Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Aug 2008
Distal forearm fracture in the adult: is ORIF of the radius and closed reduction of the ulna a treatment option in distal forearm fracture?
Distal forearm fractures in younger adults are rare injuries resulting from high energy trauma. Treatment options vary from cast fixation, external fixator, percutaneus pinning and open reduction and internal fixation. ⋯ Open reduction and internal fixation of the radius is the keystone in treating distal forearm fracture. In case of stable retention of the ulnar head after closed reduction, cast fixation with or without percutaneus pin fixation is a sufficient method to treat unstable distal forearm fractures. In patients with remaining instability of the distal ulna fracture, ORIF is indicated.
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Arch Orthop Trauma Surg · Aug 2008
Acetabular revision arthroplasty using jumbo cups: an experience in Asia.
Variable degrees of bony deficiencies often complicate revisional arthrolasties of acetabular components and represent challenges to orthopedic surgeons. Many solutions exist and cementless jumbo cup reconstruction had been proven to be a feasible and successful method. Our study aimed to access the results of these cementless giant cups for managing acetabular bony defect at one institute. ⋯ With the aid of novel implant-coating technique and materials, jumbo cup reconstruction can achieve stability and longevity through an adequate peripheral ring-contact, regardless of inadequate implant to host bone contact. We believe that this is a reliable and easily performed reconstruction for acetabular defect.
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Arch Orthop Trauma Surg · Jul 2008
Comparative StudySagittal plane analysis of the open and closed methods in children with displaced supracondylar fractures of the humerus (a radiological study).
The aim of this study was to compare the radiological outcome of open and close reduction and osteosynthesis methods in the treatment of type II and III supracondylar humerus fractures in childhood with respect to the immediate post-operative reduction quality in sagittal plane. ⋯ It is concluded that there was no significant difference between closed and open reductions of pediatric displaced supracondylar fractures with regard to the radiological criteria of reduction quality in sagittal plane.
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Arch Orthop Trauma Surg · Jul 2008
Case ReportsChildhood nonunion of ulna presenting with wrist deformity in an adult: a case report.
We describe an adult patient with traumatic, nonunion of ulna sustained at 11 years of age who presented with wrist deformity. The possible pathogenesis, differential diagnoses and its successful management are described. A 23-year- old right hand dominant male presented with a progressive wrist deformity of his right upper limb. ⋯ He had returned to preoperative activity level. Though nonunion is rare in pediatric forearm fractures, asymmetric bone and soft tissue growth can lead to deformities even in the absence of physeal injury. In addition to the standard treatment of nonunion, maintenance of the relative lengths of radius and ulna is essential, to obtain optimum function.
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Arch Orthop Trauma Surg · Jul 2008
Outcome after open reduction and angular stable internal fixation for supra-intercondylar fractures of the distal humerus: preliminary results with the LCP distal humerus system.
Fractures of the distal humerus are complex injuries that can be effectively treated with open reduction and internal fixation (ORIF). The new LCP distal humerus system allows angular stable fixation of these complex fractures with anatomically preshaped plates. The aim of the study was to evaluate operative reposition, fracture healing, and pain, function and patient satisfaction after open reduction with an angular stable fixation. ⋯ Treatment of supra-intercondylar fractures of the distal humerus is challenging. Anatomically preshaped angular stable implants facilitate operative reduction and stabilization of the fracture and may allow early postoperative rehabilitation. Clinical and radiological results are promising, with good range of motion and flexion and extension force.