J Long Term Eff Med Implants
Department of Orthopaedic Surgery, University Hospital of Ioannina, Ioannina, Greece.
Published: December 2024
Conservative treatment of clavicle fractures has the disadvantage of substantial pain and discomfort, whereas internal fixation of these fractures has a high rate of non-union. External fixation is an alternative method permitting early mobilization without disrupting the surrounding soft tissue envelope. These are extremely beneficial in young, athletic and highly functional patients as well as in patients with comminuted fractures. This was a retrospective study of 17 consecutive patients with clavicle fractures. Thirteen of them were young, athletic patients while the remaining four were not highly active patients, but had a comminuted fracture. Mobilization of the shoulder started shortly after the operation and the external fixator was removed when radiological and clinical evidences of fracture union were present. Patients were reviewed up to 1 year postoperatively. Fracture union and functional activity were assessed clinically, radiologically, and with the aid of the VAS and DASH scores. In 16 patients fracture union was achieved 8 weeks postoperatively, while in one patient union was observed at 10 weeks. The mean VAS score was 4 at 2 weeks postoperatively, while by 6 weeks all patients had full range of shoulder motion. The mean DASH score 6 months postoperatively was 8 points. There were no postoperative infections or non-union. In 2 patients with comminuted fractures there was a minor displacement. External fixation is an easier to apply and less invasive method of surgical stabilization relative to internal fixation. Furthermore, it permits early mobilization and guarantees union of the fracture.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1615/JLongTermEffMedImplants.2024049825 | DOI Listing |
J Shoulder Elbow Surg
January 2025
State Key Laboratory of Pharmaceutical Biotechnology, Division of Sports Medicine and Adult Reconstructive Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China; Branch of National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation, Nanjing Jiangsu, 210008, People's Republic of China. Electronic address:
Background: Arthroscopic repair is recommended for patients with bony Bankart lesions to restore anterior shoulder stability and avoid recurrent glenohumeral instability. The aim of this study was to investigate the clinical and radiological outcomes of patients following arthroscopic bony Bankart repair using a single suture anchor fixation technique named the "door-locking" technique.
Methods: From January 2017 to February 2024, a consecutive series of 22 patients with acute bony Bankart lesions underwent shoulder arthroscopy.
BMC Musculoskelet Disord
January 2025
Department of Pediatric Orthopaedics, Children's Hospital of Fudan University, National Children's Medical Center, 399 Wanyuan Rd, Minhang District, Shanghai, 201102, China.
Purpose: Ollier's disease (multiple enchondromatosis) can cause severe lower limb length discrepancy and deformity in children. Osteotomy and limb lengthening with external fixation can correct the lower extremity deformity. There may be lesions in the osteotomy part (OP), and the internal fixation part of the external fixation(FP).
View Article and Find Full Text PDFJ Craniofac Surg
January 2025
Division of Pediatric Craniofacial Surgery, Nemours Children's Health, Jacksonville, FL.
External rigid distraction is an established method for achieving subcranial Le Fort III advancement in severe syndromic craniosynostosis. Craniofacial surgeons commonly use halo-type devices for these corrections, as they allow for multiple vectors of pull and facilitate larger midfacial advancements. Although most complications related to their use involve pin displacement or infection, rare complications such as skull fractures have been reported.
View Article and Find Full Text PDFExternal fixation is a powerful tool in orthopaedic trauma surgery. Beyond serving as provisional or temporizing fixation, external fixation has utility as an intraoperative reduction tool, adjunct to internal fixation, and definitive fixation. It is important to summarize the indications, techniques, and considerations of various roles of external fixation in orthopaedic trauma.
View Article and Find Full Text PDFInt J Med Sci
January 2025
Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!
© LitMetric 2025. All rights reserved.