Archives of orthopaedic and trauma surgery
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We present an assessment of 200 patellar fractures treated mostly (175) by partial patellectomy. In 23 cases in which the quadriceps mechanism was 75% intact (MRC power approximately 4), the fractures were treated conservatively, with an overall acceptable result. The operative series with an average follow-up of 3 years has shown 80.3% excellent to good results. A classification of fractures of the patella, based on the anatomical fracture line and quadriceps functional loss as recorded in 690 case histories, is suggested.
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Arch Orthop Trauma Surg · Jan 1991
Case ReportsSports-related two-plane fractures of the distal tibia. Report of two cases.
Two cases of sports-related two-plane fractures of the distal tibia, their operative treatment and the result of therapy after hardware removal are reported. The incidence and mechanism of this type of fracture in adolescents are shown as well as the indication for surgical reconstruction depending on the gap in the joint surface of the distal tibia.
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An isolated fracture of the first rib is rare. Stress fractures of the first rib have previously been reported in various sports and the mechanism of fractures of the first rib has been well documented. ⋯ No reported case of stress fracture of the first rib in a weightlifter has hitherto been available. This paper describes such a case for the first time.
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A prospective study of repair of longitudinal, peripheral, and posterior horn meniscus tears was carried out in 50 patients. The mean length of follow-up was 5 year. Forty-eight of the patients were symptom-free and post-repair arthroscopic examination confirmed that the repaired menisci have healed satisfactorily. The rationale and technique for surgical repair of the meniscus of the knee are presented.
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Arch Orthop Trauma Surg · Jan 1991
Further experiences of Küntscher's nailing for tibial shaft fractures.
We present the experience of managing 429 fractures of the tibia fixed with straight Küntscher rods. The overall impression is quite encouraging because this method involves a short and easy operation with limited exposure and provides sound fixation. Complications have been negligible.