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Humerus osteotomy

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https://www.readbyqxmd.com/read/28065645/mandibular-reconstruction-with-vascularised-bone-flaps-a-systematic-review-over-25-years
#1
REVIEW
J S Brown, D Lowe, A Kanatas, A Schache
To explore the techniques for mandibular reconstruction with composite free flaps and their outcomes, we systematically reviewed reports published between 1990 and 2015. A total of 9499 mandibular defects were reconstructed with 6178 fibular, 1380 iliac crest, 1127 composite radial, 709 scapular, 63 serratus anterior and rib, 32 metatarsal, and 10 lateral arm flaps including humerus. The failure rate was higher for the iliac crest (6.2%, 66/1059) than for fibular, radial, and scapular flaps combined (3.4%, 202/6018) (p<0...
February 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/28053378/reverse-v-osteotomy-and-treatment-of-cubitus-varus-deformity-results-and-experience
#2
Pankaj Kumar Mishra, Ajay Kumar Verma, Rishi Dwivedi, Satya Prakash Singh, Suresh Chandra Gaur
INTRODUCTION: Cubitus varus is a most common repercussion of malunited supracondylar fracture of humerus in paediatric age group. Initially, valgus osteotomies were in trend, but due to higher rate of complications, these procedures are not in trends today, as they were earlier. Here, we are sharing our experience and results of reverse V osteotomy done for cubitus varus. MATERIAL AND METHOD: Reverse V osteotomy was done on 20 patients of cubitus varus (due to malunited supracondylar fracture of humerus)...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27942851/erratum-to-corrective-osteotomy-assisted-by-computer-simulation-for-a-malunited-intra-articular-fracture-of-the-distal-humerus-two-case-reports
#3
Keiichiro Oura, Kunihiro Oka, Kiyoshi Okada, Hiroyuki Tanaka, Tsuyoshi Murase
No abstract text is available yet for this article.
December 9, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27926680/humeral-retroversion-in-children-with-shoulder-internal-rotation-contractures-secondary-to-upper-trunk-neonatal-brachial-plexus-palsy
#4
Michael L Pearl, Michael Batech, Fabian van de Bunt
BACKGROUND: The most common sequela of neonatal brachial plexus palsy is an internal rotation contracture of the shoulder that impairs function and leads to skeletal deformation of the glenohumeral joint. Treatment options include release, transfers, and humeral osteotomy, all ultimately striving for better function through increased external rotation. Prior studies have shown that neonatal brachial plexus palsy alters humeral retroversion but with conflicting findings. We studied retroversion in children with internal rotation contractures from neonatal brachial plexus palsy to clarify its effect on version and surgical planning...
December 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27921119/-distal-humerus-fracture-extensile-approaches
#5
F J P Beeres, F Oehme, R Babst
The majority of dislocated, intra-articular fractures are treated with an open reduction and internal fixation. In this paper we describe a variety of dorsal approaches to the distal humerus. Beside the dorsal approach through an olecranon osteotomy we also discuss the alternative dorsal approaches without osteotomy and their advantages and drawbacks. Moreover we discuss the preoperative planning and operative procedure. Early functional rehabilitation, without weight bearing, is important to achieve an optimal outcome...
December 5, 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27904213/functional-outcome-of-intraarticular-distal-humerus-fracture-fixation-using-triceps-sparing-paratricipital-approach
#6
Vishal Yadav, Pulak Sharma, Ashish Gohiya
BACKGROUND: Displaced intraarticular distal humerus fracture has been conventionally treated operatively with various triceps disrupting approaches. These approaches are associated with several complications, such as triceps weakness, nonunion or delayed union of osteotomy, implant prominence, and delayed mobilization of the elbow. We present the functional outcome of intraarticular distal humerus fracture fixation using a triceps-sparing paratricipital approach which allows early elbow mobilization and preserving triceps strength...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27900709/double-locking-precontoured-plating-system-for-malunited-fractures-of-the-distal-end-of-humerus
#7
L Tarallo, R Mugnai, M Rocchi, C Rovesta, F Catani
BACKGROUND: Distal humeral malunions are uncommon injuries, often associated with limited elbow motion, pain, instability, weakness, and sometimes ulnar neuritis. The complex anatomy of the elbow joint makes this condition one of the most complex elbow injuries to treat. MATERIALS AND METHODS: Four patients were treated by the same surgeon between 2011 and 2013 using a double-locking precontoured plating system for malunited intra-articular or extra-articular fractures of the distal end of the humerus...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27832015/intramedullary-nailing-with-supplemental-plate-and-screw-fixation-of-long-bones-of-patients-with-osteogenesis-imperfecta-operative-technique-and-preliminary-results
#8
Jeanne M Franzone, Richard W Kruse
Although intramedullary fixation is the standard form of surgical fixation of the long bones of children with osteogenesis imperfecta (OI), it remains fraught with complications. Implant breakage, implant cut out, long bone fracture, nonunion, and rod bending have all been described as complications of intramedullary long bone fixation in children with OI. Supplemental fixation techniques represent an attempt to decrease these risks of surgical implant failure of intramedullary devices. A supplemental plate and screw construct at a fracture or an osteotomy site in addition to an intramedullary device in the long bone segment is one such form of supplemental fixation...
November 9, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27803229/lateral-closing-isosceles-triangular-osteotomy-for-the-treatment-of-a-post-traumatic-cubitus-varus-deformity-in-children
#9
Y Su, G Nan
AIMS: Cubitus varus is the most common late complication of a supracondylar fracture of the humerus in children. Correction can be performed using one of a number of techniques of osteotomy but each has disadvantages. We describe a new technique for correcting post-traumatic cubitus varus using a lateral closing wedge isosceles triangular osteotomy. PATIENTS AND METHODS: A lateral closing wedge isosceles triangular osteotomy was performed in 25 patients (15 male and ten female with a mean age of 9...
November 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27774833/outcome-after-pin-fixation-of-supracondylar-humerus-fractures-in-children-postoperative-radiographic-examinations-are-unnecessary
#10
Noora Tuomilehto, Reetta Kivisaari, Antti Sommarhem, Aarno Y Nietosvaara
Background and purpose - The quality of pin fixation of displaced supracondylar humerus fractures in children has not been assessed, and the clinical value of radiographic examinations after pin fixation is unclear. We evaluated pin configuration, quality of osteosynthesis, and outcome in 264 supracondylar fractures. The clinical significance of postoperative radiographs was analyzed. Patients and methods - 252 Gartland-III and 12 flexion-type supracondylar humerus fractures were pin-fixed in the periods 2002-2006 and 2012-2014...
February 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/27709874/transphyseal-distal-humerus-fracture
#11
Joshua M Abzug, Christine Ann Ho, Todd F Ritzman, Brian Brighton
Transphyseal distal humerus fractures typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of a transphyseal distal humerus fracture is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiographs may aid in the diagnosis of a transphyseal distal humerus fracture. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27684080/acquired-upper-extremity-growth-arrest
#12
Erich M Gauger, Lauren L Casnovsky, Erica J Gauger, Deborah C Bohn, Ann E Van Heest
This study reviewed the clinical history and management of acquired growth arrest in the upper extremity in pediatric patients. The records of all patients presenting from 1996 to 2012 with radiographically proven acquired growth arrest were reviewed. Records were examined to determine the etiology and site of growth arrest, management, and complications. Patients with tumors or hereditary etiology were excluded. A total of 44 patients (24 boys and 20 girls) with 51 physeal arrests who presented at a mean age of 10...
September 29, 2016: Orthopedics
https://www.readbyqxmd.com/read/27600569/-the-bare-area-of-the-proximal-ulna-an-anatomical-study-on-optimizing-olecranon-osteotomy
#13
M Hackl, S Lappen, W F Neiss, M Scaal, L P Müller, K Wegmann
BACKGROUND: Olecranon osteotomy is an established approach for the treatment of distal humerus fractures. It should be performed through the bare area of the proximal ulna to avoid iatrogenic cartilage lesions. OBJECTIVES: The goal of this study was to analyze the anatomy of the proximal ulna with regard to the bare area and, thereby, to optimize the hitting area of the bare area when performing olecranon osteotomy. MATERIALS AND METHODS: The bare areas of 30 embalmed forearm specimens were marked with a radiopaque wire and visualized three-dimensionally with a mobile C‑arm...
October 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27598613/-comparison-of-90%C3%A2-and-180%C3%A2-plate-constructions-for-comminuted-distal-humerus-fractures-in-adults-and-effects-on-clinical-results
#14
Volkan Eryuva, Taşkın Altay, Cemil Kayalı, Zafer Kement, Caner Çıtak
BACKGROUND: The present objective was to compare 90° and 180° double-plate constructions for complex distal humerus fractures, as well as to evaluate superiority of construction type. METHODS: Retrospectively evaluated were 17 patients treated for type C distal humerus fracture according to AO/ASIF classification between January 2009 and January 2013. All attended minimum 6-month follow-up. Elbow function was assessed with anteroposterior and lateral x-ray, and Mayo elbow performance score evaluation at outpatient clinics...
July 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27578381/posttraumatic-progressive-cubitus-varus-deformity-managed-by-lateral-column-shortening-a-novel-surgical-technique
#15
Amit Srivastava, Anil-Kumar Jain, Ish Kumar Dhammi, Rehan-Ul Haq
The outward angulation of elbow with supinated forearm is cubitus varus deformity. This deformity is often seen as sequelae of malunited supracondylar fracture of humerus in paediatric age group of 5e8 years. The deformity is usually non-progressive, but in cases of physeal injury or congenital bony bar formation in the medial condyle of humerus, the deformity is progressive and can be grotesque in appearance. Various types of osteotomies are defined for standard non-progressive cubitus varus deformity, while multiple surgeries are required for progressive deformity until skeletal maturity...
August 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27535673/corrective-osteotomy-assisted-by-computer-simulation-for-a-malunited-intra-articular-fracture-of-the-distal-humerus-two-case-reports
#16
Keiichiro Oura, Oka Kunihiro, Kiyoshi Okada, Hiroyuki Tanaka, Tsuyoshi Murase
INTRODUCTION: Intra-articular malunion after fractures of the distal humerus can cause pain, stiffness and, consequently, osteoarthritis in the long run. Although corrective osteotomy for intra-articular malunion has been reported, it is still technically challenging and needs careful preoperative evaluation and planning. Here, we present two cases of corrective osteotomy assisted by preoperative three-dimensional (3-D) computer simulation. MATERIALS AND METHODS: We present two cases of malunited intra-articular fracture of the distal humerus, which was treated by corrective osteotomy with the aid of 3-D computer simulation...
November 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27521146/distal-third-diaphyseal-fractures-of-the-humerus-choice-of-approach-and-surgical-treatment
#17
A Maresca, R Fantasia, M Cianforlini, N Giampaolini, S Cerbasi, R Pascarella
PURPOSE: Distal-third diaphyseal fractures of the humerus are often hard to treat due to location and pattern of the fractures, radial nerve injury, and quality of bone and age of patients. The aim of this retrospective study is to propose the best approach and the best surgical technique according to the pattern of extra-articular fracture of the distal humerus. METHODS: We have treated 37 fractures of the distal humerus between January 2010 and July 2015 classified according to the AO classification...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27516828/-cubitus-varus-external-subtraction-osteotomy-should-it-still-be-recommended-retrospective-study-of-25-cases
#18
Aniss Chagou, Réda Allah Bassir, Abdelkarim Rhanim, Abdou Lahlou, Mohammed Saleh Berrada, Moradh Yaacoubi
Cubitus varus or malunion is most often secondary to displaced supracondylar fractures of the lower end of the humerus in children. Various surgical techniques have been proposed with different success rates but also with different reported complication rates. Our retrospective study of 25 cases diagnosed at the University Hospital of Rabat evaluated the results of the technique of external subtraction which was used in our training to handle this deformation.
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27503533/three-dimensional-corrective-osteotomies-of-complex-malunited-humeral-fractures-using-patient-specific-guides
#19
Lazaros Vlachopoulos, Andreas Schweizer, Dominik C Meyer, Christian Gerber, Philipp Fürnstahl
BACKGROUND: Corrective osteotomies of malunited fractures of the proximal and distal humerus are among the most demanding orthopedic procedures. Whereas the restoration of the normal humeral anatomy is the ultimate goal, the quantification of the deformity as well as the transfer of the preoperative plan is challenging. The purpose of this study was to provide a guideline for 3-dimensional (3D) corrective osteotomies of malunited intra-articular fractures of the humerus and a detailed overview of existing and novel instruments to enlarge the toolkit for 3D preoperative planning and intraoperative realization using patient-specific guides...
December 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27441925/olecranon-osteotomy-with-tension-band-wire-repair
#20
David A Fuller
PURPOSE: The purpose of this video is to demonstrate the surgical technique of olecranon osteotomy with tension band wire repair. METHODS: A patient with a comminuted, intra-articular distal humerus fracture requiring ORIF is presented in this video demonstration of the surgical technique of an olecranon osteotomy. The olecranon osteotomy is an established technique for approaching the distal humerus for surgical repair of fracture. In the video, the patient is positioned laterally allowing a dorsal incision...
August 2016: Journal of Orthopaedic Trauma
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