Distal radius fractures, the most common long bone fracture, are treated in several ways, including closed reduction, percutaneous pinning, external fixation, and open reduction and internal fixation. This article presents a surgical technique and a series of patients treated with a novel minimally invasive intramedullary fixation technique. The implant is a partially flexible intramedullary ro...

Fractures of’ the upper end of the femur are commonly divided into intra-articular and extra-articular groups. The intra-articular fracture is in turn divided into subcapital and transcervical types (Watson-Jones 1955, Key and Conwell 1961, Aston 1967, Ralston 1967, Apley 1968, Murray 1969). There appears to be some confusion as tothepreciselineof fracture in this common injury. The term “subca...

BACKGROUND Malleolar fracture, which is present in 37-53% of human ankle osteoarthritis (OA), is the most common type of fracture in the ankle joint. In spite of this, no rat animal model has been developed for this type of injury to date. Here, we established a rat ankle post-traumatic OA (PTOA) model induced by malleolar fracture; this model will be useful in ankle OA research. METHODS Two-...

Fractures of the distal end of radius have been estimated to account for nearly 20% of all fractures seen in a routine emergency room. Despite this, until very recently, the distal radius fracture was not treated as aggressively as other less common peri-articular fractures. Perhaps Abraham Colles’ perception that this fracture had good outcomes, no matter what was done had permeated our thinki...

INTRODUCTION Immediate weight-bearing following osteosynthesis of proximal tibial fractures is traditionally not allowed due to fear of articular fracture collapse. Anatomically shaped locking plates with sub-articular screws could improve stability and allow greater loading forces. The purpose of this study was to investigate if immediate weight-bearing can be allowed following locking plate o...

BACKGROUND The purpose of this study is to evaluate the efficacy of computed tomography (CT) scans compared with plain radiographs on detecting the involvement of the sigmoid notch. METHODS This study involved 121 cases diagnosed as the intra-articular distal radius fracture and performed post-reduction CT scans. We determined the presence of the sigmoid notch involvement with both plain radi...

Displaced intra-articular distal radius fractures are difficult to treat, with numerous associated complications. The potential onset of post-traumatic osteoarthritis (OA) is a major concern. The relationship between malreduced intra-articular fracture of the distal radius and subsequent early onset of radiocarpal OA is clinically important, yet poorly understood. To better understand this pres...

The majority of simple fractures of the radial head are stable, even when displaced 2 mm. Articular fragmentation and comminution can be seen in stable fracture patterns and are not absolute indications for operative treatment. Preservation and/or restoration of radiocapitellar contact is critical to coronal plane and longitudinal stability of the elbow and forearm. Partial and complete articul...

E10 J can chir, Vol. 52, N 1, février 2009 © 2009 Association médicale canadienne I ntra-articular fractures of the metacarpal head are rare, often requiring surgical fixation to maintain articular congruence. McElfresh and Dobyns presented a 10-group classification of 103 such fractures based on anatomic involvement and fracture pattern (Table 1). They identified only 4 with a horizontal fract...

The aim of this study was to evaluate the clinical value of multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI) in the diagnosis and treatment of complex fractures of the tibial plateau. A total of 71 patients with complex fractures of the tibial plateau (estimated Schatzker classifications III, V and VI) were included in this study. The X-ray, MDCT and MRI data ob...