Stable Internal Fixation of Fractures of the Partially Mineralized Thyroid Cartilage

Thyroid cartilage fractures due to external blunt trauma have typically been thought to occur in patients over the age of 40. Lack of mineralization of the cartilage has been considered to be the protective mechanism. Our experience with laryngeal injuries has demonstrated that younger persons are indeed at risk for thyroid cartilage fractures, and that these injuries may be easily overlooked. Although these fractures do not lead to laryngeal stenosis if untreated, they may cause noticeable phonatory changes. Fixation of these fractures is difficult because of the usual soft character of the unmineralized cartilage, prompting us to adopt a wire-tube fixation technique. This technique has been uniformly successful in restoring the anatomic contour of the thyroid cartilage, and our results appear to justify open reduction of these moderately displaced or angulated thyroid cartilage fractures.

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Repair of displaced thyroid cartilage fracture using miniplate osteosynthesis

BMJ Case Reports ◽

10.1136/bcr-2018-226677 ◽

2018 ◽

Vol 11 (1) ◽

pp. e226677 ◽

Cited By ~ 1

Author(s):

Bassel Hallak ◽

Sonia Von Wihl ◽

Franciscus Boselie ◽

Salim Bouayed

Keyword(s):

At Risk ◽

Physical Examination ◽

Emergency Room ◽

Internal Fixation ◽

Open Reduction ◽

Thyroid Cartilage ◽

Older Individuals ◽

Laryngeal Trauma ◽

Vital Functions ◽

Miniplate Osteosynthesis

Acute laryngeal trauma is estimated to occur in approximately one patient per 14 500 to 42 500 emergency room admissions. If the larynx is injured, its vital functions are affected and can be threatened in case of severe injury. Soft cartilage offers no protective advantage, which is the reason why young as well as older individuals are at risk of thyroid cartilage fracture. Experimentation on cadaver larynx has demonstrated that virtually all laryngeal fractures are longitudinally oriented. Furthermore, muscular pull can contribute to a misalignment of the fractures. As stated by Bent and Porubsky, a fracture is considered severely rather than moderately displaced, if it is freely mobile on physical examination, has more than two fracture lines or demonstrates a displacement greater than the width of the thyroid cartilage on CT imaging. We present two cases of severely displaced thyroid cartilage fracture treated in our department by open reduction and internal fixation using miniplates. Functional and radiological outcomes were excellent.

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Flexible Fixation Technique for Lisfranc Injuries

Foot & Ankle International ◽

10.1177/1071100719873271 ◽

2019 ◽

Vol 40 (11) ◽

pp. 1338-1345 ◽

Cited By ~ 4

Author(s):

Connor Delman ◽

Midhat Patel ◽

Mark Campbell ◽

Christopher Kreulen ◽

Eric Giza

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Treatment Options ◽

Percutaneous Pinning ◽

Fixation Device ◽

Fixation Technique ◽

Level Of Evidence ◽

Fracture Dislocations ◽

Lisfranc Injuries ◽

Joint Treatment

Injuries to the Lisfranc complex range from purely ligamentous disruptions to fracture-dislocations of the tarsometatarsal joint. Treatment options include closed/open reduction with percutaneous pinning, open reduction and internal fixation (ORIF), and primary arthrodesis. We present a ligament reinforcement technique utilizing a flexible fixation device for the treatment of ligamentous Lisfranc injuries. Level of Evidence: Level V, expert opinion.

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Effect of surgical approach on fracture healing: Comparison of minimal invasive approach (MIS) to conventional open reduction and internal fixation technique (ORIF) in a sheep tibial shaft

Journal of Orthopaedic Trauma ◽

10.1097/00005131-200002000-00075 ◽

2000 ◽

Vol 14 (2) ◽

pp. 151-152

Author(s):

Michael Schütz ◽

Arno Schmeling ◽

Max Kääb ◽

Ronald Wieling ◽

Keito Ito

Keyword(s):

Internal Fixation ◽

Fracture Healing ◽

Surgical Approach ◽

Open Reduction ◽

Minimal Invasive ◽

Tibial Shaft ◽

Fixation Technique ◽

Invasive Approach ◽

Minimal Invasive Approach

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Surgical treatment of the unstable type C pelvic injury

Acta chirurgica iugoslavica ◽

10.2298/aci1302053m ◽

2013 ◽

Vol 60 (2) ◽

pp. 53-58 ◽

Cited By ~ 2

Author(s):

Sasa Milenkovic ◽

Milorad Mitkovic ◽

Jordan Saveski ◽

Ivan Micic ◽

Milan Mitkovic ◽

...

Keyword(s):

Surgical Treatment ◽

Internal Fixation ◽

Open Reduction ◽

Pelvic Ring ◽

Posterior Pelvic Ring ◽

Pelvic Ring Injuries ◽

Pelvic Injuries ◽

Ring Complex ◽

Type C ◽

Stable Internal Fixation

Rotationally and vertically unstable injuries to the pelvic ring (Type C) require stabilisation of the anterior and posterior pelvic ring complex. Inadequate treatment of these injuries leads to chronic instability of the pelvic ring, which can finally cause permanent disability. Open reduction and stable internal fixation of the anterior and posterior complex of unstable pelvic ring injuries are standard procedures in the treatment of hemodynamically stable patients with (Type C) pelvic injuries. Our aim is to show that this type of treatment achieves excellent and good results. All patients were operated on using the method of open reduction and anterior plate fixation of sacroiliac complex as well as fixation of the pubic symphisis. We present a retrospective study of the results concerning the treatment of 19 patients with (Type C ) unstable pelvic injuries. The average age of the patients was 43,21 years old. The final functional results, 2 years post-surgery according to the Majeed scoring system and the results were excellent in 11 (57.89%) and good in 8 (42.1%) patients. There were no bad results to report. Type C pelvic ring injuries are unstable and unless they are adequately treated, they can lead to permanent consequences. Surgical treatment that includes open reduction and stable internal fixation of the anterior and posterior pelvic ring complex leads to excellent and good results. The patients that were treated surgically by fixation of the anterior and posterior pelvic ring complex return to their everyday lives and work activities.

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Outcome after open reduction and angular stable internal fixation for supra-intercondylar fractures of the distal humerus: preliminary results with the LCP distal humerus system

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-007-0428-2 ◽

2007 ◽

Vol 128 (7) ◽

pp. 723-729 ◽

Cited By ~ 76

Author(s):

S. Greiner ◽

N. P. Haas ◽

H. J. Bail

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Distal Humerus ◽

Preliminary Results ◽

Stable Internal Fixation

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Open Reduction and Stable Internal Fixation Using a 3.5-mm Locking Hook Plate for Isolated Fractures of the Greater Tuberosity of the Humerus: A 2-Year Follow-up Study Using an Innovative Fixation Method

Clinics in Orthopedic Surgery ◽

10.4055/cios20212 ◽

2021 ◽

Vol 13 ◽

Author(s):

Woo-Yong Lee ◽

Hyun-Dae Shin ◽

Kyung-Cheon Kim ◽

Soo-Min Cha ◽

Yoo-Sun Jeon ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Hook Plate ◽

Fixation Method ◽

Greater Tuberosity ◽

Follow Up Study ◽

Stable Internal Fixation

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Fractures of the surgical neck of the scapula with separation of the coracoid base

Perspectives in Surgery ◽

10.33699/pis.2020.99.8.368-372 ◽

2020 ◽

Vol 99 (8) ◽

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Fracture Pattern ◽

Ct Diagnosis ◽

Rare Type ◽

Neck Fracture ◽

Unstable Type ◽

Stable Internal Fixation

Fractures of the surgical neck of the scapula combined with a fracture of the coracoid base constitute a specific and rare type of a fracture pattern. When displaced, they present a severe, completely unstable type of surgical neck fracture, requiring a precise CT diagnosis, open reduction and stable internal fixation of the fracture via the Judet approach. The aim of this study is to describe our four cases and discuss three others reported to date.

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Surgical treatment of displaced acetabular fractures

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1108496m ◽

2011 ◽

Vol 139 (7-8) ◽

pp. 496-500 ◽

Cited By ~ 3

Author(s):

Sasa Milenkovic ◽

Jordan Saveski ◽

Mile Radenkovic ◽

Goran Vidic ◽

Neda Trajkovska

Keyword(s):

Surgical Treatment ◽

Internal Fixation ◽

Open Reduction ◽

Pelvic Ring ◽

Articular Surface ◽

High Energy ◽

Acetabular Fractures ◽

Anatomical Reduction ◽

Severe Injuries ◽

Stable Internal Fixation

Introduction. Acetabular fractures are severe injuries, generally caused by high-energy trauma, most frequently from traffic accidents or falls from heights. Fractures of the extremities, head injuries, chest, abdomen and pelvic ring injuries are most commonly associated injuries. Objective. The purpose of this study was to evaluate the results of open reduction and internal fixation of acetabular fractures. The open anatomical reduction of the articular surface combined with a rigid internal fixation and early mobilisation have become the standard treatment of these injuries. Methods. We conducted a retrospective analysis of 22 patients of average age 43.13 years. The patients were treated by open reduction and internal fixation at the Orthopaedic Clinic of Nis from 2005-2009. The follow-up was 12 to 60 months, with the average of 21.18 months after surgery. Results. All injured patients were operated on between 4 and 11 days (5.7 days on the average). According to the classification by Judet and Letournel, 15 (68.18%) patients had an elementary acetabular fracture, whereas 7 (31.82%) patients had associated fracture. A satisfactory postoperative reduction implying less than 2 mm of displacement was achieved in 19 (86.36%) patients. The radiological status of the hip joint, determined according to Matta score, was excellent in 15 (68.18%) patients, good in 4 (18.18%) patients and moderate in 3 (13.63%) patients. According to Merle d?Aubign? Scale, the final functional results of the treatment of all operated patients were excellent in 12 (54.54%) patients, good in 7 (31.81%) patients and moderate in 3 (13.63%) patients. Conclusion. Surgical treatment of dislocated acetabular fractures requires an open reduction and a stable internal fixation. Excellent and good results can be expected only if anatomical reduction and stable internal fixation are achieved.

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