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Cementless 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.
[Surgical treatment of forefoot and midfoot fractures : Minimally invasive fixation of metatarsal fractures].
Oper Orthop Traumatol
August 2024
Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.
Objective: Minimally invasive stabilization of metatarsal fractures to enable adequate fracture healing in a correct position to restore anatomy and biomechanics of the foot.
Indications: A. Dislocated diaphyseal and subcapital fractures of the second to fifth metatarsal (> 3 mm, > 10° dislocation).
Femoral Component Design Is Associated With the Risk of Periprosthetic Femur Fracture After Cementless THA in Patients 65 Years or Older.
Clin Orthop Relat Res
August 2024
Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, OR, USA.
Background: Periprosthetic femur fracture is a known complication after THA. The associated risk of cementless femoral component design for periprosthetic femur fracture in a registry population of patients older than 65 years has yet to be clearly identified.
Questions/purposes: (1) Is femoral stem geometry associated with the risk of periprosthetic femur fracture after cementless THA? (2) Is the presence or absence of a collar on cementless femoral implant designs associated with the risk of periprosthetic femur fracture after THA?
Methods: We analyzed American Joint Replacement Registry data from 2012 to March 2020.
Bone reconstruction with modified Masquelet technique in open distal femoral fractures: a case series.
BMC Musculoskelet Disord
January 2024
Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Background: Large bone defects require complex treatment, multidisciplinary resources, and expert input, with surgical procedures ranging from reconstruction and salvage to amputation. The aim of this study was to provide the results of a case series of open comminuted intra-articular distal femoral fractures with significant bone loss that were managed by early fixation using anatomical plates and a modified Masquelet technique with the addition of surgical propylene mesh.
Methods: This retrospective study included all patients referred to our institution with OTA/AO C3 distal femur open fractures and meta-diaphyseal large bone loss between April 2019 and February 2021.
Plate fixation optimization for distal femoral fractures with segmental bone loss: Defining the preferred screw distribution using finite element analysis.
Injury
February 2024
Herston Biofabrication Institute, Metro North Hospital and Health Service, Brisbane, QLD, 4029, Australia; Department of Orthopaedic Surgery, The Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia; Orthopaedic Research Centre of Australia, Brisbane, QLD, Australia; Limb Reconstruction Unit, Macquarie University Hospital, Sydney, NSW, Australia.
Objectives: Distal femur fractures can exhibit extensive comminution, and open fractures may result in bone loss. These injuries are under high mechanical demands when stabilized with a lateral locked plate (LLP), and are at risk of non-union or implant failure. This study investigates the optimal LLP screw configuration for distal femur fractures with a large metadiaphyseal gap of 5 cm.
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