The advent of internal fixation with bone plates and screws represents a tremendous advancement in the methods of fracture fixation. During this era, the emphasis was on anatomic reconstruction and rigid internal fixation. Although these principles are applicable to a great number of fractures, not all can be treated in this manner. In fact, the disruption of the soft tissue envelope required t...

The first priority in the management of comminuted mandibular fractures is the prevention of acute upper airway obstruction. Each division of mandibular fractures may cause respiratory obstruction. Among the variety of such fractures, split fracture of the symphyseal lingual cortical plate has a significant influence on the oropharyngeal and laryngopharyngeal airway spaces, and causes a markedl...

Periprosthetic supracondylar fractures of the femur after total knee arthroplasty represent a devastating complication for the patient and a technical challenge for the surgeon. Treatment is often complicated by advanced patient age, retained cement, and accompanying osteoporosis. We present the case of a 54-year-old woman with a comminuted fracture of the distal femur just above a total knee p...

OBJECTIVES Closed reduction is generally recommended for acute nasal bone fractures, and rhinoplasty is considered in cases with an unsatisfactory outcome. However, concomitant rhinoplasty with fracture reduction might achieve better surgical outcomes. This study investigated the surgical techniques and outcomes in patients who underwent rhinoplasty and fracture reduction concomitantly, during ...

BACKGROUND Restoration and maintenance of the plateau surface are the key points in the treatment of tibial plateau fractures. Any deformity of the articular surface jeopardizes the future of the knee by causing osteoarthritis and axis deviation. The purpose of this study is to evaluate the effect of Trabecular Metal (porous tantalum metal) on stability and strength of fracture repair in the ce...

Patella fractures with comminution, osteoporotic bone, and/or previously failed fixation are exceedingly difficult to reduce and fix. Moreover, the risk of symptomatic constructs and patients who are poorly compliant with postoperative activity restrictions can make these complex fracture patterns an even more challenging scenario. Although there is an array of techniques described for comminut...

BACKGROUND A prospective clinical trial was conducted to evaluate the conjunctive use of an extramedullary device and the bridge-plating technique in the treatment of comminuted subtrochanteric fractures with major extension into the femoral shaft. METHODS A Winquist criteria was used to classify 3 fracture patterns. The type 3 fractures were excluded from this study because of great extent o...