1/31. osteotomy for malunion of a talar neck fracture: a case report.A malunion of the talar neck after a Hawkins type II fracture/dislocation of the talar neck occurred in a 34-year-old man after nonoperative treatment. Rigid varus deformity of the forefoot was a source of severe pain and disability in this patient. We describe our surgical technique for osteotomy of the talar neck with insertion of a tricortical iliac crest bone graft to correct the deformity. At follow-up (56 months), the patient had consistent relief of pain and was employed at his preinjury job doing heavy labor. The score on the American Orthopaedic foot and Ankle Society Ankle-Hindfoot Scale improved from 11 points, preoperatively, to 85 points, postoperatively. Radiographs showed maintenance in the position of the osteotomy and no evidence of avascular necrosis in the talar body. Evidence of arthrosis of the talonavicular joint was apparent radiographically, but the patient did not complain of symptoms referable to this area.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
2/31. Frozen and radiation-sterilized bone allografts in the treatment of post-traumatic malformation of bones.Post-traumatical malformations of bone are often reconstructed with the use of preserved bone allografts. At the Institute of traumatology, Orthopaedics and neurosurgery 495 patients were treated with use of preserved (frozen and radiation-sterilized) bone allografts, following trauma, between 1981 and 1995. Non union of bone and osteomyelitis were main reasons for allotransplantation of bone. Remodelling of bone allografts has been observed during 2-8 years after surgery. Substitution of allografts and good result of treatment were found in 80% of all cases. In paper the analysis of results of treatment is presented.- - - - - - - - - - ranking = 0.087185592708298keywords = trauma (Clic here for more details about this article) |
3/31. Femoral head avulsion fracture with malunion to the acetabulum: a case report.The case of a patient who sustained an avulsion fracture of the femoral head (Pipkin Type I) that was unrecognized is described. The patient was referred to the authors' institution four months after injury, and radiographic studies showed a malunited avulsion fracture of the femoral head to the acetabulum. The patient subsequently went on to an excellent result after surgical debridement. The authors recommend additional radiographic studies in cases to exclude unrecognized fractures where a possible hip subluxation may have occurred.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
4/31. Recurrent supracondylar humerus fracture following prior malunion.In this report, two patients sustained a recurrent supracondylar humerus fracture following malunion of a previous supracondylar humerus fracture. The patients were treated for their first fracture at 5 and 6 years of age, respectively. One underwent open reduction with percutaneous pinning, and the other was treated with closed reduction with casting. Both patients healed in a moderate degree of extension after the first fracture. Two years later, both sustained a second fracture of the supracondylar humerus. Both had closed reduction with percutaneous pinning and went on to heal uneventfully. We speculate that ensuing post-traumatic extension deformity may accentuate a child's tendency for elbow hyperextension. Extension malunion may place the child at increased risk for a second fracture via similar mechanisms of injury.- - - - - - - - - - ranking = 1.014530932118keywords = injury, trauma (Clic here for more details about this article) |
5/31. Options for immediate reconstruction of the traumatized temporomandibular joint.The management of condylar fractures is one of the most controversial topics in the repair of the maxillofacial skeleton. An extensive volume of literature exists describing the various indications for a specific treatment of this injury. This article outlines the absolute and relative indications for an open procedure and describes three different modalities for the immediate reconstruction of the temporomandibular joint system. Three different case reports are used to illustrate the respective procedures--replacement of the temporomandibular joint with autologous rib graft, replacement of the temporomandibular joint with an alloplast, and vertical ramus osteotomy for repositioning of the condylar stump. The discussion section reviews the findings and preferences of various treatment modalities described in the literature, along with the advantages and disadvantages.- - - - - - - - - - ranking = 1.0581237284722keywords = injury, trauma (Clic here for more details about this article) |
6/31. Occult maxillofacial trauma in epilepsy.epilepsy is a relatively common neurological disorder with incidence in both developed and developing countries. head, facial, and oral injuries can result from seizures experienced by the epileptic patient. patients with severe epilepsy often experience other dental disease due to their inability to properly maintain their oral hygiene. This paper presents a case of a chronic mandibular fracture following an episode of seizures in a patient with epilepsy in whom the fracture was discovered when he developed a fistula in the submandibular region.- - - - - - - - - - ranking = 0.058123728472199keywords = trauma (Clic here for more details about this article) |
7/31. Failure of active extension after traumatic cubitus varus. A case report.In children cubitus varus is common after malunion of a supracondylar fracture of the humerus. Later problems such as tardy ulnar nerve palsy, snapping of the lateral triceps tendon or ulnar nerve and posterolateral rotatory instability are well documented. We present a case of anteromedial dislocation of the entire triceps tendon with loss of extensor power and describe the method of treatment.- - - - - - - - - - ranking = 0.058123728472199keywords = trauma (Clic here for more details about this article) |
8/31. Treatment of malunited fractures of the anterior tibial spine.Avulsion fractures of the anterior tibial spine are uncommon injuries, and most often seen in childhood. They can be associated with other intraarticular lesions and have, if adequately treated, a good long-term prognosis. In adults these fractures can be complicated by loss of knee extension because of the displacement of the bony fragment. This is most often as a result of non- or malunion of the displaced fragment. We review two cases of malunited fractures of the anterior tibial spine. Both patients reported persistent knee pain and loss of knee extension, and had had an anterior knee laxity for a long time. They had been treated extensively by physiotherapy. In one patient, arthroscopy in another hospital revealed no reasons for the clinical symptoms. More than twenty years after the initial trauma, both patients visited our hospital. A radiograph and a magnetic resonance imaging were respectively carried out both of which revealed a malunited avulsion fracture. According to the examinations, the patients were treated by open reduction and internal fixation, and in the follow up exploration both no longer had discomfort. Clinical and radiological features of this less common and rarely reported injury are discussed and the surgical treatment is demonstrated.- - - - - - - - - - ranking = 1.014530932118keywords = injury, trauma (Clic here for more details about this article) |
9/31. Posttraumatic pediatric distal tibiofibular synostosis: a case report.INTRODUCTION: Posttraumatic pediatric distal tibiofibular synostosis is a rare complication of fractures at this level, unreported at this time. Implications include limb length discrepancy, angular malalignment, and gait and biomechanical abnormalities. MATERIALS AND methods: The authors present a case report of this complication in a 7-year-old child and review the relevant English literature. The patient was treated for a closed distal tibia-fibula fracture and developed a synostosis at that level, with valgus malalignment of the ankle joint. The synostosis was resected and latest follow-up 16 months postresection showed near normalization of the ankle malalignment. Possible etiologies, the anatomical and functional ramifications, and treatment recommendations for this condition are discussed. SUMMARY: Posttraumatic tibiofibular synostosis is a rare complication that has a potential effect on limb length and alignment, both at the ankle and the knee in the skeletally immature patient. Prevention, early recognition, and prompt treatment prevent the anatomic and functional abnormalities that could result from it.- - - - - - - - - - ranking = 0.087185592708298keywords = trauma (Clic here for more details about this article) |
10/31. Acetabular reduction osteotomy using surgical dislocation of the hip joint for treatment of a malunited acetabular fracture.INTRODUCTION: Acetabular fractures remain a challenge for the orthopedic and trauma surgeon, with frequently poor outcome in terms of pain and lack of motion and high rate of posttraumatic arthritis especially in badly reconstructed fractures where the anatomy was not restored. Surgical treatment of malunited acetabular fractures is often necessary, although it can be very complex. CASE PRESENTATION: We report a young woman who sustained both column fracture with central dislocation of the femoral head in which the posterior wall fragment was initially not fixed anatomically. CONCLUSIONS: Surgical dislocation of malunited acetabular fractures is a relatively new therapeutic option that provides full access to the femoral head and acetabulum without compromising the blood supply to the femoral head. Our results show that it can also be of great help in restoring malunited acetabular fractures.- - - - - - - - - - ranking = 0.0290618642361keywords = trauma (Clic here for more details about this article) |
| | Next -> |