Journal of orthopaedic trauma
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To report results of sacral decompression and lumbopelvic fixation in neurologically impaired patients with highly displaced, comminuted sacral fracture-dislocations resulting in spino-pelvic dissociation. ⋯ Lumbopelvic fixation provided reliable fracture stability and allowed consistent fracture union without loss of alignment. Neurological outcome was, in part, influenced by completeness of injury and presence of sacral root disruption.
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The elbow joint is vulnerable to stiffness, especially after trauma. The aim of this study was to evaluate the results of open arthrolysis for posttraumatic elbow stiffness. ⋯ Open elbow arthrolysis for patients with posttraumatic stiffness improves joint function and provides patient satisfaction. The best results, in terms of gain of motion and patient satisfaction, were obtained in patients with severe stiffness who had operations within the first year after initial trauma.
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This report describes a technique for removal of a broken interlocking intramedullary nail with a small diameter and narrow hollow using a modified smooth guide wire.
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The purpose of this study was to evaluate the clinical safety and efficacy of using S2 iliosacral screws for pelvic fracture fixation. ⋯ S2 iliosacral screw fixation is a safe and effective technique. However, it should be used with caution in patients with suspected pelvic osteopenia. Furthermore, any S2 screw with questionable purchase should be removed and an alternative fixation method selected.