Journal of orthopaedic surgery (Hong Kong)
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To review 9 cases of mechanical failure of the volar locking plate for distal radial fractures. ⋯ Although mechanical failure of volar locking plate is uncommon, some are potentially preventable.
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J Orthop Surg (Hong Kong) · Dec 2013
Plating, nailing, external fixation, and fibular strut grafting for non-union of humeral shaft fractures.
To compare various treatment modalities (plating, Ilizarov external fixation, and non-vascular fibular cortical strut grafting) for non-union of humeral shaft fractures. ⋯ Compression plating achieved the best results. An external fixator may be used temporarily for infected non-unions. Fibular strut grafting may be used when non-unions warrant additional stability.
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J Orthop Surg (Hong Kong) · Dec 2013
Case ReportsEpidural and intradural cement leakage following percutaneous vertebroplasty: a case report.
A 48-year-old woman presented with severe bilateral leg pain, urinary incontinence, and paraparesis following vertebroplasty in another hospital 15 days earlier. Computed tomography and magnetic resonance imaging showed blocks of epidural and intradural cement from T12 to L1 with neurological compression. She underwent corpectomy of L1 and removal of extradural cement, followed by anterior reconstruction with an expandable cage and dual rodscrew construct (Kaneda system). ⋯ Postoperatively, the patient reported immediate pain relief. Her neurological status gradually improved over months. At the 2-year follow-up, the patient was able to walk with support and to perform activities of daily living and had regained her urinary function.