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Proximal humeral fractures (PHF), ranking as the third most common osteoporotic fractures, pose a significant challenge in management. With a rising incidence in an aging population, controversy surrounds surgical versus nonoperative treatments, particularly for displaced 3- and 4-part fractures in older patients. Locking plates (LP) and proximal intramedullary nails (PHN) are primary choices for surgical intervention, but both methods entail complications.
View Article and Find Full Text PDFOutcome of a Nail-plate Fixation Combination for a Distal Femur Fracture in a 99-year-old Patient.
J Orthop Case Rep
January 2025
Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY.
Introduction: This report describes the use of a combination of a retrograde femoral nail and distal femur locking plate for the treatment of an open intra-articular distal femur fracture in a 99-year-old female. The purpose of this report is to highlight that nail-plate fixation constructs can be performed percutaneously and expeditiously even in extremely old patients; therefore, patient age should not be a limiting factor in choosing this construct to allow for immediate weight-bearing.
Case Report: The patient was a 99-year-old female who presented to the emergency room after a fall.
Fragment-specific Plate Fixation in a Case of Mayo Type IIB Olecranon Fracture: A Case Report.
J Orthop Case Rep
January 2025
Department of Orthopaedics, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India.
Introduction: Olecranon fractures account for 5-7% of elbow fractures, making them a common injury. The majority of these fractures are treated surgically because they are intra-articular and can disrupt the elbow extensor mechanism. Mayo Type II fractures are displaced with a stable ulnohumeral joint, indicating intact ligamentous structures, particularly the anterior portion of the medial collateral ligament.
View Article and Find Full Text PDFA new distal radius fracture classification depending on the specific fragments through machine learning clustering method.
BMC Musculoskelet Disord
December 2024
Orthopedics Department, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Bejing, China.
Purposes: The objective of this study was to investigate intra-articular distal radius fractures, aiming to provide a comprehensive analysis of fracture patterns and discuss the corresponding treatment strategies for each pattern.
Methods: 294 cases of intra-articular distal radius fractures lines were collected and clustered thorough K-means and hierarchical clustering algorithm. The demographic data of patients and the clinical treatment outcomes were recorded.
Gait assessment in patients with intra-articular calcaneal fractures after treatment with the Ilizarov method.
Injury
November 2024
Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole. al. Witosa 26, 45-401 Opole, Poland. Electronic address:
Background: Intra-articular and comminuted fractures of the calcaneus constitute a significant orthopedic challenge. Calcaneal fracture management should primarily aim to achieve good clinical and biomechanical outcomes, pain reduction, and normal function following treatment.
Research Question: How does Ilizarov treatment of calcaneal fractures affect gait parameters?
Methods: This retrospective study included 21patients (7 women, 14 men) who were treated for intra-articular calcaneal fractures with the Ilizarov method in the period 2021-2022.
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