Percutaneous screw fixation is a good modality for operative management of extra-articular and some intra-articular fractures the calcaneum amenable to closed reduction. Tongue-type calcaneal with dislocated posterior facet are usually treated percutaneous fixation. When treating substantial soft tissue compromise, particularly open fractures, reduction techniques crucial. They also provide pat...

The use of bone tamps for indirect reduction of depressed articular segments is an established method of treatment for intra-articular fractures in a variety of joint injuries. Customized bone tamps can be fabricated intraoperatively using commonly available instruments and supplies consisting of Steinmann pins and T-handled chucks. The technique combines the use of bone tamps through carefully...

Radial head and neck fractures are common in young to middle age adults and are seen in nearly 20 % of acute elbow injuries in this age group. Isolated radial head fractures are less common (nearly 2 % of all elbow fractures). Bilateral radial head fractures are rare and are mostly seen in situations when the patient has a fall on outstretched, supinated hands. The treatment of these fractures ...

Introduction Intra-articular fractures of the humerus at the shoulder or elbow are common yet difficult injuries to address in elderly patients with osteoporotic bone. In this patient population, poor bone quality often precludes rigid fracture fixation. As such, joint replacement options may provide more predictable functional outcomes for many of these injuries. Articular insufficiency fractu...

We classified fractures of the base of the middle phalanx into five types: 1) single palmar fragment; 2) single dorsal fragment; 3) two main fragments; 4) not involving the articular surface, including epiphyseal separation in children; and 5) all others. Types 1 and 2 were subclassified into avulsion, split and split-depression. Surgery is recommended for unstable type-1 avulsion fractures, ty...

Finger fractures are common injuries with a wide spectrum of presentation. Although a vast majority of these injuries may be treated non-operatively with gentle reduction, appropriate splinting, and careful follow-up, health care providers must recognize injury patterns that require more specialized care. Injuries involving unstable fracture patterns, intra-articular extension, or tendon functi...

Tibial plateau fractures are common in the elderly population following a low-energy mechanism. Initial evaluation includes an assessment of the soft tissues and surrounding ligaments. Most fractures involve articular depression leading to joint incongruity. Treatment of these fractures may be complicated by osteoporosis, osteoarthritis, and medical comorbidities. Optimal reconstruction should ...

Glenoid rim fractures, accompanied by acute glenohumeral dislocation or subluxation usually results in persistent instability. Traditionally open reduction and internal fixation has been recommended in displaced intra-articular glenoid fractures. However, open reduction is difficult, and it may not be possible to address the associated intra-articular soft-tissue injuries. A few reports of arth...

Distal humeral fractures in adults are relatively uncommon injuries that require operative intervention in the majority of cases. Dual plate fixation, with placement of a separate strong plate on each column and orientation of the plates either at 90° or 180° to each other, is indicated for all adult fractures involving both columns of the distal part of the humerus. Acute total elbow arthropla...

Anatomic reduction of articular depression tibial plateau fractures is challenging. The authors describe a new technique using percutaneous balloon-guided inflation osteoplasty for a depressed lateral tibial plateau fracture. The fluoroscopy-guided inflation osteoplasty restores the joint surface anatomically in a minimally invasive fashion. The metaphyseal void is filled with a fast-setting fl...