PURPOSE To explore the possible surgical factors related with nonunion in femoral shaft fracture following intramedullary nailing. METHODS We retrospectively analyzed totally 425 patients with femoral shaft fracture in level I urban trauma center, including 254 males and 171 females, with an average age of 37.6 (ranging from 21 to 56) years old. The inclusion criteria included: (1) traumatica...

UNLABELLED Boden et al. suggested syndesmosis fixation was not necessary in distal pronation external rotation (PER) ankle fractures if rigid bimalleolar fracture fixation is achieved and was not necessary with deltoid ligament injury if the fibular fracture is no higher than 4.5 cm of the tibiotalar joint. We asked whether height of the fibular fracture with or without medial stability predict...

BACKGROUND Fat embolism syndrome (FES) is a potentially fatal complication of long bone fractures. There have been no reports of FES in long bone fractures in this decade in Taiwan. The purpose of this study was to review the FES experiences in a tertiary referral center between January 1997 and February 2008. METHODS Between January 1997 and February 2008, 13 patients with long bone fracture...

BACKGROUND Tibial fractures are the most common long bone fracture. The standard of care for the treatment of diaphyseal tibial fractures is an intramedullary nail (IMN). Implant removal is one of the most common procedures in bone and joint surgery, and criteria for implant removal are typically left to the treating surgeon. Currently, no clear criteria exist to guide a surgeon's decision to r...

Wrist torus fractures in children are a frequent reason for Emergency Department (ED) visits. Torus fractures traditionally were treated with a backslab cast in the Children's ED and then referred to the Fracture Clinic. Guidelines were developed in order to standardise the care for children who attended the ED with a torus fracture. All patients who were seen & treated by the Advanced Nurse Pr...

The earliest efforts to predict the risk of an impending fracture in the presence of tumor dates to the 1960s [1–3, 10, 11]. Although some of the earlier studies made positive contributions, they lacked supportive statistical evidence. Later, several larger and well-documented studies were designed to identify the features of an impending pathologic fracture [4, 7, 8]. Although the statistical ...

We investigate the feasibility of cohesive theories of fracture, in conjunction with the direct simulations of shear-load dominated fracture, to numerically reproduce the inter-sonic crack propagation in unidirectional graphite-epoxy composite plates [1]. The particular configuration contemplated in this study refers to the experiments performed by Coker and Rosakis [2, 3]. The numerical simula...

OBJECTIVE To summarize the clinical results of femoral head fracture-dislocation treated according to Pipkin classification. METHODS Atotal of 19 patients with femoral head fracture-dislocation were retrospectively analyzed from Mar. 2008 to Mar. 2015. According to the classification of Pipkin criteria, there were 4 cases in Type-I, 6 cases in Type-II, 6 cases in Type-IIIand 3 cases in Type-I...

STUDY OBJECTIVE We sought to determine whether the reliability of clinical evaluation for pelvic bone fracture after trauma is compromised by a serum ethanol level of 100 mg/dL or greater. METHODS This is a retrospective case control study of trauma registry patients presenting from October 1, 1995, to March 31, 1997, to an urban level I trauma center. Inclusion criteria were as follows: blun...

OBJECTIVES To assess the prevalence of frailty and its ability to predict short-term outcomes in older patients with hip fracture. DESIGN Prospective cohort study. SETTING University-affiliated community hospital. PARTICIPANTS Thirty-five patients aged ≥65 treated with hip fracture. MEASUREMENTS Frailty was assessed using the 5 criteria of the Fried Frailty Index, modified for a post-fr...