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Wrist injuries may occur with any type of sports injuries and traumas [1]. Early and accurate diagnosis of wrist injuries may minimize the possibility of inadequate or delayed treatment.
Author: Ibrahim Etli, Nalan Kozaci, Mustafa Avci, Omer Faruk Karakoyun
Posted: January 27, 2020, 12:00 am
Scapular fractures are a relatively uncommon fracture type, accounting for less than 1% of all fractures, and 3-5% of all fractures of the shoulder girdle[1-3]. Frequently the result of high energy blunt trauma, scapular fractures have a 2-5% associated mortality rate[4,5], often concomitant with pulmonary or head injuries and elevated Injury Severity Scores (ISS).
Author: Andrew S. Bi, Liam T. Kane, Bennet A. Butler, Michael D. Stover
Posted: January 27, 2020, 12:00 am
Pancreatic trauma represents only 5% of severe abdominal injuries. Despite this low percentage, it is associated with duodenal injury in 60% of cases with high mortality rates of (33%)[1,2]. According to the American Association for the Surgery of Trauma (AAST), duodenopancreatic injury is divided into 5 stages and pancreaticoduodenectomy (PD) is the procedure of choice for grades IV and V. Therefore, it is recommended for extensive pancreatic head and duodenum desvitalization; pancreatic duct interruption associated with V grade duodenal and common bile duct injury or ampulla lesion; lesion of the major duodenal papilla with interruption of the main pancreatic duct; vascular disruption of the pancreas head with inaccessible exsanguinant lesion of the superior mesenteric vein or retropancreatic portal vein[3].
Author: Maria Eduarda Alonso Joaquim de Carvalho, André Gusmão Cunha
Posted: January 24, 2020, 12:00 am
: To investigate effect of double button plate fixation in the treatment of inferior patella fracture
Author: Meng Fan, Dong Wang, Kai Sun, Wenxue Jiang
Posted: January 24, 2020, 12:00 am
The increasingly aging population has resulted in a rapid increase in the prevalence of hip fractures [1-4]. Approximately half of these hip fractures are intracapsular fractures of the neck of the femur [5]. Current recommendations for treatment of Garden I and II femoral neck fractures have been in favor of internal fixation using parallel cannulated screws rather than arthroplasty [6-11].
Author: Kyun-Ho Shin, Seok-Ha Hong, Seung-Beom Han
Posted: January 24, 2020, 12:00 am
Unstable pelvic ring fractures are the result of high energy trauma and are often associated with other musculoskeletal and systemic injuries. Rapidly achieving pelvic stability and reducing the pelvic volume is an essential step in managing the hemodynamically unstable pelvic fracture patient [1,2]. However, definitive reduction and fixation of the pelvis is often delayed in lieu of addressing more emergent injuries. Thus, numerous techniques for achieving temporary pelvic stability have been developed, including pelvic binders and external fixators.
Author: Aresh Sepehri, Marcus F. Sciadini, Jason W. Nascone, Theodore T. Manson, Robert V. O'Toole, Gerard P Slobogean
Posted: January 23, 2020, 12:00 am
It is important to maintain acceptable reduction and make suitable entry when performing cephalomedullary nailing for subtrochanteric and unstable intertrochanteric fractures; however, this is often challenging due to deforming forces or the unstable nature of the fracture itself. Several percutaneous reduction techniques for fractures have been introduced, but, in some cases, a loss of reduction during the nailing procedure is experienced. To prevent this problem, it is important to keep the proximal fragment stable for the entire nailing procedure.
Author: Keong-Hwan Kim, Youngsik Yoon, Eic Ju Lim
Posted: January 23, 2020, 12:00 am
An avulsion fracture of the inferior patellar pole often results from direct trauma on the flexed knee, with or without contraction of the quadriceps muscle [1]. Due to the complete disruption of the extensor mechanism, inferior patellar pole fractures account for 9.3–22.4% of all patellar fractures treated surgically [2]. Different techniques have been used to repair this fracture, but an ideal treatment has not yet been identified. For a single bone fragment, cerclage, separate vertical wiring, and suture fixation are some of the alternative treatment options [3,4].
Author: Wanbo Zhu, Kai Xie, Xinyuan Li, Li Li, Jiazhao Yang, Lei Xu, Wei Xu, Xujin Wang, Shiyuan Fang
Posted: January 22, 2020, 12:00 am
Pilon fractures result from high-energy trauma and frequently involve complex patterns that can be difficult to manage. Although there may be alternative options, the most common form of definitive treatment consists of open reduction internal fixation (ORIF). Proper surgical planning is essential to optimize outcomes and minimize the relatively high incidence of complications.[1,2] The main objective of definitive fixation includes reestablishment of the articular surface and ultimately the restoration of adequate ankle function.
Author: Trevor R. Gulbrandsen, Robert M. Hulick, Andrew J. Polk, John M. Weldy, Kathryn L. Howell, Clay A Spitler, Brett D. Crist
Posted: January 22, 2020, 12:00 am
Tibial shaft fractures are frequently observed fractures that often result from moderate- to high-energy injuries. The standard of care for treating skeletally mature patients with such tibial shaft fractures is to employ an infrapatellar (IP) approach to conduct intramedullary nailing (IMN), allowing for early mobilization, shorter time to weight-bearing, and high union rates [1]. This approach, however, is problematic as a means of treating fractures in the proximal third of the tibial shaft, as it necessitates a flexed knee, and such flexion causes the quadriceps to extend the proximal segment of the bone, leading to fragment displacement and deformed angulation [2].
Author: Ke Lu, Yi-jun Gao, Hong-zhen Wang, Chong Li, Ting-ting Zhou, Rong-xun Qian, Hui-qiang Shan, Qi-rong Dong
Posted: January 22, 2020, 12:00 am
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