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Fractures, Malunited (0):
Recent article
Fractures, Malunited
Abstract
The radiological outcomes of 31 corrective osteotomies for malunion of the distal radius were assessed. The procedure re-established normal anatomy in the majority of cases. There was no significant difference in outcome between the dorsal and the palmar approach, but more secondary procedures for h...
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PMID: 21138214
PDF is available here.
PDF is available here.
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Abstract
Rotational deformity is a more common problem than one might expect in the treatment of femoral shaft fractures. This review presents two cases of femoral malrotation following intramedullary nailing of the femur. The presentation, importance of early recognition, investigation with a CT scan, and t...
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PMID: 21138210
PDF is available here.
PDF is available here.
Orthopedics (33)9 2010
Abstract
We studied patients with combat-related injuries that required delayed amputation at least 4 months after the initial injury due to dysfunction, persistent pain, and patient desires. Late amputations were performed 22 times in 22 patients (21 men, 1 woman) since 2003. Fourteen patients underwent tra...
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PMID: 20839713
PDF is available here.
PDF is available here.
Hand Clinics (26)3 2010
Abstract
Surgical management of distal radius fractures continues to evolve because of their high incidence in an increasingly active elderly population. Traditional radiocarpal external fixation relies on ligamentotaxis for fracture reduction but has several drawbacks. Nonbridging external fixation has evol...
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PMID: 20670803
PDF is available here.
PDF is available here.
Hand Clinics (26)3 2010
Abstract
Locked fixed-angle plating in the hand and wrist helps to optimize outcomes following surgical fixation of select acute fractures and complex reconstructions. Select indications include unstable distal ulna head/neck fractures, periarticular metacarpal and phalangeal fractures, comminuted/multifragm...
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PMID: 20670796
PDF is available here.
PDF is available here.
Abstract
The benefit of hemiarthroplasty for proximal humerus fractures in patients with Parkinson's disease was marginal with three shoulders in seven patients having moderate to severe persistent pain and limited function postoperatively. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for A...
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PMID: 20387015
PDF is available here.
PDF is available here.
Abstract
Surgical complications of the calcaneus are unique to that structure but do not have a greater incidence than in any other part of the foot or ankle. The first tenet of any complication, however, is to recognize it. When all is said and done, recognition is probably the most important step when a co...
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PMID: 20691372
PDF is available here.
PDF is available here.
Abstract
Plate fixation of displaced midshaft clavicle fracture reliably restores length and alignment. It resulted in shorter time to union with low complication rates. Symptomatic malunion in adolescents may be more common than earlier thought after significantly displaced fractures. Corrective osteotomy w...
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PMID: 20502227
PDF is available here.
PDF is available here.
Abstract
Corrective osteotomy is an established but challenging treatment for distal radius malunion. Short- and intermediate-term results have been previously published while long-term results have not. The long-term results of 22 patients treated with corrective osteotomy for symptomatic distal radius malu...
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PMID: 20031995
PDF is available here.
PDF is available here.
Orthopedics (33)4 2010
Abstract
Abstract
Patients in both groups had temporary facial nerve injury that was primarily related to retraction of the nerve. There were no hematomas observed in any of the groups. As compared to the modified lateral orbitotomy approach, swelling was observed on more occasions with the modified hemicoronal appro...
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PMID: 20097107
PDF is available here.
PDF is available here.
Abstract
Minimally invasive fixation with TEN is a safe method and can be performed with minor complications. This method of fixation of displaced midclaviclular fractures should result in a good cosmetic appearance and satisfactory stabilization of displaced midclavicular fractures without comminution....
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PMID: 20335754
PDF is available here.
PDF is available here.
Abstract
Abstract
The average follow-up period was 29.3 months (range, 12-63 months). The average duration of the surgery was 2.5 hours (range, 2-4 hours). Average blood loss was 300 mL (range, 200-400 mL). The neck-shaft angle was improved by 2.3 degrees on average. Twenty-four of 26 femoral neck nonunions healed wi...
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PMID: 20335756
PDF is available here.
PDF is available here.
Journal of Orthopaedic Trauma (24 Suppl 1) 2010
Abstract
Radiographic assessment of tibial fracture healing continues to pose significant challenges to both routine fracture care and clinical research. Orthopaedic surgeons fail to achieve sufficient agreement on fracture healing when using conventional radiographic measures such as their general impressio...
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PMID: 20182243
PDF is available here.
PDF is available here.
Abstract
We present the incidence, causes, treatment options and possible complications. A good understanding of classification and treatment options is of great importance to minimize complications. A clear evidence-based algorithm, however, cannot be proposed. Further multi-centre studies should be perform...
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PMID: 20306957
PDF is available here.
PDF is available here.
Abstract
We report three cases of malunion after fractures of the proximal phalangeal neck in children. A 12-year-old boy and a 7-year-old girl had malunited fractures with dorsal and ulnar deviation of their fingers. Several years later remodeling had been achieved well for dorsal deviation but little for t...
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PMID: 20158424
PDF is available here.
PDF is available here.
Abstract
The cortical step sign, or incongruity of cortical widths on either side of a femur fracture, is indicative of rotational malreduction. Whether such malreduction is the result of internal rotation or external rotation, however, cannot be easily determined from this radiographic sign....
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PMID: 20101131
PDF is available here.
PDF is available here.
Abstract
Given the global nature of modern travel and the possibility of deployment to the African continent, it is conceivable that medical officers in the course of their general duties may be exposed to patients managed with traditional bone setting techniques. Whilst these techniques may prove effective...
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PMID: 21073090
PDF is available here.
PDF is available here.
Orthopedics (33)1 2010
Abstract
Patients with nonunion of osteoporotic vertebral compression fractures that are refractory to conservative treatments have persistent back pain, progressive vertebral body collapse and kyphosis, and mobility of the fracture. Although many previous reports have reported vertebral compression fracture...
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PMID: 20055352
PDF is available here.
PDF is available here.
Abstract
Forearm rotation is crucial for full upper extremity mobility. The two-bone unit with its proximal and distal radioulnar joints should be considered as a single bicondylar articulation. After a traumatic bony forearm injury, surgical treatment for complications, such as deformity, bone loss, or fail...
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PMID: 20415386
PDF is available here.
PDF is available here.
Abstract
Disorders of the distal radioulnar joint (DRUJ) are relatively common and often associated with the triangular fibrocartilage complex. Anatomically and biomechanically, the DRUJ should be considered in the broader context of the forearm joint, which has both distal and proximal articulations. Clinic...
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PMID: 20415387
PDF is available here.
PDF is available here.
Abstract
Fracture of the distal radius is the type of fracture most commonly seen in emergency departments. The understanding of nonsurgical and surgical care of distal radius fractures is evolving with recently developed methods of fixation. It is worthwhile to review some new methods of treatment, the role...
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PMID: 20415388
PDF is available here.
PDF is available here.
Abstract
We examined perioperative complications of corrective osteotomy for malunited supracondylar humerus fractures in 41 patients treated at Children's Hospital Los Angeles between 1987 and 2002, and we established the risk factors associated with these complications. The overall complication rate was 32...
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PMID: 20305836
PDF is available here.
PDF is available here.
Abstract
Anatomic and functional results were analyzed in 82 patients (18 had died within the first year following fracture occurrence). Mean follow-up period was 24 months (range, 12-36 months). Bone healing was achieved in 96% of cases. There were numerous postoperative complications (four cases of thrombo...
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PMID: 19783240
PDF is available here.
PDF is available here.
Abstract
Only 1 of 311 follow-ups led to an active intervention. The greenstick fractures had more complications than the buckle fractures. The lateral angulation of the buckle fractures did not change importantly throughout the treatment. The greenstick fractures displaced 5 degrees on average, and continue...
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PMID: 19916694
PDF is available here.
PDF is available here.
Foot and Ankle Clinics (14)3 2009
Abstract
Salvage of nonunion and malunion of trauma of the foot and ankle is often challenging surgery. Internal fixation provides the mainstay of most orthopedic surgeons' treatment of these conditions. Patient systemic factors, local factors, and the complex nature of these often multiplanar deformities ma...
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PMID: 19712890
PDF is available here.
PDF is available here.
Abstract
We describe a new application of wave plate osteosynthesis in the treatment of isolated atrophic nonunions of the ulna. This biologic plating concept restores anatomic alignment without standard rigid fixation and aims to take advantage of the vascularity of the surrounding soft tissues to achieve u...
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PMID: 19704276
PDF is available here.
PDF is available here.
Abstract
We report a case of a nonunited sixth rib in a patient with multiple rib fractures who underwent internal fixation using a wire and Judet strut 3 times. During the following 3 years, the patient continued to complain of pain and instability. At surgery, a pseudarthrosis between the ends of the sixth...
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PMID: 19704278
PDF is available here.
PDF is available here.
Abstract
The authors report painful nonunions after multiple rib fractures in a 50-year-old man who sustained a displaced scapula fracture and multiple ipsilateral rib fractures. The rib nonunions were reconstructed after an 11-month trial of nonoperative management, which was unsuccessful. The nonunions hea...
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PMID: 19704277
PDF is available here.
PDF is available here.
Abstract
Interfragmentary motion was similar between the groups with and without fiber-cerclages, in both fracture gaps and in any of the cases of load. Cerclages did not impair the capacity of the rotator cuff to strain. INTERPRETATION; Provided that unstable 3-part fractures are reduced and stabilized anat...
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PMID: 19562564
PDF is available here.
PDF is available here.
Abstract
The median treatment time was 9 (4-30) months, and the obstacle and complication rate was 105% per corrected bone segment. In 2 patients treatment failed, which resulted in amputation. In all other patients healing of nonunion could be established, malunion could be corrected, and infections were su...
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PMID: 19626469
PDF is available here.
PDF is available here.
Abstract
We analyzed the factors predisposing a pelvic injury to develop malunion/nonunion, the clinical presentation of these complications, and the efficacy of the reported operative protocols in 437 malunions/nonunions of 25 clinical studies. Treatment of these demanding complications appeared effective i...
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PMID: 19184260
PDF is available here.
PDF is available here.
Abstract
We retrospectively defined the rate and clinical features of tendon entrapment in 693 consecutive patients with 701 distal radius fractures treated in a single hospital. Eight extensor tendons and one flexor tendon were entrapped. All fractures with extensor tendon entrapment were palmarly displaced...
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PMID: 19675028
PDF is available here.
PDF is available here.
Abstract
The mean overall accuracy for correction of malrotation was 1.58 degrees (SD = 0.8 degrees). There were no significant differences between the two surgeons performing the corrections. CONCLUSION: The accuracy of operative correction of malrotation in this cadaver model is in accordance with the requ...
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PMID: 19735635
PDF is available here.
PDF is available here.
Orthopedics (32)7 2009
Abstract
We report 3 cases of scaphoid nonunion in a break-dancer, the first such report in the English literature to our knowledge. Accordingly, we believe that the clinician must inquire more thoroughly into the nature of patients' activities that result in both unusual and common injuries and educate thos...
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PMID: 19634840
PDF is available here.
PDF is available here.
Abstract
21 males and 5 females, mean age 36 (18-67) years, were included in the study. 18 patients had more than one indication for surgery. Of the 27 fractures, there were 13 acromion fractures and 14 coracoid fractures. 1 patient was treated for both a coracoid and an acromion fracture. Fracture patterns...
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PMID: 19857183
PDF is available here.
PDF is available here.
Abstract
Distal ulnar and midradial osteotomies are effective in the treatment of supination deformities of the forearm with little risk of complication or need for additional surgery. Radial fixation is important, but ulnar fixation is not required. Both osteotomies must be complete before plate fixation of...
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PMID: 19461386
PDF is available here.
PDF is available here.
Abstract
Abstract
Between 1998 and 2007, 22 patients with fractures of the scapula had operative treatment more than three weeks after injury. The indications for operation included displaced intra-articular fractures, medialisation of the glenohumeral joint, angular deformity, or displaced double lesions of the supe...
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PMID: 19407296
PDF is available here.
PDF is available here.
Abstract
PURPOSE OF THE STUDY Surgery for the nonunion or malunion of pelvic fractures is not common even at specialised departments. This article presents the authors experience with this procedure, completed with case studies and a review of relevant literature. MATERIAL AND METHODS From 1998 to 2007, a to...
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PMID: 19439132
PDF is available here.
PDF is available here.
Abstract
Sagittal rotational malunion after distal radius fractures was identified in eight patients by the presence of a "hinge" point on the volar cortex on the lateral radiograph, and the ulnar head being shorter than the anterior lip of the radius on the posterior-anterior radiograph. The surgical correc...
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PMID: 19129360
PDF is available here.
PDF is available here.
Abstract
Anatomic reduction and fixation of unstable ankle fractures is necessary to prevent posttraumatic arthritis. Malunion of the distal fibula in unstable ankle fractures may lead to progressive talar instability. Ankle fracture malunions often present with concomitant syndesmotic widening, which can ca...
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PMID: 19307671
PDF is available here.
PDF is available here.
Abstract
We sought to determine whether using tricortical portions of the iliac crest in conjunction with osteotomy and internal fixation could successfully treat malunions and malaligned nonunions of the tibia and fibula. Seventeen patients with either a malunion or a malaligned nonunion of the tibia or fib...
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PMID: 19145464
PDF is available here.
PDF is available here.
Abstract
We retrospectively reviewed the functional outcome of the modified Pauwels' intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5-5 cm) in 38 patients and mean n...
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PMID: 19142687
PDF is available here.
PDF is available here.
Abstract
From 2001 to 2007, twelve patients (nine female, three male) with "medial split fractures" were treated via the direct posterior approach. Four patients had isolated "medial split fractures", seven patients bicondylar fractures of the tibial plateau, and one patient a four-part fracture. Six of our...
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PMID: 19326067
PDF is available here.
PDF is available here.
Abstract
We describe an innovative technique for intramedullary fixation for corrective osteotomies of extraarticular distal radius malunions....
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PMID: 19276924
PDF is available here.
PDF is available here.
Abstract
Radiographic union was achieved in 17 of 18 patients (94%). The average follow-up was 26.5 months (range 12-49 months). The average time from surgery to radiographic union was 5.4 months (range 2.5-8.8 months). There was 1 failure of fixation, and 2 patients developed transient neurologic sequelae....
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PMID: 19516089
PDF is available here.
PDF is available here.
Abstract
We describe a modification of a previously described technique for reconstructing these fractures when a stable anatomic reduction and fixation is not possible. In this method, the comminuted fragments are excised and the proximal olecranon fragment is advanced past the resulting defect and fixed to...
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PMID: 19516099
PDF is available here.
PDF is available here.
The role of plating in the operative treatment of severe open tibial fractures: a systematic review.
Abstract
Open fractures of the tibial diaphysis are the result of high-energy trauma. They are usually associated with extensive soft tissue loss and represent serious clinical problems. Surgical treatment of these injuries has been associated with substantial complications such as osteomyelitis, delayed bon...
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PMID: 17786444
PDF is available here.
PDF is available here.
Abstract
Fractures of the immature carpal scaphoid can be challenging to manage. The diagnosis may be missed or delayed because of absent or minimal symptoms. Once diagnosed, most pediatric scaphoid fractures can be successfully treated with cast immobilization. However, this is inadequate for difficult and...
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PMID: 19202121
PDF is available here.
PDF is available here.
Abstract
This study was carried out on 7 dogs with antebrachial deformity caused by malunion on radius-ulna fracture, treated with the Ilizarov method. The 1st, 3rd and 5th case were progressive correction group, in which the fixation consisted of a two-ring frame hinged with a ring in 100 mm diameter. The 2...
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PMID: 19459439
PDF is available here.
PDF is available here.
Hand Surgery (14)1 2009
Abstract
We present a case of subcutaneous flexor tendon rupture of the index finger following malunion of a distal radius fracture. The cause of the tendon rupture was mechanical attrition due to a bony prominence at the palmar joint rim in the distal radius due to malunion. Corrective osteotomy and the Sau...
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PMID: 19598320
PDF is available here.
PDF is available here.
Abstract
One hundred and twenty-one patients with 155 musculoskeletal injuries and 168 complications of treatment by the TBS were seen 75 (57%) were male and 52 (43%) were female. The ages of the patients ranged from 6 weeks--72 years (mean 29.49 years). The common complications of TBS treatment were malunio...
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PMID: 19662745
PDF is available here.
PDF is available here.
Abstract
Hip spica cast, which is incorporated to a distal femoral traction pin, avoids unacceptable shortening and frontal plane malalignment in pediatric femoral fractures, which even have a relatively high risk of unacceptable shortening based on the so-called telescope test. However, the technique cannot...
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PMID: 19098644
PDF is available here.
PDF is available here.
Abstract
The surgical management of calcaneal fractures presents with several obstacles to the treating physician. Many experienced surgeons acknowledge a steep and significant learning curve in the operative management of calcaneal fractures. Nonoperative management of displaced intra-articular calcaneal fra...
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PMID: 19121755
PDF is available here.
PDF is available here.
Abstract
In order to provide proper treatment intervention, the foot and ankle surgeon must develop a further understanding of the pathoanatomy and pathomechanics leading to specific surgical complications of central metatarsal osteotomies. In addition to providing the authors' experiences and potential solut...
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PMID: 19121751
PDF is available here.
PDF is available here.
Abstract
The management of complications resulting from the open reduction and internal fixation of ankle fractures is discussed in detail. The initial radiographic findings of the most common postsurgical complications of ankle fracture reduction are briefly discussed, namely lateral, medial, and posterior m...
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PMID: 19121757
PDF is available here.
PDF is available here.
Abstract
Detailed gait analysis and functional outcome determination indicate that patients treated surgically for a displaced acetabular fracture, either via an anterior or posterior approach, have alterations in their gait, muscle strength, and functional outcome. Maximizing hip muscle strength may improve...
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PMID: 19390362
PDF is available here.
PDF is available here.
Abstract
Given the high frequency, significant portion of the joint involved, significant displacement, and pattern suggestive of instability, surgeons need to be cognizant of this pattern and may need to consider directly reducing and fixating this fragment through a posteromedially based approach. Overall...
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PMID: 19104303
PDF is available here.
PDF is available here.