Orthop Traumatol Sur
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Orthop Traumatol Sur · Oct 2010
Distal quarter leg fractures fixation: The intramedullary nailing alone option.
Intramedullary (IM) nailing is the classical treatment for diaphyseal fractures of the tibia. Stabilizing fractures of the distal quarter is recognized as being delicate. We report a continuous, multicenter prospective study of distal tibia-fibula fractures treated with anterograde intramedullary nailing. ⋯ Level IV; cohort type prospective study.
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Orthop Traumatol Sur · Oct 2010
Case ReportsAcute disassembly of a bipolar radial head arthroplasty.
The GUEPAR(®) implant is a metallic bipolar radial head prosthesis designed to treat comminuted radial head fractures when anatomic realignment of the articular surface of the radiocapitellar joint is not possible. We report herein the rare case of an acute complete disassembly of this implant, discuss the reason for this occurrence and review the literature. In the presented case, the complete removal of the prosthesis provided a satisfactory outcome with an excellent Mayo Elbow Performance Score at 12months follow-up.
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Orthop Traumatol Sur · Sep 2010
Two-stage reconstruction of post-traumatic segmental tibia bone loss with nailing.
Treatment of lower extremity segmental bone loss is difficult. Masquelet et al. proposed a two-stage technique: first, debridement and filling of bone loss with an acrylic spacer; second, bone reconstruction by filling with cancellous bone in the space left free (following cement removal) inside the so-called self-induced periosteal membrane. In the originally described technique, the fracture site is stabilized by an external fixator, which remains in place throughout the bone healing process, i.e., often longer than 9 months with all the known disadvantages of this type of assembly. Following the principle of two-stage reconstruction, we modified the technique by reconstructing around an intramedullary-locking nail placed in the first stage. ⋯ Level IV. Retrospective study.
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Orthop Traumatol Sur · Sep 2010
Comparative StudyFifth metacarpal neck fracture fixation: Locking plate versus K-wire?
Neck fractures of the fifth metacarpal bone can leave sequelae. Surgery is indicated when the displacement of the head in flexion exceeds 45° and/or rotation is impaired. Among available techniques, non-locking mini-plates have the most drawbacks; recently developed locking plates may, however, challenge the preference for K-wires. ⋯ Level IV continuous prospective comparative study.