We describe our experience with a two-incision anterolateral acromial approach in locking plate fixation of proximal humeral fractures in older adults. Mean time between injury and surgery was 3.08 +/- 1.24 days. A proximal anterolateral transverse incision and a more distal longitudinal incision were used. A locking plate was inserted along the lateral side of the humerus from the proximal inc...

Intramedullary nailing of the tibia with suprapatellar entry and semi-extended positioning makes it technically easier to nail the proximal and distal fractures. The purpose of this article was to describe a simple method for suprapatellar nailing (SPN). A step-by-step run through of the surgical technique is described, including positioning of the patient. There are as yet only a few clinical ...

INTRODUCTION Different factors related to winter are known to influence the fracture incidence, but little is known about the effect of road surface temperature. This study examines the association between road surface temperature and the daily number of fractures in an urban area during two winters. MATERIAL AND METHODS Retrospective data collection was conducted on all patients treated at B...

The incidence of Monteggia lesion is only 1 to 2% of all childhood forearm injuries and even less in adults [2]. Distal humerus intraarticular fractures constitute 0.5%-7% of all fractures and 30% of elbow fractures [3]. Monteggia lesion have been found to be associated with wrist lesions [1,4,5]. Wiley and Galey [1] & Arazi et al. [6] reported one case each of the ipsilateral supracondylar fra...

BACKGROUND Recently, many studies have emphasized the importance of the comprehension of detailed functional anatomy and biomechanics of the elbow and its significant contribution in facilitating good functional outcomes of conservative and surgical treatment in the field of elbow disorders. METHODS The most common disease of elbow disorders and their treatment was reviewed. RESULTS Lateral...

Introduction Intra-articular fractures of the humerus at the shoulder or elbow are common yet difficult injuries to address in elderly patients with osteoporotic bone. In this patient population, poor bone quality often precludes rigid fracture fixation. As such, joint replacement options may provide more predictable functional outcomes for many of these injuries. Articular insufficiency fractu...

BACKGROUND Humeral shaft fractures are generally managed with the conventional posterior open reduction and internal fixation (ORIF) or minimally invasive plate osteosynthesis (MIPO). This study was aimed at comparing the outcomes of these surgical techniques in terms of the vascular integrity of the mid-distal humeral shaft. METHODS Twelve upper limbs were harvested from 6 fresh cadavers. OR...

The reproducibility of the AO classification for distal radius fractures remains a topic of debate. Previous studies showed variable reproducibility results. Important treatment decisions depend on correct classification, especially in comminuted, intra-articular fractures. Therefore, reliable reproducibility results need to be undisputedly determined. Hence, the study objective was to assess i...

BACKGROUND AND PURPOSE Recent literature suggests that the incidence and treatment modalities of distal radius fractures have been changing over the past 2 decades in the developed world. We examined the epidemiology of adult distal radius fractures in Iceland in 2004 and compared it with an Icelandic study from 1985 and other studies. METHODS A retrospective study of the epidemiology, classi...