BACKGROUND Femoral shaft fractures are usually treated with intramedullary nailing. In this study, we report on a modified surgical technique with reduction through a small incision for this type of fracture. METHODS From 1994 to 1997, this technique was used on 74 patients with 82 femoral shaft fractures. Seventy patients (76 fractures) with at least 3 years of postoperative follow-up were i...

The distal row, which is more stable and moves as a unit, consists of the trapezium, the trapezoid, the capitate, and the hamate. The distal row forms a rigid, supportive transverse arch upon which the five metacarpals of the hand are supported. The trapezium articulates with the first metacarpal, the trapezoid with the second, and the capitate with the third one. The capitate and trapezoid are...

HYPOTHESIS Delayed surgical treatment of unstable distal clavicle fractures is associated with a higher complication rate. MATERIALS AND METHODS Between 1998 and 2008, a retrospective study of 38 patients (average age, 42.9 year) with Neer type II clavicular fractures was performed. Fractures were treated with a hook-plate (22 patients) or with superior locked plate with suture augmentation (...

Objective- The aim of this study was to compare the duration of surgery as well as some physiological stress indicators in large breed dogs undergoing open ovariohysterectomy with or without use of uterine hook. Design- Experimental study Animals- Fourteen healthy dogs underwent open OHE with (N=7) or without use of uterine hook (N ...

RATIONALE Simultaneous bilateral mid-clavicle fracture with unilateral dislocation of the acromioclavicular (AC) joint is an extremely rare injury combination. PATIENT CONCERNS Herein, we report a case of polytrauma in a 42 years old female following a road traffic accident. DIAGNOSES The radiographs showed the fractures in bilateral middle third of the clavicle and AC joint dislocation of ...

BACKGROUND Many patients with suspected scaphoid fractures but negative radiographs are immobilized for ≥ 2 weeks and are eventually found to have no fracture. Bone scans are reportedly 99% sensitive for these injuries if done ≥ 72 hours postinjury. OBJECTIVE The purpose of this study was to determine if early bone scans would allow for shorter cast immobilization periods in patients with sus...

Historically, fractures of the clavicle have been treated nonoperatively. However, it is becoming much more common for orthopedic surgeons to treat clavicle fractures with open reduction and internal fixation-particularly fractures of the lateral clavicle with high rates of nonunion, such as the Neer type II. Several techniques and devices are currently being used for clavicle fixation. We pres...

Acromioclavicular joint dislocations often occur in athletic, young patients after blunt force to the shoulder. Several static and dynamic operative procedures with or without primary ligament replacement have been described. Between February 2003 and March 2009 we treated 313 patients suffering from Rockwood III-V lesions of the AC joint with an AC-hook plate. 225 (72 %) of these patients coul...