Treatment with closed reduction and coaptation splinting followed by conversion to a fracture brace results in union in 70% to 80% of cases. Obesity, medical comorbidities, inadequate splintage can all lead to delayed union or nonunion Slightly higher rates of healing with plate fixation and reduced shoulder problems 32.5%pts secondary surgeries needed in nailing Non-union is more common with simple…
DH resembles a triangle, with the medial & lateral columns making up the sides and the trochlea forming the base Reconstruction of the premorbid anatomy of the trochlea is crucial to restoration of motion and stability AO and Riseborough & Radin’s Classification commonly used Lambotte, in the first decade of the 20th century, was one of the first to describe…
Older – low energy falls in osteoporotic patients 20-30% mortality risk in the first year following fracture Classified into stable and unstable fracture types Operative treatment modalities include Sliding hip compression screw, Intramedullary hip screw (cephalomedullary nail) and Arthroplasty Sliding hip screw used in simple stable fracture patterns with intact lateral cortex Intramedullary nails indicated for unstable variants Severely comminuted and…
Elbow dislocations are classified according to position of ulna & radius in relation to the distal humerus Post- dislocation account for 80-90% of all dislocations Fall backward on arm with elbow in flexed position with Forearm supinated is most common mechanism Extensive myositis ossificans around joint esp. in brachialis & triceps brachi muscles, Marked shortening of triceps muscle, Shortening of…
Mechanism of injury : Direct force through the flexed elbow or Hyperextension Olecranon becomes important for elbow stability if the fracture involves more distal part of the anteromedial facet, extending into coronoid process. Investigations : X ray, rarely CT scan required Treatment options include tension band wiring and plate fixation Problem of hardware irritation to skin Complications are Loss of…
Pavlik harness has become common treatment for infants younger than about 6 months of age Hip spica cast is the most common treatment for preschool-age children (up through about 6 years). Angulation up to about 15° in the coronal plane and 20° to 25°in the sagittal plane is acceptable. 6-10 years: Nonrigid nails: mainstay of treatment Submuscular plates are ideal…
