Eur J Trauma Emerg S
-
Eur J Trauma Emerg S · Dec 2010
The Volkmann dogma: a retrospective, long-term, single-center study.
There has been (and still is) some controversy about the treatment of malleolar fractures with an additional fracture of the posterior malleolus (Volkmann triangle) in the last few years. Should a posterior malleolus with a fragment that is larger than 25% of the articular surface be fixed? Can long-term results be influenced by the fixation of the Volkmann triangle? ⋯ In conclusion, the presence of a Volkmann triangle impairs prognosis; fixation, even with anatomic results, does not return the score to "normal." Cartilage damage seems to play a crucial role in the long-term outcome.
-
Eur J Trauma Emerg S · Dec 2010
Proximal humerus fracture with a pink, pulseless arm in a teenage boy and literature review.
Proximal humeral fractures associated with vascular compromise are extremely rare in children. We describe the presentation, diagnosis and management of one such injury in a child.
-
Ankle fractures continue to be a common injury. They involve various mechanisms of injury and produce, when treated correctly, fairly good results. ⋯ The principles of the operative treatment of these fractures are discussed in this paper, illuminating the surgical technique and biomechanics of lateral, medial and posterior malleolar fractures. Even though there have been no fundamental changes in the treatment of these fractures in the last several years, new implants such as angular-stable plates and new surgical techniques such as the minimally invasive plate osteosynthesis (MIPO) technique help to treat these fractures more individually, depending on the type of fracture, quality of bone and soft tissue conditions.
-
Eur J Trauma Emerg S · Dec 2010
Treatment of ankle osteoarthritis: arthrodesis versus total ankle replacement.
While ankle arthrodesis has remained the gold standard treatment for symptomatic primary, secondary, and posttraumatic ankle arthritis, more recently, total ankle replacement (TAR) has seen considerable improvement in terms of biomechanics, function, and complication rates. However, while in the long-term degeneration of the adjacent joints is almost always found on radiographs after ankle arthrodesis, the longevity of TAR is still insufficient and does not match that of total knee and hip joints. The current review article focuses on the treatment of ankle arthritis by means of arthrodesis and TAR.
-
Eur J Trauma Emerg S · Dec 2010
Stabilisation of the elbow in cases of severe disruption of the lateral collateral complex.
Rupture of the lateral collateral ligamentous complex of the elbow is a serious injury. If direct repair of the ligamentous complex is not possible, then an alternative method must be found to stabilise the elbow. ⋯ This technique is a viable alternative to hinged external fixation in patients with severe lateral instability of the elbow joint.