Distal tibial fractures tend towards delayed- or nonunion. The purpose of this study was to evaluate the safety and efficacy early minimally invasive intervention (MII) in treatment these fractures. A total 24 consecutive patients who underwent operative for distal were randomized into a control an group. MII entailed aspirating iliac crest bone marrow peripheral blood, yielding mesenchymal stem cells (MSCs) platelet-rich plasma (PRP) respectively, that mixed with demineralized matrix (DBM)...

Sixty patients with acetabular fractures were treated surgically. All a result of high energy trauma, most significant associated injuries. Fifty-three the followed up for at least 2 years. Clinical outcome was analyzed clinically using Harris hip score and radiographically. In 41 (77.4%) patients, surgical procedure judged successful (Harris greater than 80 points). Three factors found to be statistically predictors such an outcome: patient age younger 40 years; simple based on...

Assessing femoral neck shortening (FNS) and varus collapse after internal fixation of fractures using computerized navigation (CN).Retrospective cohort study.Academic Level I trauma center.Forty-one patients who had healed treated with CN between the years 2003 2008. Average age was 65 (range, 14-91 years). Thirty-six nondisplaced five displaced fractures.Screws were placed in an inverted triangle formation Follow-up films digitized into a PACS system, calibrated, analyzed CAD software.The...

To determine the effectiveness of closed, intramedullary exchange nailing with reamed insertion for treatment femoral shaft nonunions previously treated an nail.Retrospective cohort study.Academic level I trauma center.Forty-two patients whose fracture was initially managed nail, were subsequently by their nonunion in our center. Seven had infected as proved intraoperative cultures.Closed, a larger diameter nail.Radiographic and clinical evidence healing.Thirty-six (86%) heal without further...

This article presents our experience with 24 patients who had distal tibial fractures and were treated by percutaneous plate fixation. Distribution of the according to AO/OTA classification was as follows: five suffered from a 43 A type fracture, six B 13 C fractures. Four open. Exclusion criteria included C3 Gustilo III open All showed radiographic signs union enough enable full weightbearing within an average time 12.3 weeks. good range motion (average dorsiflexion 12° plantiflexion 18°)....

Percutaneous internal fixation of pelvic fractures has gained popularity allowing rapid mobilization with reduced surgical related morbidity; however, this method depends on conventional fluoroscopy, which exposes the patient and surgeon to a significant amount radiation. The use computerized fluoroscopic navigation systems enables simultaneous several radiographic projections. These preliminary views are taken when operating team stands at distance from radiation source. No further is used...

Background: Accurate placement of cannulated screws is essential to ensure secure fixation femoral neck fractures. We compared computerized navigation and conventional fluoroscopy with regard the accuracy screw for Methods: retrospectively two groups twenty consecutive patients a fracture who underwent internal three screws. Computer-based was used guide in one group, other group. Radiographic evaluation included measurement parallelism spread, calibrated distance from lesser trochanter,...

Limited access surgery is thought to reduce post-operative morbidity and provide faster recovery of function. The percutaneous compression plate (PCCP) a recently introduced device for the fixation intertrochanteric fractures with minimal exposure. It has several potential mechanical advantages over conventional hip screw (CHS). Our aim in this prospective, randomised, controlled study was compare outcome patients operated on using these two devices. We randomised 104 (AO/OTA 31.A1–A2)...

To evaluate the intraobserver and interobserver reliability of 2018 OTA/AO trochanteric hip fracture (THF) classification compared with 1983 Muller system. further delineate classifying stable unstable THF using 2 systems.Radiographic observational study.Multicenter, one Level 1 trauma centers.Seventy-three radiographic series patients treated operatively for were evaluated by 6 orthopaedic surgeons.The system was applied each surgeon to 73 cases in independent assessments performed 4 weeks...

Although supracondylar fractures of the humerus in children are common, literature is sparse regarding acceptable limits reduction these sagittal plane.We retrospectively reviewed 223 pediatric cases elbow treated our hospital between years 1996 and 2000.In 30 patients, we found some degree underreduction extension component fracture. Twenty-two them were followed evaluated at or close to skeletal maturity. The mean age time fracture was 5.4 years, follow-up 8.2 years. Radiographic...

Background: High-energy penetrating injuries are increasingly common in the civilian setting. During years 2000 to 2003, more than 70 suicide bombing attacks occurred Israel. These were characterized by high numbers of casualties, primarily caused blast injuries. Injury a can be either primary effect acceleration-deceleration wave or secondary metal fragments deliberately placed explosives, causing severe The latter type injury may result open limb fractures. Methods: We identified and...

Operative treatment of femoral fractures yields a predictably high union rate, but residual malrotation and leg length discrepancy remain clinically significant problem. The aim this study was to determine the safety efficacy using computerized navigation in controlling rotation fracture surgery.Prospective consecutive case series 16 skeletally mature patients with undergoing surgical fixation; 14 were fixed intramedullary nails 2 plates.An Academic Level I trauma center.Computerized used...

Coronal fractures of the femoral condyle (Hoffa fractures) are intraarticular that commonly treated surgically by open reduction and internal fixation. Surgical fixation is demanding because anatomic mandatory adequate exposure often difficult. Herein we describe a new technique permits excellent visualization lateral Hoffa based on osteotomy Gerdy's tubercle reflection attached iliotibial band.