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Masquelet Technique in the Management of Segmental Bone Defect of the Ulna: A Case Report.
Cureus
December 2024
Department of Family Medicine, Broward Health Medical Center, Fort Lauderdale, USA.
Surgeons periodically encounter challenging clinical scenarios that require them to develop nuanced management strategies to achieve the best outcome for the patient. This is especially true in medically underserved patient populations, where follow-up and proper recovery protocols are often not accomplished. In this report, we discuss the case of a 26-year-old female with a history of medical non-compliance who presented to the emergency department with signs and symptoms of surgical site infection two months following the repair of her comminuted ulna fracture caused by a gunshot wound.
View Article and Find Full Text PDFPrinciples of Fracture Healing and Fixation: A Literature Review.
Cureus
December 2024
Trauma and Orthopaedics, Royal Surrey NHS Foundation Trust, Guildford, GBR.
Bone healing is a complex, dynamic process involving a series of well-coordinated stages, influenced by both mechanical and biological factors. The skeletal system, composed of inorganic (36%), organic (36%), and water (28%) components by volume, plays a crucial role in maintaining structural integrity and mineral homeostasis. Bone is classified into two main types based on microstructure: lamellar and woven bone, with lamellar bone being stronger and more durable.
View Article and Find Full Text PDFFemoral intramedullary nail extraction using the kissing nail technique when primary measures fail.
OTA Int
March 2025
Department of Orthopedic Surgery, Detroit Medical Center, Detroit, MI.
Introduction: Intramedullary femoral nails (IMFNs) need to be removed for subsequent joint replacement, refracture, nonunion, or infection. The tools used to extract newer IMFNs may not be suited for removal of older implants, especially if broken. The purpose of this study was to describe a novel technique in femoral nail extraction when primary measures fail and a report on 6 cases where it was used.
View Article and Find Full Text PDFClosed Intramedullary Pinning of Displaced Radial Neck Fracture (Metaizeau Technique).
JBJS Essent Surg Tech
November 2024
Pediatric Hand, Nerve and Microsurgery, Barcelona Children's Hospital, HM Hospitales, Barcelona, Spain.
Background: Radial neck fractures account for 1% of all pediatric fractures and 5% to 10% of pediatric elbow fractures. The mechanism of injury is typically a fall with the elbow in hyperextension and the forearm in supination. A valgus force compresses the radial head against the capitellum, causing a radial neck fracture.
View Article and Find Full Text PDFFlexible Intramedullary Nail Placement in Pediatric Humerus Fractures.
JBJS Essent Surg Tech
November 2024
St. Luke's University Health Network, Bethlehem, Pennsylvania.
Article Synopsis
- Flexible intramedullary nailing is a surgical method used to stabilize humeral shaft fractures in pediatric patients, typically employed when nonoperative treatments are insufficient such as in cases of open fractures or neurovascular compromise.
- The article emphasizes the importance of selecting appropriate entry points for nail insertion, discussing the benefits of anterograde versus retrograde approaches based on individual fracture and patient characteristics, particularly favoring dual distal lateral entry points.
- It highlights the need for careful consideration of pediatric anatomy to avoid nerve damage during the procedure, suggesting detailed preoperative planning for certain entry methods to ensure patient safety and effective treatment.
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