Journal of orthopaedic trauma
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We describe a technique for the use of modified Ilizarov olive wires to stabilize bone fragments or segments or to act as a "motor" to move individual bone fragments. This technique was used in twelve patients with severe articular or comminuted open fractures referred to the unit for reconstruction with the Ilizarov frame. ⋯ In these cases the articular fragments were reduced and stabilized until union. The modified pushing olive wire is a valuable adjunct to the Ilizarov frame.
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The successful treatment of a very rare case of multiple carpal bone fractures in a child is described. Fractures of the scaphoid, the capitate, and the hamate were treated with wire fixation, leading to good clinical results twenty-nine months after surgery.
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To evaluate the neurovascular structures at risk with the placement of anterior-posterior locking screws in the proximal femur. ⋯ Risks to the neurovascular structures during anterior-posterior locking in the proximal femur are diminished if locking is performed above the level of the lesser trochanter.