scholarly journals Open Reduction and Internal Fixation of a Pediatric Talar Body Fracture using a Medial Malleolar Osteotomy – A Case Report

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
Connor J. English ◽  
David J. Merriman ◽  
Cindy L. Austin ◽  
Simon J. Thompson ◽  
Simon J. Thompson
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Talus Fracture ◽  
Mature Adults ◽  
Normal Gait ◽  
Body Fracture ◽  
Medial Malleolar Osteotomy ◽  
Talar Body Fracture ◽  
K Wires ◽  
Displaced Fracture

Introduction:Talus fracture injuries are rare and most literature pertains to fractures in skeletally mature adults. It is unusual for pediatric talus fractures to be treated operatively and is normally treated with immobilization. The location of the talus fracture required a medial malleolar osteotomy to facilitate exposure and reduction, which was fixed with temporary smooth K-wires. The authors were unable to identify a previous description of this technique in the literature. Case Report:An 11-year-old female was referred to our hospital due to polytraumatic injuries sustained in a roll-over MVC. A displaced fracture of the talus body was present. Due to the fracture location, a medial malleolar osteotomy was required for exposure. An open reduction and internal fixation was performed using subchondral minifragment screws under general anesthesia. The patient healed uneventfully, regained a normal gait and full, pain-free range of motion. Conclusions:Medial malleolar osteotomy with smooth K-wire fixation appears to be a safe method for gaining access to the talus when required for reduction and/or fixation of pediatric talus fractures. Keywords:Adolescent, talus fracture, osteotomy.

Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture: Surgical Technique and Case Report

2017 ◽  
Vol 10 (5) ◽  
pp. 465-469 ◽  
Author(s):  
Rishin Kadakia ◽  
Jeff Konopka ◽  
Tristan Rodik ◽  
Samra Ahmed ◽  
Sameh A Labib
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Case Reports ◽  
Wound Complications ◽  
Open Approach ◽  
Arthroscopic Reduction ◽  
Body Fracture ◽  
Anatomic Reduction ◽  
Talar Body Fracture

The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections. In this article, the authors describe a surgical technique of an arthroscopic reduction and internal fixation of a comminuted posterior talar body fracture. Compared with an open posterior approach with or without osteotomies, an arthroscopic technique improved visualization and allowed precise reduction and fixation. Levels of Evidence: Level V: Case report

scholarly journals Novel Techniques in Treating Calcaneal Tuberosity Fractures

2014 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Selene G Parekh ◽  
Todd Bertrand ◽  
Robert Zura ◽  
Samuel Adams ◽  
Alan Yan
Keyword(s):  
Internal Fixation ◽  
Achilles Tendon ◽  
Open Reduction ◽  
Tendon Transfer ◽  
Flexor Hallucis Longus ◽  
Suture Anchors ◽  
Calcaneal Fractures ◽  
Longus Tendon ◽  
K Wires ◽  
Calcaneal Tuberosity

ABSTRACT Calcaneal tuberosity fractures comprise only 1 to 2% of all calcaneal fractures. Treatment of these injuries has traditionally included open reduction and internal fixation with various means including lag screws, suture anchors and K-wires. We report on a series of cases treated with excision of the tuberosity fragment with repair of the Achilles tendon supplemented by a flexor hallucis longus tendon transfer. Parekh S, Bertrand T, Zura R, Adams S, Yan A. Novel Techniques in Treating Calcaneal Tuberosity Fractures. The Duke Orthop J 2014;4(1):3-7.

scholarly journals Radius-ulna shaft fracture with distal radioulnar joint instability in a case of ipsilateral malunited colles fracture: a case report

2021 ◽  
Vol 7 (3) ◽  
pp. 695
Author(s):  
Neetin P. Mahajan ◽  
Prasanna Kumar G. S. ◽  
Kishor Jadhav ◽  
Kartik Pande ◽  
Tushar Patil
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Shaft Fracture ◽  
Distal Radioulnar Joint ◽  
Fracture Site ◽  
Ulnar Variance ◽  
Radioulnar Joint ◽  
Druj Instability ◽  
Colles Fracture ◽  
K Wires

<p class="abstract">Malunion of the distal end of radius is a known consequence of the conservative management. The functional impairment depends on the severity of the deformity and it can be associated with distal radioulnar joint (DRUJ) instability. Subsequent radius ulna fracture in an elderly osteoporotic patient is a challenging task to manage. A 60 year old female patient came with radius ulna shaft fracture with DRUJ instability with ipsilateral malunited distal radius fracture. We managed with open reduction and internal fixation using 3.5 mm locking compression plate (LCP) with ulnar shortening and K wires for DRUJ. At one year, follow-up, patient is having good clinical and radiological outcome without any complications. Radius ulna shaft fracture in cases of malunited colles fracture with positive ulnar variance with DRUJ instability can be managed well with open reduction and internal fixation of radius-ulna shaft which provides stable fixation, ulnar shortening at the fracture site to maintain the neutral/negative ulnar variance and DRUJ fixation using K wires. Use of multiple vicryl sutures to tie the plate to the bone gives additional stability in osteoporotic bones till the fracture unites and prevents implant failure. Combination of the above mentioned procedures helps in getting good functional outcome in elderly osteoporotic patients.</p>

scholarly journals Functional outcome of conservative versus plate osteosynthesis in displaced midshaft clavicle fracture in manual labours

2017 ◽  
Vol 4 (3) ◽  
pp. 966
Author(s):  
Amit Mishra ◽  
Dharmendra Kumar ◽  
Ashok Yadav ◽  
Deepak Pandey ◽  
Abhinit Kumar Sinha
Keyword(s):  
Internal Fixation ◽  
Fracture Healing ◽  
Functional Outcome ◽  
Open Reduction ◽  
Clavicle Fracture ◽  
Shoulder Abduction ◽  
Conservative Group ◽  
Early Return ◽  
Excellent Functional Outcome ◽  
Displaced Fracture

Background: Clavicle fracture is a one of most common shoulder injury which is commonly treated conservatively. Operative methods are used for open reduction and internal fixation of displaced fracture shaft clavicle with better functional outcome preserving the shoulder biomechanics needed for overhead manual workers. This study is aimed at study of functional outcome of different modalities of treatment used in treatment of displaced fracture midshaft clavicle in manual laborers.Methods: This study was conducted with permission of ethical committee in B.R.D Medical College, Gorakhpur, Uttar Pradesh, India. This study included 36 patients with closed displaced fracture midshaft fractures. Out of 36patients, 17 were treated conservatively using clavicle brace and sling and 19 patients were treated operatively by open reduction and internal fixation using reconstruction plate or AO pre-contoured plate. All patients were followed clinically and radiologically, regularly at 1 month duration for 18 months. Functional outcome both, conservative and operatively treated patients were assessed using constant and murley scoring system.  Results: 17 patients treated conservatively had good to average functional results and 19 patients treated surgically had excellent functional outcome at 4 weeks of the treatment. At 12 weeks all fractures united well in operative group patients had better functional outcome with good range of shoulder abduction than conservative group of patients where in 4 patients fractures did not united and later underwent operative treatment to achieve fracture union. Average time of fracture healing in operative group was 8 weeks, less than time average time (12 weeks) taken by fracture healing in conservatively treated patients. Complication rate in conservatively treated group was tenting of skin and formation of discharging wound later, malunion, delayed fracture healing leading to shoulder stiffness and decreased shoulder abduction. Wound infection, implant failure or wound dehiscence like common complications were not seen in operative group.Conclusions: In manual laborers, clavicle fractures treated operatively had united early with excellent functional outcome and better shoulder abduction and early return to work with no complications in comparison to fractures treated conservatively.

Open Reduction-Internal Fixation of a Navicular Body Fracture with Dorsal Displacement of the First and Second Cuneiforms

2013 ◽  
Vol 103 (3) ◽  
pp. 246-249 ◽  
Author(s):  
Robert C. Andersen ◽  
Katherine Neiderer ◽  
Billy Martin ◽  
James Dancho
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Revisional Surgery ◽  
Kirschner Wire ◽  
Open Reduction Internal Fixation ◽  
Kirschner Wire Fixation ◽  
Body Fracture ◽  
Wire Fixation ◽  
Ligamentous Reconstruction

Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture. (J Am Podiatr Med Assoc 103(3): 246–249, 2013)

scholarly journals Type-III supracondylar humerus fracture: functional outcome of open reduction and internal fixation after failed closed reduction

2020 ◽  
Vol 7 (1) ◽  
pp. 62
Author(s):  
Shobha H. P. ◽  
Vishwas K. ◽  
Lingaraju K. ◽  
Giridhar Kumar
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Supracondylar Fractures ◽  
Orthopaedic Department ◽  
Type Iii ◽  
Medical College ◽  
K Wires ◽  
Age Range

<p><strong>Background: </strong>To evaluate results of open reduction and internal fixation with Criss cross k-wires after failed closed reduction in Gartland type III Supracondylar fracture of humerus in our institution.<strong></strong></p><p><strong>Methods:</strong> This prospective study was conducted at the Krishna Rajendra hospital affiliated to the orthopaedic department of Mysore medical college and research institute from December 2018 to December 2019. Twenty-five patients of type-III fracture of supracondylar humerus were included within the study. Consent was obtained from all patients. Under anaesthesia, closed reduction was attempted first. When 2-3 attempts of closed reduction failed, an open reduction and internal fixation with cross k-wires was performed. Fortnightly follow up was applied for the first 8 weeks then monthly for the next 4 months. The clinical outcome was evaluated using Flynn criteria.</p><p><strong>Results:</strong> Out of 25 patients, 16 were male and 9 were female. Left side was involved in 17 patients and right side in 8. Mean age was 6.9 years with age range from 3 to 12 years. Excellent or good results were obtained in 23 (92%) patients and fair or poor in 2 (8%). </p><p><strong>Conclusions:</strong> We conclude that these fractures must be managed aggressively, by a specialised surgeon. Open reduction and internal fixation of severely displaced supracondylar fractures of the humerus is a safe and effective method when a satisfactory reduction can't be obtained by 2-3 attempts on closed method.</p>

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