This study was designed to compare the rigidity of the more commonly used techniques of internal fIxation of fractures of the olecranon. Cadaveric elbow joints were mounted in a jig and confrolled osteotomies performed to simulate transverse, oblique or comminuted fractures. Five techniques of internal fixation were tested by measuring movement at the fracture site after applying a bending mome...

This report discusses the use of an alternative implant in the emergency fixation of a distal tibial fracture. We planned to fix the shear-type medial malleolar fracture in a closed, tri-malleolar fracture with a locking distal tibial plate. Intra-operatively, it was noted that the required plate was unavailable. A PHILOS humeral plate seemed to fit the contours of the distal tibia. The broad e...

BACKGROUND A variety of methods are available for the fixation of femoral shaft fractures after total hip arthroplasty. However, few studies in the literature have quantified the performance of such repair constructs. The aim of this study was to evaluate biomechanically four different constructs for the fixation of periprosthetic femoral shaft fractures following total hip arthroplasty. METH...

The anterior cervical plate fixation systems have been widely used in treatment of complex spinal disorders such as traumatic lesion, disc hernination, tumor, spondylosis, arthritides, and others. Combined with bone graft or other fusion techniques the satisfactory outcomes were higher than 88% (Clements 1990, Naito 1993,Bose 1998, Schneeberger 1999). Among the screw plate fixation systems, Cas...

Plate fixation of extraarticular distal humeral shaft fracture is often difficult. Traditional techniques do not allow for stable fixation. A single DCP plate may have inadequate purchase in the distal fragment. The use of large plates extending distally over the lateral supracondylar ridge is often associated with pain and sometimes interferes with elbow range of motion. In this study, 22 pati...

We report a 38-year-old male with a nonunion followed by plate breakage after volar plating of a distal radius osteotomy. Volar locking plates have added a new approach to the treatment of distal radius malunions, due to a lower morbidity of the surgical approach and the strength of the final construction, allowing early mobilization and return to function. Conclusion. Plate breakage is an unco...

BACKGROUND AND PURPOSE Type-II distal clavicle fractures according to the Neer classification are generally operated because of the high non-union rate after non-operative treatment. Several surgical techniques have been developed in order to reduce the non-union rate and improve functional outcome. This meta-analysis overviews the available surgical techniques for type-II distal clavicular fra...

A multilevel contiguous fracture of the subaxial cervical spine represents the severe trauma, and anterior plate fixation with anterior transpedicular screw fixation is a new and reliable fixation pattern for the treat-ment of acute spinal cord injury (ASCI). We present a case of multilevel contiguous fractures in the lower cervical spine without obvious posterior ligamentous complex injury, bu...

PURPOSE Operative treatment of unstable posterior wall fractures of acetabulum has been widely recommended. This laboratory study was undertaken to evaluate static fixation strength of three common fixation constructs: interfragmentary screws alone, in combination with conventional reconstruction plate, or locking reconstruction plate. METHODS Six formalin-preserved cadaveric pelvises were us...