We present a 5-year prospective study of the epidemiology 1,027 proximal humeral fractures. These fractures, which tend to occur in fit elderly persons, have unipolar age distribution and highest age-specific incidence occurs women between 80 89 years age. The commonest was B1.1 impacted valgus fracture, found one-fifth cases this series, type that is not included Neer classification. used both AO classifications. classification proved be more comprehensive because classification, half...

Nonunion is a rare complication of fracture the clavicle, but its occurrence can compromise shoulder function. The aim this study was to evaluate prevalence and risk factors for nonunion in cohort patients who were treated nonoperatively after clavicular fracture.Over fifty-one-month period, we performed prospective, observational consecutive series 868 (638 men 230 women with median age 29.5 years; interquartile range, 19.25 46.75 years) radiographically confirmed which nonoperatively....

We made a prospective study of 116 patients with tibial diaphyseal fractures who had continuous monitoring anterior compartment pressure for 24 hours. Three acute syndrome (2.6%). In the first 12 hours monitoring, 53 absolute pressures over 30 mmHg and 40 mmHg, four higher than 50 mmHg. Only one patient differential (diastolic minus pressure) less mmHg; he fasciotomy. second 12-hour period 28 seven two they fasciotomies. None our any sequelae at their latest review least six months after...

Objectives To compare the surgical complications and functional outcome of Gamma nail intramedullary fixation device versus Richards sliding hip screw plate in intertrochanteric femoral fractures. Design A prospective, randomised controlled clinical trial with observer blinding. Setting regional teaching hospital United Kingdom. Patients All patients admitted from local population fractured femurs were included. There 400 entered into study 399 followed-up to one year or death. Intervention...

We reviewed 25 patients with tibial diaphyseal fractures which had been complicated by an acute compartment syndrome. Thirteen undergone continuous monitoring of the pressure and other 12 not. The average delay from injury to fasciotomy in monitored group was 16 hours non-monitored 32 (p < 0.05). Of surviving group, none any sequelae syndrome at final review 10.5 months. 11 ten definite muscle weakness contractures 0.01). There also a significant union recommend that, when equipment is...

We randomly allocated 60 consecutive patients with fractures of the waist scaphoid to percutaneous fixation a cannulated Acutrak screw or immobilisation in cast. The range movement, grip and pinch strength, modified Green/O’Brien functional score, return work sports, radiological evidence union were evaluated at each follow-up visit. Patients followed sequentially for one year. Those undergoing showed quicker time (9.2 weeks vs 13.9 weeks, p < 0.001) than those treated There was trend...

We have analysed associated factors in 164 patients with acute compartment syndrome whom we treated over an eight-year period. In 69% there was fracture, about half of which were the tibial shaft. Most men, usually under 35 years age. Acute forearm, fracture distal end radius, again seen most commonly young men. Injury to soft tissues, without second common cause and one-tenth had a bleeding disorder or taking anticoagulant drugs. found that patients, especially at risk after injury. When...

We performed a prospective, randomised study on 50 patients with Tscherne C1 tibial diaphyseal fractures comparing treatment reamed and unreamed intramedullary nails. Our results show that nailing is associated significantly lower time to union reduced requirement for further operation. Unreamed should not be used in the of common fracture.

We present a retrospective study of 125 patients with an impacted valgus fracture (B1.1) the proximal humerus. This rarely occurs in young and is much more common elderly fit subjects. All were documented prospectively followed for one year. None was treated surgically. At year, 80.6% had good or excellent result, quality which depended on age patient degree displacement fracture. Mean outcome scores based these two parameters are presented. A comparison data from other studies suggests that...

Objectives To determine if there are differences in demographics, referral patterns, and operative findings between patients with without a fracture who develop an acute compartment syndrome. Design Retrospective cohort. Setting Orthopaedic trauma unit, university teaching hospital. Methods This study examines 164 cases of syndrome over 8-year period. Of these, 13 had diagnosis crush excluded from this study. The remaining 38 no form the basis for Main Outcome Measures Patient were compared...

The aim of our study was to document the estimated sensitivity and specificity continuous intracompartmental pressure monitoring for diagnosis acute compartment syndrome.From prospective trauma database, we identified all patients who had sustained a tibial diaphyseal fracture over ten-year period. A retrospective analysis 1184 performed record analyze documented use fasciotomy. syndrome made if there escape muscles at fasciotomy and/or color change in or muscle necrosis intraoperatively....

The current study was designed to investigate the epidemiology and long-term clinical patient-reported outcomes following simple dislocation of elbow in adults.We identified all adult patients treated at our trauma center for a during ten-year period. One hundred forty were eligible review, 110 (79%) reviewed mean eighty-eight months (range, sixteen 171 months) after injury. This review included examination, Disabilities Arm, Shoulder Hand (DASH) questionnaire, Oxford patient satisfaction...

Background: The current available literature related to scaphoid fracture epidemiology is inconsistent. aim of this study was describe the true fractures in a defined adult population. Methods: Using prospective database, we identified all patients who sustained radiographically confirmed acute over 1-year period. Age, gender, mechanism injury, Herbert classification, and associated injuries were recorded analyzed. Results: There 151 diagnosed giving an annual incidence 29 per 100,000 (95%...

Aims The fundamental concept of open reduction and internal fixation (ORIF) ankle fractures has not changed appreciably since the 1960s and, whilst widely used, is associated with complications including wound dehiscence infection, prominent hardware failure. Closed intramedullary (CRIF) using a fibular nail, wires or screws biomechanically stronger, requires minimal incisions, low-profile hardware. We hypothesised that nailing in elderly would have similar functional outcomes to standard...

Background: The aim of this single-center, single-blinded, prospective randomized trial was to compare the outcomes tension-band wire (TBW) and plate fixation for simple isolated, displaced fractures olecranon. Methods: We performed a involving 67 patients who were ≥16 <75 years age had an acute fracture Patients either TBW (n = 34) or 33) evaluated at 6 weeks, 3 months, 1 year following surgery. primary outcome measure Disabilities Arm, Shoulder Hand (DASH) score year. Results: baseline...

Techniques for fixation of fractures the lateral malleolus have remained essentially unchanged since 1960s, but are associated with complication rates up to 30%. The fibular nail is an alternative method requiring a minimal incision and tissue dissection, has potential reduce incidence complications. We reviewed results 105 patients unstable ankle that were fixed between 2002 2010 using Acumed nail. mean age was 64.8 years (22 95), 80 (76%) had significant systemic medical comorbidities....