Open Reduction and Internal Screw Fixation of Transitional Ankle Fractures in Adolescents

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Jaime R. Denning ◽  
Shivani Gohel ◽  
Alexandre Arkader
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Ankle Fractures ◽  
Internal Screw

scholarly journals 7-year follow-up after open reduction and internal screw fixation in Bennett fractures

2012 ◽  
Vol 132 (7) ◽  
pp. 1045-1051 ◽  
Author(s):  
Franck Marie Patrick Leclère ◽  
Achat Jenzer ◽  
Rolf Hüsler ◽  
David Kiermeir ◽  
Dietmar Bignion ◽  
...  
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Internal Screw

Combination of Hook Plate and Tibial Pro-Fibular Screw Fixation of Osteoporotic Fractures: A Clinical Evaluation of Operative Strategy

2005 ◽  
Vol 26 (7) ◽  
pp. 510-515 ◽  
Author(s):  
Vinod K. Panchbhavi ◽  
Milan G. Mody ◽  
William T. Mason
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Screw Fixation ◽  
Ankle Fractures ◽  
Hook Plate ◽  
Fracture Union ◽  
Operative Strategy ◽  
Pull Out ◽  
Fixation Group ◽  
Standard Fixation

Background: Internal fixation of osteoporotic ankle fractures is technically difficult and may fail because of unreliable purchase. This study was undertaken to determine if a combination of a hook plate and tibial pro-fibular screws can provide secure fixation until fracture union. Methods: Thirty-one patients between the ages of 55 and 90 years had open reduction and internal fixation of ankle fractures between April, 2001, and April, 2003. Sixteen patients with an average age of 71.4 years had ankle fracture fixation with a combination of hook plate and tibial pro-fibular screws for the distal fibular fracture, and 15 patients with an average age of 71.9 years had fixation of their ankle fractures with standard fixation technique using AO/ASIF principles but no tibial pro-fibular screws. All patients were followed with clinical and radiologic assessment at 2 weeks, 6 weeks, and 12 weeks postoperatively. At an average of 15.8 months after injury, patients also completed a mailed questionnaire with the Olerud-Molander ankle score and the AOFAS ankle-hindfoot score for preoperative and postoperative status. Results: All patients who had tibial pro-fibular screw fixation had fracture union without hardware failure or complications. In the standard fixation group two patients had wound breakdown and one had a valgus malunion with screw pull out. The AOFAS and Olerud-Molander scores for the standard open reduction and internal fixation were 57.3 and 82.8 before injury and 37 and 43.8 postoperatively, respectively. The AOFAS and Olerud-Molander scores for the hook plate and tibial pro-fibular fixation group were 55.9 and 81.3 before injury and 42.4 and 50.3 postoperatively, respectively. Conclusions: The combination of hook plate and tibial pro-fibular screws in osteoporotic ankle fractures in a series of patients has not been reported before. This novel technique provides stable fixation for osteoporotic ankle fractures in elderly patients until union is achieved with good clinical scores.

scholarly journals Use of intramedullary implants in adult diaphyseal fracture both bone forearm

2018 ◽  
Vol 4 (2) ◽  
pp. 243
Author(s):  
Rajesh Kumar Jain ◽  
Nitin Kiradiya
Keyword(s):  
Success Rate ◽  
Open Reduction ◽  
Open Fracture ◽  
Screw Fixation ◽  
Excellent Result ◽  
Forearm Fracture ◽  
Operating Time ◽  
Surgical Trauma ◽  
Acceptable Result ◽  
Operative Planning

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Fractures of the forearm bones are very common. The most common form of stabilization is plate and screw fixation. The role of Intramedullary nailing of fractures of the shafts of the adult radius and ulna is still to be defined. This study was perform to analyze anatomical and function outcome of the patients treated by Talwarkar square nail.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We evaluated 46 patients (29 males and 17 females) had fracture both bone forearm treated by intramedullary nail. We analyzed patients in two broad group one with close fracture or grade I, II open fracture (34 patients) and other have open fracture grade IIIA or IIIB (12 patients). First group patients further analyzed weather close (22 patients) or open reduction (8 patients) required. Functional outcome was calculated by Grace and Eversman system</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Out of 32 patients of close fracture or open grade 1 or 2 fracture, 29 (90.62%) have excellent or acceptable result. All the patients (100%) in whom close reduction succeeds achieved excellent result. 22 (64.70%) patients close nailing possible.12 patients in whom open reduction required 9 (75%) goes into union. Close nailing have overall success rate is 90.62% where it fail and open nailing require success rate bring down to 75%.. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">IM nailing gives satisfactory results. Advantages of close nailing are- early union, low incidence of infection, small scars, less blood loss, short operating time with minimal surgical trauma, easier implant removal. Even though plate and screw fixation is the gold standard for stabilization of both bone forearm fracture but intramedullay implant can be used in selected cases with good result. To achieve acceptable result – early surgery, proper selection of the case, pre-operative planning, proper assessment of diameter, length and radial bowing of the nail, is required.</span></p>

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