Abstract
To investigate the effect of augmentative plate fixation to increase stability in the treatment of femoral shaft nonunions subsequent to intramedullary fixation.
Nine patients with femoral nonunions after intramedullary nail internal fixation were treated with augmentative plate internal fixation fr...
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PMID: 21265203
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Abstract
The treatment of fracture has been greatly improved, but the incidence of nonunion is still high and which is a challenge that orthopedic clinicians. The treatment of nonunion has been the concern to the scholars. New technologys of surgical and non-surgical therapies continue to emerge, and achieve...
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PMID: 21254693
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Abstract
We describe an alternate way of treating soft tissue problems which occur at the lower third of the leg while being treated on an Ilizarov frame. We describe the surgical procedure followed in raising the flap and its anterior transposition within the Ilizarov frame in two patients....
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PMID: 21138227
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Abstract
We report a case of delayed union fracture of the clavicle in which biological treatment was chosen before considering surgery. Three percutaneous injections of PRGF, one every 2 weeks, were delivered into the delayed union site. The autologous PGRF used was obtained through the patented PRGF system...
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PMID: 21138228
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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
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Abstract
This is a case of late-onset radial nerve palsy associated with the nonunion of the humeral shaft. Nonunion formation was caused by insufficient osteosynthesis and lack of proper biomechanical conditions for fracture healing. A good final outcome was achieved by simultaneous surgical treatment both...
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PMID: 21121152
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Abstract
We screened the gene expression profiles of all members of the MMPs, ADAMTS, and their inhibitor TIMPs on human fracture nonunion tissue and matched mineralized callus tissue. Significant results were further analyzed using Western immunoblotting, immunohistochemistry, and in vitro protein interacti...
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PMID: 20736794
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Abstract
The small sample size did not allow any meaningful conclusion to be drawn from the present study in terms of the primary question of achieving union. Both groups matched in outcomes when evaluated only on a clinical basis. The avoidance of repeat surgery for plate removal is a definite advantage of...
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PMID: 20100633
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Abstract
Because of the high incidence of radiologic nonunion, bioabsorbable devices should not yet be used for fixation of access osteotomies in cancer surgery.
Copyright 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved....
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PMID: 20018418
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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
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Abstract
Two women, aged 71 and 53 years with periprosthetic fractures of the left femur and an 18 year old man with a non-union of fracture of the left radius presented for assessment and treatment.
Serial radiographs showed that osteosynthesis and/or autogenous bone-grafting and multiple revisions had not...
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PMID: 20665416
PDF is available here.
Abstract
To determine the therapeutic efficacy of augmentation plate fixation in nonunion of long-bone fracture after interlocking intramedullary nailing.
From April 1998 to April 2009, 14 patients with long-bone hypertrophic nonunion after intramedullary nail internal fixation were treated with augmentative...
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PMID: 20979908
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Abstract
Certain extra-articular scapula fractures may displace in postinjury period. We recommend close monitoring of conservatively treated fractures to screen for progressive displacement....
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PMID: 20016387
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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
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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
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Abstract
To investigate the curative effect of treating infected nonunion with debridement and granulated cancellous bone autografting in a one-stage procedure.
Between 1999 and 2005, 38 cases of infected nonunion were treated with immediate granulated cancellous bone autografting after debridement.
At a mea...
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PMID: 20979747
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Abstract
We describe a new technique to shape the trapeziometacarpal joint surfaces that provides inherent stability, a larger contact area, and that allows easy positioning of the thumb in the ideal position for fusion....
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PMID: 20526158
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Abstract
FVFG combined with locking plate is a viable option for the management of large skeletal defects from open fracture and infection....
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PMID: 19471948
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Abstract
All the patients obtained union within a mean 4.5 months. The functional scores for the shoulder (Constant) and the elbow (Mayo) were 77 and 97 points (mean), respectively.Two patients developed transient paresis related to radial nerve and musculocutaneous nerve injuries and one had a recurring fra...
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PMID: 20417912
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Abstract
The authors present a group of five men who sustained a displaced fracture of the medial end of the clavicle. In all cases, the diagnosis was confirmed by computed tomographic scan. Three young men with extra-articular fractures were treated operatively with a very good result. Two older men were tr...
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PMID: 20335748
PDF is available here.
Abstract
The clinical and radiological results of a modified midcarpal fusion technique for scaphoid nonunion advance collapse were retrospectively studied in eight patients. All had partial resection of the proximal part of the fractured scaphoid, limited radial styloidectomy, scaphocapitate...
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PMID: 20031996
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Abstract
Nonunions of fractures occur infrequently and can be multifactorial. Some predisposing factors include fracture instability, poor vascularity and inadequate fracture reduction. The role of metabolic bone disease and endocrine abnormalities in nonunions is often overlooked. This article reports a cas...
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PMID: 20301871
PDF is available here.
Abstract
The clinical and radiological results of a modified midcarpal fusion technique for scaphoid nonunion advance collapse were retrospectively studied in eight patients. All had partial resection of the proximal part of the fractured scaphoid, limited radial styloidectomy, scaphocapitate and lunocapitat...
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PMID: 20031996
PDF is available here.
Abstract
A total of 16 complications were found, which may have been attributed to the use of rhBMP-2. There were no incidences of systemic toxicity associated with rhBMP-2 use. Nine patients were noted to have some local operative site problem, 3 deep infections were noted, 1 patient was found to have a pos...
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PMID: 20179569
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Abstract
Clinical and radiologic outcomes are encouraging to recommend this method for scaphoid nonunions in children and adolescents. STUDY DESIGN: Case series (level of evidence, IV)....
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PMID: 20179557
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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
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Abstract
The authors reviewed eight patients treated with an Ilizarov frame for a non-infected delayed union or non-union after reamed intramedullary nailing of the femoral diaphysis. The hardware was completely removed in all cases but two, in which the distal fragment of a broken nail was left in situ. In...
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PMID: 20306966
PDF is available here.
Abstract
AP with autogenous bone grafting may be a better option than EN for nonisthmal femoral nonunions....
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PMID: 20101132
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Abstract
Fracture displacement, a high Pauwels angle, and delayed presentation decrease the potential for healing of femoral neck fractures. In the young individual, head preservation is paramount. Valgus intertrochanteric osteotomy may increase the healing potential of femoral neck fractures in the presence...
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PMID: 20101136
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Abstract
All four cases that fractured had a "dreaded black line" in the lesion, whereas only 1 of 12 patients had this fracture in femurs which remained intact (100% versus 8.3%, P = 0.003). All patients who fractured reported thigh discomfort over 1 month (range, 0.1-9.0 months; standard deviation, 4.0 mon...
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PMID: 20101130
PDF is available here.
Abstract
We report on a case where a scaphoid fracture was overlooked, probably because of an incorrect technique of the computed tomography. CASE REPORT: A 42-year-old man was admitted to our emergency room after a fall on the out-stretched wrist. X-rays showed no evidence of a bony lesion. In the follow-up...
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PMID: 20205070
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Abstract
We report a case of successful operative management of symptomatic ipsilateral nonunions of a type I coracoid base fracture and a lateral one-third clavicular fracture, which developed following nonoperative treatment of this exceedingly rare injury pattern. Following open distal clavicle excision a...
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PMID: 20345361
PDF is available here.
Abstract
The patients were followed up for an average time of 18.2 months (range, 1-3 years). All nounion of lower segment of humerus were healed and no radial nerve injury occurred. Primary healing of wound was achieved at both donor and recipient sites. Bony union was achieved in all cases after an average...
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PMID: 20135977
PDF is available here.
Abstract
The results indicate a trend toward nonunion in patients with the following risk factors: obesity (37%); a history of cigarette smoking (53%); metabolic bone disease (32%); cardiovascular disease (37%); short oblique fractures (89%); open fractures (26%); and fractures of the proximal third of the d...
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PMID: 20336955
PDF is available here.
Abstract
Traditionally, midshaft clavicular fractures have been treated conservatively. However a review of the literature reveals that certain fractures can benefit from operative repair. Conservative treatment, preferably in the form of a sling, of an undisplaced midshaft clavicular fracture leads to excel...
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PMID: 21083959
PDF is available here.
Abstract
We have not found the literature data concerning the above mentioned problem, we solved it in the way that we usually do for the treatment of developmental dislocation of the hip in adolescence....
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PMID: 20499511
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Abstract
We compared the in vitro capability of two recombinant human bone morphogenetic proteins (rhBMP-2 and rhBMP-7) and activated platelet-rich plasma (PRG) to stimulate proliferation and/or differentiation of cells derived from non-union patients. Cells derived from the lesion sites, osteoblasts and mes...
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PMID: 20385071
PDF is available here.
Abstract
Fractures of the ulnar styloid commonly accompany fractures of the distal radius, but their effect on the final outcome and need of separate treatment are not precisely determined. The objective of this review was to present the issue based on current literature. To date, results of both experimenta...
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PMID: 21038638
PDF is available here.
Abstract
Radiological and anatomopathological studies showed the absence of bone consolidation with persistence of fibro-osteoid tissue up to 120 days of follow-up. CONCLUSION: The experimental model is suitable for the development of a pseudoarthrosis in rats....
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PMID: 20140396
PDF is available here.
Abstract
We present a case of a 35-year-old patient with an established nonunion of medial Hoffa fracture of right knee treated with open reduction and internal fixation....
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PMID: 19890735
PDF is available here.
Abstract
This case series evaluates 12 patients presenting posttraumatic infected nonunions affecting long bones of the upper extremity, treated with staged reconstruction using polymethylmethacrylate spacers with antibiotics in the first stage and bone graft impregnated with antibiotics in the definitive su...
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PMID: 19876707
PDF is available here.
Abstract
We report a case of transverse acetabular fracture nonunion treated by a cementless hemispherical press-fit cup and autologous structural bone graft. At 10 years follow-up, the graft was integrated, the cup was stable, and the patient was completely recovered....
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PMID: 19876711
PDF is available here.
Abstract
The authors report a case of an undiagnosed Kocher-Lorenz fracture in a 12-year-old adolescent. The Kocher-Lorenz type fracture involves a superficial osteochondral shell of the capitellum with little underlying bone. Three years after trauma, the patient still complained of throbbing and occasional...
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PMID: 19837021
PDF is available here.
Abstract
The SMFA DI and SF-36 PCS scores were highly correlated at 3, 6, and 12 months post-surgical fixation. The difference in the mean standardized change scores for SMFA DI and SF-36 PCS, from 3 to 12 months post-surgical fixation, was not statistically significant. Both the SMFA DI and SF-36 PCS scores...
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PMID: 19364637
PDF is available here.
Abstract
We report 6 cases of recalcitrant non-union of forearm bones treated with a free vascularized thin corticoperiosteal graft harvested from the medial condyle of the femur. All non-unions healed. In one 58-year-old patient a fracture of the femur occurred.
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PMID: 19999872
PDF is available here.
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.