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Results for “Fractures, Comminuted”

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At least 199 records · Page 11Linked to original sources
PubMed1993

[Resection of the radius head in multiple and comminuted fractures. Clinical results and critical evaluation compared with the literature].

Between 1974 and 1989 39 patients with multi-fragmentary fractures of the head of the radius or radial neck fractures were treated by resection of the radial head at the Department of Trauma and Reconstructive Surgery (UKE-University Hospital Hamburg). Follow-up of 22 patients after 0.5 to 15 years (average 7.8 years) by means of patient documents, actual condition, functionally re-examination of the upper limb and evaluation of the roentgenological changes revealed 22.8% good, 63.6% acceptable and 13.6% poor results according to a modified scoring system. Characteristic complications after excision of the radial head are the increase of the carrying angle of the elbow, the proximal migration of the radius and the loss of grip strength. Due to a critical review of the international literature prosthetic replacement by now does not lead to convincing better results. Reoperations may be mandatory to remove the implant because of tissue reactions or failure of the implant.

Adult↗
PubMed1993

Comminuted fracture of the calcaneus associated with subluxation of the talus.

Two cases of complex fracture dislocation of the calcaneus having an unusual pattern of injury are described. The cases exhibit the following special characteristics: (1) fracture dislocation of the calcaneus where the primary fracture line separates the calcaneus into an anteromedial fragment that maintains its normal relationship to the talus and a posterolateral fragment that is dislocated from the subtalar joint. This posterolateral fragment moves laterally and lies adjacent to the fibula; (2) a secondary fracture line separating the lateral portion of the posterior facet from the tuberosity of the calcaneus. Both fragments are dislocated from their normal anatomical position; (3) talar tilt as shown on AP view of the ankle caused by inversion of the talus due to rupture of the lateral collateral ligament. Also, the posterolateral fragments impinging on the fibula pushes the heel downward and contributes to the talar tilt; (4) involvement of the calcaneocuboid joint; (5) dislocation of the peroneal tendons. This fracture pattern is unusual and has not been described before. Recognition of this unusual injury with subsequent and proper management may prevent major disability to the patient. Conservative treatment by casting or early range of motion is contraindicated. Closed reduction should be attempted immediately, and if not successful, a lateral approach with open reduction and internal fixation is the treatment of choice for this complex injury.

Adult↗
PubMedDate not supplied

[Comminuted fractures of the distal part of the femur].

The Authors discussed the problem of femoral over intracondylar structures, that industrial and highway accidents have increased we consider as necessary a perfect anatomical repair of articular surfaces, in order to avoid any rigidity or secondary artrosys. It's considered essential on such purpose surgical reconstruction, which, thanks to new methods and antibiotics it's to be considerate much more sure than once. After short recollection of functional anatomy one stops on surgical treatment adopted at the orthopedic clinic of Verona, separated office of Padua University, and reporting at the end obtained results in 18 cases of such fractures.

Accidents, Occupational↗