BACKGROUND Management of distal radius fractures (DRFs) is still controversial and may be influenced by the initial fracture classification. Even though numerous classification systems have been proposed in this regard, the evaluation and management of this fracture has remained problematic. OBJECTIVES The purpose of this study was to evaluate the functional outcome of DRF managed on the basi...

Background: The modified Stoppa approach was first described in 1993 by Hirvensalo as an alternative to the ilioinguinal approach for treatment of pelvic ring fracture. Methods: This is a retrospective study of 5 patients with unstable pelvic fracture treated with internal fixation using the modified Stoppa approach. Residual displacement of the pelvic ring was measured and graded using the met...

BACKGROUND The ulnar styloid is an important supportive structure for the triangular fibrocartilage complex. However, it remains inconclusive whether or not a fractured ulnar styloid should be fixed in an unstable distal radius fracture (DRF) with a stable distal radioulnar joint (DRUJ). The purpose of this study is to evaluate the effect of an untreated ulnar styloid fracture on the outcome of...

Background:  Due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. The purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with DHS in the elderly patients with unstable intertrochanteric fractures.   Methods:  We prospectively studied and followed-up ...

summary This article reports on the radiographic outcome of unstable thoracolumbar fractures managed with short segment posterior instrumentation as standalone treatment. Short segment posterior instrumentation is the method of choice for unstable thoracolumbar injuries in our unit. It is considered to be adequate treatment in cases with an intact posterior longitudinal ligament, and Gaines sco...

We report an 85-year-old woman with an L3 vertebral body fracture who presented with back pain, bilateral leg pain, and weakness after four months of conservative treatment. Because of unstable pseudoarthrosis, the L3 vertebral body collapsed in the standing position and the L3 nerve root was compressed. The indicated surgery decompressed the L3-L4 foramen and fused the unstable segment. The ba...

We describe a 59-year-old man who had nonunion of a right distal radius fracture after volar locking plate fixation. He underwent open reduction and internal fixation with a volar locking plate system for a dorsally displaced, unstable distal radius fracture at a previous hospital 5 months ago. Radiographs of the injured wrist showed nonunion of the distal radius with 1.5-mm ulnar minus varianc...

BACKGROUND The posterior screw fixation in atlas via posterior arch and lateral mass, also called C1 "pedicle" screw, combined with C2 pedicle screw fixiation has shown better biomechanical stability in unstable atlantoaxial fractures. However, its popularization has to fulfill the limitation imposed by anatomical characteristics. The aim of this study was to explore the manipulation, effect, a...

The ankle is a common site of sport injuries. These usually have their main manifestations at the ankle joint and are thus easily recognised. However, unstable ligamentous ankle injuries may be associated with a fracture of the proximal fibula which can dominate the clinical picture. This severe uncommon injury complex, known as Maisonneuve fracture, is easily missed and maltreated (Pankovich, ...

The ankle is a common site of sport injuries. These usually have their main manifestations at the ankle joint and are thus easily recognised. However, unstable ligamentous ankle injuries may be associated with a fracture of the proximal fibula which can dominate the clinical picture. This severe uncommon injury complex, known as Maisonneuve fracture, is easily missed and maltreated (Pankovich, ...