It has long been recognised that displaced fractures of the capitular epiphysis in children are prone to non-union and late deformity unless accurate reduction is obtained. Good results have been reported from conservative treatment (Kini 1942, McLearie and Merson 1954), but it is generally accepted that to obtain the best results open reduction is necessary. Some form of internal fixation is a...

Fractures of the phalangeal joints of the hand present a challenging problem because of the small size of the fracture fragments, limiting internal fixation, and their articular nature necessitating early mobilisation to ensure good results. We present a case of a patient presenting with an open displaced intraarticular fracture of the metacarpophalangeal joint that was managed with limited int...

Nasal bone fractures are the most common type of facial fracture. Closed reduction has been used as the standard treatment modality for nasal fractures for many years. In cases of nasal fracture with lacerations at the fracture sites, bioabsorbable/metallic plate or interfragment wire fixation can be used with accurate alignment through the openings created by the lacerations. However, in cases...

OBJECTIVES Various methods for sternal approximation have been described previously. Some patients undergoing these procedures are at risk for sternal dehiscence and mediastinitis. We used a different method, with a suture anchor system, for median sternotomy closure as an alternate technique in patients with a high risk of postoperative sternal dehiscence and sternal nonunion. MATERIAL AND M...

Surgical maxillary repositioning in individuals with vertical maxillary deficiency may be accompanied by skeletal instability. Long-term skeletal changes in 13 patients who underwent a Le Fort I downsliding osteotomy were studied retrospectively. Nine patients underwent a single-jaw procedure, and 4 patients underwent a bimaxillary procedure. Rigid fixation was used in 10 patients, and wire ost...

Skeletal stability was examined in 16 patients following combined maxillary and mandibular osteotomies using rigid internal fixation. Postoperative changes (T2 to T3) were generally less than 1.0 mm for linear measurements and less than 2.0 degrees for angular measurements. The removal of maxillomandibular fixation (MMF) splints accounted for 85% to 95% of the counterclockwise rotation in the p...

Digital deformities are very common and painful conditions that often progress despite conservative treatment and require surgical intervention. Numerous surgical techniques and options of orthopaedic hardware exist that offer the foot and ankle surgeon a myriad of choices to achieve surgical correction and arthrodesis. While the post-operative objectives may be similar, different surgical appr...