Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsTraumatic forearm amputation with avulsions of the ulnar and median nerves from the brachial plexus.
A case of a traumatic forearm amputation and associated complete avulsions of the ulnar and median nerves from the brachial plexus due to a crush-traction injury of the distal part of the right forearm is reported. The patient also suffered a traumatic head injury. The injury of the upper limb and the general condition of the patient were so serious that an amputation at the 1/3 middle part of the forearm had to be performed.
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We present a case of a Galeazzi-type of fracture dislocation with an irreducible distal radioulnar joint. This is illustrated by intraoperative pictures which may assist others who find themselves faced with this injury.
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Arch Orthop Trauma Surg · Jan 1998
The retrograde intramedullary supracondylar nail: an alternative in the treatment of distal femoral fractures in the elderly?
To find out whether retrograde nailing of distal femoral fractures is beneficial for the aged patient, we performed a prospective study of consecutive patients 65 years or older with distal femoral fracture treated with a retrograde femoral nail between 1 March 1993 and 30 April 1996 in our department. In total, 26 patients with unilateral distal femoral fractures had been treated in our department, and 24 patients had been followed up for more than 12 months. All fractures had healed. ⋯ Even in our aged patients good functional results could be obtained. Poor hold of the distal interlocking screws and difficult proximal locking are the two major technical problems encountered with this implant. Early weight-bearing is not advisable.
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Arch Orthop Trauma Surg · Jan 1998
Comparative StudyGraded exchange reaming and nailing of non-unions. Strength and mineralisation in rat femoral bone.
The effect of graded exchange reaming and intramedullary nailing on a non-union model in the rat femur was studied by clinical, radiological, bone mineralisation and biomechanical methods. A standardised procedure was first developed to create a non-union that did not heal and in which non-union developed consistently. In 30 male Wistar rats a standardised osteotomy was produced in the left femur diaphysis. ⋯ In the intervention groups radiographs showed various degrees of union. Mechanical testing showed that the fracture energy was significantly higher in group 2.0 than in group 1.6. The finding that extensive exchange reaming and nailing seems favourable in non-unions of diaphyseal fractures compared with modest reaming may have clinical implications.
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Arch Orthop Trauma Surg · Jan 1998
Case ReportsExtraskeletal Ewing's sarcoma mimicking traumatic hematoma.
We describe the clinical course of a 16-year-old baseball player with a history of recurrent hematoma of the thigh. The lesion was aspirated percutaneously several times and curetted under the diagnosis of traumatic hematoma. ⋯ He died of multiple metastases. With recurrent hematoma in the soft tissue, neoplastic lesions should be ruled out.