adolescents are uncommon, and few reports on Chance-type fractures in this population exist. Differences between pediatric and adult spinal injuries have been noted, and the need for separate classification and treatment strategies for flexion-distraction injuries in children have been recognized. Still, there is little evidence to guide treatment and minimal data on long-term follow-up. We pre...

STUDY DESIGN Retrospective study. PURPOSE To examine the clinical and radiologic characteristics of patients with stage 1 and 2 distractive flexion injury according to Allen's classification and who were not diagnosed immediately after injury, and to analyze the outcomes of surgical treatments. OVERVIEW OF LITERATURE For the diagnosis of stage 1 and 2 distractive flexion injury in the lower...

Our aim was to investigate if seemingly identical head and neck trauma would generate differing types of brain damage. We experimentally evaluated induced brain injuries immediately after trauma exposure, and at 1 week post-injury. Anesthetized rabbits were exposed once to a sagittal rotational acceleration head and neck injury at either a high or a low load level, using either flexion or exten...

UNLABELLED Extension contracture of the knee is a common complication of femoral lengthening. Knee flexion exercises to stretch the contracture with physical therapy can be effective but take a prolonged amount of time to work and place increased stress across the patellofemoral joint. We developed a minimal-incision limited quadricepsplasty surgical technique to treat knee extension contractur...

INTRODUCTION Bilateral Flexion Deformity commonly results secondary to cerebral palsy, poliomyelitis, haemophilia etc. It is accompanied by valgus deformity and external rotation at knee in long standing cases secondary to the contracture of the iliotibial tract. Flexion deformity at knees is an impediment to the normal ambulation and is difficult to address. CASE REPORT A 34 year old male pr...

Background: Delay in the treatment of septic or tuberculous arthritis of the knee often results in a painful and stiff joint, mainly in a position of flexion. Often limb shortening is also present. A clinical study was undertaken to see what the long-term results of a one-stage procedure is, whereby an external fixator is used to achieve fusion of the knee and limb equalisation simultaneously b...

Transtibial amputation prosthetic-users are at risk of developing deep tissue injury (DTI) while donning their prosthesis for prolonged periods; however, no study addresses the mechanical loading of the residuum during sitting with a prosthesis. We combined MRI-based 3D finite element modelling of a residuum with an injury threshold and a muscle damage law to study risks for DTI in one sitting ...

In most cases it is an advantage to provide means of skeletal traction before attacking the fracture-site. Femur. 1. Thomas splint. Kirschner wire extension via tibial crest. 2. Brauns splint and skeletal traction. 3. Sliding-bed traction. Tibia and fibula. 1. Watson Jones apparatus. 2. Thomas splint and flexion-piece, with Kirschner wire extension via os calcis. 3. Brauns splint and skeletal t...

OBJECT The load-sharing score (LSS) of vertebral body comminution is predictive of results after short-segment posterior instrumentation of thoracolumbar burst fractures. Some authors have posited that an LSS > 6 is predictive of neurological injury, ligamentous injury, and the need for surgical intervention. However, the authors of the present study hypothesized that the LSS does not predict l...