scholarly journals Pneumoretroperitoneum after Attempted Epidural Anesthesia

2016 ◽  
Vol 2 (4) ◽  
pp. 198-200 ◽  
Author(s):  
Arkadi Isakov ◽  
Arnold Shtein ◽  
Sholmo Kyzer
Keyword(s):  
Internal Fixation ◽  
Hip Joint ◽  
Epidural Anesthesia ◽  
Open Reduction ◽  
Rare Case ◽  
Femoral Fractures ◽  
Retroperitoneal Space ◽  
Hollow Viscus ◽  
Retroperitoneal Perforation

Abstract Air may extend to the retroperitoneal space from retroperitoneal perforation of a hollow viscus, infection of the anterior pararenal space with gas-forming organisms and from pneumothorax or pneumomediastinum [1]. Rare pathologies, such as open reduction and internal fixation of femoral fractures and anaerobic abscess of the hip joint have also been described in relation to this complication [1,2]. A rare case of pneumoretroperitoneum caused by insufflation of air during an attempt to achieve epidural anesthesia is described.

scholarly journals Management of Severely Displaced Fronto-Zygomatico-Orbital Fracture in a Child

2014 ◽  
Vol 48 (2) ◽  
pp. 103-104
Author(s):  
S Shanthanam ◽  
Sachin Rai ◽  
Satnam Singh ◽  
Akshat Gupta
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Rare Case ◽  
Multidisciplinary Approach ◽  
Orbital Fracture

ABSTRACT The paper presents a rare case of severely fractured and displaced fronto-zygomatico-orbital fracture in a 4-year-old child. The case was managed with open reduction and internal fixation. The paper highlights the importance of early and multidisciplinary approach to such craniofacial injuries. How to cite this article Singh S, Shanthanam S, Gupta A Rai S. Management of Severely Displaced Fronto-Zygomatico-Orbital Fracture in a Child. J Postgrad Med Edu Res 2014; 48(2):103-104.

IN SITU ROTATIONAL DISLOCATION OF THE TRAPEZOID ASSOCIATED WITH CARPAL-METACARPAL DISLOCATIONS

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 31-33 ◽  
Author(s):  
M. R. Broadbent ◽  
O. S. Bach ◽  
A. J. Johnstone
Keyword(s):  
Internal Fixation ◽  
Ct Scan ◽  
Open Reduction ◽  
Rare Case ◽  
High Energy ◽  
Plain Radiographs ◽  
Full Extent ◽  
Open Fixation

A rare case of in situ rotational dislocation of the trapezoid was described after dislocation of the index and long carpal-metacarpal joints. Due to the difficulty in visualising the trapezoid on plain radiographs, there was a delay in assessing the full extent of the injury. However, after further imaging, the case required open reduction and internal fixation. Therefore, in cases involving high energy dislocations of the second and third metacarpal CMC joints, injury to the peri-trapezoid ligaments should be considered. A pre-operative CT scan or, if not available, open fixation of the CMC joints and trapezoid, is recommended.

Palmar Dislocation of the Trans-Scaphoid-Lunate Unit

1995 ◽  
Vol 20 (4) ◽  
pp. 557-560 ◽  
Author(s):  
L. EKEROT
Keyword(s):  
Internal Fixation ◽  
Bone Grafting ◽  
Open Reduction ◽  
Rare Case ◽  
Wrist Function

A rare case of total palmar trans-scaphoid-lunate dislocation is reported. Open reduction, bone grafting and internal fixation were followed by uneventful healing. At follow-up 70 months after injury there is no osteonecrosis and the wrist function is almost normal.

scholarly journals Long-Term Incidence of Total Knee Arthroplasty after Open Reduction and Internal Fixation of Proximal Tibial and Distal Femoral Fractures: A Nationwide Cohort Study

2021 ◽  
Vol 10 (23) ◽  
pp. 5685
Author(s):  
Kuang-Ting Yeh ◽  
Wen-Tien Wu ◽  
Ru-Ping Lee ◽  
Chen-Chie Wang ◽  
Jen-Hung Wang ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Cohort Study ◽  
Internal Fixation ◽  
Knee Arthroplasty ◽  
Open Reduction ◽  
Femoral Fractures ◽  
Posttraumatic Arthritis ◽  
Research Database ◽  
Fracture Group ◽  
Total Knee

Knee fractures often require open reduction internal fixation (ORIF) for knee function recovery. More than one fifth of patients with knee fractures subsequently develop posttraumatic arthritis, and over 5% of them need total knee arthroplasty (TKA). We conducted this nationwide retrospective cohort study using the data of 2,000,000 people in the general population who received TKA and were followed up in the 17-year period 2001–2017, through random sampling of the Taiwan National Health Insurance Research Database. We matched the ORIF and non-fracture groups by a propensity score, based on age, sex, index date of surgery, and comorbidities enrolled in CCI calculated at a 1:1 ratio. The average proportion of subjects receiving TKA after ORIF for distal femoral or proximal tibial fractures was 2.0 per 1000 person-years, which was significantly higher than that in the non-fracture group. Patients aged 20–65 years and males represented a significantly higher proportion of subjects receiving TKA after ORIF than that in the non-fracture group. The proportion of subjects receiving TKA for the 20–65-year subgroup of the ORIF group was 4%, and that for the male subgroup was 1.5%; both rates increased over the 17-year follow-up period. More aggressive intraoperative and postoperative adjuvant therapies may be necessary for these subgroups.

scholarly journals Management of Distal Femoral fractures with Locking Compression Plate- A Prospective study

2021 ◽  
Vol 12 (1) ◽  
pp. 61-68
Author(s):  
Abhijit Maruti Kadam ◽  
Sujay K Mahadik ◽  
Sagar Rampure ◽  
Rahil B Jiwani
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Knee Flexion ◽  
Open Reduction ◽  
Femoral Fractures ◽  
Common Type ◽  
Locking Compression Plate ◽  
Distal Femoral Fractures ◽  
Compression Plate ◽  
Type Of Fracture

Background: Distal femoral fractures are one of the common type of fractures seen after motor vehicular accidents. The optimal management of these fractures requires open reduction and internal fixation by plates and screws. Various studies have shown that open reduction and internal fixation by plates and screws result in early post-operative knee mobilization which is essential for good union and better functional outcome. Aims and Objective: The current study was conducted to evaluate the results of fracture lower end of femur treated by open reduction and internal fixation using locking compression plate. Materials and Methods: This was a prospective clinical study in which the cases with fracture lower end of femur were included on the basis of a predefined inclusion and exclusion criteria. Fractures were categorised by Mullers classification. All patients were treated by distal femoral locking compression plates and screws. The cases were followed up for radiological union and functional outcome (Neer’s scoring). The statistical analysis was done using SSPS 21.0 software. P value less than 0.05 was taken as statistically significant. Results: Out of the 20 studied cases there were 13 (65%) males and 7 (35%) females with a M:F ratio of 1:0.53. Road traffic accidents were the most common cause (75%) of distal femoral fractures. The most common type of fracture seen in studied cases was found to be Mullers C2 type of fracture (45%) followed by Mullers C3 (20%) and Mullers C1 (15%). All patients were treated by open reduction and internal fixation. Mean Injury to surgery interval was found to be 4.25 days in studied cases. Postoperatively desirable knee flexion (1100) was achieved in 10 (50%) cases whereas in 8 patients 910-1090knee flexion was achieved. In 2 (10%) patients less than 900 knee flexion could be achieved. The functional outcome (as assessed by Neer’s score) showed that Good and fair results were seen in 13 (65 %) and 6 (30 %) patients. Poor functional outcome was seen in only 1 (5 %) patient. Conclusion: Locking compression plate is found to have good results in patients with traumatic distal femoral fractures in terms of early mobilization and functional outcome. Particularly in intra-articular fractures it provides good angular stability by its triangular reconstruction principle.

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