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Clinical and functional outcomes of locked plating vs. cerclage compression wiring for AO type C patellar fractures- a retrospective single-center cohort study.
Eur J Trauma Emerg Surg
December 2024
Department of Trauma Surgery, University Hospital Zurich, University of Zurich, Ramistr. 100, Zurich, 8091, Switzerland.
Purpose: Although "tension-band wiring" is still commonly used to stabilize patellar fractures, the technique has recently been scrutinized due to biomechanical insufficiency. Consequently, the AO Foundation renamed the principle to compression cerclage wiring (CCW). Several studies propose favorable outcomes when utilizing locked plating (LP).
View Article and Find Full Text PDFGuided growth surgery for angular deformity of the knee: one centres experience.
Ir J Med Sci
December 2024
Department of Trauma and Orthopaedic Surgery, Children's Health Ireland, Crumlin, Cooley Rd, Dublin, D12 N512, Ireland.
Article Synopsis
- Angular deformity in the lower limbs can lead to pain, mobility issues, and joint damage, with guided growth now favored over previous treatments for young patients.
- A review of data from a pediatric center from 2007 to 2023 found that out of 282 treated knees, 19.5% experienced treatment failure, particularly in cases involving trauma, infection, tumors, and certain genetic disorders.
- Overall, guided growth achieved an 80.5% success rate, especially effective for idiopathic cases, and continues to be recommended for managing angular deformities.
Revisiting Post-Laminectomy Kyphosis and Challenges in Its Management: A Case Report.
Cureus
June 2024
Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
The posterior ligamentous complex plays a pivotal role in spinal stability during complex movements, especially at the cervical vertebral level. Its disruption leads to the development of post-laminectomy kyphosis. The present case emphasizes the challenges in managing post-laminectomy kyphosis, restoring spinal alignment, and the importance of the posterior tension band as a spine stabilizer.
View Article and Find Full Text PDFModified-tension band suturing: 'the pulling the reins technique' - a technique for displaced proximal humeral fracture with medial column instability.
BMJ Case Rep
June 2024
Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil
Fractures of the proximal humerus with medial column instability are challenging and present an unacceptable rate of complications and reoperations. Despite good results reported with the use of locking plates and augmentation techniques using bone graft or a second plate, varus subsidence and fixation failure have been frequently reported. We describe the case of a patient presenting with a complex, multifragmentary proximal humerus fractures successfully treated with open anatomic reduction and internal fixation using a locking plate augmented with lateral traction using three bone anchors in the humerus head.
View Article and Find Full Text PDFFirst tarsometatarsal arthrodesis for severe hallux valgus using the tension band principle - Technical tip and case series.
Foot (Edinb)
March 2024
Guy's and St Thomas Hospitals NHS Foundation Trust, Kings College University of London, London, UK. Electronic address:
Article Synopsis
- Hallux valgus (HV) is a common foot issue that sometimes requires surgery, particularly when combined with instability at the tarsometatarsal joint (TMTJ); a new surgical technique utilizing staples and a suture button was tested on patients to improve outcomes.
- A retrospective study from February 2017 to May 2022 involved nine patients, showing significant improvement in foot alignment and reduced deformities at six months, with no cases of non-union found.
- While some complications, like stiffness and pain, were observed, the overall results indicated that this evolved surgical approach could potentially provide better long-term outcomes for patients with severe HV and TMTJ instability.
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