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R Meller, N Hawi, U Schmiddem, P J Millett, M Petri, C Krettek
BACKGROUND: According to the future demographic trends the incidence of proximal humeral fractures and subsequent posttraumatic malunions and nonunions of the proximal humerus are expected to substantially increase. OBJECTIVES: This article reviews the indications, techniques and outcomes of corrective osteotomy for the treatment of posttraumatic nounions and malunions of the proximal humerus. METHODS: A selective literature search was performed and personal surgical experiences are reported...
July 2015: Der Unfallchirurg
Maria Valencia, Raul Barco, Samuel A Antuña
Symptomatic nonunion of the lateral epicondyle of the elbow is a rare injury. We present the case of a 36-year-old woman who complained of elbow pain and instability several months after a conservatively treated lateral epicondyle fracture that evolved into nonunion. In order to reestablish elbow stability, the patient underwent removal of the nonunited epicondylar fragment and ligament repair, with excellent clinical outcome.
December 2013: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
Wei-yu Jiang, Xin Wang, Liu-jun Zhao, Wei-hu Ma, Rong-ming Xu
OBJECTIVE: To retrospectively analyze the surgical effect of anterior approach bone graft and internal fixation methods for treating old thoracolumbar fracture without neurological symptom, so as to provide references for surgical treatment of such kind of fracture. METHODS: From April 2004 to April 2009, 22 cases of old thoracolumbar fractures were treated, including 15 males and 7 females with an average age of 38 years ranging from 21 to 56 years. The time from injured to operation was from 4 months to 2 years (average 8 months)...
July 2011: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Zhongxiao Chang, Zuojun Zhang, Guiqiang Du
OBJECTIVE: To evaluate the result of treating nonunion of lower segment of humerus with combination of rib flaps of cross chest and double plates. METHODS: From February 2000 to May 2006, 21 cases of nounion of lower segment of humerus were treated. There were 13 males and 8 females with an average age of 36.5 years (range, 17-56 years). According to AO classification, there were 5 cases of type A1.3, 7 cases of type B1.3, 6 cases of type B2.3, 2 cases of type B3...
January 2010: Chinese Journal of Reparative and Reconstructive Surgery
Chang-Guo Fu, Zi-Chang Song, Kun Jia, Guo-Hua Liu
OBJECTIVE: To explore the clinical effects of delayed open reduction and locking compressing plate (LCP) plus bone-grafting in medullary cavity for the distal comminuted fractures of tibia. METHODS: Twenty-nine patients with the distal comminuted fractures of tibia were treated between March 2006 and September 2008, including 19 males and 10 females, ranging in age from 27 to 58 years with an average of 42.5 years. From wounded to hospital, the time was from 2 to 4 hours...
November 2009: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
M Buchner, D Sabo
SUBJECT: This study evaluates the results of external and internal fixation techniques for arthrodesis of the ankle. METHODS: Perioperative and subjective, clinical, and radiological long-term results (average follow-up: 9 years) in 55 patients following arthrodesis of the ankle due to posttraumatic arthritis were compared in two groups with different fixation techniques--compression arthrodesis with external fixator (AO) or internal screw fixation. RESULTS: Patients with external fixation revealed a significantly higher deep infection rate, which was treated conservatively, while the rates of nounion, revision surgery due to infection, and total revision surgery did not show any difference in the two groups...
June 2003: Der Unfallchirurg
H Krimmer, U Lanz
Significant progress has been made in the understanding of carpal kinematics and posttraumatic disorders of the wrist. The importance of stabilization of the scaphoid is well known. More and more ligament injuries of the proximal carpal row have been diagnosed in cases of severe arthrotic changes. Long-standing scaphoid nounion or scapholunate ligament injuries can lead to progressive carpal collapse due to a break of the continuity of the proximal carpal row. SLAC-wrist (scapholunate advanced collapse) and SNAC-wrist (scaphoid nonunion advanced collapse) after missed fusion of scaphoid fractures should be differentiated...
April 2000: Der Unfallchirurg
A J Costa
After surgery or traumatic injury, bone defects may heal slowly or they may completely fail to heal. In most cases, these delayed unions and nounions results from lack of proper immobilization. Motion at the site of an injury interferes with proper organization of the hematoma or causes the fragments to separate or become displaced.
1977: Journal of Foot Surgery
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