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https://www.readbyqxmd.com/read/29471156/sliding-hip-screw-versus-cannulated-cancellous-screws-for-fixation-of-femoral-neck-fracture-in-adults-a-systematic-review
#1
REVIEW
Jian-Xiong Ma, Ming-Jie Kuang, Fei Xing, Yun-Long Zhao, Heng-Ting Chen, Lu-Kai Zhang, Zheng-Rui Fan, Chao Han, Xin-Long Ma
OBJECTIVE: Femoral neck fracture is considered a difficult fracture to treat and often gives rise to unsatisfactory treatment results. Cannulated cancellous screws (CCS) or a sliding hip screw (SHS) are the mainstream internal fixations used for osteosynthesis of femoral neck fractures. There is a need to integrate existing data through a meta-analysis to investigate the safety and effectiveness of CCS and SHS in the treatment of femoral neck fractures. METHOD: According to the Cochrane Handbook for Systematic Reviews of Interventions, we screened for the relevant studies by searching Google Scholar, the Cochrane Controlled Trials Register, the Cochrane Library, Web of Science, EMBASE, and PubMed...
February 19, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29464295/-evolution-and-principles-of-intramedullary-locked-nailing
#2
C Hierholzer, J Friederichs, P Augat, A Woltmann, O Trapp, V Bühren, C von Rüden
Key factors for successful osteosynthetic fracture stabilization are anatomical fracture reduction, restoration of axis and torsion alignment as well as tissue-preserving operative techniques. In long bone fractures, the use of intramedullary long bridging nailing offers ideal conditions for bone healing, as axial and rotational stability is provided by canal-filling nails and locking screws. In addition, the tissue in the fracture region is protected as the intramedullary nail insertion is distant from the fracture...
February 20, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29464293/-kirschner-wire-osteosynthesis-for-fractures-in-childhood-bury-wires-or-not-results-of-a-survey-on-care-reality-in-germany
#3
D Schneidmueller, M Kertai, V Bühren, C von Rüden
INTRODUCTION: Kirschner wire osteosynthesis is considered to be the standard technique for surgical fixation of displaced supracondylar humeral and distal radial fractures in children. The Kirschner wires can be left exposed or buried under the skin. Advantages of the epicutaneous technique are, e. g. the efficiency (cost, effort) and the possibility for wire removal without the necessity of a second anesthesia. On the other hand, there is a concern about higher infection rates as well as traumatization of the children due to externally visible wires...
February 20, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29461544/-a-phd-completed-bilateral-sagittal-split-osteotomy-risk-factors-for-complications-and-predictability-of-the-splitter-separator-technique
#4
J P Verweij
Bilateral sagittal split osteotomy (BSSO) is a surgical technique to correct hypoplasia, hyperplasia or asymmetry of the mandible. The risk of complications associated with BSSO with splitter and separators, the so-called splitter-separator technique, and the predictability of this technique were analysed. The average incidence of complications associated with classic BSSO techniques was determined by a review of the literature. With classic techniques, a bad split occurred in 2.3% of the operated sides, removal of osteosynthesis material on account of complaints in 11...
February 2018: Nederlands Tijdschrift Voor Tandheelkunde
https://www.readbyqxmd.com/read/29453480/limited-open-reduction-and-percutaneous-plate-osteosynthesis-alternative-option-to-minimally-invasive-plate-osteosynthesis-in-management-of-distal-tibia-fractures
#5
Shambhu Sah, Bikash Kc, Sailoj Jung Dangi, Rem Kumar Rai, Roshan Yadav
INTRODUCTION: The management of distal tibia fracture is challenging because of the limited soft tissue coverage and poor vascularity around the bone in that area. Minimally invasive percutaneous plate osteosynthesis is a novel technique in this regard but needs fluoroscopy. In unavailability of fluoroscopy or its technical malfunction, limited open reduction percutaneous plate osteosynthesis becomes useful. The aim of this study is to compare the outcomes of distal tibia fractures treated by LORPPO and MIPPO techniques in terms of duration of hospital stay, full weight bearing, union time and complications...
October 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29446490/a-3-dimensional-printed-patient-specific-guide-system-for-minimally-invasive-plate-osteosynthesis-of-a-comminuted-mid-diaphyseal-humeral-fracture-in-a-cat
#6
Bill Oxley
OBJECTIVE: To report the use of a 3-dimensional (3D)-printed patient-specific reduction guide system to facilitate minimally invasive plate osteosynthesis (MIPO) of a humeral fracture in a cat. STUDY DESIGN: Case report. ANIMALS: A 9-year-old male neutered domestic short hair cat weighing 4.4 kg. METHODS: A 9-year-old male domestic short hair cat was presented with a comminuted, mid-diaphyseal left humeral fracture. Computed tomographic data were processed to yield 3D mesh representations of both humeri and subsequently manipulated in computer-aided design software...
February 15, 2018: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29443820/unstable-c1-fracture-managed-with-internal-fixation-using-lateral-mass-screws-a-case-report
#7
Jonathan C Yu, Thomas E Niemeier, Sakthivel R Manoharan
CASE: A 47-year-old woman presented with an unstable C1 fracture after falling down several stairs. She was found to have a sagittal split fracture of the right C1 lateral mass extending into the posterior arch. The fracture was treated with a direct posterior osteosynthesis of C1 using lateral mass screws. CONCLUSION: Surgical management of unstable C1 fractures has traditionally involved posterior fusion of C1 to C2 or fusion from the occiput to C2. These fusion procedures can be quite functionally limiting...
February 14, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/29432984/high-strength-biodegradable-and-cytocompatible-alpha-tricalcium-phosphate-iron-composites-for-temporal-reduction-of-bone-fractures
#8
E B Montufar, M Casas-Luna, M Horynová, S Tkachenko, Z Fohlerová, S Diaz-de-la-Torre, K Dvorak, L Celko, J Kaiser
In this work alpha tricalcium phosphate (α-TCP)/ iron (Fe) composites were developed as a new family of biodegradable, load-bearing and cytocompatible materials. The composites with composition from pure ceramic to pure metallic samples were consolidated by pulsed electric current assisted sintering to minimise processing time and temperature while improving their mechanical performance. The mechanical strength of the composites was increased and controlled with the Fe content, passing from brittle to ductile failure...
February 9, 2018: Acta Biomaterialia
https://www.readbyqxmd.com/read/29429475/-osteosynthesis-of-rib-fractures-unstable-chest-wall-pseudoarthroses-and-acquired-defects-of-the-chest-wall
#9
Kirsten Neckelmann, Rikke Hagelberg
Several patients suffer from rib fractures after traumas, and in severe cases it can be life-threatening. Until recently, attempts to perform surgical fixation in patients with instability have been unsuccessful. Chronic non-union causes persistent pain, disability and loss of quality of life. Implementation of surgical stabilization of rib fractures with tailored plates seems to improve pain relief, especially in cases of non-union but also in patients with instability of the chest wall after severe traumas, where advanced pain treatment (epidural catheter) is insufficient or weaning off fails...
February 5, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29427092/treatment-of-tibial-nonunion-with-bone-defect-using-a-heterotopic-ossification-as-autologous-bone-graft-literature-overview-and-case-report
#10
REVIEW
Michael Schlumberger, Raul Mayr, Christian Koidl, Martin Eichinger, Tobias Roth
INTRODUCTION: Nonunion after open fracture of the lower leg is a frequent complication with a prevalence of up to 40%. In cases with major bone defects, revision of the osteosynthesis with bone grafting is commonly performed. Until today, there is no report on treatment of a tibial nonunion with transplantation of a heterotopic ossification. PRESENTATION OF CASE: We present a case of a 27-year-old male patient, who suffered from a paragliding accident with major injuries...
February 9, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29424179/-minimally-invasive-percutaneous-plate-osteosynthesis-for-the-treatment-of-acetabulum-anterior-column-fracture-with-intact-true-pelvic-brim
#11
Ting-Ting Mo, Yong-Bin Su, Wei-Kang Zhang
OBJECTIVE: To discuss feasibility and clinical effects of minimally invasive percutaneous plate osteosynthesis in treating acetabulum anterior column fracture with intact true pelvic brim. METHODS: From May 2013 to December 2015, 8 patients with acetabulum anterior column fracture with intact true pelvic brim were reviewed retrospectively. According to Judet-Letournel classification, all were simple unstable acetabulum anterior column fracture. Among them, there were 5 males and 3 females with an average age of 42...
June 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29417376/complications-of-a-poly-l-lactic-acid-and-polyglycolic-acid-osteosynthesis-device-for-internal-fixation-in-maxillofacial-surgery
#12
Shintaro Sukegawa, Takahiro Kanno, Kenichi Matsumoto, Yuka Sukegawa-Takahashi, Masanori Masui, Yoshihiko Furuki
The purpose of this study was to retrospectively evaluate and examine the incidence of complications using poly-L-lactic acid and polyglycolic acid (PLLA/PGA) copolymer plate system in maxillofacial osteosynthesis. The retrospective study included 87 patients (50 men, 37 women), who needed maxillofacial surgery. We examined the proportion of complications and their factors from clinical data. A comparison was also made for plate decomposition using the molecular weight of the plate without plate exposure and complications...
February 7, 2018: Odontology
https://www.readbyqxmd.com/read/29409409/use-of-computed-tomography-in-determining-the-occurrence-of-dorsal-and-intra-articular-screw-penetration-in-volar-locking-plate-osteosynthesis-of-distal-radius-fracture
#13
Teik Wei Diong, Nor Hazla Mohamed Haflah, Abdul Yazid Mohd Kassim, Sharifah Majedah Idrus Al Habshi, Mohd Hassan Shukur
BACKGROUND: The use of volar locking plate in distal radius fracture can lead to extensor tendon rupture due to dorsal screw penetration. The aim of our study was to investigate the occurrence of dorsal and intra-articular screw penetration using CT scan after volar distal radius osteosynthesis for distal radius fractures. METHODS: Thirty patients who underwent distal volar locking plate for distal radius fracture were included in a retrospective study. In all 30 patients no dorsal and intra-articular screw penetration were detected on standard AP and lateral views of a plain radiograph...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29409262/foot-and-ankle-infections-debridement-early-fixation-and-rifampicin-provide-earlier-recovery-of-function-and-quality-of-life
#14
Daniel Pérez-Prieto, María E Portillo, Gemma González-Lucena, Alberto Ginés-Cespedosa
BACKGROUND: Infection after foot and ankle fractures is a major concern for orthopedic surgeons. It is widely believed that final osteosynthesis should be delayed until the infection is cured. However, there is no literature that supports this practice. In addition, the delay impairs patient function and quality of life (QoL). METHODS: In the present study, four cases of ankle infection treated with aggressive debridement, early fixation and antibiofilm antibiotics are described...
August 4, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409209/preliminary-results-of-a-plantar-plate-for-lapidus-arthrodesis
#15
N Gutteck, P Savov, M Panian, D Wohlrab, A Zeh, K S Delank
The TMT I arthrodesis is an established procedure for the correction of hallux valgus deformity associated with the instability of the TMT-I joint. A risk of transfer metatarsalgia is reported in the literature associated with persistant elevation of MT-I. Detailed information for ideal positioning of the arthrodesis is missing so far. Clinical, radiological and padobarografical results and their correlations were analyzed with special consideration of the elevation position of the MT-I in a TMT-I arthrodesis using the plantar plate osteosynthesis...
April 25, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29403251/transoral-screw-and-wire-fixation-for-unstable-anterior-%C3%A2-atlas-fracture
#16
Semih Keskil, Murat Göksel, Ulas Yüksel
Study Design: Atlas fractures are evaluated according to the fracture type and ligamentous injury. External immobilization may result in fracture nonunion. Objective: The ideal treatment method for non-stabilized atlas fractures is limited fixation without restricting the range of motion of the atlantoaxial and atlantooccipital joints. Summary of Background Data: Such a result can be established by using either anterior fixation or posterior lateral mass fixation...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29401089/a-biomechanical-comparison-of-three-inferiorly-directed-vs-three-superiorly-directed-locking-screws-on-stability-in-a-3-part-proximal-humerus-fracture-model
#17
Brandon G Santoni, David M Donohue, T Kyle Stoops, Gregory Tanner, Miguel A Diaz, Mark Mighell
OBJECTIVE: To quantify the stability of 3 points of inferiorly-directed versus 3 points of superiorly-directed locking screw fixation compared to the full contingent of 6 points of locked screw fixation in the treatment of a 3-part proximal humerus fracture. METHODS: A standardized 3-part fracture was created in 10 matched pairs (experimental groups) and 10 non-matched humeri (control group). Osteosynthesis was performed using three locking screws in the superior hemisphere of the humeral head (suspension), three locking screws in the inferior hemisphere (buttress), or the full complement of 6 locking screws (control)...
January 26, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29398510/minimally-invasive-plate-osteosynthesis-for-treatment-of-ankle-fractures-in-high-risk-patients
#18
Irina Bazarov, Jason Kim, Johanna M Richey, Joseph D Dickinson, Graham A Hamilton
Wound healing problems are the most common complication after open reduction with internal fixation (ORIF) of unstable ankle fractures. The incidence is especially high among elderly patients with medical comorbidities and patients with compromised soft tissues. Minimally invasive plate osteosynthesis (MIPO) might provide a safer alternative to ORIF by preventing extensive soft tissue dissection and preserving the blood supply. We conducted a retrospective review of 44 consecutive patients who had undergone MIPO of unstable ankle fractures...
February 2, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29398208/histo-morphologic-characteristics-of-intra-osseous-implants-of-we43-mg-alloys-with-and-without-heat-treatment-in-an-in%C3%A2-vivo-cranial-bone-sheep-model
#19
Andrea Torroni, Chongchen Xiang, Lukasz Witek, Eduardo D Rodriguez, Roberto L Flores, Nikhil Gupta, Paulo G Coelho
WE43 Mg alloy, composed of Mg, Yttrium, Rare Earth elements, and Zirconium, has proved to be a suitable candidate for production of resorbable osteosynthesis implants in both clinical and experimental settings. In a previous study we tested biocompatibility and degradation properties of untreated (as-cast) and artificially aged (T-5) WE43 Mg-alloys as subperiosteal implants on a maxillofacial sheep model. Both the alloy compositions showed excellent biocompatibility, however, with respect to degradation rate, the as-cast form showed increased degradability compared with the T-5...
January 4, 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29386824/modified-orthopedic-wire-twister-for-fixing-and-removing-screws-in-craniomaxillofacial-osteosynthesis
#20
Suresh Kumar Ganesan, Balaji Shanmugam Thandapani, Nithin Joseph Jude, Saravanan Rajendiran, Suraj John Thomas
Internal fixation is the routinely performed surgical procedure in craniomaxillofacial surgery. At present, available kit for internal fixation includes large number of armamentarium. To overcome and reduce this, we have modified orthopedic wire twister for fixing and removing screws. This single device can replace self-holding screwdrivers with different sizes.
July 2017: National Journal of Maxillofacial Surgery
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