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Guide-wire and K-wire readjustment jig for osteotomy and osteosynthesis: An instrument.
J Clin Orthop Trauma
February 2025
Joints and Spine Clinic, Mahavir Nagar, Kandivali West, Mumbai, 400067, India.
Introduction: Numerous orthopaedic procedures including dynamic hip screw plating and various osteotomies require placement of a reference guide pin or K wire to direct bone cuts or for drilling screw holes. Appropriate positioning of these wires is a critical component of surgery. Irrespective of whether one is a seasoned surgeon or an apprentice, these wires often need repositioning and readjustment.
View Article and Find Full Text PDFOlecranon Fractures Managed Using FiberWire Sutures Without Metallic Implants: A Case Study and a Review of the Literature.
Cureus
January 2025
Orthopaedic Surgery, College of Medicine, King Saud University, Riyadh, SAU.
The traditional standard of care, tension band wire fixation modalities commonly used to treat non-comminuted olecranon fractures, are frequently associated with complications, with symptomatic hardware being the most common issue, often necessitating subsequent surgical procedures for hardware removal. We present a case of a young, active gentleman who sustained a simple olecranon fracture (Mayo type IIA) and underwent open reduction with the innovative all-suture non-metallic internal fixation procedure. We used a low-profile, cost-effective alternative fracture fixation technique, following the principles of pre-existing surgical techniques, while utilizing FiberWire sutures with biomechanical properties equivalent to, or possibly superior to, conventionally used metallic wires, thereby eliminating the need for additional surgical intervention.
View Article and Find Full Text PDFComparison of bioabsorbable screw versus metallic screw fixation for tibial tubercle fractures in adolescents: a retrospective cohort study.
BMC Musculoskelet Disord
January 2025
Department of Orthopedics, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.
Background: Displaced tibial tubercle (TT) fractures in adolescents are typically treated with open reduction and internal fixation. While metallic screw (MS) fixation provides strong stability, it often results in a high incidence of postoperative screw head protrusion or irritation, leading to additional removal surgery. Bioabsorbable screw (BS) fixation presents an alternative that may avoid these issues, though its stability has not yet been extensively documented in the literature.
View Article and Find Full Text PDFApproach to patients with metal allergies in foot and ankle surgery.
J Foot Ankle Surg
January 2025
Surgical Fellow, Florida Orthopedic Foot & Ankle Center Fellowship, 5741 Bee Ridge Rd #490, Sarasota, FL 34233, USA. Electronic address:
Metal allergies in surgery are often underreported and under diagnosed. Oftentimes, the symptoms of metal allergy closely resemble those of infection and the protocol is removal of the offending implant. Identification of metal allergies in the preoperative workup is imperative to provide the best patient care and outcomes.
View Article and Find Full Text PDFA non-metallic PEEK topology optimization reconstruction implant for large mandibular continuity defects, validated using the MANDYBILATOR apparatus.
Sci Rep
January 2025
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.
In cases of large mandibular continuity defects resulting from malignancy resection, the current standard of care involves using patient-specific/custom titanium reconstruction plates along with autogenous grafts (fibula, scapula, or iliac crest segments). However, when grafts are not feasible or desired, only the reconstruction plate is used to bridge the gap. Unfortunately, metal osteosynthesis and reconstruction plates, including titanium, exhibit adverse effects such as stress-shielding and limitations in accurate postoperative irradiation (especially with proton-beam therapy).
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