How to ease the fixation of carpal bones? Twenty-four lesions treated by 1,5 mm headless compression screws.

Background: Carpal bone lesions are common, even in acute injuries or as sequalae of missed fractures. If not correctly diagnosed and treated, can lead to loss of function, especially in active patients. The surgical management remain difficult particularly in case of small, atypical or non-unions fragments.

Healing of Diabetic Neuroischemic Foot Wounds With vs Without Wound-Targeted Revascularization: Preliminary Observations From an 8-Year Prospective Dual-Center Registry.

To assess the clinical efficacy of endovascular angiosome-oriented wound-targeted revascularization (WTR) vs indirect (wound-indifferent) revascularization (IR) in diabetic patients with neuroischemic foot ulcers. Between April 2009 and July 2017, 167 diabetic patients (mean age 72.8 years; 137 men) with chronic limb-threatening ischemia (Rutherford category 5) and foot wounds (Wagner 2-4) in 194 limbs were prospectively registered and scheduled for primary infragenicular endovascular treatment.

[Fixation of fractures of the distal radius using the "nail-plate"].

Objective: Stable fixation of unstable distal radius fractures by means of a "nail-plate" with the distal plate section lying on the dorsal surface of the distal radius fragment, and the proximal nail section inside the diaphysis of the radius.

Indications: Unstable extraarticular fractures of the distal radius AO types A2 and A3, which can be managed by closed or indirect reduction. Intraarticular fractures of the distal radius showing a nondisplaced articular component.

[Post-acute management of fractures of the proximal interphalangeal joint with metal prosthesis: first experience].

Aim: The purpose of this report is to present our management strategy for fractures of the proximal interphalangeal joint by means of a metal prosthesis via a dorsomedial approach and to discuss our clinical and radiological results.

Patients And Methods: Two patients with complex crush injuries and fractures of the proximal interphalangeal joints who were treated surgically in the years 2004 and 2005 were examined again at an average of 13 months postoperatively. Management was standardised, first in the emergency room with wound cleaning and temporary osteosynthesis.

Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate.

Objectives: The increasing number of fixed-angle plate systems used to treat distal radius fractures carries with it the problem of determining the optimal fixation for unstable fractures. Our goal was to analyze the clinical and radiological outcomes of patients with displaced, unstable distal radius fractures treated with a palmar fixed-angle plate.

Design: Prospective protocol; multicenter clinical study; retrospective analysis.