BACKGROUND The optimal treatment for femoral fractures in children is controversial. The purpose of this study was to compare the results of Rush pin fixation with those of conservative treatment, and to evaluate the sequels of growth plate injury by internal fixation. METHODS Eighteen femoral shaft fractures in 17 children who had concomitant head injury or multiple traumas were treated surg...

Pin-track infection (PTI) is a common complication of external fixation. Antimicrobial dressings of the pin-site interface should reduce the severity and incidence of PTI. This study is aimed at determining the efficacy of 1 % silver sulphadiazine dressings in preventing PTI in external fixation. We compared the incidence of PTI between group A (dry sterile gauze dressing) and group B (1 % silv...

The halo fixator may be used for the definitive treatment of cervical spine trauma, preoperative reduction in the patient with spinal deformity, and adjunctive postoperative stabilization following cervical spine surgery. Halo fixation decreases cervical motion by 30% to 96%. Absolute contraindications include cranial fracture, infection, and severe soft-tissue injury at the proposed pin sites....

M a i n r e s u l t s 44 studies (3193 mainly female and older patients with 3197 fractures) with 23 different comparisons met the selection criteria, with follow-up ranging from 6 weeks to 10 years. Summarizing the outcomes was impeded by the poor quality and variation in study methods, interventions, patient characteristics, and outcomes. Some anatomic and functional outcomes (Table) were bet...

PURPOSE The purpose of this study was to evaluate dual fixation with different fixation mechanisms, determine the advantages, and compare the outcomes between single and dual femoral fixation. MATERIALS AND METHODS From April 2004 to September 2007, 19 patients who received single femoral fixation and 22 patients who received dual femoral fixation were enrolled in the study. Single femoral fi...

BACKGROUND The objective of this study is to investigate the outcomes and safety of using percutaneous anterior C1/2 transarticular screw fixation as a salvage technique for odontoid fracture if percutaneous odontoid screw fixation fails. METHODS Fifteen in 108 odontoid fracture patients (planned to be treated by percutaneous anterior odontoid screw fixation) were failed to introduce satisfac...

BACKGROUND The current treatment of displaced intra-articular calcaneal fractures has been surgical fixation. The objective of this study was to evaluate the use of indirect reduction with Ilizarov external fixation as a viable alternative in the surgical treatment of certain calcaneal fractures. METHODS Thirty-one patients with 33 fractures of the calcaneus (Sanders types II, III, and IV) we...

BACKGROUND During the early postoperative period, the fixation of a hamstring graft to the bone tunnel is the primary factor in limiting rehabilitation. HYPOTHESIS The initial fixation strength of a double cross pin fixation technique is comparable with the biodegradable interference screw fixation technique. STUDY DESIGN Experimental laboratory study. METHODS The authors examined the ini...

Background: The pelvic ring fractures (PRF) and acetabular fractures (AF) are among the major orthopedic injuriesassociated with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for themajority of these complications. Percutaneous minimally invasive surgical stabilization of the fractures has become anaccepted treatment method for th...

BACKGROUND Pin tract infection is a common complication of external fixation. It usually heals after treatment with debridement, antibiotics, and/or pin removal, only rarely developing into delayed osteomyelitis. We treated two patients with delayed methicillin-resistant Staphylococcus aureus-induced osteomyelitis of the tibia following pin tract infection. CASE PRESENTATION One patient, a di...