The treatment of multifragmentary, intra-articular fractures of the distal humerus is difficult, even in young patients with bone of good quality, but is worse in elderly patients who have varying degrees of osteopenia. We have evaluated the functional outcome of primary total elbow replacement (TER) in the treatment of these fractures in ten elderly patients followed for a minimum of one year....

A prospective randomised trial of surgical treatment for the displaced subcapital femoral fracture in patients of 70 years or more is presented. Two hundred and eighteen patients were randomly allocated into one of three treatment groups: manipulative reduction and internal fixation using Garden screws; Thompson hemiarthroplasty through a posterior (Moore) approach; and Thompson hemiarthroplast...

Stifle trauma can be a common cause of lameness in the athletic horse. Traumatic fractures of the tibial tuberosity and surgical treatment with internal fixation has been previously reported. However, implant failure and catastrophic fracture of the tibia are inherent risks associated with recovery from general anesthesia following repair. To this author’s knowledge, there is no report in the l...

Main principle of biological fixation by minimally invasive locked plate osteosynthesis (MILPO) in lower extremity long bone fractures is relative stability which is provided by using long plate with limited number of screws. Some biomechanical studies have been reported about this issue. However, clinical studies are still missing. The aims of this retrospective extended case series were to ev...

Periprosthetic fractures of the femur present a challenging surgical problem. The aim of this study was to evaluate the outcome of periprosthetic femoral fractures (PFF) which were treated with internal fixation or stem revision. Depending on the fracture type in the Duncan-Vancouver-Classification, 42 patients with PFF were treated either with a Fixateur interne (n = 23) in cases with type B1 ...

BACKGROUND The aim of this study was to compare radial head prosthesis replacement with open reduction and internal fixation (ORIF) in the surgical treatment of Mason type III radial head fractures in 72 elderly patients. MATERIAL/METHODS Seventy-two elderly patients (mean age, 67.1±1.25 years, range, 62-81 years) with Mason type III radial head fractures were treated from January 2001 to Jun...

OBJECTIVE To evaluate clinical and radiological results with open reduction and internal fixation of severe fractures of the proximal humerus in the patients over the age of 60 years. METHODS Between June 1992 and February 2011, 21 patients with FGEPU over the age of 60 years were treated by open reduction and internal fixation at the Group of Shoulder and Elbow Department of Orthopaedics and...

PURPOSE To determine the outcome of treatment for minimally displaced femoral neck fractures using multiple threaded pins versus sliding compression screws for internal fixation. METHODS The medical records of 62 consecutive elderly patients with minimally displaced intra-capsular femoral neck fractures who underwent internal fixation of the fracture (37 with multiple threaded pins, and 25 wi...

PURPOSE Acetabular fractures are mainly caused by trauma and the incidence is rising in developing countries. Initially these fractures were managed conservatively, due to lack of specialized and dedicated acetabulum surgery centres. Our aim is to study the radiological and functional outcomes of surgical management of acetabular fractures in tertiary care hospital. MATERIALS AND METHODS Tota...

PURPOSE To assess the treatment outcome of temporary coracoclavicular screw fixation for displaced distal clavicle fractures. METHODS From January 1995 to December 2003, 30 consecutive patients with Neer type II displaced distal clavicle fractures were treated with open reduction and internal fixation using a coracoclavicular screw. The screw was removed under local anaesthesia after bony uni...