T-Condylar fracture of the distal humerus is rare in the skeletally immature children and is very rare in young children, under 9 years of age. This fracture has been classified  as:  type A ( minimally displaced or undisplaced), type B (displaced  but  not comminuted ) and type C (displaced and comminuted). Herein, we report a T-Condylar fracture of the distal humerus in a 5-yr-old boy. This f...

Background: Comminuted fractures happen frequently due to traumas. Fixation without opening the fracture site,known as minimally invasive plate osteosynthesis (MIPO), has recently become prevalent. This study has beendesigned to assess the outcomes of this treatment for tibial and femoral comminuted fractures.Methods: A total of 60 patients with comminuted femoral or tibial fractures were opera...

CONCLUSION: We could achieve complete bone healing and premorbid occlusion using microplates. The microplates are strong enough to keep comminuted mandibular fractures reduced. Their small size and malleability allow multiple fixation of comminuted bony segments in accurate-anatomical position, less periosteal stripping and self-occlusal adjustment. Therefore, microplate fixation may be one of ...

CONCLUSION: We could achieve complete bone healing and premorbid occlusion using microplates. The microplates are strong enough to keep comminuted mandibular fractures reduced. Their small size and malleability allow multiple fixation of comminuted bony segments in accurate-anatomical position, less periosteal stripping and self-occlusal adjustment. Therefore, microplate fixation may be one of ...

Background: The incidence of inferior pole fractures of patella is around 5% and the various treatment options include tension band wiring, circumferential wiring, or use of screw 1 . The traditional recommendation for severly comminuted inferior pole fractures is excision of the comminuted pole followed by reattachment of the patellar tendon with transosseous suture to the superior fragment 2 ...

In a study of 23 intra-articular fractures of the distal tibia of which 18 were re-examined after an average follow-up period of 5.4 years, two major fracture patterns were identified: type A, a rotational pattern, caused by low energy trauma and type B, a compressive fracture pattern caused by high energy trauma. Type B fractures could be divided into three subgroups: 1) An isolated fracture o...

RATIONALE Clavicle fractures are common, and mostly occur in the midshaft. Methods for operative treatment of midshaft clavicle fractures are evolving, as they improve clinical outcomes compared with traditional conservative management. However, fixation of comminuted midshaft clavicle fractures with bone fragments separated by soft tissue remains a challenge. PATIENT CONCERNS Here, we presen...

BACKGROUND Reconstruction of combined orbital floor and medial wall fractures with a comminuted inferomedial strut (IMS) is challenging and requires careful practice. We present our surgical strategy and postoperative outcomes. METHODS We divided 74 patients who underwent the reconstruction of the orbital floor and medial wall concomitantly into a comminuted IMS group (41 patients) and non-co...

Management of severely comminuted, complete articular tibial pilon fractures (Rüedi and Allgöwer type III) remains a challenge, with few treatment options providing good clinical outcomes. Twenty patients with severely comminuted tibial pilon fractures underwent primary ankle arthrodesis with a retrograde calcaneal nail and autogenous fibular bone graft. The fusion rate was 100% and the varus m...