Milorad Mitkovic ◽  
Marko Bumbasirevic ◽  
Marija Mitkovic
Keyword(s):  
External Fixation ◽  
External Fixator ◽  
Bone Fractures ◽  
Statistical Analyses ◽  
Axial Plane ◽  
Long Bone ◽  
Long Bones ◽  
Bone Model ◽  
Long Bone Fractures ◽  
Biomechanical Features

Biomechanical features of long bones indicate that external fixation of long bone fractures have to be balanced according to general transversal stability as more as possible. The aim of this work was to investigate the influence of orientation pins to the general transversal stability of external fixation of fractures of long bones. In this study we have used the model of fractured long bone made of wood which was treated by Mitkovic external fixator with 4 pins, in 3 different situations: 1. all pins are in one axial plane, 2. each 2 pins are in 2 axial planes with angle distances of 60o, 3. each 2 pins are in 2 axial planes wich are normal to each other. Means of relations of measured movements of long bone model fragments during the use of perpendicular force from 2 directions, normal to each other, after grouping of results in 3 groups: 0,17, 0,46 i 0,72. Statistical analyses showed that the differences between each of 3 groups were significant (p<0,05). It can be concluded that it is better if pins are oriented in different axial planes, with pretension that both planes are normal to each other, during external fixation of long bone fractures.

Stack Pinning of Long Bone Fractures: A Retrospective Study

1991 ◽  
Vol 4 (02) ◽  
pp. 48-53 ◽  
Author(s):  
R. T. vanEe ◽  
Karen Gibson
Keyword(s):  
Retrospective Study ◽  
Clinical Study ◽  
Bone Fractures ◽  
Fracture Repair ◽  
Long Bone ◽  
External Fixators ◽  
Long Bone Fractures ◽  
Unreliable Method ◽  
Fracture Stability

SummaryLong bone fractures in 20 dogs and five cats were repaired using a stack pinning (multiple intramedullary pins) technique. These cases were evaluated with long-term radiographic and physical examination. Factors including fracture location, age of animal, fracture reduction, and percent of medullary cavity filled by intramedullary pins were noted to assess their effect on postoperative complications. Specifically, distal long bone fractures had a greater tendency to develop complications than did mid-shaft or proximal fractures (p = 0.10). Other factors were not found to significantly increase the potential for fracture related complications. The overall complication rate associated with this method of fracture repair was greater than 50%. External fixators or plates were judged necessary to improve fracture stability at initial or subsequent operations in 44% of cases. Stack pinning was found to be an unreliable method of repair for long bone fractures in this clinical study.

scholarly journals Retrospective medico-social analisys of the results of treatment patients with the concequences of long bone fractures

2021 ◽  
pp. 43-50
Author(s):  
Volodymyr Tankut ◽  
Inna Golubeva ◽  
Mykola Rykun ◽  
Kostyantyn Berenov ◽  
Viktoria Androsenkova
Keyword(s):  
Bone Fractures ◽  
Delayed Union ◽  
Long Bone ◽  
Long Bones ◽  
Traumatic Injuries ◽  
Results Of Treatment ◽  
Regional Center ◽  
Long Bone Fractures ◽  
Iatrogenic Complications

The problem of long bones fractures treatment remains actual, despite a significant number of studies carried out on this topic. Such fractures of the musculoskeletal system occur more often and are accompanied by various complications, significantly compromise the quality of patients life and often lead to the disability. Objective. To analyze different types of traumatic injuries in patients with the consequences of long bone fractures, to evaluate the effectiveness of diagnostics, treatment and to analyze the state of disability. Methods. A retrospective medical and social analysis of the results of treatment of 333 patients (232 (69.6 %) men, 101 (30.4 %) women) with the consequences of long bone fractures, based on the obtained study group in the Kharkiv Regional Center for Medical and Social Expertise № 2, for the period 2018–2019. Results. Three main methods of surgical treatment were analyzed: internal fixation (ORIF), blocking intramedullary nailing (IMN) and treatment with external fixation devices (EF). They were applied in the following rate: ORIF — 204 (61.3 %) cases, IMN — 98 (29.4 %), EF — 31 (9.3 %). The most typical complications of the treatment of patients with fractures of the long bones were delayed union or nonunion, neuropathies of the treated extrimities, joint contractures, osteoarthritis of adjacent joints, deformities of affected extrimities, osteomyelitis. Causes of disability were: 63 % — severity of injuries, 46 % — different posttraumatic complications, 6.5 % — iatrogenic complications. Among the latter, the most common were: diagnostic — 7.1 %, incorrect method of treatment — 29.7 %, iatrogenic incorrect surgery methods — 45 %. Conclusions. The data obtained showed that the improvement of organization measures for the prevention of complications and disability in patients with consequences of long bones fractures could help to increase the efficiency and quality of specialized medical help. Key words. Fractures, long bones, limbs, consequences, complications, disability.

scholarly journals Comparative occurrence pattern of fractures in cattle and buffaloes

2019 ◽  
Vol 12 (7) ◽  
pp. 1154-1159 ◽  
Author(s):  
Ganga Prasad Yadav ◽  
Vandana Sangwan ◽  
Ashwani Kumar
Keyword(s):  
Hind Limb ◽  
Bone Fractures ◽  
Open Fractures ◽  
Long Bone ◽  
Long Bones ◽  
Femur Fractures ◽  
Long Bone Fractures ◽  
Dairy Animals ◽  
Occurrence Pattern ◽  
Mandible Fractures

Background and Aim: Dairy animals play an important role in the Indian economy. Knowledge of the occurrence pattern of long bone fractures in bovine may help in strategizing the possibilities of treatment and prognosis. This study aimed to find out the comparative occurrence pattern of fractures in cattle and buffaloes. Materials and Methods: A total of 278 fractures of bovine (171 in cattle and 107 in buffaloes), presented to the Department of Veterinary Surgery and Radiology, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India, during a study of 1 year, were investigated for the occurrence pattern, in relation to species, age, body weight, gender, bone involved, type of fracture (closed or open), and the presentation of bovine as standing or in recumbent state. Results: The overall hospital occurrence of fractures in bovine was 4.24% and most of the fractures resulted from slipping and falling on hard floor. Of 278 fractures, the majority (90.28%) involved long bones (n=251; 103 buffaloes and 148 cattle). Forelimb fractures were recorded more common in buffaloes (64.08%), whereas the cattle suffered more of hind limb fractures (60.23%). Cattle also included 11 cases of bilateral fractures of metacarpal (n=3), tibia (n=1), radius and ulna (n=1), and mandible (n=6). Fracture of olecranon constituted 6.83% (n=19) and majority (n=15) were in buffaloes. The cattle had higher percent of open fractures (54.38%) as compared to that in buffaloes (17.76%). Marginally higher percentage of cattle (33.33%) suffering from fracture were recumbent as compared to buffaloes (23.36%) and femur fractures were found to be a leading cause of recumbency (100% in cattle and 75.00% in buffaloes). Conclusion: Species-specific differences in the occurrence pattern of fractures exist among cattle and buffaloes. Cattle are found to be more susceptible (1.5 times) to fractures as compared to buffaloes. The buffaloes are vulnerable to forelimb fractures while the cattle to the hind limb. As compared to forelimb, long bone fractures of hind limb are more commonly associated with recumbency in bovine. Cattle are more prone to mandible fractures and the open fractures of long bones as compared to buffaloes.

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