The current gold standard of care for mandibular segmental defeat reconstruction is the use of Ti-6Al-4V immobilization hardware and fibular double barrel graft. This method is often successful immediately at restoring mandible function, however the highly stiff fixation hardware causes stress shielding of the grafted bone and stress concentration in the fixation device over time which can lead...

Iatrogenic injury is an underreported but potentially devastating complication of orthopedic wire migration. We report a 48-year-old man with a tracheoinnominate artery fistula caused by migration of a Kirschner wire that was inserted for fixation of a left clavicle fracture nine years before. Following surgical removal of the wire and repair of both trachea and innominate artery, the patient r...

Bicondylar tibial plateau fractures are serious injuries to a major weight-bearing joint. These injuries are often associated with severe soft tissue injuries that complicate surgical management. We reviewed 54 consecutive patients who sustained bicondylar tibial plateau fractures that were treated with limited open reduction and cannulated screw fixation combined with fine-wire circular extern...

OBJECTIVES To compare the clinical effectiveness of Kirschner wire fixation with locking plate fixation for patients with a dorsally displaced fracture of the distal radius. DESIGN A multicentre two arm parallel group assessor blind randomised controlled trial with 1:1 treatment allocation. SETTING 18 trauma centres in the United Kingdom. PARTICIPANTS 461 adults with a dorsally displaced ...

BACKGROUND Tibial Tubercle Osteotomy has shown much promise in revision total knee replacement. Methods of repair previously described include screw and wire fixation. Both methods have significant complications. METHODS This article describes suture fixation of the osteotomy using Ethibond sutures placed medially with a lateral periosteal hinge. RESULTS This method of fixation relies upon ...

introduction iatrogenic patellar fracture is reported as a complication of patella procedures, such as medial patellofemoral ligament reconstruction, reconstruction of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and resurfacing the patella in total knee arthroplasty. case presentation a 65-year-old lady with right patella fracture was treated with open ...

Abstract Background To compare the efficacy of three different fixation methods fibula combined with external tibia for treatment extra-articular open fractures distal and fibula. Methods From January 2017 to July 2019, 91 cases were treated fixator, was fixed non-fixation (group A, n = 35), plate-screw B, 30) Kirschner wire C, 26). The operation time, intraoperative blood loss, surgical implan...

STUDY DESIGN This is an in vitro biomechanical study. OBJECTIVE To compare the biomechanical stability of the 3 C1-C2 transarticular screw salvaging fixation techniques. SUMMARY AND BACKGROUND DATA Stabilization of the atlantoaxial complex is a challenging procedure because of its complicated anatomy. Many posterior stabilization techniques of the atlantoaxial complex have been developed wi...

Background Fixation of proximal chevron metatarsal osteotomy has been accomplished using K-wires traditionally and with a locking plate recently. However, both methods have many disadvantages. Hence, we developed an intramedullary fixation technique using headless cannulated screws and conducted a biomechanical study to evaluate the superiority of the technique to K-wire and locking plate fixat...