Minimally invasive reconstruction of acute type IV and Type V acromioclavicular separations.

The goal of this study was to evaluate the midterm radiologic, clinical, and functional results of the early reconstruction of the severe acromioclavicular joint dislocation using the flipptack fixation button technique. Between December 2006 and December 2009, one hundred thirty-five consecutive patients with acromioclavicular joint separations were admitted to the authors' institution. Fifty patients were included in the study.

The results of closed intramedullary nailing for intra-articular distal tibial fractures.

Objectives: To evaluate the long-term radiological, clinical, and functional result of the intramedullary nailing in intra-articular distal tibia fractures.

Design: Retrospective clinical study.

Setting: Level II Trauma Hospital.

The reconstruction of tibial metaphyseal comminution using hybrid frames in severe tibial plafond fractures.

Objectives: To evaluate the treatment alternatives for the management of the metaphyseal tibial comminution in severe plafond fractures, and to investigate the role of the fibula fracture fixation.

Design: Retrospective clinical study.

Setting: Level-2 trauma hospital.

Combination of fine wire fixation and limited internal fixation for high-energy tibial plateau fractures: functional results at minimum 5-year follow-up.

Objectives: To assess knee function and the development of knee arthrosis, at 3 and 5 years postoperatively, in high-energy tibial plateau fractures that were treated with minimal internal fixation augmented by small wire circular frames.

Setting: Level II trauma hospital.

Design: : Retrospective study.

High energy tibial plateau fractures treated with hybrid fixation: is knee bridging necessary?

This article assesses the necessity of knee bridging in high-energy tibial plateau fractures treated with ring or hybrid frames. One hundred twelve tibial plateau fractures were treated with hybrid fixation. Thirty fractures underwent simple tibial fixation and 82 fractures required provisional extension of the femoral fixation.

Treatment of malunion and nonunion at the site of an ankle fusion with the Ilizarov apparatus. Surgical technique.

Background: Malunion and nonunion of an ankle fusion site are associated with pain, osteomyelitis, limblength discrepancy, and deformity. The Ilizarov reconstruction has been used to treat these challenging problems.

Methods: We reviewed the results in twenty-one ankles that had undergone a revision of a failed fusion, with simultaneous treatment of coexisting pathologic conditions, with use of the Ilizarov technique.

Minimal internal fixation augmented by small wire transfixion frames for high-energy tibial plateau fractures.

Purpose: To evaluate the outcome of bicondylar tibial plateau fractures treated with minimal internal fixation augmented by small wire external fixation frames and to assess the necessity of bridging the knee joint by extending the external fixation to the distal femur.

Methods: This is a retrospective study of 48 tibial plateau fractures. There were 40 (83.

Treatment of malunion and nonunion at the site of an ankle fusion with the Ilizarov apparatus.

Background: Malunion and nonunion of an ankle fusion site are associated with pain, osteomyelitis, limb-length discrepancy, and deformity. The Ilizarov reconstruction has been used to treat these challenging problems.

Methods: We reviewed the results in twenty-one ankles that had undergone a revision of a failed fusion, with simultaneous treatment of coexisting pathologic conditions, with use of the Ilizarov technique.