scholarly journals Combined caesarean section and open reduction internal fixation for the treatment of an acetabular fracture in late pregnancy

JRSM Open ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 205427041773269 ◽  
Author(s):  
Aimee Marie Charnell ◽  
Emma Ferriman ◽  
Rozalia Dimitriou ◽  
Michalis Panteli ◽  
Peter V Giannoudis
Keyword(s):  
Caesarean Section ◽  
Internal Fixation ◽  
Acetabular Fracture ◽  
Treatment Options ◽  
Late Pregnancy ◽  
Open Reduction Internal Fixation ◽  
Fracture Repair ◽  
Early Ambulation ◽  
Post Traumatic ◽  
Traumatic Arthritis

Lesson In this case, we opted for dual surgery combining caesarean section and internal fixation of acetabular fracture in late pregnancy, which allowed safe foetal delivery, fracture repair and early ambulation of the mother. In similar cases, this method could be potentially considered in the armamentarium of treatment options, aiming to facilitating prompt motherhood input and early hospital discharge, as well as minimising the risk of post-traumatic arthritis of the hip.

scholarly journals Mid-Term Outcomes After Open Reduction Internal Fixation of Proximal Interphalangeal Joint Dorsal Fracture-Dislocations Through a Volar, Shotgun Approach and a Review of the Literature

2017 ◽  
Vol 11 (1) ◽  
pp. 1073-1080 ◽  
Author(s):  
Juan Marcelo Giugale ◽  
Juntian Wang ◽  
Robert A. Kaufmann ◽  
John R. Fowler
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Articular Surface ◽  
Open Reduction Internal Fixation ◽  
Radiographic Evaluation ◽  
Patient Reported ◽  
Fracture Dislocations ◽  
Post Traumatic ◽  
Shotgun Approach ◽  
Traumatic Arthritis

Background: Proximal interphalangeal (PIP) fracture dislocations remain a complex injury pattern to treat. There are several treatment methods available aimed to restore stability, preserve range of motion, and reconstitute the articular surface. This study looked at the mid-term clinical and radiographic results of open reduction internal fixation through a shotgun approach of comminuted PIP fracture dislocations. Methods: A retrospective review was conducted of all PIP fracture dislocations treated through a volar, shotgun approach at a single institution over a 15-year period. Patients identified were contacted and asked to return to the office for clinical and radiographic evaluation. Patient reported outcomes were assessed with the Michigan hand questionnaire (MHQ) and visual analog scale (VAS) for pain. Results: 5 patients returned to the office for further evaluation with average follow-up of 69 months (range, 33-133 months). 3 patients were found to have post traumatic arthritis on radiographs. 1 case had recurrent instability and one case had a deep infection, both necessitating further surgical intervention. Average PIP arc of motion was found to be 79°. Average VAS score of 0 and MHQ result of 95 (out of a possible score of 100) indicating no residual pain and excellent functionality of the affected hand. Conclusion: Open reduction internal fixation of comminuted PIP fracture dislocations utilizing the volar, shotgun approach provides excellent mid-term functional results despite the high incidence of post traumatic arthritis.

scholarly journals Traumatic atlantoaxial rotatory subluxation in adults – A case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 376
Author(s):  
Hugo Layard Horsfall ◽  
Aref-Ali Gharooni ◽  
Alaa Al-Mousa ◽  
Anan Shtaya ◽  
Erlick Pereira
Keyword(s):  
Neck Pain ◽  
Internal Fixation ◽  
Open Reduction ◽  
Motor Vehicle ◽  
English Literature ◽  
Open Reduction Internal Fixation ◽  
Vehicle Accidents ◽  
Pediatric Populations ◽  
Rotatory Subluxation ◽  
Post Traumatic

Background: Traumatic atlantoaxial rotatory subluxation (AARS) is extremely rare in adult versus pediatric populations. Patients usually present with post-traumatic neck pain and torticollis. Surgical management aims at reducing the deformity and stabilizing the spine utilizing external orthotics, and/or internal reduction/fixation. Methods: A 65-year-old female fell downstairs at home. She complained of neck pain with right-sided tenderness and torticollis. The radiographic studies and CT scan demonstrated AARS. This led to an emergent open reduction with internal fixation at the C1-C2 level. Results: We identified 25 similar cases of AARS in the English literature. Patients averaged 28.7 years of age and mostly sustained motor vehicle accidents largely treated with traction/orthotics; only six patients required surgical open reduction/internal fixation. Conclusion: In this case, the patient’s C1-C2 deformity required open reduction/internal fixation rather than bracing alone.

Intrawound Antibiotic Powder in Acetabular Fracture Open Reduction Internal Fixation Does Not Reduce Surgical Site Infections

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kyle H Cichos ◽  
Clay A Spitler ◽  
Jonathan H Quade ◽  
Brent A Ponce ◽  
Gerald McGwin ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Acetabular Fracture ◽  
Open Reduction ◽  
Surgical Site Infections ◽  
Open Reduction Internal Fixation ◽  
Antibiotic Powder

scholarly journals Posterior dislocation hip with anterior column acetabular fracture: a very rare injury

2018 ◽  
Vol 4 (2) ◽  
pp. 330
Author(s):  
Avtar Singh ◽  
Rajeev Vohra ◽  
Sudhanshu Bansal
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Acetabular Fracture ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Injury Pattern ◽  
Posterior Dislocation ◽  
Anterior Column ◽  
Rare Injury

<p class="abstract"><span lang="EN-IN">Posterior dislocation is a common injury but it’s occurrence in association with anterior column fracture is very rare. We report a case of this rare injury pattern. The patient was treated with closed reduction of dislocation followed by open reduction internal fixation of anterior column.</span></p><p class="abstract"> </p>

Secondary Fractures Following Internal Fixation in Two Horses

1989 ◽  
Vol 02 (03) ◽  
pp. 125-128
Author(s):  
E. M. Gaughan ◽  
N. G. Duchar
Keyword(s):  
Internal Fixation ◽  
Sagittal Plane ◽  
Proximal Phalanx ◽  
Fracture Repair ◽  
Fracture Line ◽  
Carpal Bone ◽  
Fracture Plane ◽  
The Third ◽  
Lag Screw ◽  
Secondary Fractures

SummaryImplant associated fractures have not been reported in horses. Two horses were evaluated for fractures in the fore limbs, occurring subsequent to previous fracture repair. Previously, the horses had sustained fractures of unusual configurations which were repaired using internal fixation. Following repair and healing of the fractures, secondary fractures occurred in the same bone, but in a different (more common) configuration. The first horse was evaluated ten months following lag screw fixation of a longitudinal fracture of the proximal phalanx in a frontal plane. This horse presented with a more typical comminuted fracture in the sagittal plane with the screws from the first fixation lying in the fracture line. This fracture was successfully treated with a cast. The second horse was examined eightteen months after repair of a medial sagittal slab fracture of the third carpal bone. The horse presented with a more typical dorsal slab fracture of the third carpal bone with the previously placed lag screw lying in the fracture line. The screw was removed and a lag screw was placed perpendicular to the new fracture plane through the dorsal surface of the third carpal bone to repair the fracture.

scholarly journals Prognostic factors of post-traumatic stress disorder risk in patients with surgical treatment of hip acetabular fracture. Original study

2021 ◽  
Author(s):  
Aleksandra Truszczyńska-Baszak ◽  
Monika Guszkowska ◽  
Emilia Dadura ◽  
Adam Tarnowski
Keyword(s):  
At Risk ◽  
Post Traumatic Stress Disorder ◽  
Psychological Health ◽  
Traumatic Stress ◽  
Acetabular Fracture ◽  
Functional Disability ◽  
Stress Disorder ◽  
Harris Hip Score ◽  
Post Traumatic Stress ◽  
Post Traumatic

AbstractThe aim of the study was to assess the risk of developing post-traumatic stress disorder in patients after hip acetabular fracture surgery. The study involved 42 patients fulfilling inclusion criteria. Physical ability levels of the patients were determined with the Harris Hip Score, and modified Merle d’Aubigné scale. High risk of post-traumatic stress disorder was assessed with the PTSD-C questionnaire. Patients had in PTSD-C questionnaire 42.86 ± 28,10 points. In Harris Hip Score 63.64 ± 16.06, in Merle scale 11.10 ± 2.82, that was poor results in both scales. Positive correlation with age reached the level of tendency (ρ = 0.294; p = 0.059). Patients at risk of PTSD were in worse functional state measured by HHS (U = 136.0; p = 0.034) and Merle scale (U = 132.0; p = 0.026) and they were older (U = 147.5; p = 0.068). The groups differed significantly in gender ratio (χ2 = 4.01; p = 0.045). Women (8/10) were more often than men (14/32) at risk of PTSD. Patients after surgical fixation of the acetabulum experience significant functional disability. Increased level of disability after fracture and surgery, older age and female sex make patients vulnerable to PTSD. It is advisable to make medical staff who treat accident victims aware towards aspects which may be related to disorders of the patients’ psychological health.

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