Eur J Trauma Emerg S
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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.
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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.
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Malunions are fractured bones that have healed in pathological positions. This leads to nonphysiological load transfer. Clinical symptoms at the ankle may include swelling, pain and impaired function. ⋯ Surgical correction may be indicated if the malunion is symptomatic. Different osteotomies have been described, but the goal of surgery will always be the reduction and retention of the subluxed talus in an effort to recreate stable conditions. Eighty percent of patients show good results with significant pain reduction in mid-term follow-up studies. Ankle arthrodesis after corrective osteotomy is rarely necessary.
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A case of femoral neck fracture is reported after electrical shock injury with 300 V direct current in a 41-year old male. He had two small full thickness burns on his left heel, probably the exit wounds. ⋯ Surgeons caring for patients with electrical injury should be aware of the possibility of skeletal injuries. Without vigilance for these injuries, delay in diagnosis may occur.