We report a prospective, randomised, controlled trial of 50 severely displaced comminuted Colles' fractures treated by either external fixation or manipulation and plaster. Each patient was assessed radiographically throughout treatment, and functionally by an independent observer at three and six months. The functional result correlated with the anatomical result, which was significantly bette...

J.H., a man aged 24 years, was knocked down by a car and admitted to hospital on January 13, 1961. His injuries were:a comminuted fracture of ,he mid-shaft of the right femur, an open comminuted fracture of the shaft of the right tibia, a fractured right fibula, a rupture of the anterior cruciate ligament of the right knee, and a fracture of the base of the terminal phalanx of the right hallux....

Fifty consecutive comminuted fractures of the femoral shaft were treated by closed unlocked intramedullary nailing. Twelve unstable fractures also had cast-bracing. There were no cases of infection or non-union, and satisfactory results were achieved in 38 fractures (76%). More severe comminution led to a higher incidence of unsatisfactory results, but malrotation deformity was seen more often ...

Olecranon fractures are intra-articular injuries that require anatomic restoration of the articular surface. For most simple noncomminuted transverse olecranon fractures, tension band wire fixation can provide a stable construct to allow for early joint range of motion. However, in comminuted olecranon fractures, it is difficult to provide a sufficient buttress for impacted articular fragments ...

CASE SUMMARY This case report describes the surgical technique used and clinical outcome of a 15-year-old neutered female cat that had a comminuted fracture of the right glenoid and scapular neck secondary to a gunshot injury that was treated with glenoidectomy. RELEVANCE AND NOVEL INFORMATION Good clinical outcomes are possible with removal of the glenoid for treatment of comminuted fracture...

We describe a case of extensively comminuted mandibular fracture that extends bilaterally to the angle of mandible successfully treated with the use of condylar positioning device (CPD). This simple, yet effective, technique that almost exclusively described in orthognathic surgery is useful when advance surgical techniques such as pre- or intraoperative landmark identification may not be readi...

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...

RATIONALE The knee joint is an important weight-bearing joint, tibial plateau fractures affect knee function and stability. High-energy intra-articular fractures involving the tibial plateau can cause management-related problems such as wound dehiscence; severe comminution leading to malalignment; and delayed complications such as varus collapse, implant failure, and arthritis of the knee joint...

BACKGROUND The ideal treatment for comminuted intraarticular calcaneal fractures is still debated. Open reduction and internal fixation (ORIF) is the most popular surgical procedure; however, wound complications, implant choice, and infection remain major concerns. This study aimed to demonstrate the results of an innovative, minimally invasive surgical procedure, namely, a closed reduction tec...