The MRI revealed progressive oedema in the fracture (figure 4A,B). Consequently, it was decided to perform an acute percutaneous internal compression fixation of the fracture by means of an Acutrak screw (figure 5). Since there was a progression of oedema along the fracture line—without real fracture diastasis—the authors chose a single compression screw fixation as the definitive treatment. Po...

this study compares the functional capabilities of different metacarpal fixation constructs under physiological loadings in an attempt to identify the optimal construct rather than the strongest one. one hundred and twenty-six preserved human metacarpals were mechanically tested after oblique osteotomies and internal fixation. maximum load to failure, average structural rigidity, and energy abs...

This article reviews the historical context, indications, techniques, and complications of four posterior fixation techniques to stabilize the subaxial cervical spine. Specifically, posterior wiring, laminar screw fixation, lateral mass fixation, and pedicle screw fixation are among the common methods of operative fixation of the subaxial cervical spine. While wiring and laminar screw fixation ...

1. AO Research Institute Davos, Davos, Switzerland; 2. University Hospital Regensburg, Regensburg, Germany Introduction Unstable pelvic ring injuries treated conservatively are associated with long hospitalization, inappropriate fragment reduction and a high mortality rate [1]. Surgical intervention with percutaneous sacroiliac (SI) screws combined with anterior pelvic plating has shown a high ...

conclusions metacarpal neck fractures are a common injury in young and active patients that results in substantial missed time from work. while the surgical indications are well-described, there is no consensus on the optimal treatment modality because of high complication rates. dorsal plating has higher complication rates than closed reduction and percutaneous pinning, but is necessary in com...