This study compared the biomechanical performance of 4.5-mm limited-contact dynamic compression plates and 3.5-mm locking compression plates for the fixation of unstable humeral shaft fractures. Composite humeri were divided into two groups: 3.5mm LC and 4.5-mm LCDC plates. Osteotomy gaps of 5-mm, simulating diaphyseal comminution, were created. Stiffness tests were performed in anterior-poster...

Background:Distal femoral fractures are much less common than hip fractures and account for 7% of all femoral fractures. Distal femoral fractures are difficult to treat and ideal treatment of such fractures will include anatomical reduction, rigid fixation of articular surfaces and early mobilization of knee joint. Our study aims to compare the outcome of fifty distal femoral fractures which we...

Patients with in situ intramedullary nails sustaining a second distal femoral fracture following high-velocity trauma are infrequently reported in the literature. We report 5 such patients who sustained a second injury after 6 to 24 months, resulting in another fracture at the nail-tip level. These second fractures severely comminuted the femoral condyles. These patients required removal of the...

Ulnar nerve palsy subsequent to a fracture of the distal radius is extremely rare compared to a median nerve injury. The lesion tends to occur in younger patents with a high-energy mechanism of injury and a severe injury pattern consisting of wide displacement, comminution, combined distal ulnar fracture and open fracture. The mechanism of injury can contribute to a direct contusion and tractio...

Rev Ortop Traumatol (Madr.). 2007;51:94-101 Calcaneal fractures are 60% of fractures of the ankle bones and 2% of all fractures.Usually, they are caused by falls from a height on to the heels of the feet, and they are frequently seen in work accidents. The treatment of calcaneal fractures continues to be an object of discussion and in the case of displaced intraarticular fractures there is no c...

Background: Fractures of distal end femur are complex injuries which difficult to manage. These fractures often unstable and comminuted. Despite advances in surgical techniques improvement implants, treatment femoral remains a challenge many situations. This study was done analyse the functional outcome this management fractures. Material & Methods: has been between August 2008 March 2010 o...

The aim of this study was to assess outcomes following open reduction and internal fixation in complex fractures of the distal humerus. Between 2000 and 2006, 34 patients were operated for complex fractures of the distal humerus. Bone fixation was obtained with a reverse Y-shaped reconstruction plate in 13 cases and with double plating in 21 cases. At final follow-up, all the patients were asse...

INTRODUCTION Distal comminuted femoral fractures with joint involvement are highly challenging for the surgeon. We present a potential therapeutic concept that aims especially at the treatment of posttraumatic leg length discrepancy. CASE PRESENTATION This case report describes a polytraumatized 19-year-old German woman. Among other injuries she had a third grade open distal comminuted femora...

PURPOSE To report the outcomes of modified Rush pin fixation for proximal humeral fractures. METHODS 42 men and 20 women aged 19 to 94 (mean, 64) years with 2- or 3-part proximal humeral fractures underwent reduction and fixation using the modified Rush pin technique. 11 patients died from reasons unrelated to the surgery. RESULTS Of 40 (out of 51) patients completing a subjective functiona...