Abstract Aim To assess operative decision-making for patients with neck of femur fractures. Method 2-year retrospective analysis 150 in a single centre looking at outcomes focusing on complication rates and mortality. Results Mortality stood 6% 1 month 25% year compared to quoted literature (10% 30% year). Surgical varied between fracture pattern choice. Notably, the use cannulated screws displ...

Arthroscopic reduction and internal fixation (ARIF) is recommended as state-of-the-art treatment for patients with pure compression fracture of the tibial plateau. We describe a new technique for ARIF of pure compression tibial plateau fractures that uses a cannulated, bioabsorbable interference screw. After a guide pin is placed in the center of the compressed fragment and a tamp is used to el...

OBJECTIVES Screw fixation and fragment anchoring in osteoporotic bones is often difficult. Problems like the cut out phenomenon and implant migration in osteoporotic bones have been reported. One possibility of improving the anchoring force of screws is augmentation of the screw. Cement-augmented screws in spinal surgery could exhibit a better anchoring in osteoporotic bones. METHODS The purp...

Threaded and smooth pins are often used in orthopedic surgery. Although uncommon, injury to the soft tissues can and do occur, including nerve or vessel injury from aberrant pin placement. The purpose of this study was to compare the risk of nerve injury from threaded pins versus smooth guide pins due to: (1) past-point-drilling of the pin, or (2) entanglement of the pin with soft tissue. Past-...

Background: Fracture neck of femur has always presented a great challenge to orthopedic surgeons due its nature going into non-union and osteonecrosis femoral head even with the best fixation method adequate reduction. Treatment fracture varies according patient’s age pattern. Purpose this study was compare outcome DHS side plate de-rotation screw multiple cannulated hip screws in adult.
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Odontoid process fracture accounts for 5% to 15% of all cervical spine injuries, and the rate is higher among elderly people. The anterior cannulated screw fixation has been widely used in odontoid process fracture, but the fixation strength may still be limited under some circumstances. This study aims to investigate the biomechanical fixation strength of expansive double-threaded bi-direction...

OBJECTIVES To measure the rate of union in patients with pseudoarthosis of the scaphoid, treated with trapezoidal bone grafting as outlined by Fernandez and 1 of 3 methods of internal fixation and to compare unions versus nonunions and potential predictors of union to determine if associations exist. DESIGN A retrospective radiologic study of scaphoid pseudoarthroses. SETTING Division of Or...