T-Condylar fracture of the distal humerus is rare in the skeletally immature children and is very rare in young children, under 9 years of age. This fracture has been classified  as:  type A ( minimally displaced or undisplaced), type B (displaced  but  not comminuted ) and type C (displaced and comminuted). Herein, we report a T-Condylar fracture of the distal humerus in a 5-yr-old boy. This f...

t-condylar fracture of the distal humerus is rare in the skeletally immature children and is very rare in young children, under 9 years of age. this fracture has been classified  as:  type a ( minimally displaced or undisplaced), type b (displaced  but  not comminuted ) and type c (displaced and comminuted). herein, we report a t-condylar fracture of the distal humerus in a 5-yr-old boy. this f...

In a study of 23 intra-articular fractures of the distal tibia of which 18 were re-examined after an average follow-up period of 5.4 years, two major fracture patterns were identified: type A, a rotational pattern, caused by low energy trauma and type B, a compressive fracture pattern caused by high energy trauma. Type B fractures could be divided into three subgroups: 1) An isolated fracture o...

BACKGROUND Fixed angle sliding hip screw devices allow controlled impaction between the head neck fragment and the femoral shaft fragment in the surgical treatment of pertrochanteric fractures. This study was performed to evaluate the frequency and pattern of comminution at the fracture site, which may prevent the intended impaction. MATERIALS AND METHODS Three-dimensional computed tomography...

RATIONALE Clavicle fractures are common, and mostly occur in the midshaft. Methods for operative treatment of midshaft clavicle fractures are evolving, as they improve clinical outcomes compared with traditional conservative management. However, fixation of comminuted midshaft clavicle fractures with bone fragments separated by soft tissue remains a challenge. PATIENT CONCERNS Here, we presen...

Background: The incidence of inferior pole fractures of patella is around 5% and the various treatment options include tension band wiring, circumferential wiring, or use of screw 1 . The traditional recommendation for severly comminuted inferior pole fractures is excision of the comminuted pole followed by reattachment of the patellar tendon with transosseous suture to the superior fragment 2 ...

Background: Comminuted fractures happen frequently due to traumas. Fixation without opening the fracture site,known as minimally invasive plate osteosynthesis (MIPO), has recently become prevalent. This study has beendesigned to assess the outcomes of this treatment for tibial and femoral comminuted fractures.Methods: A total of 60 patients with comminuted femoral or tibial fractures were opera...

OBJECTIVE We report a case of a severely comminuted fracture of the body of the talus treated by primary Blair tibiotalar fusion. CLINICAL PRESENTATION AND INTERVENTION A very severely comminuted open fracture of the body of the talus was treated on the same day of injury by debridement and tibiotalar fusion using the Blair fusion technique. CONCLUSION Blair fusion may be indicated in cases...

BACKGROUND Open reduction and plate fixation is the standard operative treatment for displaced midshaft clavicle fracture. However, sometimes it is difficult to achieve anatomic reduction by open reduction technique in cases with comminution. METHODS We describe a novel technique using a real-size three dimensionally (3D)-printed clavicle model as a preoperative and intraoperative tool for mi...

It is uncommon for tire explosion related injuries on the lower extremity. The bilateral lower extremities were injured by tire explosion when the patient was seated in a bus. She sustained an open fracture with partial bone loss in the right calcaneus (a comminuted fracture in the right ankle joint) and a closed comminuted fracture in the left tibia and fibula. This damage was caused by uncont...