1/15. Immediate tibiocalcaneal arthrodesis with interposition fibular autograft for salvage after talus fracture: a case report.Treatment goals in the operative management of talus fractures include prompt, anatomic, open reduction with rigid internal fixation; functional outcome is measured by degree of arthrosis, pain, range of motion, limb length, cosmesis, and return to premorbid activities. If restoration of the articular surfaces is precluded secondary to comminution, immediate and/or staged reconstructive salvage procedures must be considered. This report describes an immediate reconstructive procedure for salvage after a comminuted talus fracture with an ipsilateral tibia fracture. A standard antegrade tibial nail extending into the calcaneus was selected to stabilize both fracture sites. The technique of tibiocalcaneal arthrodesis using interposition fibular autograft and intramedullary fixation is presented as a unique treatment option.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/15. Comminuted fracture-dislocations of the elbow treated with an AO wrist fusion plate.Comminuted fracture-dislocations of the elbow are complex injuries that can result in significant postoperative loss of motion. Rigid anatomic fixation with early range of motion is the required treatment. Because of the local anatomy of the proximal ulna, it often is difficult to achieve a rigid fixation construct. A fixation technique of a dorsally applied AO limited contact-dynamic compression wrist fusion plate contoured to fit the anatomy of the proximal ulna is presented. Advantages of the AO wrist fusion plate in comminuted olecranon fractures include the ease of contouring, a low profile, and the use of variable screw hole sizing to achieve stable fixation. The hybrid design allows for rigid 3.5-mm plate fixation distally while providing low profile 2.7-mm plate fixation over the subcutaneous olecranon. The technical and biomechanical features of this plate make it an ideal alternative for fixation of these complex injuries.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
3/15. Use of a hinged external fixator for elbow instability after severe distal humeral fracture.The authors report the case of a forty-year-old man who developed acute elbow instability after fixation of an open, comminuted distal humeral fracture. Treatment with a hinged, external elbow fixator was successful in reestablishing elbow stability and a functional range of elbow motion. To the best of the authors' knowledge, the use of this device for acute elbow instability after distal humeral fracture fixation has not been previously reported.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
4/15. Comminuted Monteggia fracture-dislocation--a technique for restoration of ulnar length: case reports.A technique to aid the reconstruction of the ulna in case of comminuted Monteggia fracture-dislocation is presented. This involves reducing the proximal radioulnar joint and temporarily transfixing the radial head to the ulna by 1 or 2 Kirschner (K) wires to establish the ulnar length. Once ulnar length has been defined, reconstruction of the comminuted ulna fracture is simplified. The radioulnar K-wires are then removed and the radioulnohumeral joint is tested for stability. This technique has been used in 6 cases of type-1 Monteggia fracture-dislocation with no subsequent malunion of the ulnar fracture or redislocation' of the radial head. After an average of 13 months follow-up, all patients had nearly full range of motion of the elbow joint.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
5/15. Secondary ulnar nerve palsy in adults after elbow trauma: a report of two cases.Secondary ulnar nerve palsy, an unusual condition in which the onset of ulnar nerve dysfunction occurs 1 to 3 months after elbow trauma, can be the cause of sudden deterioration of elbow function. Initially recognized in 1899, this condition has not been reported often. We describe 2 patients who had no subjective or objective evidence of ulnar nerve dysfunction after elbow trauma but had a sudden loss of motion, pain, and clinical and electrophysiologic evidence of ulnar nerve compression at the elbow 4 to 5 weeks after trauma. Marked improvement occurred after ulnar nerve subcutaneous transposition and contracture release.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
6/15. Primary ankle fusion using blair technique for severely comminuted fracture of the talus.OBJECTIVE: We report a case of a severely comminuted fracture of the body of the talus treated by primary Blair tibiotalar fusion. CLINICAL PRESENTATION AND INTERVENTION: A very severely comminuted open fracture of the body of the talus was treated on the same day of injury by debridement and tibiotalar fusion using the Blair fusion technique. CONCLUSION: Blair fusion may be indicated in cases of severely comminuted fractures of the talar body. It has the advantage of giving a near-normal appearance to the foot, producing less shortening and allowing motion to remain at the talonavicular and anterior subtalar joints.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
7/15. Primary fusion as salvage following talar neck fracture: a case report.For a 29-year-old man with a three-week-old Hawkins Type IV talar neck fracture, intra-operative reduction and fixation were not possible due to soft tissue contractures and severe comminution. A primary talonavicular and subtalar arthrodesis with the use of iliac crest bone graft was performed. Postoperative follow-up at 16 months demonstrated solid fusions, no avascular necrosis of the talus and a functional range of motion at the ankle. He was not capable of returning to his job of roof maintenance.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
8/15. Functional outcome after operative treatment of eight type III coronoid process fractures.BACKGROUND: There have been few reports about surgical outcomes of coronoid process fractures. Eight cases of clinical results of type III coronoid process fractures were reviewed. methods: Eight patients with coronoid type III fracture were retrospectively reviewed. All were men with an average age of 33 years. There were three isolated fractures, two elbow dislocations, two radial head and neck fractures, and one medial collateral ligament rupture. An open reduction and internal fixation through an anterior approach with cannulated screws was used. The patients were followed up for a mean of 31 months (range, 24-60 months). RESULTS: Average active elbow joint motion at the most recent follow-up was 105 degrees. The average Mayo Elbow Performance Score was 76.9 (range, 50-95). Of the results, there was one excellent, four good, two fair, and one poor. CONCLUSION: Early open reduction and stable internal fixation provided a reliable method for the treatment of type III coronoid process fractures. Any associated injuries to the elbow and fracture comminution were considered as important prognostic factors.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
9/15. Extra-articular fractures of the distal radius in young adults. A technique of closed reposition and stabilisation by mono-segmental, radio-radial external fixator.Some fractures of the distal radius need an operative treatment in order to restore and maintain both length and anatomical angles of the distal joint surfaces. We present a technique of closed reposition and stabilisation by external fixator on the distal radius, without any bridging of the wrist joint, allowing for active and passive motion of the wrist during bone healing. Two cases are illustrated as examples.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
10/15. Osteoarticular allograft reconstruction for recurrent post-traumatic dislocation of the hip.A patient with post-traumatic mechanical instability associated with a significant posterior acetabular deficiency in the presence of an otherwise good articular surface was treated with an allograft reconstruction. The short-term result was good; at 10-month follow-up there was full range of motion with no clinical evidence of instability. This procedure may be indicated in rare instances of post-traumatic mechanical instability where insufficiency of the posterior acetabular wall is felt to be a significant factor.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
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