OBJECTIVE To conduct a retrospective analysis on cases undergoing inspection of orthopedic damage, at an orthopedic emergency service in a teaching hospital, with the aim of evaluating patients with postoperative infection after conversion to internal osteosynthesis. METHODS This was a retrospective analysis covering the period from June 2012 to June 2013, on patients who underwent inspection...

Complex tibial deformities imply simultaneous correction of varus deformity and internal rotation of the tibia, axis realignment, restoration of joint surface congruity and treatment and prevention of limb length discrepancy. Four patients were treated in our department using the single-cut osteotomy described by Paley. Osteosynthesis was achieved by an external fixator in two cases, K-wires in...

BACKGROUND Fractures of distal radius are common injury in all age groups. Cast treatment with or without close reduction is a viable option. However, the results are often unsatisfactory with restricted function. The open reduction and internal fixation often results in extensive soft tissue dissection and associated high rates of infect and delayed/nonunion. The distractor/external fixator ha...

PURPOSE To review the outcomes of 53 patients who underwent minimally invasive plate osteosynthesis (MIPO) for distal tibial fractures. METHODS Medical records of 31 men and 22 women aged 22 to 78 (mean, 51) years who underwent MIPO using a locking compression plate for distal tibial fractures of the left (n=28) and right (n=25) legs with or without intra-articular extension were reviewed. ...

BACKGROUND The limited soft tissue, subcutaneous location and poor vascularity render the tibial fractures very challenging. Treatment of distal tibial fractures using minimally invasive plate osteosynthesis (MIPO) technique may minimise damage to soft tissues and the vascular integrity of bony fragments, leaving comminuted fragments out of the mechanical construct, preserving soft tissues with...

PURPOSE To review the one-year outcome after volar locking plate fixation for distal radial fractures. METHODS Records of 22 men and 40 women aged 17 to 86 (mean, 52.5) years who underwent volar locking plate fixation for distal radial fractures were reviewed. According to the Fernandez classification, the distal radial fractures were classified as type 1 (n=20), type 2 (n=24), type 3 (n=6), ...

We carried out a prospective study to assess the value of mini-invasive osteosynthesis with the PerCutaneous Compression Plate (PCCP) in the treatment of trochanteric hip fractures in elderly patients. Sixty five consecutive patients were included, with an average age at surgery of 84.2 years (range : 63 to 99), with more than 93% ASA 2, 3 or 4 patients. No perioperative complications were note...

We present the case of a 50-year-old man who developed a delayed progressive swelling over the medial aspect of his right thigh, six weeks following minimally invasive plate osteosynthesis (MIPO) of a supracondylar femur fracture. Angiography showed a false aneurysm of the superficial femoral artery, caused by progressive displacement of a butterfly fragment. Open vascular repair was performed ...