Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2007
Case ReportsFree functional gracilis muscle transfer for reconstruction of massive ectopic calcification following a lower extremity fracture: a case report and overview of the literature.
We present a patient with massive posttraumatic ectopic calcification in the lower extremity. The patient complained of an increasing tender soft tissue mass with signs of acute inflammation and foot dorsiflexion weakness following a tibial fracture for 34 years. ⋯ The resected material showed highly fibrosed soft tissue with extensive dystrophic calcifications. There were no sign of recurrence at 18-month follow-up.
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Arch Orthop Trauma Surg · Jan 2007
Controlled Clinical TrialFixation of nondisplaced scaphoid fractures: making treatment cost effective. Prospective controlled trial.
Nondisplaced scaphoid waist fractures treated with prolonged plaster immobilisation often lead in transient joint stiffness and to a delay in return to sport and work activity. The long time off work increases the work off compensation costs. Internal fixation of scaphoid fractures has resulted in a shorter time to union and to return to work and sports. This prospective study compares cast immobilisation with screw fixation and the direct cost with indirect cost of conservative and minimally invasive treatment of undisplaced scaphoid fractures. ⋯ Internal screw fixation of nondisplaced scaphoid fractures had a shorter time to bony union and the patients returned earlier to work compared with cast immobilisation. Although it is assumed that operative treatment is more expensive, in this study the cost was not found to be higher.
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Arch Orthop Trauma Surg · Jan 2007
Case ReportsReconstruction of the coronoid process with iliac crest bone graft in complex fracture-dislocation of elbow.
A 36-year-old man sustained posterior dislocation of left elbow joint with olecranon fracture, comminuted coronoid fracture and subluxation of proximal radioulnar joint. We reconstructed the coronoid process with autogenous iliac crest bone graft and reduced the olecranon fracture with internal fixation. In addition, we also repaired the medial collateral ligament, annular ligament and anterior capsule during the operation. ⋯ The radiographic bone union was found 2 months after operation. The range of motion of the elbow was full at 12 months after operation. The latest 2-year follow-up, the functional result of the elbow was excellent.