We studied the arterial anatomy and the effect of fourpart fractures on the vascularity of the humeral head, using barium sulphate perfusion of 16 cadaver shoulders. The main arterial supply to the humeral head was via the ascending branch of the anterior humeral circumflex artery and its intraosseous continuation, the arcuate artery. There were significant intraosseous anastomoses between the ...

BACKGROUND Treatment of complex three and four-part proximal humeral fractures with hemiarthroplasty in elderly patients has yielded mixed clinical results. Reverse shoulder arthroplasty has emerged as a treatment option for comminuted proximal humeral fractures for these patients. The purpose of the study was to perform a prospective evaluation of patient outcomes comparing hemiarthroplasty an...

The 'S' Quattro is a dynamic external fixator which has been designed to treat displaced comminuted intraarticular fractures of the phalanges. This type of fracture is commonly the result of a sports injury. We present a follow-up study of 11 cases.

PURPOSE To evaluate internal distraction plating for the management of comminuted, intra-articular distal radius fractures in patients greater than 60 years of age at two level 1 trauma centers. We specifically desired to determine whether patients would have acceptable results from the clinical standpoint of range of motion, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and the rad...

In a study of 23 intra-articular fractures of the distal tibia of which 18 were re-examined after an average follow-up period of 5.4 years, two major fracture patterns were identified: type A, a rotational pattern, caused by low energy trauma and type B, a compressive fracture pattern caused by high energy trauma. Type B fractures could be divided into three subgroups: 1) An isolated fracture o...

OBJECTIVES To evaluate outcomes and complications using cemented modular distal femoral replacement in elderly patients with distal femoral fractures. DESIGN Retrospective chart review, case series. SETTING A Level 1 and Level 2 trauma center, both tertiary referral hospitals. PATIENTS/PARTICIPANTS Eighteen patients older than 60 years (average age 77 years) who had cemented distal femora...

Humeral shaft fractures make up from 3 to 5 per cent of the general number fractures. There is a distinct bimodal age distribution patients with diaphyseal humeral Most cases are found among men aged 21-30 years and elderly women 60-80 years. Biomechanical peculiarities bone fragment displacement in an important component further planning patient’s treatment rehabilitation. The aim this article...

Proximal humerus fractures accounts for about 4 to 5% of all fractures. They are the third most common in elderly population after hip and distal radius Regarding treatment proximal fractures, controversies still exists whether do conservative or operative management. Various procedures carried out, recent trend internal fixation has moved on locking plates. The present study is undertaken eval...

Background. The most severe type of injuries the proximal epiphysis humerus are intraarticular fractures. One main complication is development avascular osteonecrosis, which caused by peculiarities blood supply humeral head and its compromised vascularization as a result trauma. Current osteosynthesis techniques for fractures (PH) do not reduce risk osteonecrosis (AONHH) nonunion. To prevent is...