The author discusses the achievements of contemporary traumatology in the treatment of intraarticular fractures by the method of perosseous osteosynthesis with external fixation apparatuses. The best functional effect was achieved by the application of hinged distraction apparatuses of Volkov-Oganesyan and other equipment with hinged devices. The results of treatment of 160 patients with severe open and closed intraarticular fractures testified to the advantage of the new hinged apparatuses according to biomechanics of the joints. The constructions of the author's apparatuses allow for strong fixation of the fragments, permit to make early motions within the injured joint and give good functional results both in fresh injuries and in the consequences of injuries (ankyloses, contractures of the joints, defects and false joints of the bones).
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Objectives: Bennett's fracture, the most common intra-articular fracture occurring at the base of the thumb, accounts for less than 1% of all hand fractures. It typically results from specific traumatic mechanisms, deforming forces, and ligamentous injuries. To compare the functional outcomes and sequelae in patients with Bennett's fracture treated surgically using: Open reduction and internal screw fixation, closed reduction and percutaneous fixation, arthroscopy-assisted reduction and screw fixation.
View Article and Find Full Text PDFJBJS Case Connect
January 2025
Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
Case: We describe a 13-year-old adolescent girl experiencing persistent pain and reduced grip strength following nonoperative treatment of a medial epicondyle fracture-dislocation with closed reduction over 5 years before her referral to our clinic. Neurological examination and magnetic resonance imaging of the elbow revealed damage to the median nerve due to an entrapment within the elbow. Surgical release of the nerve resulted in complete pain relief and improved neurological function with normalized nerve conduction.
View Article and Find Full Text PDFFoot Ankle Orthop
January 2025
Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.
Background: The outcome of a secondary subtalar arthrodesis after prior calcaneal fracture has been widely described. However, the surgical treatment has evolved significantly over the past decade, paralleling the shifts observed in primary repair strategies. Therefore, we describe the outcome following a secondary arthrodesis after an intra-articular calcaneal fracture, comparing the in situ (ISA) and bone block distraction arthrodesis (BBDA) techniques.
View Article and Find Full Text PDFJ Clin Med
January 2025
Trauma Center Linz, Garnisonstrasse 10, 4060 Linz, Austria.
This study aims to analyze the outcomes following the minimally invasive surgery of calcaneal fractures using screw-only osteosynthesis, as well as the impact of surgical timing. Between 2015 and 2020, 155 patients with 168 fractures were included. According to the Sanders classification, 48.
View Article and Find Full Text PDFArch Orthop Trauma Surg
January 2025
Department of Orthopaedics, Wright State University, 30 E Apple St., Suite 2200, Dayton, OH, 45409, USA.
Introduction: We propose and assess the biomechanical stability of medial column screw supplementation in a synthetic distal femur fracture model.
Materials And Methods: Twenty-four low density synthetic femora modeling osteoporotic, intraarticular distal femur fractures with medial metaphyseal comminution were split into two fixation groups: (1) lateral locking distal femur plate (PA- plate alone) and (2) lateral locking distal femur plate with a 6.5 mm fully threaded medial cannulated screw (PWS- plate with screw).
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