conclusions negative pressure inspiration is significantly impaired by an unstable chest wall. restoring mechanical stability of the fractured ribs improves respiratory outcomes similar to baseline values. results a wide variation in the mean inspiratory volumes and peak flows were measured between specimens; however, the effect of a flail chest wall and the subsequent internal fixation of the ...

In order to compare short-segment stabilization with long-segment stabilization for treating unstable thoracolumbar fractures, we studied fifty patients suffered from unstable thoracolumbar burst fractures. Thirty of them were managed with long-segment posterior transpedicular instrumentation and twenty patients with short-segment stabilization. The mean follow up period was 5.2 years. Pre-oper...

The aim of the study was to evaluate the knee joint function in adolescent patients following operative treatment - fixation via arthroscopic or open surgery (arthrotomy), due to tibial eminence fractures. 28 patients, aged from 7 to 16 years, treated operatively between 1994-2009 in four orthopeadic centres underwent evaluation. Evaluation was performed 12-180 months following surgery. Patient...

BACKGROUND Surgical stabilization of flail chest injury with generic osteosynthesis implants remains challenging. A novel implant system comprising anatomic rib plates and intramedullary splints may improve surgical stabilization of flail chest injuries. This observational study evaluated our early clinical experience with this novel implant system to document if it can simplify the surgical pr...

Isolated syndesmosis injuries often go unrecognized and are diagnosed as lateral ankle sprains; however, they are more disabling than lateral ankle sprains. The reported incidence of isolated syndesmosis injuries in acute ankle sprains ranges between 1% and 16%. When ankle disability lasts for more than 2 months after an ankle sprain, the incidence increases to 23.6%. Diagnostic workup may incl...

Surgical stabilization of flail chest is a controversial operation, but recent data has shown that selected patients benefit from it. We describe a simple and practical method of operative stabilization of flail chest using a prosthetic mesh and methylmethacrylate anchored to the ribs and sternum. The methylmethacrylate-mesh complex is inexpensive, can be extracted electively as soon as full th...

The glenohumeral joint is innately complex and comprised of both static and dynamic stabilizers. Anterior glenohumeral instability has been estimated to have an incidence of 11.2 cases per 100,000 persons and typically follows a traumatic injury. Although there are specific instances when conservative management is advocated, a majority of these patients are treated with operative stabilization...

CONCLUSION: Despite their similarities in clinical and radiographic presentation, pediatric JE phalangeal fractures are a distinct entity from SH2 fractures. Presenting with significantly more radiographic angulation and clinical instability, JE fractures more frequently required operative fixation compared to SH2 fractures. This distinction is important when determining the treatment strategy ...

Cystotomy, ovariohysterectomy (OVH) for pyometra, and correction of a gastric dilatation and volvulus (GDV) represent three of the most common surgical procedures performed in an emergency setting in small animal veterinary practice. Successful outcome is dependent on meticulous pre-operative workup and stabilization, knowledge of proper surgical technique, having the necessary equipment to car...