AIM The aim of this international prospective randomized multi-centre study was to compare operative and conservative treatment of displaced condylar fractures of the mandible. METHODS AND PATIENTS Out of a total of 88 randomized patients from 7 centres, 66 patients with 79 fractures of the mandibular condylar process completed the study and were evaluated. All fractures were displaced, being...

Surgical treatment of unstable pelvic fractures Type C, has a vertical instability that is not controlled by traction and supine; therefore, orthopedic and functional treatments undertaken by default are sources of complications. The closed reduction with percutaneous sacroiliac fixation solves the problem of vertical instability; but at the cost of learning the method. Five patients with unsta...

The incidence of hip fractures rises with increasing age, doubling for each decade beyond 50 years of age.1 With the increase in life expectancy and the accompanying ageing population, there has been an increase in the incidence of hip fractures from 1.17 per 1000 females >60 years old in 1965 to 1.5 per 1000 in 1985. This paper reviews a common method used in the treatment of a common clinical...

Open fractures of the pelvis are associated with high energy trauma and present a challenge to successful management and sometimes, early and correct diagnosis. These patients require more aggressive blood resuscitation particularly in the first 24 hours, repeated wound care operations, and often require a diverting colostomy. Usually these pelvic fractures can be distinguished from closed pelv...

Intracompartmental pressures of 66 patients with 67 tibial fractures treated by intramedullary nailing were monitored. There was no difference in the pressures recorded between the different Tscherne fracture types, between open and closed fractures, between low energy and high energy injuries or between fractures dealt with early and those not treated until more than 24 hours after injury. The...

IMPORTANCE There are no uniform treatments, standards, and specifications for conservative and surgical management of mandibular fractures in children and adolescents. OBJECTIVE To review the management of mandibular fractures in children and adolescents at our institution. DESIGN, SETTING, AND PARTICIPANTS The medical records of 104 children and adolescents (60 male and 44 female) treated ...

In completely displaced pediatric distal radial fractures, achieving satisfactory reduction with closed manipulation and maintenance of reduction with casting is difficult. Although the Kapandji technique of K-wiring is widely practiced for distal radial fracture fixation in adults, it is rarely used in pediatric acute fractures. Forty-six completely displaced distal radial fractures in childre...

ABSTRACT BACKGROUND Minimally invasive internal fixation is also called "biological internal fixation". This concept is used widely in the treatment of various fractures but to date, there have been no report about such application in the repair of isolated ulnar bone fractures. METHODS Eleven patients with fracture of isolated ulnar bone (four AO type 22A11 and seven AO type 22A12), mean ...

OBJECTIVES The aim of the treatment of tibial plateau fractures is to obtain a pain-free and fully functional knee with closed reduction, percutaneous cannulated screw fixation and hexapodal external fixator reconstruction for high energy compound upper tibial fractures. METHODS Patients with comminuted tibial plateau fractures underwent closed reduction, percutaneous fixation with cannulated...