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https://www.readbyqxmd.com/read/28102168/brachial-plexus-root-avulsion-injury-with-occipital-condyle-fractures-case-study
#1
Alicja Baranowska, Joanna Baranowska, Agata Pydych, Paweł Baranowski
Avulsion injuries of the brachial plexus with occipital condyle fractures are very rare and usually result from motor vehicle accidents. This paper presents an analysis of the case of a 24-year-old male patient who sustained both these injuries in a car accident. Computed tomography revealed a fracture of the right occipital condyle and a magnetic resonance scan showed spinal nerve disruption at the C3-C7 level on the left. The patient underwent conservative treatment.
August 30, 2016: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28100946/management-of-young-patients-with-temporomandibular-joint-ankylosis-a-surgical-and-anesthetic-challenge
#2
REVIEW
Devalina Goswami, Sweta Singh, Ongkila Bhutia, Dalim Baidya, Chhavi Sawhney
Temporomandibular joint ankylosis is a unique disease where fracture of the mandibular condyle or any other cause leading to ankylosis of the joint can lead to multiple problems if not detected and treated early. If affected in early years of life, it may cause facial dysmorphism, restricted mouth opening, and difficulty in eating, speech, and sleep. Early surgery and physiotherapy can restore the joint function to a great extent. Anesthetizing a pediatric patient with this disorder is a definite challenge which needs expertise in difficult airway management...
December 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/28056260/-research-progress-of-hoffa-fracture
#3
Y B Zhou, Q X Wang, W Chen
Hoffa fracture is a rare type of fracture confined to the coronal plane of the femoral condyle. High-energy is a common reason of Hoffa fracture, and low-energy trauma and iatrogenic injury can also cause Hoffa fracture in some cases. The commonly used classifications include Letenneur classification, CT classification, AO classification and modified AO classification. X-ray is the first choice to diagnose Hoffa fractures, fracture lines can be found. If the X-ray is negative, CT scan and MRI should be performed...
January 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28045839/the-use-of-magnetic-resonance-imaging-in-management-of-minimally-displaced-or-nondisplaced-lateral-humeral-condyle-fractures-in-children
#4
Gregory Haillotte, Manon Bachy, Marion Delpont, Reda Kabbaj, Hubert Ducou le Pointe, Raphaël Vialle
OBJECTIVES: Fractures of the lateral humeral condyle are common in children. Nondisplaced fractures are managed with cast immobilization and frequent radiographic follow-up. Possibility of assessing the displacement and stability of such fractures may be helpful in planning the initial treatment and survey. Magnetic resonance imaging (MRI) could be a useful tool in determining the stability of lateral condyle in children. We propose to investigate the use of MRI in such indication. METHODS: Fourteen patients presenting with a minimally displaced or nondisplaced fracture were initially treated with a long arm cast and had an MRI within 5 days of injury...
January 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28026918/upper-and-lower-extremity-reconstructive-applications-utilizing-free-flaps-from-the-medial-genicular-arterial-system-a-systematic-review
#5
Nikolas H Kazmers, Stephanie Thibaudeau, Zvi Steinberger, L Scott Levin
BACKGROUND: Free flaps derived from the medial genicular artery (MGA) system, including the medial femoral condyle (MFC) and medial femoral trochlear (MFT) flaps, are potential reconstructive options to address upper and lower extremity bony pathology. Our primary aim was to comprehensively search the literature to describe the spectrum of pathology treated with these flaps, and to assess patient outcomes to improve our understanding of expected union and complication rates. METHODS: Following PRISMA guidelines, a systematic review using Pubmed and Embase databases with citation cross-referencing was performed to identify all original clinical articles characterizing MGA flap treatment of upper and lower extremity pathology...
December 27, 2016: Microsurgery
https://www.readbyqxmd.com/read/28018071/reimplantation-of-contaminated-extruded-segment-of-lateral-femoral-condyle-cleansed-with-10-povidine-iodine-in-complex-floating-knee-injury-with-excellent-outcome-case-report-with-2-year-follow-up
#6
Prahalad Kumar Singhi, R Sivakumar, V Somashekar, Vinayak Kusabi, T Vinoth
Traumatic extrusion of bone is a rare complication of high energy open fractures, and there are only few studies published in literature on reimplantation of the extruded bone segment. Studies with clear guidelines regarding timing of reimplantation, stabilisation of extruded bone segments, bone disinfection and disinfection techniques are very few. Previous reports describe disinfection using thermal or chemical methods. We present a case scenario of successful reimplantation of an extruded metaphyseal segment of distal femoral condyle following cleaning with copious saline and soaked in 10% povidine-iodine for 20 min in a 21 year old male patient of a complex floating knee injury with excellent outcome based on Karlstrom and Olerud criteria...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28001498/evaluation-of-the-osteoconductive-potential-of-poly-propylene-carbonate-nano-hydroxyapatite-composites-mimicking-the-osteogenic-niche-for-bone-augmentation
#7
Qin Zou, Jianguo Liao, Jidong Li, Yubao Li
Nano-hydroxyapatite (n-HA) reinforced poly(propylene carbonate) (PPC) composites were prepared for bone repair and reconstruction. The effects of reinforcement on the morphology, mechanical properties and biological performance of n-HA/PPC composites were investigated. The surface morphology and mechanical properties of the composites were characterized by scanning electron microscopy (SEM) and universal material testing machine. The analytical data showed that good incorporation and dispersion of n-HA crystals could be obtained in the PPC matrix at a 30:70 weight ratio...
December 29, 2016: Journal of Biomaterials Science. Polymer Edition
https://www.readbyqxmd.com/read/27987508/-analysis-of-anterolateral-approach-and-lateral-approach-for-the-treatment-of-coronal-shear-fracture-of-the-distal-humeral
#8
Y Li, Y J Cha, T Li, M Q Gong, X Y Jiang
OBJECTIVE: To treat the coronal shear fracture of the distal humeral during open reduction and internal fixation by anterolateral approach and lateral approach, and to analyze the advantage and disadvantage of each approach. METHODS: From September 2006 to July 2014, 10 patients with coronal fracture of the distal humeral were analyzed, who were all treated with Open Reduction and Internal Fixation (ORIF), 5 with anterolateral approach (group A) and 5 with lateral approach (group B)...
December 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27984452/comparison-of-three-methods-for-maintaining-inter-fragmentary-compression-after-fracture-reduction-and-fixation
#9
Brigham Au, John Groundland, T Kyle Stoops, Brandon G Santoni, H Claude Sagi
OBJECTIVES: It is recommended that the intraarticular component of a supracondylar distal femoral fracture be stabilized by a lag screw to create interfragmental compression. Generally, it is thought that lag screw fixation should precede any positional screw or locking screw application. This study compared three methods of maintaining inter-fragmentary compression after fracture reduction with a reduction clamp. METHODS: Intra-articular vertical split fractures were created in synthetic femora...
December 1, 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27955799/closed-treatment-of-unilateral-mandibular-condyle-fractures-in-adults-a-systematic-review
#10
REVIEW
A V J Rozeboom, L Dubois, R R M Bos, R Spijker, J de Lange
Of all mandibular fractures, 25-35% are condylar. Many studies have focused on whether to treat such fractures via open or closed modalities. A uniform protocol for closed treatment is lacking, but such a protocol could ensure good clinical practice. The aims of this systematic review were to provide an overview of the published studies exclusively pertaining to closed treatment and to summarize the existing modalities for closed treatment and their clinical outcomes. Sixteen studies were selected for detailed analysis...
December 7, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27939038/novel-technique-for-harvesting-the-sternoclavicular-graft
#11
Sujata Mohanty, Sanchaita Kohli, Jitender Dabas, Chandravir Singh
PURPOSE: Originally introduced for mandibular reconstruction more than 40 years ago, the sternoclavicular graft (SCG) has gained widespread popularity for the reconstruction of the ramus-condyle unit (RCU) owing to its anatomic and histological likeness to the normal mandibular condyle. Conventional longitudinal osteotomy design for its harvest has been fraught with considerable complications at the donor site including fracture clavicle and major neurovascular injury. In an attempt to alleviate these ill effects, a new technique for procuring the sternoclavicular graft is presented...
November 19, 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/27902636/risk-of-infection-and-secondary-displacement-in-pediatric-supracondylar-or-lateral-condyle-fractures-treated-with-unburied-kirchener-wires-removed-before-complete-bone-healing
#12
Sylvain Aubret, Thibaut Lecointe, Mounira Mansour, Marie Rousset, Antonio Andreacchio, Bruno Pereira, Yann Philippe Charles, Federico Canavese
This study evaluated the risk of infection and of secondary displacement among children with displaced lateral condyle or supracondylar fractures treated by surgery. The study included a consecutive sample of 84 supracondylar fractures and 21 lateral condyle fractures treated with closed reduction and percutaneous pinning. The mean time to Kirchener wire removal was 29 days (range: 25-37 days) postsurgery. Two out of 105 (1.9%) patients developed infectious complications and two of 105 (1.9%) patients had a secondary displacement...
November 29, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27900824/mandibular-angle-fractures-a-comparative-study-between-one-and-two-plate-fixation
#13
Marcelo Silva Monnazzi, Marisa Ap Cabrini Gabrielli, Mário Francisco Real Gabrielli, Alexandre Elias Trivellato
BACKGROUND/AIM: The mandibular angle fracture is a challenging fracture to manage. Over time, the literature has shown many types of treatment modalities and different kinds of internal fixation. The aim of this study was to evaluate the outcomes and complications of mandibular angle fractures managed by Champy's technique and two-plate fixation, over a period of 20 years. MATERIAL AND METHODS: The files of 149 patients with 155 angle fractures fulfilled the inclusion criteria and were chosen for this study...
November 7, 2016: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/27891411/unusual-presentation-of-radial-nerve-entrapment-with-lateral-humeral-condyle-fracture-a-case-report
#14
Manoharan Muthulingam, Swagat Mahapatra
Lateral humeral condyle fracture is the second most common fracture around the elbow in pediatric age group. Acute neurological deficit as a consequence of nerve injury associated with lateral humeral condyle fractures is very uncommon. We report a rare presentation of a case of lateral humeral condyle fracture in a 13-year-old boy with acute radial nerve palsy. Patient was operated through a modified anterolateral approach to the elbow with, exploration of the radial nerve and internal fixation of the fracture...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27849102/kirschner-wire-fixation-of-salter-harris-type-iv-fracture-of-the-lateral-aspect-of-the-humeral-condyle-in-growing-dogs-a-retrospective-study-of-35-fractures
#15
Filippo Cinti, Guido Pisani, Luca Vezzoni, Bruno Peirone, Aldo Vezzoni
OBJECTIVES: To evaluate the use of Kirschner wires for treatment of fractures of the lateral aspect of the humeral condyle in growing dogs. METHODS: Retrospective analysis of 35 elbow fractures (33 dogs) of the lateral aspect of the humeral condyle treated by insertion of multiple transcondylar and one anti-rotational Kirschner wires. Radiographic and clinical re-evaluations were carried out immediately after surgery, at four weeks and, when required, at eight weeks postoperatively...
November 16, 2016: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/27844306/biocompatibility-of-calcium-phosphate-bone-cement-with-optimised-mechanical-properties-an-in-vivo-study
#16
Iwan Palmer, John Nelson, Wolfgang Schatton, Nicholas J Dunne, Fraser Buchanan, Susan A Clarke
This work establishes the in vivo performance of modified calcium phosphate bone cements for vertebroplasty of spinal fractures using a lapine model. A non-modified calcium phosphate bone cement and collagen-calcium phosphate bone cements composites with enhanced mechanical properties, utilising either bovine collagen or collagen from a marine sponge, were compared to a commercial poly(methyl methacrylate) cement. Conical cement samples (8 mm height × 4 mm base diameter) were press-fit into distal femoral condyle defects in New Zealand White rabbits and assessed after 5 and 10 weeks...
December 2016: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/27829774/difficulties-encountered-in-preauricular-approach-over-retromandibular-approach-in-condylar-fracture
#17
Perumal Jayavelu, R Riaz, A R Tariq Salam, B Saravanan, R Karthick
Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle), extracapsular - head and neck (high condyle fracture), and subcondylar (low condyle fracture), and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral), and dislocated...
October 2016: Journal of Pharmacy & Bioallied Sciences
https://www.readbyqxmd.com/read/27812671/oral-motor-and-electromyographic-characterization-of-patients-submitted-to-open-a-nd-closed-reductions-of-mandibular-condyle-fracture
#18
Amanda Pagliotto da Silva, Fernanda Chiarion Sassi, Claudia Regina Furquim de Andrade
Purpose: To characterize the oral-motor system of adults with mandibular condyle facture comparing the performance of individuals submitted to open reduction with internal fixation (ORIF) and closed reduction with mandibulomaxillary fixation (CRMMF). Methods: Study participants were 26 adults divided into three groups: G1 - eight individuals submitted to ORIF for correction of condyle fracture; G2 - nine individuals submitted to CRMMF for correction of condyle fracture; CG - nine healthy volunteers with no alterations of the orofacial myofunctional system...
September 2016: CoDAS
https://www.readbyqxmd.com/read/27803229/lateral-closing-isosceles-triangular-osteotomy-for-the-treatment-of-a-post-traumatic-cubitus-varus-deformity-in-children
#19
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/27800203/surgical-treatment-for-occipital-condyle-fracture-c1-dislocation-and-cerebellar-contusion-with-hemorrhage-after-blunt-head-trauma
#20
Shigeo Ueda, Nobuhiro Sasaki, Miyuki Fukuda, Minoru Hoshimaru
Occipital condyle fractures (OCFs) have been treated as rare traumatic injuries, but the number of reported OCFs has gradually increased because of the popularization of computed tomography (CT) and magnetic resonance imaging (MRI). The patient in this report presented with OCFs and C1 dislocation, along with traumatic cerebellar hemorrhage, which led to craniovertebral junction instability. This case was also an extremely rare clinical condition in which the patient presented with traumatic lower cranial nerve palsy secondary to OCFs...
2016: Case Reports in Orthopedics
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