Traction followed by spica casting, the one method used to treat femoral shaft fractures in children that was used in the past, has given way to a multiplicity of methods today. To evaluate the morbidity and costs of these various methods, 85 fractures in 81 patients age six to 16 years were evaluated. Early spica casting gave excellent results with low complications and low costs. All surgical...

BACKGROUND Surgeons agree on the benefits of operative treatment of tibial fractures - the most common of long bone fractures - with an intramedullary rod or nail. Rates of re-operation remain high - between 23% and 60% in prior trials - and the two alternative nailing approaches, reamed or non-reamed, each have a compelling biological rationale and strong proponents, resulting in ongoing contr...

The purpose is to describe the technique and report the results and complications of percutaneous femoral rotational osteotomy, secured with a trochanteric-entry, locked intramedullary rod, in adolescents with femoral anteversion. Our series comprised an IRB approved, retrospective, consecutive series of 85 osteotomies (57 patients), followed to implant removal. The average age at surgery was 1...

OBJECTIVES This study aims to retrospectively review the short-term surgical outcome of wrist fusion using wrist fusion rod (WFR). PATIENTS AND METHODS Six wrists of four female patients (mean age 56 years; range 51 to 62 years) with advanced stage rheumatoid arthritis of Larsen IV or V were performed total wrist fusion using WFR. Clinical outcome was assessed using a numeric rating scale of ...

Prophylactic intramedullary fi xation of impending pathologic fractures is an important preventative technique. Intramedullary rods provide longitudinal structural support, protecting weakened cortices from fracture displacement, providing pain relief, and allowing for restoration of function.1,2 In the femur, prophylactic stabilization of an impending fracture in a metastatic tumor population ...

BACKGROUND Intramedullary fixation with use of a telescopic rod with a T-piece is one of the standard methods for long-bone stabilization in growing children with osteogenesis imperfecta. However, installation and removal of this device can cause substantial damage to the distal joint, which limits its use, especially in the tibia. We devised a modification of the telescopic rod system--the int...

Introduction: In orthopaedic trauma care, it has long been observed that fractures associated with a peripheral nerve injury lead to impaired fracture healing. This study investigates the relationship between a pure sensory nerve denervation and healing of a standardized femur fracture. Although it is unclear exactly how nerves interact with bone growth and repair, some clinical observations an...

of diaphyseal long bone fractures. Interlocking nails have transverse cannulations that accommodate transcortical screws, allowing surgeons to firmly fix the rod within the medullary canal, thereby effectively neutralizing bending, rotational, and axial forces that act on fractures. Interlocking nails have become increasingly To counter axial and rotational forces, intramedullary nails were dev...

Distal radius fractures, the most common long bone fracture, are treated in several ways, including closed reduction, percutaneous pinning, external fixation, and open reduction and internal fixation. This article presents a surgical technique and a series of patients treated with a novel minimally invasive intramedullary fixation technique. The implant is a partially flexible intramedullary ro...

http://dx.doi.org/10.3415/VCOT-16-10-0134 As the philosophy for fracture management has swung away from reconstruction and rigid fixation towards preservation of fracture biology, and implants that bridge the fracture gap, it has become necessary for surgeons to understand the mechanical properties of the “bridge”, as this will impact the ability of the construct to resist a single high load an...