Lateral compression splint, a guide for stabilization of mandibular arch in case of dentoalveolar fracture of children

Children (below 13 yrs of age) are usually susceptible to cranio facial trauma because of their greater cranial mass to body ratio. When compared to adults, the pattern of fractures and frequency of associated injuries are similar but the overall incidence is much lower. Treatment is usually performed without delay and can be limited to observation or closed reduction in non-displaced or minimally displaced fractures. Operative management should involve minimal manipulation and may be modified by the stage of skeletal and dental development. Open reduction and rigid internal fixation is indicated for severely displaced fractures. When tooth buds within the mandible do not allow internal fixation with plates and screws, this can be achieved with a mandibular compression splint fixed to the teeth, to the mandible with circum-mandibular wire. Children require long-term follow-up to monitor potential growth abnormalities. A case of a 9-year-old boy with fractured body of mandible managed by closed reduction using occlusal acrylic splint and circum mandibular wiring is presented. DOI: http://dx.doi.org/10.3329/updcj.v3i2.18001 Update Dent. Coll. j: 2013; 3 (2): 55-60

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Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures: A long-term follow-up of a randomised trial

Yearbook of Orthopedics ◽

10.1016/s0276-1092(10)79792-3 ◽

2010 ◽

Vol 2010 ◽

pp. 40-42

Author(s):

M.F. Swiontkowski

Keyword(s):

Internal Fixation ◽

Hip Fractures ◽

Randomised Trial ◽

Long Term Follow Up

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Long-term follow-up of replacement compared with internal fixation for displaced femoral neck fractures: Results at ten years in a randomised study of 450 patients

Yearbook of Orthopedics ◽

10.1016/s0276-1092(10)79781-9 ◽

2010 ◽

Vol 2010 ◽

pp. 42-43

Author(s):

M.F. Swiontkowski

Keyword(s):

Femoral Neck ◽

Internal Fixation ◽

Femoral Neck Fractures ◽

Randomised Study ◽

Displaced Femoral Neck Fractures ◽

Long Term Follow Up

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Long-Term Follow-Up After Non-operative Management of Blunt Splenic and Liver Injuries: A Questionnaire-Based Survey

World Journal of Surgery ◽

10.1007/s00268-017-4336-5 ◽

2017 ◽

Vol 42 (5) ◽

pp. 1358-1363 ◽

Cited By ~ 2

Author(s):

Peter Moreno ◽

Matthias Von Allmen ◽

Tobias Haltmeier ◽

Daniel Candinas ◽

Beat Schnüriger

Keyword(s):

Operative Management ◽

Liver Injuries ◽

Long Term Follow Up ◽

Non Operative Management

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Open Reduction and Rigid Internal Fixation of Mandibular Condylar Fractures by an Intraoral Approach: A Long-Term Follow-Up Study of 15 Patients

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2005.12.069 ◽

2006 ◽

Vol 64 (12) ◽

pp. 1771-1779 ◽

Cited By ~ 36

Author(s):

Thomas Jensen ◽

John Jensen ◽

Sven Erik Nørholt ◽

Martin Dahl ◽

Lone Lenk-Hansen ◽

...

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Rigid Internal Fixation ◽

Follow Up Study ◽

Intraoral Approach ◽

Long Term Follow Up ◽

Condylar Fractures

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Bilateral Sander IV calcaneus fractures: Primary fusion or fixation?

Foot & Ankle Orthopaedics ◽

10.1177/2473011419s00066 ◽

2019 ◽

Vol 4 (4) ◽

pp. 2473011419S0006

Author(s):

Rajiv Shah

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Standard Of Care ◽

Calcaneus Fracture ◽

Subtalar Fusion ◽

Fall From Height ◽

Long Term Follow Up ◽

Calcaneus Fractures

Category: Trauma Introduction/Purpose: Primary subtalar fusion for Sander IV calcaneus fractures was considered to be the standard of care till recent past. Presently debate is on whether to manage Sander IV calcaneus fracture cases with primary subtalar fusion or with open reduction and internal fixation. Bilateral Sander IV calcaneus fractures are seen in cases with fall from height. No study has ever been conducted till date to compare the results of primary fusion of a Sander IV calcaneus fracture on one side and open reduction and internal fixation on another side in cases with bilateral Sander IV calcaneus fractures. We present a study comparing the results of primary fusion versus open reduction and internal fixation for bilateral sander IV calcaneus fracture cases. Methods: Twelve cases with bilateral closed Sander IV calcaneus fractures where included in the present study. Cases were operated between four to six weeks by a single surgeon after the appearance of wrinkles. All right sided fractures underwent open reduction and internal fixation with proximal tibia grafting. While all left-sided fractures underwent subtalar fusion with the use of ipsilateral anterior iliac crest grafts. Cases were followed up for 24 months. Results: Though operative time was more in the fusion group wound problems were equal in both the groups. Four months of average time to union was the same in both the groups and so was time to return to work. At two years, the AOFAS score was slightly better in the fusion group but it was not statistically significant. Conclusion: Primary subtalar fusion is with almost similar results as those with open reduction and internal fixation in bilateral Sander IV at 24 months. Long term follow up with more number of cases is required to prove the benefit of one over other.

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Posterior wall acetabular fracture in a 13-year-old boy treated by open reduction and mini-plate internal fixation: long-term follow-up of 17 years

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-019-03307-3 ◽

2019 ◽

Vol 140 (9) ◽

pp. 1163-1167

Author(s):

Caroline Passaplan ◽

Alexandre Simonin ◽

Emanuel Gautier

Keyword(s):

Internal Fixation ◽

Acetabular Fracture ◽

Open Reduction ◽

Posterior Wall ◽

Long Term Follow Up ◽

Mini Plate

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Femoral shaft fractures in children treated by closed reduction and early spica cast with incorporated supracondylar Kirschner wires: a long-term follow-up results

Injury ◽

10.1016/s0020-1383(98)00236-8 ◽

1999 ◽

Vol 30 (2) ◽

pp. 121-128 ◽

Cited By ~ 6

Author(s):

Vedat Şahin ◽

Ali Baktır ◽

C Yıldırım Türk ◽

Eyüp S Karakaş ◽

Serpil Aktaş

Keyword(s):

Closed Reduction ◽

Femoral Shaft ◽

Spica Cast ◽

Kirschner Wires ◽

Femoral Shaft Fractures ◽

Shaft Fractures ◽

Fractures In Children ◽

Long Term Follow Up

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Evaluation and Management of Frontal Sinus Fractures

Neurotrauma ◽

10.1093/med/9780190936259.003.0017 ◽

2019 ◽

pp. 143-154

Author(s):

Geoffrey Peitz ◽

Mark A. Miller ◽

Gregory W. J. Hawryluk ◽

Ramesh Grandhi

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Frontal Sinus ◽

Operative Management ◽

Intracranial Extension ◽

Long Term Follow Up ◽

Initial Injury ◽

Management Algorithms

Frontal sinus fractures are usually associated with traumatic brain injury and nasoorbitoethmoidal fractures. Much of the available evidence is retrospective, and management algorithms vary. In general, nondisplaced fractures without nasofrontal outflow tract (NFOT) obstruction may be managed with clinical and radiographic follow-up whereas fracture displacement, NFOT obstruction, and persistent CSF leaks are indications for operative management. The bicoronal incision and bifrontal craniotomy allow for proper access to the frontal sinus. If there is NFOT obstruction, the sinus should be cranialized or possibly obliterated if only the anterior table is fractured. The NFOT and sinus are packed with bone chips, fat, or muscle and then sealed with a pericardial graft, fascial graft, or synthetic dural substitute. Inadequate cranialization or obliteration can result in mucocele or mucopyocele, intracranial extension of which can lead to brain abscess or meningitis. Complications can occur years after the initial injury so long-term follow-up is necessary.

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