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External Fixation of Clavicle Fractures with Comminution or in Highly Active Patients.
J Long Term Eff Med Implants
December 2024
Department of Orthopaedic Surgery, University Hospital of Ioannina, Ioannina, Greece.
Conservative treatment of clavicle fractures has the disadvantage of substantial pain and discomfort, whereas internal fixation of these fractures has a high rate of non-union. External fixation is an alternative method permitting early mobilization without disrupting the surrounding soft tissue envelope. These are extremely beneficial in young, athletic and highly functional patients as well as in patients with comminuted fractures.
View Article and Find Full Text PDFManaging Low-Velocity Mandibular Gunshot Wounds: An Institutional Review and the "FLOSS" Severity Scoring System.
J Craniofac Surg
December 2024
Department of Surgery, Division of Plastic and Reconstructive Surgery, Saint Louis University.
Objective: Management of mandibular ballistic trauma is poorly delineated, given the variable injury complexity. This study examines surgical outcomes and presents a novel scoring system to define and guide the management of low-velocity ballistic mandibular fractures.
Methods: A retrospective chart review was performed from 2015 to 2022 to collect data on patients who suffered ballistic mandibular fractures.
Far Posterior Approach for Rib Fracture Fixation: Surgical Technique and Tips.
JBJS Essent Surg Tech
December 2024
Department of Orthopedics, OhioHealth Health System, Columbus, Ohio.
Article Synopsis
- The video article discusses the far posterior or paraspinal approach for treating posterior rib fractures, which enhances intraoperative visibility and minimizes muscle damage.
- This method helps preserve periscapular strength, achieving up to 95% recovery six months after surgery through muscle-sparing techniques.
- The surgical process involves precise skin incision and careful dissection of muscles like the trapezius, rhomboids, and latissimus dorsi to allow for effective access and treatment of the fractures without significant tissue loss.
The comparative study of clinical outcomes among early functional treatment, immobilization treatment and ulnar plate fixation for displaced or comminution fifth metatarsal base fractures.
J Foot Ankle Surg
November 2024
Beijing Chaoyang Hospital of Capital Medical University, Beijing 100020, China. Electronic address:
Article Synopsis
- The study examined the best treatment options for displaced or comminuted fractures of the fifth metatarsal base by comparing three methods: ulnar hook plate fixation, immobilization, and early functional treatment.
- Results showed that while the plate fixation group had better AOFAS and FADI scores at 1, 3, and 6 months, all treatments had similar outcomes after 12 months, with early functional treatment leading to quicker recovery times.
- The study concluded that early functional treatment is recommended due to its effectiveness and rapid return to daily activities, despite some complications in the plate fixation group.
Comminuted Transverse Femoral Shaft Fractures Are at Risk for Nonunion.
Kurume Med J
November 2024
Department of Orthopaedic Surgery, Saiseikai Fukuoka General Hospital.
Background: The purpose of this study was to investigate the effect of the main fragment fracture type (oblique or transverse) on the union rate of femoral shaft fractures.
Methods: Patients who underwent surgical treatment with an antegrade intramedullary nail for femoral shaft fracture (Arbeitsgemeinschaft für Osteosynthesefragen / Orthopaedic Trauma Association; AO/OTA type 32 type B or C) between January 2009 and March 2021 were included in this study. Patients with oblique fractures of the two main fragments on radiographs immediately after surgery were classified into the oblique fracture group.
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