BACKGROUND During conventional plate fixation of comminuted midshaft fracture of the clavicle, wedge-shaped fragments often need to be fixed with lag screws. A new procedure, which included intramedullary K-wire assistance in reduction, binding fragments by suture, and eventually bridging plate fixation, was compared with conventional techniques. HYPOTHESIS This new procedure is more effectiv...

Background. Dorsally comminuted distal radius fractures are unstable fractures and represent a treatment challenge. The objective of this study was to evaluate the functional and radiological outcome of dorsally comminuted fractures of the distal radius fixed with a volar locking plate. Patients and Methods. Thirty-three consecutive patients with dorsally comminuted fractures of the distal end ...

BACKGROUND Intramedullary fixation of comminuted mid-shaft clavicle fractures has traditionally been employed with satisfactory clinical outcomes; however, pins with smooth surfaces may protrude from the bone and are prone to migration, while some threaded pins are difficult to remove post-operatively. The aim of this proof-of-concept study was to develop and evaluate the biomechanical strength...

This study aims to investigate the effect of early and delayed injury minimally invasive percutaneous plate osteosynthesis on the treatment of distal tibial metaphyseal comminuted fracture. This study involved 90 patients with distal tibial metaphyseal comminuted fractures for treatment of minimally invasive percutaneous plate osteosynthesis between February 2012 and October 2014 in our hospita...

Trapezium fractures are uncommon injuries. Our case is that of a thumb carpometacarpal joint dislocation associated to a partly comminuted fracture of the body of the trapezium. To the best of the authors' knowledge, this particular variation has not been previously reported in the indexed literature.

A case of compound comminuted fracture always requires particular care in its management, but as a matter of necessity does not require sucli a severe measure as amputation. But there are circumstances under which even this severe mode of treatment is resorted to. Although opinions vary as to the propriety of performing primary amputation in individual cases, yet it will be observed that some o...

Proximal humeral fractures are a common injury after falls, particularly in the elderly population. An ultrasound-guided hematoma block is a novel technique for analgesia in cases when standard intravenous analgesia is not efficacious. We present a case in which ultrasound-guided hematoma block was the ideal method for adjunctive pain control in a patient with a comminuted humeral head fracture.

We report a case of fatal ventilatory obstruction as a result of haemorrhage into the axilla after a comminuted spiral fracture of the upper one-third of the humerus. Guidelines are presented as to the early recognition of such complications and their subsequent management.

The 'S' Quattro is a dynamic external fixator which has been designed to treat displaced comminuted intraarticular fractures of the phalanges. This type of fracture is commonly the result of a sports injury. We present a follow-up study of 11 cases.