abstract background: unstable pelvic fracture, a result of high energy antero-posterior compression injury, has been managed based on internal fixation and open reduction. the mode of fixation in unstable pelvic fracture has, however, been a subject of controversy and some authors have proposed a need to address the issue of partial breach of the pelvic ring elements in these injuries. this stu...

Test results on carbon-fibre-reinforced plastic plates are presented, all of which had been used as semi-rigid fixation in a series of fractures of the middle third of the human tibia. Symptoms of pain experienced by the patients were found to be related to the stiffness of the plates and it is suggested that a stiffness of 2.0 newton-metres per degree is most suitable for this type of fixation...

Object: Sacroiliac dislocation frequently poses a complex problem for the surgical management and stabilization because of the anatomical and biomechanical factors of this transition zone between the spine and pelvis. The authors had used a modification of the Galveston technique, originally described by Allen and Ferguson in the treatment of scoliosis, to achieve rigid spinal-pelvic fixation i...

The management of mandibular angle fractures is often challenging and results in the highest complication rate among fractures of the mandible. In addition, the optimal treatment modality for angle fractures remains controversial. Traditional treatment protocols for angle fractures have involved rigid fixation with intraoperative maxillomandibular fixation (MMF) to ensure absolute stability. Ho...

ISP fixation has been shown to be a safe and efficacious alternative to traditional methods of posterior spinal fixation. A high degree of biomechanical stability and reliable fusion rates are achieved with preservation of adjacent level structures when using new iterations of rigid interspinous fixation. Since ISP devices do not violate adjacent facet joints, they potentially can decrease the ...

The first efforts on treating hip fractures concentrated on alignment of fracture fragments by traction and closed reduction. The reduction was maintained by long term traction, spica casts or internal fixation. However, despite the most accurate anatomic alignment and most rigid fragment fixation, many patients failed to regain normal use of their hips. Non-union of the femoral neck, avascular...

BACKGROUND The optimal management of femoral fractures in adolescents is controversial. This study was performed to compare the results and complications of four methods of fixation and to determine the factors related to those complications. METHODS We conducted a retrospective cohort study of 194 diaphyseal femoral fractures in 189 children and adolescents treated with elastic stable intram...

 Abstract Background: Unstable Pelvic fracture, a result of high energy antero-posterior compression injury, has been managed based on internal fixation and open reduction. The mode of fixation in Unstable Pelvic fracture has, however, been a subject of controversy and some authors have proposed a need to address the issue of partial breach of the pelvic ring elements in these injuries. This st...

background:  there is still controversy regarding the best technique for ankle arthrodesis to acheive stable rigid fixation along with reconstructing a functional plantigrade foot. moreover, existing techniques have complictions related to stability, soft tissue covering, fusion rate, and exposure. methods: with the anterior approach exactly on the tibialis anterior sheath, the joint was expose...

Atlantoaxial rotatory fixation (AARF) occurs commonly in children who have undergone trauma. It is usually corrected with conservative therapy. In this report, however, the patient was an adult with AARF who was treated surgically. A 64-year-old woman presented with a 1-year history of spastic gait and hand clumsiness. Imaging studies revealed the presence of AARF, os odontoideum, and severe sp...