Trimalleolar ankle fractures and open ankle fractures.
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Biomedical subjects
Publications and source records attributed to S A Grantham.
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Lunate dislocations of the wrist are unusual injuries. A unique case of radial carpal-volar lunate dislocation is reported. The dislocation was treated with closed reduction and maintained by percutaneous pins. A good clinical and radiographic result was seen at 1-year follow up.
There is a growing trend to closed intramedullary nailing of femoral shaft fractures that we partially subscribe to. This report, however, concerns open reduction and intramedullary nailing of femoral shaft fractures from 1972-1982. Two groups of fractures are discussed independently--22 pathologic fractures and 88 traumatic fractures. Mortality figures as well as functional and anatomic results are presented. Complications include one superficial infection, two nonunions, and two delayed unions. This study provides us with a baseline measure for comparison with other methods now under consideration and on trial.
A review of the literature concerning Jones' fractures yields a relatively recent description of the entity as a chronic condition frequently arising as a stress fracture in young athletes and not infrequently requiring surgical correction. Over a 5-year period, we have treated 53 patients with Jones' fracture. All patients were nonathletes. Each described, as Jones did originally, an acute injury. Thirty-six patients were followed to union. There were two delayed unions and no nonunions.
Traumatic dislocation of the medial four carpometacarpal joints in a child is an unusual injury. Descriptions of this injury in the literature have been reviewed and a case is presented to illustrate the pertinent anatomy, biomechanical aspects, and details of management. Specifically, the importance of collateral circulation to the hand and an effective technique of pin fixation are described.
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