A Case Report of Simultaneous Ipsilateral Floating Knee and Hip

2020 ◽  
Author(s):  
Babak Siavashi ◽  
Seyyed Hossein Shafiei ◽  
Farhad Mahdavi ◽  
Salar Baghbani ◽  
Mohammad Reza Golbakhsh
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Posterior Approach ◽  
Pelvic Ring ◽  
Posterior Part ◽  
Femoral Shaft ◽  
Rare Injury ◽  
Standard Guideline

Background: Simultaneous ipsilateral floating knee and hip is a very rare injury and so far, no standard guideline has been determined for its treatment. Case Report:In the current study, we report a surgical technique for the treatment of a 17-year-old patient with this condition on his left side. Conclusion: We recommend to start the fixation from proximal and stabilize the pelvic ring at first, then fix the posterior part of the acetabulum and femoral shaft with the same posterior approach.

scholarly journals Endoscopic resection of scar tissues and bone graft with an intramedullary nail left in situ for distal femoral nonunion after nailing: A case report

2020 ◽  
Vol 28 (3) ◽  
pp. 230949902095820
Author(s):  
Masaya Tsujii ◽  
Kazuya Odake ◽  
Akinobu Nishimura ◽  
Makoto Nishimura ◽  
Akihiro Sudo
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Social Activity ◽  
Femoral Shaft ◽  
Fracture Site ◽  
Diabetic Mellitus ◽  
Interlocking Nail ◽  
Nonunion Site

Femoral shaft nonunion after the intramedullary nailing has been successfully treated with advances in surgical technique. Nonetheless, the techniques cause morbidity to periosteum at the fracture site. We report the case of a 67-year-old man who underwent endoscopic surgery for refractory nonunion following the fracture of the distal femoral shaft, despite two fixations using an interlocking nail. In addition, the patient had uncontrolled diabetic mellitus. Endoscopy allowed us to acquire a clear view of the nonunion site, in which the resection of scar tissues and the packing of the cancellous bone were performed. At the final follow-up, bone healing was observed, and the patient was able to return to normal daily and social activity.

scholarly journals A Novel Minimally Invasive Surgical Technique for Fragility Fractures of the Pelvis with Iliac Screws via Two Small Incisions

2021 ◽  
Author(s):  
Mitsuru Asukai ◽  
Kota Suda ◽  
Matsumoto Satoko ◽  
Miki Komatsu ◽  
Masahiko Takahata ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Pelvic Ring ◽  
Posterior Part ◽  
Dorsal Surface ◽  
Fragility Fractures ◽  
Bony Union ◽  
Systemic Complications ◽  
Minimally Invasive Surgical ◽  
Iliac Screws

Abstract The number of fragility fractures of the pelvis (FFP) is increasing quickly due to the ageing of society, and the treatment remain controversial. Long-term immobilization during conservative treatment can lead to secondary systemic complications, conventional open reduction and internal fixation is highly invasive. We have developed a novel minimally invasive surgical technique for FFP. We made a 3-cm incision along medial borders of the posterior superior iliac spine, inserted one iliac screw on each side, and created a tunnel below the fascia connecting the two incisions. The interconnecting rod was slid across the tunnel on the dorsal surface of the sacrum and then fixed with iliac screws. We evaluated the outcomes of this new stabilization technique in 9 patients, the average age and follow-up period were 80.8 years and 10.0 months. According to the Rommens classification, there was 1 patient with IIIc fracture, 1 with IVa, 6 with IVb and 1 with IVc. The average surgical time was 60.7 minutes with an intraoperative blood loss of 2.0 ml, and bony union of the posterior part of the pelvic ring was achieved in all patients. This method is a useful and safe minimally invasive option for high-risk elderly patients.

An Alternative Approach Using Circummandibular Wiring for Treatment of Dentoalveolar Fractures in Children: A Case Report

2021 ◽  
pp. 194338752199028
Author(s):  
José Henrique Santana Quinto ◽  
Andressa Bolognesi Bachesk ◽  
Lucas Costa Nogueira ◽  
Liogi Iwaki Filho
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Alternative Methods ◽  
Alveolar Process ◽  
Fractures In Children ◽  
Alternative Approach ◽  
Open Treatment ◽  
Segmental Fractures

The prevalence of dentoalveolar injuries in children is approximately 25%, with falls from own height being one of the main etiologies. Diagnosis is based on the clinical evaluation associated with complementary imaging tests. The treatment of choice depends on the type of damage and structure affected. For alveolar process fractures, closed reduction and semi-rigid dental splinting for 4 to 6 weeks is generally satisfactory. However, some cases, such as severe segmental fractures, require open treatment to ensure adequate reduction and stabilization of the displaced alveolar segment, which is usually achieved by titanium miniplates and screws. Nevertheless, there are situations where this type of fixation is not possible, requiring alternative methods. Therefore, this article describes a surgical technique performed by open reduction, associating semi-rigid dental splint and circummandibular wiring in pediatric patient diagnosed with dentoalveolar fracture through clinical examination (with bone fracture displacement) and tomography. The technique promoted a good prognostic to the patient, proving to be a viable alternative for treating dentoalveolar fractures.

Avulsion of the anterior medial meniscus root: case report and surgical technique

2013 ◽  
Vol 23 (1) ◽  
pp. 146-151 ◽  
Author(s):  
Matthias J. Feucht ◽  
Philipp Minzlaff ◽  
Tim Saier ◽  
Andreas Lenich ◽  
Andreas B. Imhoff ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Medial Meniscus ◽  
Meniscus Root

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

Sign in / Sign up

Export Citation Format

Share Document