BACKGROUND The zygoma is the most prominent portion of the face. Almost all simple zygomatic arch fractures are treated in a closed fashion with a Dingman elevator. However, the open approach should be considered for unstable zygomatic arch fractures. The coronal approach for a zygomatic arch fracture has complications. In this study, we introduce our method to reduce a special type of unstable...

Introduction The treatment of pediatric femur fractures continues to evolve. In the past, many of these fractures required prolonged hospitalization in traction. More recently, flexible elastic nails have gained popularity. However, length unstable and comminuted fractures can present some unique challenges. To avoid common complications of elastic nailing in the setting of unstable fractures w...

BACKGROUND Posterior fixation alone may not be adequate to achieve and maintain burst fracture reduction. Adding screws in the fractured body may improve construct stiffness. This in vitro study evaluates the biomechanical effect of inserting pedicle screws in the fractured body compared with conventional short- and long-segment posterior fixation. METHODS Stable and unstable L2 burst fractur...

STUDY DESIGN Retrospective chart review. OBJECTIVES To determine the frequency of stable and unstable cervical spine fractures after gunshot wounds to the head or neck; to identify potential risk factor(s) for an unstable versus stable cervical spine fracture. SUMMARY OF BACKGROUND DATA Cervical spine fractures after gunshot wounds to the head and neck are common. Because of the nature of t...

INTRODUCTION The main cause of mortality in trauma patients with pelvic fractures is hypovolemic shock. We analyzed the association between the source of bleeding, mechanism of action and type of fracture. METHODS Prospective descriptive study involving trauma patients older than 16 years old, admitted to the intensive care unit or dead before admission, with pelvic fractures and hemodynamic ...

fractures with an intact posteromedial buttress, have been successfully treated with a sliding hip screw or blade.1 However, unstable intertrochanteric fractures tend to collapse even after adequate reduction and fixation with plating, and thus intramedullary nailing is recommended.2 Unstable intertrochanteric fractures include fractures with posteromedial comminution, a reverse oblique configu...

Initial cracks occur in high strength concrete sleepers for various reasons, such as shrinkage and wrong curing and long lifetime of over 50 years of sleepers. These cracks may lead to complete failure of the structure. In order to more accurately design the sleepers, fracture mechanics (not strength of materials) should be incorporated. In order to achieve this purpose, it is important to fore...