Unstable fractures of the distal radius can be stabilised with Kirschner wires. The K wires need to be removed after five to six weeks. The authors surveyed 100 consecutive patients with distal radial fractures treated with percutaneous Kirschner wires that were left buried under the skin. Group A had 50 patients who had such wires removed under local anaesthetic in the orthopaedic outpatient department. Group B comprised of patients who had the wires removed in the operating theatres under a short general anaesthetic. A questionnaire was designed to assess the satisfaction of these 100 patients. The survey showed that the patient satisfaction for this minor procedure carried out in the outpatient clinic was poor. Patient information and senior surgical input could increase the satisfaction.
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J Orthod Sci
November 2024
Department of Orthodontics, Faculty of Dentistry, Universitas Sumatera Utara, Medan, Indonesia.
Objective: This study aimed at determining the effect of pH changes on nickel titanium wire seen based on the corrosion rate and surface roughness of the wire after immersion in pandan leaves extract.
Material And Methods: The sample used nickel titanium wire of 0.016 inches diameter and 5 cm length and consists of five treatment groups: control group, 0.
J Craniofac Surg
October 2024
Department of Plastic Surgery, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Republic of Korea.
High-velocity lateral impacts to the nose sometimes cause nasal buckle-out fractures with a trapdoor buckle-out segment displaced outwards. Prolonged immobilization of a reduced buckle-out segment at risk for outward redisplacement remains challenging. Here we introduce a novel method of intranasal outer cortex splinting with a Kirshner (K)-wire to reinforce the reduced state and prevent outward re-displacement of the buckle-out segment.
View Article and Find Full Text PDFHand (N Y)
December 2024
Department of Orthopaedic Surgery, Montefiore Einstein, Bronx, NY, USA.
Background: Although it is well established that antibiotic prophylaxis is not needed in soft tissue upper extremity cases, there is still no definitive consensus when hardware implantation is involved. We hypothesize that antibiotic prophylaxis is not necessary and there is no difference in postoperative surgical site infection rates regardless of preoperative antibiotic administration.
Methods: A retrospective cohort analysis was performed on upper extremity surgical cases with hardware implantation performed at a single institution amongst 5 hand surgeons between November 2021 and November 2023.
Cureus
November 2024
Department of Orthopedics and Traumatology, Sandıklı State Hospital, Afyonkarahisar, TUR.
Lateral humeral condyle fractures are common in children, but concomitant elbow dislocation is rare. This case report involves a 10-year-old girl with an ipsilateral distal both-bone forearm fracture and a lateral humeral condyle fracture accompanied by a posterolateral elbow dislocation. Closed reduction of the elbow was performed in the emergency department without delay, and the patient was operated on as soon as possible.
View Article and Find Full Text PDFBMC Musculoskelet Disord
December 2024
Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Background: Sternoclavicular joint dislocation (SJD) is rare, and joint instability after dislocation easily leads to deformity, pain, and limitations in performing activities, often requiring surgical treatment. Currently, there is no ideal internal fixation method for SJD.
Case Presentation: We report the case of a 38-year-old female patient with anterior dislocation of the right sternoclavicular joint (SJ) caused by a car accident who underwent open reduction and internal fixation using the double plate technique combined with the cable technique.
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