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Olecranon Fractures Managed Using FiberWire Sutures Without Metallic Implants: A Case Study and a Review of the Literature.
Cureus
January 2025
Orthopaedic Surgery, College of Medicine, King Saud University, Riyadh, SAU.
The traditional standard of care, tension band wire fixation modalities commonly used to treat non-comminuted olecranon fractures, are frequently associated with complications, with symptomatic hardware being the most common issue, often necessitating subsequent surgical procedures for hardware removal. We present a case of a young, active gentleman who sustained a simple olecranon fracture (Mayo type IIA) and underwent open reduction with the innovative all-suture non-metallic internal fixation procedure. We used a low-profile, cost-effective alternative fracture fixation technique, following the principles of pre-existing surgical techniques, while utilizing FiberWire sutures with biomechanical properties equivalent to, or possibly superior to, conventionally used metallic wires, thereby eliminating the need for additional surgical intervention.
View Article and Find Full Text PDFA Retrospective Review of Revision and Re-revision Patella Osteosynthesis Performed for Failure of Fixation of Initial Comminuted Fracture Patterns: Very High Complication Rates.
J Knee Surg
November 2024
Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.
Literature on revision osteosynthesis for failed patella fracture fixation is extremely limited. This study reviews the treatment options and outcomes for revision and re-revision osteosynthesis at a Level 1 trauma center. All patella revision osteosynthesis cases between January 2021 and March 2024 were identified using Current Procedural Terminology codes at a single tertiary care academic center.
View Article and Find Full Text PDFCementless Long-Stem Reverse Total Shoulder Arthroplasty as Primary Treatment for Metadiaphyseal Humeral Shaft Fractures.
JBJS Essent Surg Tech
September 2024
The Shoulder Center, Baylor Scott & White Research Institute, Dallas, Texas.
Article Synopsis
- * The procedure involves a deltopectoral approach and careful handling of fractured bone parts to ensure proper alignment and fixation, utilizing tools like a humeral prosthesis and cerclage cables for support.
- * Evidence shows this method results in good healing rates, pain relief, functional recovery, and low complication rates compared to other surgical options.
Results of transosseous suture fixation in four-part valgus impacted fractures of the proximal humerus.
Injury
June 2024
Department A of Orthopaedic Surgery and Traumatology, Niort Hospital, 40 avenue Charles de Gaulle BP 70600, 79021 Niort Cedex, France.
Background: The osteonecrosis ratio in valgus impacted fractures of the proximal humerus is low (<10 %), giving osteosynthesis all its meaning. However, the optimal fixation technique remains controversial. After recentering the humeral head, osteosuture is stable enough to allow bone healing in an adequate position as well as a good long-term shoulder functionality.
View Article and Find Full Text PDFMultifragment fracture of the patellar apex with extensive loss of skin: A case report.
Trauma Case Rep
August 2024
Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
Introduction: Patella fractures account for 1 % of all skeletal fractures, and can interrupt the knee's extensor apparatus. They can also be serious if associated with a cutaneous opening. We report the case of a fracture of the tip of the patella with a large loss of cutaneous substance.
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