BACKGROUND Besides early diagnosis, an anatomical and stable reduction is paramount for obtaining a favorable outcome. The current study looked at the influence that the type of approach for tarsometatarsal injuries has on the accuracy of the reduction and the effect that the type of fixation has on stability. METHODS Consecutive patients treated surgically for an acute Lisfranc injury were i...

The majority of metacarpal fractures are closed injuries amenable to conservative treatment with external immobilization and subsequent rehabilitation. Internal fixation is favored for unstable fracture patterns and patients who require early motion. Percutaneous pinning usually is successful for metacarpal neck fractures and comminuted head fractures. Shaft and base fractures can be treated wi...

The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was graded as strong; most are graded as inconclusive or consensus; seven are graded as weak. The remaining five moderate-strength recommendations include surgical fixation, rather than cast fixation, fo...

MD Wells, S Oishi, M Sengezer. Sagittal fractures of the palate: A new method of treatment. Can J Plast Surg 1995;3(2):87-92. A new technique is described for stabilizing complex vertical fractures of the maxilla. Advantageous use of the comminuted fracture pattern of the maxillary buttresses allows the maxilla to be divided into two parts at the Le Fort I level. With intermaxillary fixation ap...

Unicondylar fractures of the femur that occur in the coronal plane (Hoffa fractures) are uncommon and most often affect the lateral condyle. Conservative treatment generally yields poor results, but rigid internal fixation allows early functional rehabilitation and decreases the incidence of malunion, nonunion, and stability loss. This case report describes open reduction and internal fixation ...

Before investigating human brains post mortem, the first preparation step is often formalin fixation of the brain. As the brain consists of inhomogeneous tissues, the fixation leads to a three-dimensional strain field within the tissue. During the single case MR-based investigation of the brain, first, the starting point with the brain post mortem but still within the cranium, was examined. The...

The advent of internal fixation with bone plates and screws represents a tremendous advancement in the methods of fracture fixation. During this era, the emphasis was on anatomic reconstruction and rigid internal fixation. Although these principles are applicable to a great number of fractures, not all can be treated in this manner. In fact, the disruption of the soft tissue envelope required t...

BACKGROUND We hypothesized that using a cadaveric Lisfranc ligamentous injury model, abduction stress would provoke greater post-injury motion than axial weightbearing between the medial cuneiform (MC1) and the base of the second metatarsal (MT2). Second, we hypothesized that both a tensioned suture-button device and a rigid screw fixation method could maintain a reduction and similarly restrai...

INTRODUCTION Fracture healing is a complex process influenced by intrinsic and extrinsic factors. The aim of the present study was to evaluate the effects of botulinum toxin (BTX) A on fracture healing. MATERIALS AND METHODS Following the induction of bilateral standard closed femoral fractures and relative fixation in 18 Wistar albino rats, 8 IU of BTX A were injected into the right femoral ...

The stiffness of fracture fixation devices together with musculoskeletal loading defines the mechanical environment within a long bone fracture, and can be quantified by the interfragmentary movement. In vivo results suggested that this can have acceleratory or inhibitory influences, depending on direction and magnitude of motion, indicating that some complications in fracture treatment could b...