Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Apr 2009
The Effects of Hook Plates on the Subacromial Space. A Clinical and MRI Study.
The disruption of the acromioclavicular joint is a relatively common injury of the shoulder girdle, often occurring in young athletes. The therapy of third degree injuries (Tossy III or Rockwood III-VI) is still controversial, and several operative techniques are practiced. In a retrospective study, 28 (= 72%) of the total number of 39 cases with a Tossy III disruption operated in our hospital between January 1998 until December 2002 with a hook plate according to Dreithaler were followed up. ⋯ Age related degenerative changes were seen in 46%, however, the accentuation of the operated side was only 14%. In MRI there was no case of a complete rotator cuff tear. Corresponding to the sonographic examination increased numbers of exostoses, heterotopic ossifications, and arthrosis of the AC-joint were observed.
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Eur J Trauma Emerg S · Apr 2009
Insufficient Evidence for Routine Use of Thromboprophylaxis in Ambulatory Patients with an Isolated Lower Leg Injury Requiring Immobilization: Results of a Meta-Analysis.
There are no generally accepted guidelines for the prevention of venous thromboembolism (VTE) in ambulatory patients requiring immobilization after an isolated lower leg injury. Our objective was to evaluate the effectiveness and safety of pharmacological interventions for preventing VTE in these patients. ⋯ There is insufficient evidence to warrant routine use of thromboprophylaxis in ambulatory patients with below-knee or lower leg immobilization after an isolated lower leg injury. The incidence of symptomatic VTE is too low to show a relevant clinical benefit from thromboprophylaxis.
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Traumatic allogenic bone implantation is becoming increasingly common in the setting of road trauma and suicide bombings. We present a unique case where a large bony fragment from one individual became embedded in the arm of another person following a "head-on" collision involving two motorbikes. Several management issues are outlined.
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We studied 20 fractures of the neck of femur in 19 patients under the age of 16 years that were treated in the period from 1998 to 2004. There were nine boys and ten girls with an average age of 11 years. There was one case of Delbet type I (transepiphyseal separation). ⋯ Avascular necrosis occurred in nine cases (45%). Other complications included coxa vara in two, nonunion in two, postoperative infection in one, and refracture in one. The amount of displacement of the fracture and the quality of reduction and fixation influenced the occurrence of complications such as avascular necrosis and nonunion.
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Eur J Trauma Emerg S · Apr 2009
Distal Tibial Fracture Fixation with Locking Compression Plate (LCP) Using the Minimally Invasive Percutaneous Osteosynthesis (MIPO) Technique.
Treatment of distal tibial fractures has always been a challenge. Distal tibia is more superficial, with less soft tissue coverage and blood supply. Therefore, operative treatment can lead to complications. We aim to see the results of the distal tibial fracture fixation with LCP using MIPO. ⋯ The MIPO technique for distal tibia has shown good results with many additional advantages over the conventional methods. Early mobilization without risk of secondary displacement helps to prevent stiffness and contracture.