scholarly journals Mini-Plate and Screw Fixation Technique for Comminuted Flexor Digitorum Profundus Avulsion Fracture

2020 ◽  
Vol 25 (1) ◽  
pp. 33-38
Author(s):  
Hye Yeon Choi ◽  
Jeong Hwan Kim ◽  
Young Ju Noh
Keyword(s):  
Open Reduction ◽  
Avulsion Fracture ◽  
Screw Fixation ◽  
Flexor Digitorum Profundus ◽  
Fixation Technique ◽  
Avulsion Fractures ◽  
Pin Fixation ◽  
Flexor Digitorum ◽  
Mini Plate ◽  
Pull Out Suture

Avulsion fracture of flexor digitorum profundus (FDP) tendon is relatively rare fracture at the distal phalangeal base than avulsion fracture of terminal extensor tendon. Terminal extensor avulsion fracture, known as bony mallet finger, could be successfully treated by closed reduction and pinning, such as extension block technique. However, most of FDP avulsion fracture, known as Jersey’s finger, needed open reduction, because of the proximal migration of fracture fragment and difficulty of pin fixation. Up to date, most of FDP avulsion fractures were treated by open reduction and fixation by pull-out suture or suture anchor technique. We report a case of comminuted FDP avulsion fracture, successfully treated by open reduction and mini-plate and screw fixation technique.

FDP Avulsion Injury Due to Enchondroma: A Unique Surgical Approach

2020 ◽  
Vol 25 (02) ◽  
pp. 240-244
Author(s):  
Francisco Moura ◽  
Andrej Salibi ◽  
Anuj Mishra
Keyword(s):  
Surgical Approach ◽  
Bone Grafting ◽  
Distal Phalanx ◽  
Flexor Digitorum Profundus ◽  
Fixation Technique ◽  
Avulsion Injury ◽  
Pull Out ◽  
First Case ◽  
Operative Recovery ◽  
Flexor Digitorum

Flexor Digitorum Profundus avulsion injury associated with an enchondroma at the level of the distal phalanx is extremely rare. There have been few cases reported to date and most have been surgically managed using a screw and/or Bunnell pull-out wire technique with or without bone grafting. We describe the first case using a simple interosseus fixation technique for the reattachment of FDP tendon without bone grafting. The patient made an excellent post-operative recovery. This technique is a simple, effective, patient-friendly and internalised solution which, in addition, may prevent the need for bone grafting.

Arthroscopic Two-Point Suture Bridge Fixation Technique for the Treatment of Anterior Cruciate Ligament Tibial Avulsion Fractures

2021 ◽  
Vol 11 (10) ◽  
pp. 1977-1982
Author(s):  
Dong Zheng ◽  
Jianjian Yin ◽  
Long Han ◽  
Jianchao Gui
Keyword(s):  
Anterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Suture Fixation ◽  
Fixation Technique ◽  
Avulsion Fractures ◽  
Anterior Drawer ◽  
Kt 1000 ◽  
Anterior Cruciate

This study aimed to present and evaluate a new arthroscopic technique that uses two-point suture fixation for anterior cruciate ligament (ACL) tibial avulsion fractures. A total of 15 patients diagnosed with ACL tibial avulsion fracture underwent arthroscopic suture fixation from November 2018 to October 2019 and were treated using two-point suture fixation. The patients were followed up and evaluated according to Lysholm scores, International Knee Documentation Committee (IKDC) subjective scores, Tegner activity level scales, anterior drawer testing, and KT-1000 arthrometer testing. The mean follow-up period was 18 months (12 to 24). All patients had a negative Lachman test and anterior drawer test at final follow-up and showed the radiological union of avulsion fracture at 12-week postoperative radiograph. The Lysholm score improved significantly postoperatively with a mean score of 94.26±3.63 (87 to 98; p < 0.001). The Tegner score improved significantly postoperatively from 3.61 ±1.37 to 7.14±1.51 (P < 0.001). The KT-1000 measured value decreased significantly postoperatively from 7.3±1.5 to 1.4 ±1.2 (P < 0.001). The IKDC category was abnormal or severely abnormal preoperatively, and all patients improved to normal or nearly normal at final follow-up. Arthroscopic treatment using the two-point suture fixation technique is effective for ACL avulsion fracture and can restore the function and stability of the knee joint.

Repair Technique Using a Combination of Suture Anchor and Miniscrew in Flexor Digitorum Profundus Bony Avulsion Fracture with Bone Fragment in Zone 1

2018 ◽  
Vol 23 (03) ◽  
pp. 430-436
Author(s):  
Jae-Hwi Nho ◽  
Sang-Woo Lee ◽  
Mi-Ae Nam ◽  
Byung-Sung Kim ◽  
Ki Jin Jung
Keyword(s):  
Suture Anchor ◽  
Avulsion Fracture ◽  
Flexor Tendon ◽  
Tendon Injuries ◽  
Flexor Digitorum Profundus ◽  
Rare Injury ◽  
Pull Out ◽  
Bony Avulsion ◽  
Flexor Tendon Injuries ◽  
Pull Out Suture

Avulsion fracture of the volar base of the distal phalanx is a rare injury. Zone 1 flexor tendon injuries can be treated with either internal or external fixation techniques. Pull-out suture repairs are often used for FDP tendon avulsion injuries. However, the pull out suture technique is associated with a number of well documented complications including nail bed injury and pressure necrosis. Despite the variety of techniques available for the repair of acute distal zone 1 flexor tendon injuries, no one technique has proven to be superior to all others. We address our experience with treatment of FDP avulsion injuries using suture anchor and miniscrew. Our technique supplements the suture anchor technique, which often causes a lack of strength, with an additional miniscrew. We introduce two cases of combined method using both suture anchor and miniscrew for treatment of FDP avulsion injuries.

Interphalangeal Dislocation of the Fourth Toe with Avulsion-Fracture in a Child: Report of a Case

1997 ◽  
Vol 18 (3) ◽  
pp. 175-177 ◽  
Author(s):  
Thomas Neubauer ◽  
Michael Wagner ◽  
Michael Quell
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Pediatric Patients ◽  
Avulsion Fracture ◽  
Joint Stability ◽  
Middle Phalanx ◽  
Avulsion Fractures ◽  
Child Report ◽  
Plantar Plate ◽  
Pathological Mechanism

Phalangeal dislocations of toes are extremely rare in childhood and usually can be treated by closed reduction. We present a proximal interphalangeal dislocation of the fourth toe with an irreducible avulsion fracture of the middle phalanx requiring open reduction. To our knowledge concomitant avulsion fractures in this condition have not been reported thus far in pediatric patients. The pathological mechanism of this injury is discussed, and the significance of the plantar plate for joint stability is emphasized.

Cannulated Lag Screw Fixation of Displaced Lateral Humeral Condyle Fractures Is Associated With Lower Rates of Open Reduction and Infection Than Pin Fixation

2017 ◽  
Vol 37 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Benjamin E. Stein ◽  
Alim F. Ramji ◽  
Hamid Hassanzadeh ◽  
Jared M. Wohlgemut ◽  
Michael C. Ain ◽  
...  
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Lag Screw ◽  
Pin Fixation ◽  
Humeral Condyle

scholarly journals Tibial Tubercle Avulsion Fractures in Adolescents: A Narrative Review & Case Report

2021 ◽  
Vol 2 (3) ◽  
pp. 12-18
Author(s):  
Gregory W. Kunis ◽  
Joshua A. Berko ◽  
Jeffrey C. Shogan ◽  
Joshua B. Sharan ◽  
Derek Jones
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Avulsion Fracture ◽  
Open Reduction Internal Fixation ◽  
Fracture Pattern ◽  
Tibial Tuberosity ◽  
Tibial Tubercle ◽  
Significant Past Medical History ◽  
Anterior Portion ◽  
Avulsion Fractures

Intro: Tibial tuberosity avulsion fractures are rare fracture patterns accounting for less than 1% of all pediatric fractures. These fractures occur when there is a sudden unbalancing of forces through the patellar tendon that separates the tibial tubercle from the anterior portion of the proximal tibia. These forces are commonly introduced in sporting activities and show a predominance for adolescent males. Treatment with open reduction internal fixation commonly results in favorable outcomes with minimal complications. In this presentation, we explore a case of a tibial tuberosity avulsion fracture and give an in-depth review of all aspects concerning this fracture pattern. Case Description: A 14-year-old male with no significant past medical history presented via emergency medical services after a ground level fall while playing basketball. Radiographs of the left knee and tibia revealed an Ogden Type III, distracted avulsion fracture of the tibial tuberosity with suprapatellar effusion. Surgical intervention was achieved through open reduction internal fixation of the left tibial tubercle. Discussion: Although a relatively rare fracture pattern, this case demonstrates a classic presentation and treatment of a tibial tuberosity avulsion fracture. This case serves as a reminder that despite the rarity of the injury, a clinician with an appropriate index of suspicion can accurately diagnose and treat this fracture and achieve positive outcomes in returning the patient to pre-injury activities. For those reasons, we provide a comprehensive overview of all aspects regarding this fracture pattern including the anatomy, embryology, mechanism of action, predisposing conditions, treatment considerations, complications and associated injuries.

scholarly journals Surgical fixation of posterior cruciate ligament avulsion fracture from tibial attachment using cannulated cancellous screw: a clinical, radiological and functional outcome evaluation

2021 ◽  
Author(s):  
Aniruddha Mondal ◽  
Ayon Das
Keyword(s):  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Screw Fixation ◽  
Cruciate Ligament ◽  
Tertiary Care ◽  
Outcome Evaluation ◽  
Cancellous Screw ◽  
Avulsion Fractures ◽  
Surgical Fixation

<p class="abstract"><strong>Background:</strong> PCL (posterior cruciate ligament) is the main posterior stabilizer of the knee and plays a role in central axis controlling and imparting rotational stability to the knee. Injury to PCL presents commonly with avulsion fractures from its tibial attachment. An avulsion fracture of the PCL, if not surgically fixed, may lead to secondary changes in the knee joint. The aim of the study was to evaluate the clinical and functional results in patients with PCL tibial avulsion fractures treated by CC (cannulated cancellous) screw fixation.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study conducted at a tertiary care government hospital in Kolkata, between December 2018 to July 2020 on patients who underwent CC screw fixation for post-traumatic PCL avulsion fracture from tibial site. All patients were followed up for 9 months. Lysholm knee score was used to assess the functional outcomes of the patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> In a total of 10 patients, 9 (90%) patients showed excellent and 1 (10%) patient had good result during the final follow-up. 80% patients did not develop any complications. At the end of 9 months, the mean Lysholm score was 95.6. 8 (80%) patients achieved almost full knee ROM post-operatively by the end of final follow-up.</p><p class="abstract"><strong>Conclusions:</strong> Surgical fixation using CC screws is a simple, easy, safe and reproducible method without requiring significant expertise for achieving good stability in PCL tibial site avulsion fractures, where early intervention prevents significant late disability as it provides an excellent clinical, functional and radiographic outcome along with good joint function.</p><p> </p>

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