The treatment of comminuted fractures of the mandible is challenging due both to the severity of the injuries generally associated with this type of fracture, and the lack of consensus as to the most appropriate treatment method.There are two distinct approaches for treating comminuted fractures of the mandible: closed reduction with maxillomandibular fixation (MMF) - the oldest and classical t...

This study was designed to compare the rigidity of the more commonly used techniques of internal fIxation of fractures of the olecranon. Cadaveric elbow joints were mounted in a jig and confrolled osteotomies performed to simulate transverse, oblique or comminuted fractures. Five techniques of internal fixation were tested by measuring movement at the fracture site after applying a bending mome...

Chheiti, Hindu male, aged 30, a coolie in the Kanknarah Jute Mills, was admitted into tlie Imambarrah Hospital on 9th June 1893. A hale of jute fell on his left leg and caused the following injuries :? (?) Simple comminuted fracture of the left fibula at the junction of the middle and lower third; (/?) compound dislocation of the left ankle joint, the lower end of the tibia protruding through a...

A 67-year-old man sustained an anterior dislocation of his right shoulder following a fall down the stairs. He attended the Casualty Department 4 days after his injury. On examination he had no neurovascular injury. Radiographs confirmed anteroinferior dislocation of the shoulder with a comminuted fracture of the greater tuberosity (Fig. 1). Two attempts at closed reduction, under sedation, fai...

We present the case of an 11-year-old girl who presented to our Emergency Department having fallen from a height of 8.5 meters. Amongst the sustained injuries was a comminuted fracture of the body of the talus. This was managed conservatively with an excellent outcome. We discuss the case with reference to the literature in this field, particularly highlighting comparisons between cases from pa...

a compound comminuted fracture of the right thigh-bone, caused by a fall from a high mangoe tree. The upper fragment of the broken bone protruded nearly 1^ inch through an opening about 1^ inch long in the soft parts of the middle of the thigh in front, and fragments of bone could be felt moving in the soft parts; the pulse was 90; haemorrhage had nearly ceased before admission. I took into con...

Fixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are not always available in some regions. Therefore, we describe an alternative procedure involving fix...

Severely comminuted olecranon fractures are challenging injuries. Commonly used tension band wiring exerts excessive compressive forces causing olecranon shortening, joint incongruity and humeral trochlea subluxation. We report a retrospective study of 3 patients who underwent surgery for a severely comminuted olecranon fracture, with open reduction and fixation with a bridging rigid locking pl...

Platelet gels have global applications in surgery and are especially useful for soft and bony tissue reconstructions encountered in plastic and reconstructive surgery. In these applications their use has been associated with a decrease in operative time, necessity for drains and pressure dressings, and incidence of complications. When applied to bony reconstruction it provides adhesion for the ...

In the treatment of posterior wall fractures of the acetabulum, a modified distal radius T-plate can be substituted for one third tubular spring plates for fixation of thin, small, or comminuted posterior wall fragments. This technique is described as well as a case series of 33 patients with various posterior wall acetabular fractures.