Dr Lewicky is from the Department of Orthopedic Surgery, Arizona Health Sciences Center, Tucson, Ariz. Reprint requests: Yuri M. Lewicky, MD, Dept of Orthopedic Surgery, Arizona Health Sciences Center, PO Box 245064, Tucson, Az 85724-5064. Operative repair of fractures is most effi ciently achieved when an experienced surgical team is involved. Expertise and familiarity with instrumentation as ...

thick surrounding adipose tissue, and stabilization of the mandible and maxilla by the unerupted teeth.2 Pediatric mandible fractures are uncommon and have been treated by a wide variety of fixation methods. Incomplete or nondisplaced fractures as well as fractures of the subcondylar region are treated by traditional methods of a soft diet or closed reduction. Displaced fractures are better ser...

Open reduction and internal fixation using tension-band wires for displaced olecranon fractures enables restoration of extensor function. We report on 3 elderly patients with a displaced olecranon fracture who underwent open reduction and internal fixation using sutures as the Kirschner wire and tension-band wire and achieved good outcome.

Thirty-five patients who sustained humeral shaft fractures were treated by open reduction internal fixation using AO techniques between 1992 and 1997. Open fractures occurred in 8 patients. Primary radial nerve palsy was present in 5 cases. In 16 patients an open fracture or multiple trauma, or both were indications for surgery. Eight osteosynthesis were performed after failed conservative trea...

Fractures of the radial head have an incidence of about 1.7% to 5.4% of all adult fractures. These fractures are classified as simple or complex, depending upon whether there is an associated fracture or a ligamentous injury. Thorough clinical & radiological assessment should be done to differentiate simple fractures from complex fractures with concomitant elbow injury. The management of comple...

The fracture of the tibial plafond or pilon fracture is an uncommon but difficult fracture to manage. The purpose of this study was to present the treatment outcomes of pilon fractures treated with open reduction and internal fixation with

BACKGROUND We evaluated the radiologic and functional outcomes of patients with radial head fractures managed with open reduction and internal fixation. METHODS Between 1998-2003, 15 patients (7 males, 8 females; mean age 34.1; range 18 to 49 years) with radial head fracture were treated with open reduction and internal fixation. Follow-up time was 54.6 months (42-78). Three fractures were Ma...

The goal in the management of distal humerus fractures is to obtain rigid internal fixation that allows immediate rehabilitation of the extremity. The advent of anatomic plating systems as well a systematic approach to these injuries facilitates these goals. This article outlines our approach to these complex problems from injury through rehabilitation.