We here report 54 cases of humerus diaphyseal fractures treated via Hackethal's bundle nailing. We observed 3 cases of radial nerve palsy. Therapeutic abstention associated with monitoring was the applied attitude toward these patients on presentation to the Emergency Department. It resulted in recovery. Hackethal's bundle nailing technique is relatively easy but it requires rigorous surgical procedure performed by an experienced surgeon. A rate of 7.84% of pseudarthrosis is reported. Hackethal's bundle nailing is a very safe, improved orthopedic treatment with modest cost.
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http://dx.doi.org/10.11604/pamj.2018.30.38.14589 | DOI Listing |
Ann Afr Med
October 2024
Department of General Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Hardware breakage in the form of guide wire or drill bit is a devastating complication particularly if occurs around hip joint during cephalo-medullary nailing. It should be removed on urgent basis as it can migrate to the pelvic cavity and damages adjacent neuro-vascular bundle and visceral organ immediately as well joint arthritis later on. There are very few cases report available in the literature with retrieval techniques by using disc forceps, pituitary forceps, oversized reamers, arthrotomy with joint dislocation and through ilioinguinal approaches occasionally.
View Article and Find Full Text PDFActa Ortop Bras
October 2023
Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Centro de Atenção Especializada em Ortopedia Oncológica, Rio de Janeiro, RJ, Brazil.
Unlabelled: Reconstruction of the distal third of the tibia due to resection of a malignant tumor has some hindering factors, such as a thin subcutaneous layer, neurovascular bundles that cross compartments, prolonged operative duration, specific orthopedic material, and a trained multidisciplinary team. Allografting with material from tissue banks is part of this orthopaedic arsenal.
Objective: To describe the protocol used at Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad.
Int J Surg Case Rep
May 2023
Department of Orthopaedics, Military Training Hospital Avicenne, University Cadi Ayyad, BP 40150 Marrakech, Morocco.
Introduction: Combination of shoulder dislocation with ipsilateral shaft humeral fracture is extremely rare and the occurrence of upper extremity compartment syndrome as a complication is even rarer.
Case Presentation: A 36-year-old male, sustained a road traffic accident as a pedestrian struck by a vehicle. He was diagnosed with an anterior dislocation of the right shoulder with an ipsilateral open transverse fracture of the middle third of the humeral shaft.
J Surg Orthop Adv
April 2024
Wake Forest Baptist Medical Center, Winston-Salem, North Carolina; Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Distal femoral skeletal traction is a common procedure for the stabilization of fractures of the pelvis, acetabulum, and femur following trauma. Femoral traction pins are traditionally inserted via medial-to-lateral (MTL) entry to accurately direct the pin away from the medial neurovascular bundle. Alternatively, cadaveric studies have demonstrated low risk to the neurovascular bundle using a lateral-to-medial (LTM) approach.
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