BACKGROUND For comminuted Rolando's fracture, external fixation with early mobilization is the treatment of choice however, there is controversy in this treatment. Low-profile or mini external fixator can be used, but expense and availability of this kind of implant in Thailand has resulted in using various techniques of surgery. The purpose of this retrospective study was to present the author...

BACKGROUND Partially hydrolysed guar gum (Benefiber) added to a diet is fermented in the colon, producing short chain fatty acids, which improve intestinal function, including colonic salt and water absorption. AIMS To evaluate the effect of Benefiber supplemented comminuted chicken diet in the treatment of persistent diarrhoea. METHODS One hundred and sixteen children (aged 5-24 months), p...

From a series of 190 consecutive fractures of the shaft of the femur treated by closed Küntscher nailing, 32 of the more severely comminuted have been studied to determine whether treatment by closed nailing was justified. Radiological criteria were used to divide them into 19 who were moderately comminuted and 13 grossly so. Twenty-four patients were less than 21 years of age and 19 patients h...

Fracture patella is a breach in the extensor mechanism of knee and needs to be fixed. Comminuted fractures are challenge given difficulty restoring mechanism. Introduction: Treatment options have evolved over years from sacrifice salvage i.e., total or partial patellectomy patellar preserving surgery. The remains fix fragments optimally also tailor-made physiotherapy rehabilitation program for ...

It is uncommon for tire explosion related injuries on the lower extremity. The bilateral lower extremities were injured by tire explosion when the patient was seated in a bus. She sustained an open fracture with partial bone loss in the right calcaneus (a comminuted fracture in the right ankle joint) and a closed comminuted fracture in the left tibia and fibula. This damage was caused by uncont...

A dislocation of the sternoclavicular joint is a particularly threatening injury given the close proximity of neighboring vital structures. Moreover, a traumatic injury resulting in a comminuted fracture of the medial clavicle in addition to joint instability results in even greater complexity. In the setting of sternoclavicular joint instability, definitive treatment that will lead to complete...

A rare case of fracture of the coronoid and the pterygoid process caused by firearms is described. A 28-year-old male was hit by a bullet in the face, resulting in restricted mouth opening, difficulty in chewing and pain when opening the mouth. Clinical examination revealed a perforating wound in the right parotid region and a similar wound on the left side of the same region. A CT scan showed ...

A 3-year-old Holstein-Friesian cow was evaluated because of sudden onset of right hind limb lameness and pain with fetlock swelling for 2 days. Based on the history, clinical index scores and computed radiographic examinations, the case was accurately diagnosed to be a severely comminuted fracture of the proximal phalanx. This cow was assigned for conservative treatment with external coaptation...