The mechanical microenvironment at a fracture site could potentially influence the outcomes of bone fracture healing. It is known that, should the fixation construct be too stiff, or the gap between the fracture ends be too large, bones are less likely to heal. Flexible fixation or so-called “biological fixation” has been shown to encourage the formation of fracture callus, and therefore result...

conclusions metacarpal neck fractures are a common injury in young and active patients that results in substantial missed time from work. while the surgical indications are well-described, there is no consensus on the optimal treatment modality because of high complication rates. dorsal plating has higher complication rates than closed reduction and percutaneous pinning, but is necessary in com...

background: respiratory problems are common after long bone fractures. the objective of the present investigation is to evaluate the effect of early fixation of femoral shaft fracture on the incidence of respiratory problems.   methods: the results of early and late stabilization of femoral shaft fractures were studied in 150 patients. the patients were divided into two groups according to the ...

Background: Proximal humerus fractures are very common fractures occurring in the skeleton. They account for approximately 4 – 5% of the fracture attendance at the hospital. It is the most common fracture of shoulder girdle. It is the 3rd most common fracture in elderly. Till date various methods are used including percutaneous and open reduction & fixation according to fracture type. Aims & Ob...

OBJECTIVE : A previous hip fracture more than doubles the risk of a contralateral hip fracture. Pharmacologic and environmental interventions to prevent hip fracture have documented poor compliance. The purpose of this study was to examine the cost-effectiveness of prophylactic fixation of the uninjured hip to prevent contralateral hip fracture. METHODS : A Markov state-transition model was u...

Background: Conventional fixation methods of posterior wall acetabular fractures feature the use of plating and lagscrews. However, fixation of posterior wall fractures with buttress plating alone offers potential advantages by avoidingthe hardware complications related to hardware placement through the wall fragment. The purpose of this study wasto examine if buttress plating...

OBJECTIVE To compare the use of crossed K-wire and prebent intramedullary nail techniques for the fixation of distal radius metaphyseal fracture in children. METHODS Intraoperative and follow-up data for children with distal radius metaphyseal fracture, treated using crossed K-wire or prebent intramedullary nail fixation, were retrospectively analysed. Patient groups were matched for age, sex...

Mandibular fractures have a high incidence among facial bone fractures that necessitated prompt treatment. The use of autogenous graft as a fixation device for mandibular fracture may have an important role in bone healing with accepted biological effect, and normal bone growth especially in pediatric patients. Moreover it avoids the side effect of both inter maxillary fixation (IMF) and bone p...

conclusions due to the shorter :union: time, to some extent less complication rate and comparable functional and clinical results, the authors recommend to use the mipo technique in treating the mid-distal humeral shaft fracture. results the median of :union: time was shorter in the mipo group (4 months versus 5 months). the time of surgery and functional outcomes based on the ucla and meps sco...

conclusions the use of variable-angle locking plates in treating unstable distal end radius fractures is associated with excellent to good functional outcomes with minimal complications. objectives this study aimed to evaluate the functional and radiological outcomes in unstable distal end radius fractures treated with variable-angle locking plates. patients and methods we reviewed 23 unstable ...