Open Reduction-Internal Fixation of a Navicular Body Fracture with Dorsal Displacement of the First and Second Cuneiforms

2013 ◽  
Vol 103 (3) ◽  
pp. 246-249 ◽  
Author(s):  
Robert C. Andersen ◽  
Katherine Neiderer ◽  
Billy Martin ◽  
James Dancho
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Revisional Surgery ◽  
Kirschner Wire ◽  
Open Reduction Internal Fixation ◽  
Kirschner Wire Fixation ◽  
Body Fracture ◽  
Wire Fixation ◽  
Ligamentous Reconstruction

Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture. (J Am Podiatr Med Assoc 103(3): 246–249, 2013)

Open Reduction and Internal Fixation of Mandibular Angle Fractures Using Temporary Kirschner Wire Fixation

2012 ◽  
Vol 129 (1) ◽  
pp. 192e-194e ◽  
Author(s):  
Adam D. Perry ◽  
Derrick C. Wan ◽  
Hubert Shih ◽  
Neil Tanna ◽  
James P. Bradley
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Mandibular Angle ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Angle Fractures

Dorsal Fracture–Dislocation of the Proximal Interphalangeal Joint: A Comparative Study of Percutaneous Kirschner Wire Fixation Versus Open Reduction and Internal Fixation

2005 ◽  
Vol 30 (2) ◽  
pp. 120-128 ◽  
Author(s):  
A. ALADIN ◽  
T. R. C. DAVIS
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Cerclage Wire ◽  
Kirschner Wire Fixation ◽  
Wire Fixation

Nineteen patients with a dorsal fracture–dislocation of the proximal interphalangeal joint of a finger were treated with either closed reduction and transarticular Kirschner wire fixation (eight cases) or open reduction and internal fixation, using either one or two lag screws (six cases) or a cerclage wire (five cases). At a mean follow-up of 7 (range 6–9) years, most patients reported satisfactory finger function, even though some of the injuries healed with proximal interphalangeal joint incongruency (seven cases) or subluxation (four cases). Those treated by open reduction complained of more “loss of feeling” in the affected finger and those specifically treated by cerclage wire fixation reported more cold intolerance and had a significantly larger fixed flexion deformity (median, 30°: range 18–38°) and a smaller arc of motion (median, 48°: range 45–60°) at the proximal interphalangeal joint, despite having the best radiological outcomes. Closed reduction and transarticular Kirschner wire fixation produced satisfactory results, with none of the eight patients experiencing significant persistent symptoms despite a reduced arc of proximal interphalangeal joint flexion (median=75°; range 60–108°). The results of this relatively simple treatment appear at least as satisfactory as those obtained by the two techniques of open reduction and internal fixation, both of which were technically demanding.

Closed Reduction Transarticular Kirschner Wire Fixation Versus Open Reduction Internal Fixation in the Treatment of Bennett’s Fracture Dislocation

2003 ◽  
Vol 28 (2) ◽  
pp. 142-147 ◽  
Author(s):  
M. SAILER ◽  
R. LUTZ ◽  
R. ZIMMERMANN ◽  
M. GABL ◽  
H. ULMER ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Open Reduction Internal Fixation ◽  
Fracture Dislocation ◽  
Fracture Fragment ◽  
Bennett’S Fracture ◽  
Kirschner Wire Fixation ◽  
Fracture Dislocations

Thirty two patients with fracture dislocations of the base of the thumb metacarpal with a single large fracture fragment (Bennett’s fracture) were either treated by open reduction and internal fixation or closed reduction and percutaneous transarticular Kirschner wiring. All were assessed at a mean follow up of 7 (range 3–18) years. Patients with an articular step off more than 1 mm were excluded. The type of treatment did not influence the clinical outcome or the prevalence of radiological post-traumatic arthritis. The percutaneous group had a significantly higher incidence of adduction deformity of the first metacarpal. This was attributed to Kirschner wire placement near the fracture line or in the compression zone of the fracture, resulting in loss of reduction. This however did not result in an inferior outcome.

Non-Union in a Fracture of the Shaft of the Distal Phalanx

HAND ◽  
1982 ◽  
Vol os-14 (1) ◽  
pp. 85-88 ◽  
Author(s):  
L. Read
Keyword(s):  
Open Reduction ◽  
Kirschner Wire ◽  
Middle Finger ◽  
Distal Phalanx ◽  
Non Union ◽  
Shaft Fractures ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Type Of Fracture

Fracture of the shaft of the distal phalanx is less common than more distal fractures involving the tuft: non-union in such a fracture is even more unusual. A case is described in which troublesome non-union of the shaft of the distal phalanx of the middle finger was successfully treated by open reduction and Kirschner wire fixation. The type of fracture and its treatment is discussed: it is emphasised that the principles applied to shaft fractures of the middle and proximal phalanges also apply to the distal phalanx.

scholarly journals Isolated Carpal Dislocation Of The Trapezium

2015 ◽  
Vol 16 (1) ◽  
pp. 51-54
Author(s):  
Bekir Eray Kilinc ◽  
Adnan Kara ◽  
Mehmet Mesut Sonmez ◽  
Yunus Oc ◽  
Savas Camur
Keyword(s):  
Open Reduction ◽  
Unusual Case ◽  
Kirschner Wire ◽  
Stable Fixation ◽  
Dorsal Approach ◽  
Adequate Treatment ◽  
Direct Trauma ◽  
Kirschner Wire Fixation ◽  
Radiological Images ◽  
Wire Fixation

ABSTRACTTrapezium fractures and dislocations of the trapezium are both extremely rare injuries whether they occured with or without fractures of the surrounding bones. Specific radiological images can be difficult to help for the diagnosis. CT scan may be necessary for the diagnosis and adequate treatment. We are presenting an unusual case of volar and radial isolated trapezium dislocation concomitant second metacarpal basis fracture in which is treated by using open reduction and Kirschner wire fixation. In our case, isolated dislocation of trapezium was a result of violent and direct trauma. Different techniques have been proposed to achieve a stable fixation and the treatment outcomes. In our case, open reduction, Kirschner wire fixation and intercarpal ligament repair through dorsal approach are recommended for satisfactory outcomes in similiar cases.

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