Editorial to accompany the article: „The treatment of displaced intraarticular distal radius fractures in elderly patients—a randomized multicenter study (ORCHID) of open reduction and volar locking plate fixation versus closed reduction and cast immobilization“ by Christoph Bartl, Dirk Stengel et al. in this issue of Deutsches Ärzte blatt International in stage 5 do randomized studies compare ...

PURPOSE. To compare the efficacy of locking plate fixation with and without inferomedial screws in maintaining the reduction of a proximal humeral fracture. METHODS. 22 synthetic humerus models were used. A standardised 3-part proximal humeral fracture with a 4-mm wedge segment was created and fixed with a locking plate and screws with (n=11) and without (n=11) inferomedial screws. The intrafra...

A technique of combined expanding laminoplasty using longitudinal interspinous iliac bone graft with posterior lateral mass plate is described for the treatment of cervical canal stenosis associated with spinal instability. A 52-year-old male and a 76-year-old female presented with cervical myelopathy. Imaging studies demonstrated spondylotic cervical canal stenosis associated with spinal insta...

Despite numerous available treatment strategies, the management of complex proximal humeral fractures remains demanding. Impaired bone quality and considerable comorbidities pose special challenges in the growing aging population. Complications after operative treatment are frequent, in particular loss of reduction with varus malalignment and subsequent screw cutout. Locking plate fixation has ...

Background Reverse total shoulder arthroplasty is an increasingly utilized treatment option for glenohumeral arthritis with massive, irreparable rotator cuff disruption associated with loss of glenohumeral stability and function. Several reverse shoulder implant designs from different manufacturers have been introduced to the market in recent years. Fixation of the glenoid base plate has been s...

Clavicle fractures are common injuries. Traditionally, nonsurgical management has been favored; however, recent evidence has emerged indicating that operative fixation produces lower nonunion rates, better functional outcomes, improved cosmesis, and greater patient satisfaction. Although clavicle fixation has been considered a safe procedure, several complications related to plate fixation have...