Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1987
Case ReportsIntraarticular calcaneal fractures in children. Report of two cases and a survey of the literature.
Calcaneal fractures in young children are seen very infrequently. Intraarticular calcaneal fractures in children under the age of ten years make up 8-39% of the calcaneal fractures in that age group, and most often non or only a slight displacement is seen. ⋯ Generally the treatment is conservative and the prognosis very good. Two cases of severely displaced intraarticular calcaneal fractures in children aged six and ten years are presented together with a survey of the literature.
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Arch Orthop Trauma Surg · Jan 1987
Comparative StudyComminuted Colles' fractures treated with external fixation.
In a prospective series of 75 patients the results of early external fixation of comminuted intraarticular Colles' fractures were studied. Comparison was made to a control group of 32 patients treated with plaster cast fixation. The groups were equal with regard to age, sex and fracture type. ⋯ In all follow up variables the treatment group was significantly better than the control group. The prognosis of conservatively treated comminuted intraarticular Colles' fractures is poor. The results of after external fixation are, however, very encouraging and the method can be recommended.
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Arch Orthop Trauma Surg · Jan 1986
Acromioclavicular dislocations treated by coracoacromial ligament transfer.
Forty-seven patients with acute Allman type-III acromioclavicular dislocations were treated with open reduction and coracoacromial ligament transfer. At follow-up 1.6-10 years (mean 6) post-operatively 44 patients (94%) had excellent or good functional results. ⋯ Two of the three patients with subluxation in the acromioclavicular joint at follow-up had unsatisfactory results. Complications were infrequent and cosmetic results satisfactory.
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Arch Orthop Trauma Surg · Jan 1986
Case ReportsRecurrent traumatic dislocation of the hip in a child: significance of early hip arthrography.
The authors describe a case of a recurrent posterior traumatic dislocation of the hip in a child in whom early arthrography demonstrated a large defect of the posterior capsule. The authors emphasize the necessity of prolonged immobilization and long-term follow-up. The operation of the patient was performed on the 7th day after the third recurrence of the dislocation. Revision and suture of the capsular defect from Gibson's approach were done.
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Fracture of the tibial tuberosity is an uncommon injury and rarely occurs after closure of the proximal tibial epiphysis. Three cases of tibial tuberosity fracture over a period of 11 years were treated by open reduction, internal fixation, and immobilization for 6 weeks in plaster of Paris (1970-1980). The postoperative follow-up times were 5, 6, and 7 years. ⋯ Two patients had secondary posttraumatic patella infera without any symptoms. All patients returned to normal activity. The results demonstrated that this injury in the adolescent knee heals without deformity of functional loss when adequate reduction and fixation of the fracture fragments have been achieved.