RATIONALE Distal humeral diaphyseal fractures are much less common than supracondylar humeral fractures. The triangular shape and thinner periosteum in the diaphyseal region than in the supracondylar region of the distal diaphysis makes the treatment of diaphyseal fractures difficult. Nonoperative treatment for this fracture is challenging and troublesome; thus, open reduction and internal fixa...

Fixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are not always available in some regions. Therefore, we describe an alternative procedure involving fix...

Background: Distal humeral fractures accounts for approximately 2% of all fractures and nearly one-third of humeralfractures in adults. In this regard, Modified Tension Bind Wiring (MTBW) technique was used for the fixation of the distalhumeral fractures type A2 and C1 (AO) to evaluate the early movement and complications of the patients.Methods: This study was conducted on 25...

Diaphyseal fractures of the femur and tibia in adults are mostly treated surgically, usually by means of intramedullary locked-nail osteosynthesis. Some comminuted and/or highly deviated shaft fractures may present a veritable technical challenge. Fracture (or orthopedic) tables, which enable vertical, horizontal and rotational instrumental stabilization of the limb, greatly facilitate reductio...

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...

Background Distal humerus fractures constitute 2% of all fractures in the adult population. Although historically, these injuries have been treated non-operatively, advances in implant design and surgical technique have led to improved outcomes following operative fixation. Methods A literature search was performed and the authors' personal experiences are reported. Results This review has ...

PURPOSE To study clinical and mechanical factors that predispose to failure of interlocking nails. METHODS Between October 1996 and December 2002, 286 femoral fractures, 211 tibial fractures, and 47 humeral fractures were repaired using variously designed interlocking nails. Fracture pattern, level and site, nail size and type, weight bearing after nailing, and union status were reviewed afte...

We report a rare case of a 39-year-old man with bilateral posterior dislocated shoulder joints with comminuted fractures of the humeral heads after an epileptic seizure. Posterior shoulder dislocations prove to be a diagnostic challenge and in this case were missed at initial presentation. After a failed attempt of osteosynthesis and removal of material, he received a hemi-prosthesis in separat...

BACKGROUND Hematoma blocks of the radius can provide excellent analgesia for simple distal radius fractures. However, the landmark-based approach can be difficult, and ultrasound guidance may improve success of the block and analgesia during reduction. There is limited literature describing the ultrasound-guided approach, and prior case descriptions have not involved comminuted fractures or con...

The authors describe a new technique of fixation of comminuted displaced distal radial fractures in young adults. A 40-year-old man fell from a ladder and injured his wrist. He sustained a comminuted fracture of the distal radius. The fracture was opened through a volar incision and the three rotated, unreduced fragments were reduced and fixed with three Acutrak (Acumed Inc., Beaverton, OR, USA...