Fractures of the fifth metatarsal are treated conceptually based on anatomic location and character of the fracture site. Intra-articular disruptions require reconstruction, if possible. Malalignment of acute fractures requires either closed reduction or open reduction if the malalignment represents a load-bearing dysfunction to the forefoot. Segmental defects require bone grafting and stabiliz...

The results in sixteen patients who had a displaced, comminuted intra-articular fracture of the distal end of the radius and who were treated by open reduction and internal fixation were retrospectively reviewed. At a mean follow-up of 4.8 years, 81 per cent of the patients had a rating of good or excellent by the scoring system of Gartland and Werley, but only 56 per cent had such a rating whe...

Severely comminuted fractures of distal radius often lead to impairment of wrist function. A prospective study was performed on 30 patients aged between 35-65 years of extra-articular fractures of distal radius. All patients were treated with closed manipulation of the fracture an application of non-bridging (radio radial) external fixator under radiological control. At six months after the inj...

The management of intra-articular fractures of the hand represents a challenge. Large articular fragments require reduction and operative fixation. A number of surgical techniques have been described in literature, with variable results. Distal interphalangeal joint fractures have been fixed by various methods including screw, plate and suture techniques. Generally operative fixation is indicat...

Intra-articular distal humerus fractures can be among the most challenging injuries treated by orthopedic surgeons. The goals of surgical treatment are anatomical restoration of the articular surface and stable fixation of the fracture fragments to allow for early motion. However, the bone stock of the distal humerus is limited, and stable fixation may be difficult to achieve in the case of a l...

Two Types of Fracture There' are roughly two main types of fracture of the waist of the carpal scaphoid. In type I there is a crack in the bone with negligible or no displacement, whilst in type II fractures there is an appreciable gap and some degree of displacement. The prognosis is best in type I and frequently the cartilage over the fracture line is intact. McLaughlin (1954) decided to trea...

Fractures of the articular processes occurred in 16 (20.8%) of 77 patients with cervical spine fractures as demonstrated by multidirectional tomography. Plain films demonstrated the fractures in only two patients. Acute cervical radiculopathy occurred in five of the patients with articular process fractures (superior process, two cases; inferior process, three cases). Persistent neck pain occur...

Background: In the challenging tibial condyle fractures despite anatomical joint reconstruction, development ofosteoarthritis may still occur secondary to the initial articular cartilage and meniscal injury. The aim of the study wasto know incidence of osteoarthritis in our operated cases of tibial plateau fracture and to evaluate functional outcome.Methods: Our operated 60 patients of tibial p...

Objective The optimal plate for fixation of tarsometatarsal joint injuries is controversial. The objective of this study was to compare the biomechanical characteristics between a locking plate and 1/4 tubular plate for first tarsometatarsal joint fracture-dislocation. Method Finite element analysis was used after establishment of a first tarsometatarsal joint fracture-dislocation model. Two im...

INTRODUCTION Complex fracture dislocations of the midfoot are uncommon. Improved outcomes have been demonstrated where it has been possible to restore and maintain the length and alignment of the medial column as well as the congruity of the articular surfaces. We present our experience with the use of angle-stable locking plates in the stabilisation of complex midfoot fracture dislocations. ...