Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Oct 2005
Comparative StudyOutcome after surgery of distal radius fractures: no differences between external fixation and ORIF.
The purpose of this study was to determine the most appropriate surgical treatment from three procedures used for fractures of the distal radius. In a retrospective comparative study, 166 out of 237 patients who underwent surgery for AO/ASIF A3 or C2 distal radius fractures were evaluated. Surgical procedures were external fixation or open reduction and internal fixation with either palmar or dorsal plates. ⋯ However, most of the differences between groups were not significant. Although there were no significant differences between groups, our data indicates that most dorsally displaced distal radius fractures can be treated successfully by open reduction and internal fixation. Palmar plate fixation seems to have slight advantages compared to both the external fixation and dorsal plate fixation surgical procedure.
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Arch Orthop Trauma Surg · Oct 2005
Case ReportsAre bone bruises a possible cause of osteochondritis dissecans of the capitellum? A case report and review of the literature.
A 17-year old soccer-player sustained a fracture and dislocation of the ulnar epicondyle combined with a bone bruises at the radial head and the capitellum. An open reduction and internal fixation was performed using two K-wires. Initial recovery was uneventful. ⋯ Treatment was continued conservatively with physiotherapy but avoiding aggressive mobilisation. On final review 6 months later he was able to move painfree with residual limitation of movement (ROM 0-5-130 degrees). Another MRI taken now was assessed as normal.
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Arch Orthop Trauma Surg · Oct 2005
Case ReportsBimalleolar ankle fracture with proximal fibular fracture.
A 56-year-old female patient suffered a bimalleolar ankle fracture with an additional proximal fibular fracture. This is an unusual fracture type, seldom reported in literature. It was operatively treated by open reduction and internal fixation of the lateral malleolar fracture. ⋯ By reviewing this unusual case, it becomes clear that thorough examination of a trauma patient is very important. Secondary survey might be useful, since additional findings might appear. Treatment just using AO basic principles, will likely result in a satisfactory patient outcome.
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Arch Orthop Trauma Surg · Sep 2005
Clinical characteristics of pelvic fracture patients with gluteal necrosis resulting from transcatheter arterial embolization.
Transcatheter arterial embolization (TAE) can cause gluteal skin and muscle necrosis. However, the ultimate and typical signs of gluteal necrosis resulting from TAE have not yet thoroughly been investigated. ⋯ In every patient with gluteal necrosis associated with pelvic fracture following TAE, initial traumatic contusion cannot be ruled out as contributing to the development of the necrosis. However, for patients who undergo TAE of the bilateral internal iliac artery and who show clear-border LDAs on CT, skin necrosis centered on the buttock, and the delayed appearance of a skin lesion, careful attention must be given in the event of an arterial obstruction due to TAE.
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We report on a 65-year-old male patient with rapid onset of incomplete paraparesis, based on a massive thoracic herniation following adjacent instability of the thoracolumbar spine after lumbar fusions with transpedicular instrumentation.