Journal of orthopaedic trauma
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Case Reports
Acute vascular injury associated with fracture of the distal radius: a report of 6 cases.
To highlight the potential for vascular injury with fracture of the distal radius. ⋯ Vascular complications, once thought rare in association with fracture of the distal radius, may be more frequently recognized as volar exposures are increasingly used. Because most single artery injuries in the wrist and forearm are not associated with ischemia, identification of these injuries is unlikely to affect the functional result or outcome. In the unusual patient with a dysvascular hand after distal radius fracture, arterial reconstruction may be necessary.
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Clinical Trial
Posterior fracture dislocation of the ankle: technique and clinical experience using a posteromedial surgical approach.
The purpose of this study is to revisit the posteromedial surgical approach to the ankle and report the clinical outcomes of this technique in a cohort of 17 patients. ⋯ The posteromedial approach offers an effective technique for fracture reduction and buttress plate fixation of large posterior malleolar fragments. Good short- and mid-term clinical results should be expected.
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Uniaxial, first-generation locking plates have become increasingly popular for fixation of supracondylar femur fractures. Polyaxial plates are currently available, which allow for variable-angle screw insertion; however, the biomechanical integrity of these new locking constructs is yet unproven. This study compares the mechanical stability of a conventional locking plate with that of a new polyaxial design. ⋯ The tested plate construct with its polyaxial locking screw mechanism provides a biomechanically sound fixation option for supracondylar femur fractures. The frictional locking mechanism allows maintenance of angular stability while affording the option of variable screw placement.
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Comparative Study
Early and delayed treatment of dorsal transscaphoid perilunate fracture-dislocations.
Transscaphoid perilunate fracture-dislocations are complex injuries. The aim of this study is to discuss and compare open reduction and internal fixation for acute and delayed transscaphoid perilunate fracture-dislocations and review the literature. ⋯ We recommend open reduction and internal fixation for early and delayed transscaphoid perilunate fracture-dislocations.