Reduction of Femoral Diaphyseal Comminuted Fractures Using V-shaped Intramedullary Pin and Wire in Cats

2004 ◽  
Vol 35 (4) ◽  
pp. 77-83
Author(s):  
Kiyohisa FUJII ◽  
Tomohiro KANAYA ◽  
Katsuyoshi NAGAOKA
Keyword(s):  
Comminuted Fractures

Long-Term Outcomes after Colton Type I and II Fractures of the Olecranon

2019 ◽  
Vol 13 (1) ◽  
pp. 208-216
Author(s):  
Thord von Schewelov ◽  
Fredrik Hertervig ◽  
Per-Olof Josefsson ◽  
Jack Besjakov ◽  
Ralph Hasserius
Keyword(s):  
Joint Space ◽  
Type I ◽  
Type Ii ◽  
Men And Women ◽  
Radiographic Outcomes ◽  
Fracture Event ◽  
Comminuted Fractures ◽  
Fracture Types ◽  
Transverse Fractures ◽  
Olecranon Fractures

Background: It is unclear if the outcomes differ in different subtypes of olecranon fractures. Objective: Evaluate the outcomes of different Colton types of olecranon fractures, and if outcomes differ in dominant and non-dominant arms and in men and women. Methods: We evaluated primary journals and radiographs in 40 men and 55 women with isolated olecranon fractures and classified fractures according to Colton. Mean 19 years after fracture event, we re-examined subjective, clinical and radiographic outcomes in the former patients, using the uninjured arms as controls. Results: 89% of patients with Colton type I fractures reported at follow-up no subjective differences between the elbows, 84% with type II oblique/transverse fractures and 84% with type II comminuted fractures (p=0.91). The uninjured to former fractured arm differences in elbow range of motion and strength were no different in the 3 fracture types, the proportions of individuals with radiographic elbow degenerative changes were greater in type II than in type I factures (p<0.001), and there were no differences between the proportions of individuals with reduced joint space in the 3 groups (p=0.40). The outcomes were no different if the fractures had occurred in the dominant or non-dominant arms (p=0.43), or in men or women (p=0.43). Conclusion: There were no different outcomes after Colton type I, type II oblique/transverse or type II comminuted fractures, no different outcomes between fractures in dominant or non-dominant arms and no different outcomes in men and women.

A PROSPECTIVE STUDY TO EVALUATE THE SURGICAL MANAGEMENT OF PROXIMAL HUMERUS FRACTURES BY LOCKING PLATES

2021 ◽  
pp. 10-12
Author(s):  
Anurag Rathore ◽  
Garvita Solanki
Keyword(s):  
External Rotation ◽  
Functional Results ◽  
Average Score ◽  
Prospective Clinical Study ◽  
Locking Plates ◽  
Statistical Parameters ◽  
Functional Scores ◽  
Minimum Score ◽  
Comminuted Fractures ◽  
A Prospective Study

BACKGROUND: This prospective clinical study was performed to evaluate the efcacy and functional outcome in proximal humeral fractures following surgery with locking plates. MATERIAL & METHODS: from August 2013 to April 2015, 32 patients were enrolled in this study following exclusion and inclusion criteria. The evaluation parameters included Time taken for fracture union, functional scores, radiographs of the shoulder and ROM (Range of motion- exion, abduction, internal and external rotation etc.). Patients were followed up regularly at 6 weeks, 12 weeks, 24 weeks and 12 months. Functional results were evaluated using Neer's score. All data were collected and analyzed with the help of suitable statistical parameters. RESULTS: The nal results were evaluated by using NEER'S Score. In our study, the minimum score was 65 and maximum was 94. The average score was 83.9 (Mean ± S.D. : 83.875 ± 6.73). We had excellent results in 6(18.75%) patients, 19(59.375%) had satisfactory results, 7(21.875%) patients had unsatisfactory results but none of the case is failure in our study. CONCLUSION: Open reduction and internal xation with Locking Compression Plates, has given good results and it is the implant of choice now-a-days particularly in comminuted fractures and in osteoporotic bones in elderly patients.

INTERNAL FIXATION OF RADIAL HEAD FRACTURES WITH AN INTRAMEDULLARY NAIL

2013 ◽  
Vol 25 (01) ◽  
pp. 1350007
Author(s):  
Matija Krkovic ◽  
Miha Brojan ◽  
David Bombac ◽  
Dejan Hermann
Keyword(s):  
Intramedullary Nail ◽  
Radial Head ◽  
Radial Head Fracture ◽  
Vascular Supply ◽  
General Idea ◽  
Stable Fixation ◽  
Radial Head Fractures ◽  
Design And Manufacturing ◽  
Comminuted Fractures ◽  
Thin Walled

Comminuted fractures of the radial head still present significant technical and surgical challenges. In this article, we describe a novel fixation of comminuted radial head fractures with the help of an intramedullary nail. Experiments with solid, conventionally machined intramedullary nails showed some major drawbacks in the fixation of radial head fractures. Several design and manufacturing procedures were proposed. The general idea behind the new design was the concept of a nail which would eliminate the need for prefabricated bores. Experiments with a selective laser sintered thin-walled nail, designed with the help of CT images, fulfilled expectations. This thin-walled proximal radius nail thus offers a stable fixation of the radial head fracture fragments, with the ability to preserve the existing vascular supply to the radial head fragments, and therefore not just use the reconstructed radial head as a bioprosthesis.

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