Fractures of trapezium are very rare accounting for about 0.4% of the hand’s injuries [1]. However, they should not be missed because inadequate treatment of trapezium fractures can lead to permanent impairment based on the substantial forces experienced at the trapeziometacarpal (TMC) joint in pinch and grip [2]. When present, often result of high energy trauma and occur in association with ot...

BACKGROUND A comminuted distal humerus fracture in an older patient is a difficult clinical problem. Open reduction internal fixation (ORIF) carries the risks of nonunion, loss of fixation, infection, and stiffness. Arthroplasty carries the risks of loosening, infection, and periprosthetic fracture. Both procedures are technically challenging, and complications following these procedures are fr...

Abstract Background To evaluate the feasibility and safety of a new minimally-invasive surgical approach–anteromedial plate osteosynthesis (MIPO)–in treatment middle distal humeral shaft fractures. Methods Fourteen patients with fracture treated anteromedial MIPO from November 2016 to March 2020 (MIPO Group) were selected as study subjects. Open reduction internal fixation (ORIF) used treat 14 ...

We described a case in which femoral nerve block (FNB) and lateral femoral cutaneous nerve block (LFCNB) with dexmedetomidine (DEX) was useful for open reduction and internal fixation (ORIF) of a femoral neck fracture in a patient with severe aortic stenosis. Cardiac surgery had been recommended but was declined by the patient. Thus, ORIF was selected because of the patient's concomitant severe...

Total hip arthroplasty (THA) in the setting of an acetabular fracture remains a difficult reconstructive dilemma. The procedure is much more difficult than a regular THA for degenerative arthritis especially on the acetabular side mainly due to the presence of bone defects, nonunions and may be obstructive hardware and HO. We Aim to: 1Express these difficulties and the methods used to overcome ...

This edition includes ten new chapters – total elbow arthroplasty, revised shoulder arthroplasty, proximal humerus hemiarthroplasty, extra articular proximal tibial fractures, submuscularis locked plating, subtrochanteric femur fractures, ankle fractures, calcaneal fractures, tibial pilon fractures, and staged ORIF. Seventeen chapters have been rewritten by new contributing authors and leaders ...

Background: Proximal tibial fractures refer to that occur in the upper part of tibia, which is larger bone lower leg. The present study was conducted assess management proximal by locking compression plate. Materials & Methods: 70 both genders were treated with MIPO and ORIF. Parameters such as side, type fracture, reduction, principal, operative time, blood loss, hospital stay, healing time et...

PURPOSE Mandibular fractures are amongst the most common facial fractures and are usually treated by open reduction and internal fixation (ORIF). Inferior alveolar nerve (IAN) injuries are seen frequently in mandibular fractures as well as after ORIF of these fractures due to the exposition and the close proximity of the nerve during fracture reduction. Therefore the continuity of the IAN can b...