Orthop Traumatol Sur
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Orthop Traumatol Sur · Sep 2009
Case ReportsSuperficial femoral artery injury resulting from intertrochanteric hip fracture fixation by a locked intramedullary nail.
Iatrogenic vascular injuries are uncommon during the course of proximal femur surgical procedures. We report the case of an 85-year-old female presenting with an intertrochanteric fracture, treated by anterograde (cephalocondylic) intramedullary nailing (Stryker gamma 3 nail) and complicated by a superficial femoral artery laceration at the level of the distal locking screw. Lower limb traction in adduction and internal rotation on the operating table might put at risk the superficial femoral artery during distal screw drilling and insertion. We therefore recommend returning to the neutral position and reducing lower extremity traction after femoral head screw placing and before final distal screw insertion. This technical precaution should limit the risk of superficial femoral artery injury associated with short-nail anterograde intramedullary nailing. ⋯ Level IV retrospective.
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Orthop Traumatol Sur · Sep 2009
Acute elbow dislocation with arterial rupture. Analysis of nine cases.
Elbow dislocations are the most frequently encountered dislocations after shoulder dislocations. In their vast majority these injuries involve only the joint and carry a good prognosis. Close anatomic proximity to the joint of neurovascular structures put them at risk of concomitant injury but this occurrence remains, actually very rare. The objective of this study is to retrospectively analyze the results of nine cases of elbow dislocations with brachial artery complications and to propose coherent therapeutic guidelines derived from this experience. ⋯ Level IV. Therapeutic retrospective study.
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Orthop Traumatol Sur · Sep 2009
Severe thoracolumbar osteoporotic burst fractures: treatment combining open kyphoplasty and short-segment fixation.
The majority of osteoporotic, spinal cord compressive, vertebral fractures occurs at the thoracolumbar junction level. When responsible for neurological impairment, these rare lesions require a decompression procedure. We present the results of a new option to treat these lesions: an open balloon kyphoplasty associated with a short-segment posterior internal fixation. ⋯ Level IV. Therapeutic prospective study.