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Sascha Kurz, Philipp Pieroh, Maximilian Lenk, Christoph Josten, Jörg Böhme
RATIONALE: Pelvic malunion is a rare complication and is technically challenging to correct owing to the complex three-dimensional (3D) geometry of the pelvic girdle. Hence, precise preoperative planning is required to ensure appropriate correction. Reconstructive surgery is generally a 2- or 3-stage procedure, with transiliac osteotomy serving as an alternative to address limb length discrepancy. PATIENT CONCERNS: A 38-year-old female patient with a Mears type IV pelvic malunion with previous failed reconstructive surgery was admitted to our department due to progressive immobilization, increasing pain especially at the posterior pelvic arch and a leg length discrepancy...
October 2017: Medicine (Baltimore)
Ana Rocío García Carricondo, Francisco Javier Quesada Bravo, Fernando Espín Gálvez, Tesifón Parrón Carreño, Raquel Alarcón Rodriguez
OBJECTIVES: The objective of this study is to investigate two internal fixation surgical techniques for mandibular fractures in order to compare modified lag screw techniques with standard miniplates. MATERIALS AND METHODS: This is an observational prospective study. Three hundred eighteen patients were operated on for mandibular fractures. The patients were divided into two groups according to the type of surgical technique used: modified lag screws (155 patients) and traditional miniplates (163 patients)...
October 16, 2017: Clinical Oral Investigations
Catarina Zimmermann, Anders Henningsen, Kai-Olaf Henkel, Jan Klatt, Christian Jürgens, Klaus Seide, Benjamin Kienast
PURPOSE: The objective of surgical fracture management is to reduce and fixate fractures accurately and rapidly. Two osteosynthesis plates are usually used in the treatment of mandibular angle fractures to enhance torsional stiffness. We conducted biomechanical tests under static and cyclic loading to assess whether a single locking plate is as efficacious as two conventional plates in the osteosynthesis of mandibular angle fractures. MATERIALS AND METHODS: Fracture gaps were created in synthetic mandible replicas...
June 15, 2017: Journal of Cranio-maxillo-facial Surgery
Soo Min Cha, Hyun Dae Shin
HYPOTHESIS: The study purpose was to report the clinical and radiologic outcomes of osteosynthesis by open reduction and internal fixation for nonunion of extra-articular distal humeral fractures in patients aged 70 years or older. MATERIALS AND METHODS: This retrospective study included 28 patients who received osteosynthesis treatment between March 2010 and December 2015. Primary conservative treatment had failed in all patients. All surgical procedures were performed via the posterior approach without olecranon osteotomy and with the use of double-locking plates for each column...
October 13, 2017: Journal of Shoulder and Elbow Surgery
Sina Grupp, Veronika Fürst, Thomas Buder, Alexander Fichte, Sebastian Krinner, Roman T Carbon, Friedrich F Hennig, Andreas Langenbach, Stefan Schulz-Drost
INTRODUCTION: Bilateral flail chest injuries are challenging in treatment and comparatively often require an operative stabilization of the anterior chest wall to re-establish normal physiological conditions of the chest wall in shape and statics. Various procedures have been described which are technically sophisticated for the surgeon. Consequently there is an increasing interest in potentials of operative care and their effectiveness on the anterolateral chest wall. MATERIALS AND METHODS: 12 Human cadavers were prepared and the natural Sternum Position (NP) was marked...
October 9, 2017: Injury
Aditya Aggarwal, Balaji Saibaba
No abstract text is available yet for this article.
January 1, 2017: Tropical Doctor
Bernhard Karich, Kajetan Klos, Paul Simons, Thomas Mückley, Thorsten Randt, Matthias Knobe
No abstract text is available yet for this article.
October 12, 2017: Der Unfallchirurg
Alberto Di Martino, Nicolò Martinelli, Mattia Loppini, Andrea Piccioli, Vincenzo Denaro
INTRODUCTION: Metastases to the proximal femur are usually managed surgically by tumor resection and reconstruction with an endoprosthesis, or by fixation with osteosynthesis. Still controversy remains regarding the most appropriate surgical treatment. We posed the following questions: (1) Is the frequency of surgical revision greater in patients treated with internal fixation than endoprosthetic reconstruction, and (2) Do complications that do not require surgery occur more frequently in patients treated with internal fixation rather than in those with endoprosthetic reconstruction? MATERIALS AND METHODS: A systematic review was performed of those studies reporting on surgical revision and complication rates comparing the two surgical methods...
October 2017: Injury
A S Upadhyay, N A Lil
Introduction: Humerus shaft fractures in adults can be managed conservatively with functional braces or operatively with plate osteosynthesis or with intramedullary nailing. Conventionally humerus intramedullary nailing is done either using humerus interlocking nails or Enders nails. In this study we analyse the outcome of humerus shaft fractures (upper and middle third) managed with closed ante-grade intramedullary titanium elastic nailing in terms of union rates, union time, functional results and complications...
July 2017: Malaysian Orthopaedic Journal
Vincenzo Giordano, Roger Pletsch Paes, Gustavo Barbosa de-Queiroz, José Claudio Lira, William Dias Belangero, Robinson Esteves Santos Pires, Pedro José Labronici
OBJECTIVE: to evaluate how orthopedic surgeons in Latin America define the working length for distinct patterns of femoral shaft fracture. METHODS: a survey was developed presenting different options of working length in four femoral fracture patterns. The survey was submitted to the participants using Google Forms tool. The association between professional characteristics and medical management options according to each type of fracture was analyzed by Chi-square test, with 5% significance level...
July 2017: Revista do Colégio Brasileiro de Cirurgiões
Daniel E Perez, Aaron Liddell
Controversy has accompanied orthognathic surgery since its adaptation for the correction of dentofacial deformities. With the development of less invasive and less morbid osteotomy designs, questions regarding overall osteotomy stability have abounded. The transition from prolonged intermaxillary fixation and wire osteosynthesis to rigid internal fixation has spurred questions regarding the most effective fixation technique, and challenged previously accepted hierarchies of stability. These questions represent only the surface of a sea of debate and discussion, as measures have been taken to optimize patient outcome, minimize patient morbidity, and maximize operating room productivity...
November 2017: Oral and Maxillofacial Surgery Clinics of North America
M Heller, V V Kumar, A Pabst, J Brieger, B Al-Nawas, P W Kämmerer
Biomimetic surface modifications of titanium implants using the Arg-Gly-Asp-sequence (RGD) are promising to accelerate bone healing in cases of medical implants. Therefore, we compared the impact of linear and cyclic RGD (l- and c-RGD) covalently coupled onto titanium surfaces on the osseous response in vitro and in vivo. In vitro, osteoblasts' behaviour on different surfaces (unmodified, amino-silanized (APTES), l- and c-RGD) was analysed regarding adhesion (fluorescence microscopy), proliferation (resazurin stain) and differentiation (RT-PCR on alkaline phosphatase (AP) & osteocalcin (OC))...
October 3, 2017: Journal of Biomedical Materials Research. Part A
Rodrigo Souto Borges Petros, Paula Emília Valente Ferreira, Rafael Souto Borges Petros
OBJECTIVE: To determine the autonomy and mortality of elderly patients submitted to proximal femoral osteosynthesis with cephalomedullary nail after hip fracture. METHODS: Retrospective study with 61 patients with proximal femoral fractures submitted to cephalomedullary nail osteosynthesis. The authors analyzed the medical records and collected information from the preoperative period. Patients were questioned regarding pain, postoperative autonomy, and degree of satisfaction...
2017: Revista Brasileira de Ortopedia
George F Lebus, Erik M Fritz, Zaamin B Hussain, Jonas Pogorzelski, Peter J Millett
Os acromiale occur frequently in the population and can be a cause of significant shoulder dysfunction and rotator cuff impingement. When symptomatic os acromiale fail conservative management, surgical intervention may become necessary. The purpose of this article is to describe our preferred surgical technique for osteosynthesis of os acromiale using cannulated screws and tension-band wiring.
August 2017: Arthroscopy Techniques
M Reul, M Verschaeve, T Mennes, S Nijs, H Hoekstra
OBJECTIVES: The complication rate following operative treatment of patellar fractures remains high and is associated with a poor functional outcome. The primary goal of this study was to evaluate our functional outcome of patellar fracture osteosynthesis and define strategies to improve the outcome. The healthcare costs and utilization were calculated. METHODS: All demographic, clinical, radiographic variables and hospital-related costs of 111 patients with 113 surgically treated patellar fractures between January 2005 and December 2014 were analyzed...
September 30, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Barış Özkul, Mehmet Selçuk Saygılı, Mahsut Dinçel, Ilhan Bayhan, Deniz Akbulut, Bilal Demir
OBJECTIVE: The aim of this study was to compare the treatment outcomes of mid-diaphyseal clavicular fractures between external fixator and more widely selected treatment options such as plate osteosynthesis or conservative methods. MATERIAL AND METHOD: From 2009 and 2013, the medical records of 64 patients were reviewed. İnclusion criterion was mid-diaphyseal closed clavicular fractures with shortening of more than 2 cm . The Constant and (disabilities of the arm, shoulder and hand DASH) scores at the final follow-up, initial displacement, non-union and complication rates were compared...
October 1, 2017: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Nils-Claudius Gellrich, Björn Rahlf, Rüdiger Zimmerer, Philipp-Cornelius Pott, Majeed Rana
BACKGROUND: Every endosseous dental implant is dependent on an adequate amount and quality of peri-implant hard and soft tissues and their fully functional interaction. The dental implant could fail in cases of insufficient bone and soft tissues or due to a violation of the soft to hard tissues to implant shoulder interface with arising of a secondary bone loss. METHOD: To overcome this biological weak-spot, we designed a new implant that allows for multi vector endosseous anchorage around the individual underlying bone, which has to be scanned by computed tomography (CT) or Cone beam CT (CBCT) technique to allow for planning the implant...
September 29, 2017: Head & Face Medicine
Roberto Stefini, Stefano Peron, Jaime Mandelli, Elena Bianchini, Paolo Roccucci
BACKGROUND: In recent years, spinal surgery has incorporated the many advantages of navigation techniques to facilitate the placement of pedicle screws during osteosynthesis, mainly for degenerative diseases. However, spinal intradural tumors are not clearly visible by intraoperative fluoroscopy or computed tomography scans, thereby making navigation necessary. OBJECTIVE: To evaluate the use of spinal navigation for the removal of intradural and spinal cord tumors using spinal magnetic resonance imaging (MRI) merged with intraoperative 3-dimensional (3-D) fluoro images...
August 5, 2017: Operative Neurosurgery (Hagerstown, Md.)
Byung-Ho Yoon, Min-Soo Kwon
In this report, we describe the case of a healthy 37-year-old male patient without a history of disease, who developed atraumatic bilateral fracture of the femoral neck. Radiological and blood investigations revealed osteopenia and severe vitamin D deficiency (7.42 ng/mL), respectively, but patient had no apparent risk factors for insufficiency fracture. Bilateral osteosynthesis was obtained using cannulated screws and laboratory findings improved after vitamin D supplementation. This case highlights the effect of vitamin D deficiency on demineralization in a young male patient...
August 2017: Journal of Bone Metabolism
Hadisoebroto Dilogo Ismail, Yoshi Pratama Djaja, Jessica Fiolin
INTRODUCTION: In performing surgery for fractures of the pelvis and acetabulum, various surgical approaches have been introduced with their own advantages and drawbacks. The extensile nature of ilioinguinal approach gives excellent exposure but was related to wound healing problems. Modified stoppa has a higher difficulty and poses a risk for neurovascular injury. In this study, we elaborate our experience using the Modified Stoppa approach with additional lateral window while adding few modifications to simplify the procedure and facilitate future implant removal...
July 2017: Journal of Clinical Orthopaedics and Trauma
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