Introduction: The physiological process of sternum surgical fracture consolidation in patients undergoing cardiac surgery could be prolonged by the invasion of gram-positive saprophytic bacteria which perpetuates the local inflammatory process despite the standardized aseptic and antiseptic measures in cardiac surgery. In this regard, the topical application of Vancomycin can e...

To cite: Concha Sandoval JM, Osma Rueda JL, Sandoval Daza A. Trauma Surg Acute Care Open Published Online First: [please include Day Month Year] doi:10.1136/tsaco2016-000029 ABSTRACT Background Fixation of diaphyseal tibial fractures by plates is not considered the best option due to complications that may eventually arise; however, if principles of stability and proper surgical techniques are ...

A 9-month-old filly donkey was referred for a comminuted diaphyseal fracture of the right tibia. Surgical osteosynthesis, with multiple lag screws and a neutralization plate, was performed for anatomical reconstruction. Despite a good gait condition, delayed bone consolidation and a bone gap were evident on follow up radiographic evaluations. Due to delayed healing, autologous platelet-rich pla...

retained gauze after surgery is an uncommon error and it may be associated with many complications. we are reporting our case to call attention to the fact that retained gauze may become symptomatic even after a very long interval. herein we report on a patient who developed infection and fistula with discharge from this error 35 years after a surgery for femur fracture and insertion of a im na...

Fractures of the distal tibia are often very severe injuries that generally occur in the context of high-energy trauma and present with significant concomitant soft tissue involvement. Open fractures and extensive destruction of the articular surfaces are important challenges to the treating surgeon. In consequence the outcome for distal meta- and epiphyseal tibial fractures depends largely on ...

BACKGROUND Stress fractures of the base of the acromion are rare and tend to progress well when conservatively treated. The need for surgery due to this type of fracture has only been reported in two case reports. CASE PRESENTATION A 39-year-old patient, manual laborer, with a stress fracture at the base of the acromion that required surgical treatment due to persistent symptoms and consolida...

vertical root fracture (vrf) has been a great challenge in dentistry; most fractures often result in tooth extraction. inflammation of tissues around the fractured root is the main reason for tooth extraction. based on the strategic importance of some fractured teeth, treatment may be necessary and often complicated. however, performing a proper repair or even splinting the fractured segments m...

Although conservative management of humeral diaphyseal fractures has shown good results in about 90% of cases [1, 2], there are both absolute and relative indications for surgical treatment, such as polytrauma, open fractures, bilateral fractures, floating elbow, etc [3]. Minimally invasive surgical techniques in diaphyseal fractures of long bones have shown advantages over the open conventiona...

OBJECTIVE To evaluate the incidence of consolidation in surgical treatment of fractures of the lateral extremity of the clavicle using the double subcoracoid ligature technique, with nonabsorbable No. 5 thread. METHODS Between May 1993 and June 2013, the Shoulder and Elbow Group of our service surgically treated 116 patients (116 shoulders) with fractures of the lateral extremity of the clavi...

PURPOSE OF THE STUDY Diabetics may have an increased fracture risk, depending on disease duration, quality of metabolic adjustment and extent of comorbidities, and on an increased tendency to fall. The aim of this retrospective one-centre study consisted in detecting differences in fracture healing between patients with and without diabetes mellitus. Data of patients with the most common fractu...