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condylar fractures

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https://www.readbyqxmd.com/read/29456395/incidence-and-pattern-of-mandible-fractures-in-the-madinah-region-a-retrospective-study
#1
Mahmood Samman, Syed Waheed Ahmed, Hassan Beshir, Turki Almohammadi, Santosh R Patil
Objectives: The objective of the study is to study the incidence and pattern of mandible fractures in the holy city of Madinah in the Kingdom of Saudi Arabia over a retrospective period of 3 years from 2013 (1434H) to 2016 (1436H) and to compare the results with those from other regions of Saudi Arabia and elsewhere. Materials and Methods: Relevant data of patients admitted to the King Fahad Hospital, Madinah with a fracture of the mandible during the study were collected from their medical records and radiographs...
January 2018: Journal of Natural Science, Biology, and Medicine
https://www.readbyqxmd.com/read/29455493/-classification-of-upper-cervical-fractures-a-review
#2
REVIEW
Peng-Rong Ouyang, Xi-Jing He, Xuan Cai
Upper cervical fracture-dislocations are series of pathological injuries occurred in occipital, atlas and axis caused by traumatic impact, which often results in severe clinical consequences, such as paraplegia, quadriplegia, and even death. In light of the potential severe clinical outcomes, it is important to define the type of upper cervical fracture-dislocations depending on which the clinician can deal with the disease properly. Owing to its specific anatomical structures, the upper cervical fractures occurr to the unique osseous structures or ligamentous connections always present in predictable patterns...
September 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29454757/open-reduction-and-internal-fixation-of-mandibular-condylar-base-and-neck-fractures-using-strut-plates
#3
Carolin Lechler, Florian Probst, Carl-Peter Cornelius, Wenko Smolka
PURPOSE: To evaluate clinical, radiologic, and functional outcomes of patients with condylar neck or base fractures treated with open reduction and internal fixation using strut plates. PATIENTS AND METHODS: Thirty patients with 34 condylar neck and base fractures were included in the study. Transoral endoscopically assisted, submandibular, or transparotid approaches were performed. Clinical and radiologic outcomes were evaluated. Functional outcomes were assessed with the Helkimo index in a subgroup of 15 patients...
February 2, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29452070/a-modified-peri-angular-approach-for-exposure-of-condylar-fractures
#4
Adarsh Kudva, Abhay T Kamath, Jyotsna Rajan, Charlene D'Souza
PURPOSE: To describe a modified peri-angular approach to address subcondylar and condylar neck fractures. MATERIALS AND METHODS: A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach. RESULTS: In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation. CONCLUSION: Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout...
January 12, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29432477/digital-diagnosis-and-treatment-of-mandibular-condylar-fractures-based-on-extensible-neuro-imaging-archive-toolkit-xnat
#5
ZhongWei Zhou, Zhang'ao Li, Jiayin Ren, Mingyun He, Yongqing Huang, WeiDong Tian, Wei Tang
OBJECTIVES: The treatment of condylar fractures has long been controversial. In this paper, we established a database for accurate measurement, storage, management and analysis of patients' data, in order to help determine the best treatment plan. METHODS: First of all, the diagnosis and treatment database was established based on XNAT, including 339 cases of condylar fractures and their related information. Then image segmentation, registration and three-dimensional (3D) measurement were used to measure and analyze the condyle shapes...
2018: PloS One
https://www.readbyqxmd.com/read/29428375/use-of-ultrasound-activated-resorbable-sheets-and-pins-in-the-management-of-fractures-of-the-condylar-neck-of-the-mandible-a-case-series
#6
N M H McLeod, D Van Gijn
The need to treat fractures of the mandibular condyle remains controversial, but when the decision to operate has been made, then multiple forms of fixation are advocated. Traditionally, metal plates and screws have been used, but this is thought to have several disadvantages, particularly in the growing skeleton. Resorbable fixation for maxillofacial fractures has not gained widespread acceptance because of technical difficulties with the materials and concern about inflammatory reactions during their resorption...
February 7, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29424158/-intramedullary-nailing-combined-with-cannulated-screw-in-treating-femoral-condyles-fractures
#7
Guo-Qing Shen, Hao Zhang, Da-Fu Long, Zheng-Wen Li, Ying-Dong Tan
OBJECTIVE: To observe the clinical effects of retrograde intramedullary nailing and cannulated screws in the treatment of femoral condylar fracture. METHODS: From June 2009 to June 2015, 13 patients with femoral condyles fracture were treated by retrograde intramedullary nailing and cannulated screws including 6 males and 7 females with an average age of 46.1 years old ranging from 16 to 76 years old. There were 10 cases of closed fractures, 3 cases of open fraetures...
July 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29417774/-risk-factors-of-cubitus-varus-in-humeral-condylar-fracture-after-conservative-treatment-in-child
#8
Jian-Min Lyu, Chuan-Fu Lin, Li-Qin Lan
OBJECTIVE: To further investigate the risk factors of cubitus varus in humeral condylar fracture after conservative treatment in children through Logistic regression analysis, so as to guide the clinical treatment. METHODS: Children with humeral condylar fracture who were treated by manipulative reduction and plaster fixation in our hospital from March 2008 to December 2014 were studied. The clinical data including age, gender, BMI, time from injury to reduction, direction of displacement, rotation displacement, fixed position, and epiphyseal injury were collected...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29407860/biomechanical-evaluation-of-pyrocarbon-proximal-interphalangeal-joint-arthroplasty-an-in-vitro-analysis
#9
A Completo, A Nascimento, A F Girão, F Fonseca
BACKGROUND: Pyrocarbon proximal interphalangeal joint arthroplasty provided patients with excellent pain relief and joint motion, however, overall implant complications have been very variable, with some good outcomes at short-medium-term follow-up and some bad outcomes at longer-term follow-up. Implant loosening with migration, dislocation and implant fracture were the main reported clinical complications. The aim of the present work was to test the hypothesis that the magnitude proximal interphalangeal joint cyclic loads in daily hand functions generates stress-strain behaviour which may be associated with a risk of pyrocarbon component loosening in the long-term...
January 23, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29403243/outcome-of-conservatively-treated-occipital-condylar-fractures-a-retrospective-study
#10
Olof Byström, Torben S Jensen, Frantz R Poulsen
Introduction: Occipital condyle fracture (OCF) is rare. It may, however, pose a serious threat to the patient due to destabilization of the craniocervical junction. Correct diagnosis and effective treatment are essential to prevent long-term complications. The aim of this study was to retrospectively investigate our current treatment program with focus on the functional outcome. Diagnosis and classification systems were evaluated for their usefulness in the clinical practice. Materials and Methods: We retrospectively reviewed all patients treated conservatively for an occipital condylar fracture from 2010 to 2015 at our department...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29395454/outcomes-of-treatment-for-intracapsular-fractures-of-the-mandibular-condyle-recommendation-for-a-new-classification
#11
B B Ying, Q Q Zhang, S S Zhu, Y F Li
We know of no universally accepted classification for intracapsular condylar fractures. We propose here a new classification based on the concept of a "disc-condyle" unit, and validate the classification based on outcomes of treatment. From 1 January 2010 - 31 December 2014, 55 patients with unilateral intracapsular condylar fractures were classified into three types: type A has no reduction in mandibular height or displacement of the disc (n=7); type B has displacement of the disc with no reduction in mandibular height (n=17); and type C has reduced mandibular height with or without displacement of the disc (n=31)...
February 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29392384/comparative-study-of-lateral-condyle-fracture-with-or-without-posteromedial-elbow-dislocation-in-children
#12
Xia Lan, Min Dai, Bin Zhang, Gendong Huang
PURPOSE: The purpose of this study was to compare the surgical findings and clinical outcomes of the lateral condylar fractures of the humerus with or without posteromedial elbow dislocation in children. METHODS: Between January 2013 and June 2016, a total of 21 Milch type II humeral condylar fractures were treated with open reduction and internal fixation. The average follow-up was 2.8 years (range, 1 to 4 years). There were 8 patients in group A with posteromedial elbow dislocation and 13 patients in group B without dislocation...
February 1, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29389753/2017-chitranjan-s-ranawat-award-does-computer-navigation-in-knee-arthroplasty-improve-functional-outcomes-in-young-patients-a-randomized-study
#13
Young-Hoo Kim, Jang-Won Park, Jun-Shik Kim
BACKGROUND: Proponents of computer-assisted TKA suggest that better alignment of the TKAs will lead to improved long-term patient functional outcome and survivorship of the implants. However, there is little evidence about whether the improved position and alignment of the knee components obtained using computer navigation improve patient function and the longevity of the TKA. QUESTIONS/PURPOSES: The purpose of this study was to determine whether (1) clinical results; (2) radiographic and CT scan results; and (3) the survival rate of TKA components would be better in patients having computer-assisted TKA than results of patients having TKA without computer-assisted TKA...
January 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29383004/screw-and-wire-technique-for-condylar-fracture-reduction
#14
Santhosh Rao, Sruthi Rao, Pinky Lalwani
In case of displaced condylar fractures, ideal reduction during open reduction and internal fixation poses a challenge to the surgeon. This article describes a simple technique to aid reduction with the use of a screw and wire during open treatment.
March 2018: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29381638/unilateral-isolated-hypoglossal-nerve-palsy-caused-by-gunshot-injury
#15
Bulent Ozdemir, Ayhan Kanat, Sule Batcik, Osman Ersagun Batcik, Metin Celiker, Kamil Kayayurt
Cranial nerve palsies after gunshot injury are not uncommon. However, in the literature, only 1 patient with isolated hypoglossal nerve paralysis caused by gunshot has been published. The authors describe a 34-year-old man suffering from unilateral isolated hypoglossal nerve palsy caused by gunshot injury as a second reported patient. The bullet entered maxillary sinus, and caused condylar fracture, then ended up C1-2 interspace. The bullet was surgically removed by a posterior approach. It is important to pay attention to hypoglossal nerve injury when confronted with a gunshot wound...
January 19, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29369894/is-the-appropriate-use-criteria-for-type-ii-supracondylar-humerus-fractures-really-appropriate
#16
Mauricio Silva, Erin M Delfosse, Howard Park, Hemali Panchal, Edward Ebramzadeh
INTRODUCTION: The Appropriate Use Criteria for the treatment of supracondylar humerus fractures (SCHFs), developed by American Academy of Orthopaedic Surgeons, recommends pinning for all type II SCHFs. However, previous studies have suggested that, with close follow-up some of the less severe type II SCHF's can be successfully treated without surgery. Our purpose was to analyze data collected prospectively on a large cohort of type II SCHF's. METHODS: We reviewed clinical and radiographic information on all type II pediatric SCHF (n=1120) that were enrolled in a prospective registry and were followed for a minimum of 8 weeks...
January 24, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29363519/increased-sclerostin-associated-with-stress-fracture-of-the-third-metacarpal-bone-in-the-thoroughbred-racehorse
#17
N Hopper, E Singer, F Henson
OBJECTIVES: The exact aetiology and pathogenesis of microdamage-induced long bone fractures remain unknown. These fractures are likely to be the result of inadequate bone remodelling in response to damage. This study aims to identify an association of osteocyte apoptosis, the presence of osteocytic osteolysis, and any alterations in sclerostin expression with a fracture of the third metacarpal (Mc-III) bone of Thoroughbred racehorses. METHODS: A total of 30 Mc-III bones were obtained; ten bones were fractured during racing, ten were from the contralateral limb, and ten were from control horses...
January 2018: Bone & Joint Research
https://www.readbyqxmd.com/read/29360456/do-open-reduction-and-internal-fixation-with-articular-disc-anatomical-reduction-and-rigid-anchorage-manifest-a-promising-prospect-in-the-treatment-of-intracapsular-fractures
#18
Bo-Lei Cai, Rong Ren, Hong-Bo Yu, Peng-Chao Liu, Steve G F Shen, Jun Shi
PURPOSE: In response to the increased attention to soft tissue reduction in the treatment of intracapsular condylar fractures (ICFs), a modified open reduction technique is proposed and its functional and radiographic outcomes were evaluated in this study. PATIENTS AND METHODS: This is a retrospective case series study of patients with all ICF types that were treated with open reduction and internal fixation (ORIF) with articular disc anatomic reduction and rigid anchorage...
December 28, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29360455/comparative-evaluation-of-clinical-outcomes-using-delta-plates-and-conventional-miniplates-for-internal-fixation-of-mandibular-condylar-fractures-in-adults
#19
Suraj Arjun Ahuja, Jyotsna Galinde, Usha Asnani, Yusuf A Mistry
PURPOSE: In recent years numerous osteosynthesis devices have become available for the management of condylar fractures. The aim of this study was to compare and evaluate the clinical outcomes of delta plates and conventional miniplates for internal fixation of mandibular condylar fractures in adults. MATERIALS AND METHODS: We performed a prospective study of 20 patients with subcondylar fractures requiring open reduction and internal fixation for their management...
December 30, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29356798/staged-prone-supine-fixation-of-high-energy-multicolumnar-tibial-plateau-fractures-a-multicenter-analysis
#20
Elliot R Row, Stephen Kottmeier, David E Komatsu, John T Watson, Clifford Jones
PURPOSE: We present a surgical strategy to manage multicolumnar tibial plateau fracture variants by addressing the predominant posterior fragment employing a Lobenhoffer approach in the prone position followed by supine patient repositioning for anterolateral column access. DESIGN: Multicenter retrospective analysis. SETTING: Three academic Level 1 trauma centers. PATIENTS/METHODS: Twenty-eight cases (28 patients/28 knees) met inclusion criteria between 2003 and 2014...
January 5, 2018: Journal of Orthopaedic Trauma
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