Treatment Of Simple Fractures Research Articles

Efficacy of Single Titanium Elastic Nail in the Treatment of Child Femur Fractures.

Femoral shaft fractures in childhood constitute an important part of emergency visits to orthopedic clinics. The aim of this study was to investigate the efficacy and reliability of a method in the treatment of simple fractures in the middle of the femoral diaphysis in patients with multiple injuries or in the treatment of cases with a medullary canal that is too narrow for two nails, with a single stretch nail thicker than half the diameter of the canal. Between July 2002 and November 2006, examinations were made of 11 femoral fractures in 11 patients who were admitted to the pediatric emergency department of Tepecik Training and Research Hospital with a diagnosis of femoral fracture and who were hospitalized and treated with a single flexible intramedullary titanium nail. In the follow-up, no problem was found in terms of union and length difference in any of the cases, except for a10º varus deformity present after surgery in one case. Elastic intramedullary nailing is an effective method in the treatment of simple femoral fractures in children. A single elastic nail provides adequate stability following open reduction with minimal incision in patients whose short operating time must be kept short such as those with head trauma, thoracic trauma, or intra-abdominal pathology, or patients with a narrow medullary canal where two flexible nails cannot pass. We think that it is a feasible method because it causes minimal soft tissue damage.

A Qualitative Study of Traditional Bone Setters in South India: A Case Series.

There are approximately 60,000 Traditional Bone Setters (TBS) in India, who have no formal education or training in modern medicine but treat approximately 60% of bone related trauma. This study investigated the history of TBS, why they are so popular, and their methods. From a list of TBS from four states in South India, a purposive and convenience sampling method identified participants. One lead TBS from each state was interviewed. With recommendations from these TBS, a total of six participants were interviewed on Zoom® in their native dialect and these interviews were transcribed into English. The data were analyzed using a constant comparative method which included several iterations to refine common themes and determine counterfactual and specific focal points from each interview. Six overarching themes emerged: (1) history of traditional bone setters, (2) occupations outside bone setting, (3) training, certification, education, accolades, (4) patient characteristics and success stories, (5) infrastructure and approach to diagnosis/treatment, and (6) limitations of practice, challenges, and social relevance. The history of traditional bone setting is thousands of years old and passed down within families generationally. In rural India, where a large part of the population lives in poverty and without access to modern medicine, traditional healers provide a much-needed service, often without charge, and consequently, the income is not sufficient without other occupations such as farming. They follow a similar approach to diagnosis and treatment of simple fractures and dislocations as modern medical practitioners. Most would like to share their knowledge and collaborate with ayurvedic and allopathic practitioners and simply want to be respected and supported.

Association between the Orthopaedic Trauma Society classification of open fractures and economic costs.

The aim of this study was to investigate the relationship between the Orthopaedic Trauma Society (OTS) classification of open fractures and economic costs. Resource use was measured during the six months that followed open fractures of the lower limb in 748 adults recruited as part of two large clinical trials within the UK Major Trauma Research Network. Resource inputs were valued using unit costs drawn from primary and secondary sources. Economic costs (GBP sterling, 2017 to 2018 prices), estimated from both a NHS and Personal Social Services (PSS) perspective, were related to the degree of complexity of the open fracture based on the OTS classification. Adjusted mean total NHS and PSS costs were £13,785 following treatment of complex fractures and £3,550 following treatment of simple fractures, where the open fracture wound is closed at the end of the first wound debridement, generating a mean difference of £10,235 (95% confidence interval £8,074 to £12,396). Following previous work correlating clinical outcomes with the OTS classification of open fractures, this study suggests that the new OTS classification also correlates with economic costs estimated from alternative study perspectives. Cite this article: Bone Joint J2022;104-B(3):408-412.

Lateral osteotomy via the supra-fibular-head approach combined with lateral locking plating for simple posterolateral tibial plateau fracture

Objective To explore the clinical efficacy of lateral osteotomy via the supra-fibular-head approach combined with lateral locking plating for simple posterolateral tibial plateau fractures. Methods From January 2014 to February 2017, 11 patients with simple posterolateral tibial plateau fracture were treated at Department of Orthopaedics, General Hospital of Middle Military Command of PLA. They were 8 males and 3 females, aged from 21 to 55 years (average 41.8 years). In all of them the supra-fibular-head approach was used for lateral osteotomy according to the size and orientation of the fracture block. After the fracture was reset, a full bone graft was implanted under direct visualization, followed by fixation of the posterolateral bone mass with a lateral locking plate which was placed as far as possible above the fibular head. The patients were encouraged 6 weeks after surgery to do knee functional exercise within 90°. The therapeutic efficacy was evaluated at the final follow-up according to the Rasmussen’s criteria for knee functions. Results The average operative time was 74 minutes (from 55 to 90 minutes); the average intraoperative blood loss was 70 mL (from 40 to 120 mL). All the patients were followed up for 12 to 35 months (average, 17.5 months). No neurovascular injury or incision infection was observed. Bony union was achieved in all patients after 10 to 15 weeks (average, 12.5 weeks). Follow-ups found no implant loosening/breakage, genu valgum, genu varum, fracture redisplacement, or knee instability. According to the Rasmussen’s function evaluation of the knee joint, 10 cases were rated as excellent and one as good. Conclusion Lateral osteotomy via the supra-fibular-head approach combined with lateral locking plating is a preferred treatment for simple posterolateral tibial plateau fractures. Key words: Knee joint; Fracture fixation, internal; Osteotomy; Posterolateral tibial plateau fracture; Surgical approach

Arthroscopic double-row bridging suture versus minimally invasive locking plate system in treatment of avulsion fracture of humeral greater tuberosity

Objective To compare arthroscopic double-row bridging suture and minimally invasive locking plate system in the treatment of simple avulsion fracture of humeral greater tuberosity. Methods A retrospective study was conducted of the 93 patients with avulsion fracture of humeral greater tuberosity who had been treated at Orthopaedic Center, Beijing Luhe Hospital from January 2012 to December 2016. Of them, 38 were treated by arthroscopic double-row bridging suture (ADRB) and 55 by open reduction and internal fixation with minimally invasive locking plate system (MIPS). Regular X-ray follow-ups were carried out at 3, 6 and 12 months postoperatively and every 6 months afterwards. Surgical time, range of motion (ROM) of the shoulder, American Shoulder and Elbow Surgeons (ASES) score, Visual Analogue Scale (VAS) and complications were recorded preoperatively and at the last follow-up. Results The patients of the arthroscopy and plate groups were comparable because there were no significant differences in the preoperative general data between them (P>0.05). The average follow-up time for the 93 patients was 35.9 months (from 12 to 60 months). The operation time for the arthroscopy group (97.0±20.1 min) was significantly longer than that for the plate group (67.5±19.0 min) (P 0.05); the VAS scores for the 2 groups were 1.5±1.2 and 2.2±1.5 respectively, showing a statistically significant difference between the 2 groups (P 0.05). Ninety fractures healed after 3 months while 3 fractures in the arthroscopy group did after 6 months. In the plate group, 7 patients developed shoulder stiffness 3 to 6 months after surgery and 3 ones reported pain during abduction. Conclusions Both ADRB and MIPS are an effective treatment for simple avulsion fracture of humeral greater tuberosity. MIPS fixation needs shorter surgical time while ADRB leads to better postoperative shoulder ROM. Key words: Shoulder joint; Fracture fixation, internal; Arthroscopy; Bone plates; Avulsion fracture of humeral greater tuberosity

Comparison of the effects of small titanium plate rigid internal fixation and intermaxillary fixation in the treat-ment of simple mandibular fracture

Objective To compare the clinical efficacy of small titanium plate rigid internal fixation and intermaxillary fixation in the treatment of simple mandibular fracture,and to explore the best treatment method for the reduction of fractures of the mandible. Methods 252 cases with simple fractures of the mandible were randomly divided into the two groups.126 cases of group A were treated by rigid internal fixation,126 cases of group B were treated by intermaxillary fixation.The patients were followed up for 6 months after operation.The complications,occlusion and mouth opening were compared between the two groups.And then,the data were analyzed. Results 120 cases of group A occlusal relation recovered to normal,the appearance and function were recovered well.The average mouth opening was 3.90cm.4 cases got postoperative infection,1 case titanium plate was broken.118 patients of B group occlusal relation recovered to normal,the appearance and function were restored,no case of infection and clamp plate broken.10 cases happened bad oral health condition,gingiva swell and teeth loosen.8 cases complicated with bad occlusion.There were no statistical differences between A and B group about occlusion and mouth opening(χ2= 0.30,0.86,all P> 0.05). Conclusion Two treatment methods are effective in the treatment of simple mandibular fracture,rigid skillfully master indication to get best efficacy. Key words: Mandibular fractures; Jow fixation techniques

Treatment of simple fracture of radial styloid process by minimally invasive surgery

目的 研究经皮空心螺纹钉内固定治疗单纯桡骨茎突骨折的临床疗效.方法 对22例单纯桡骨茎突骨折的患者,采用闭合复位,经皮两枚空心螺纹钉内固定治疗.结果 术后22例均获得8～16周的随访,平均12周.临床骨性愈合时间为4～7周,平均5.2周.腕关节功能评分优16例,占72.7%;良5例,占22.7%;一般1例,占4.5%.优良率为95%.结论 经皮闭合空心螺纹钉内固定是治疗桡骨茎突骨折的有效的微创手术方法。

Treatment of Simple Fractures on the Fracture Service at the Massachusetts General Hospital

Treatment of Simple Fractures on the Fracture Service at the Massachusetts General Hospital

British Medical Association: REPORT OF The Committee on Treatment of Simple Fractures

British Medical Association: REPORT OF The Committee on Treatment of Simple Fractures

THE OPERATIVE TREATMENT OF SIMPLE FRACTURES

The treatment of simple fractures by the open operative procedure has gained much in favor during the last few years. In spite of the fact that surgeons have occupied themselves much in the study of this branch of surgery, perfection has not been attained and the controversy still continues. Among practical surgeons of large experience direct fixation appliances in compound fractures, where the bones are exposed, when they cannot be kept in position by splints, have come into general use. There seems to be a general unanimity of opinion that such is the best practice. But when the matter of simple fractures is presented for consideration there is a lack of uniform opinion. In this connection I shall draw from my own personal experience, gathered from a rather extensive service of accident surgery, extending over a period of upwards of twenty-five years. There will be no tabulation of cases and

The Present Position of the Treatment of Simple Fractures of the Limbs. An Address Delivered in Opening a Discussion at the Meeting of the British Medical Association held at Ipswich, August, 1900.

The Present Position of the Treatment of Simple Fractures of the Limbs. An Address Delivered in Opening a Discussion at the Meeting of the British Medical Association held at Ipswich, August, 1900.

Recent Literature The Present Position of the Treatment of Simple Fracture of the Limbs . By William H. Bennett, F.R.C.S., Senior Surgeon to St. George's Hospital, etc. London, New York and Bombay: Longmans, Green & Co. 1900.

Recent Literature The Present Position of the Treatment of Simple Fracture of the Limbs . By William H. Bennett, F.R.C.S., Senior Surgeon to St. George's Hospital, etc. London, New York and Bombay: Longmans, Green & Co. 1900.

Recent Literature Cleft Palate; Treatment of Simple Fractures by Operation; Diseases of Joints; Antrectomy; Hernia, etc . By W. Arbuthnot Lane, M.S. London: The Medical Publishing Company, Limited.

Recent Literature Cleft Palate; Treatment of Simple Fractures by Operation; Diseases of Joints; Antrectomy; Hernia, etc . By W. Arbuthnot Lane, M.S. London: The Medical Publishing Company, Limited.

The Treatment of Simple Fractures of the Extremities by Splints of Hemp and Plaster of Paris

The Treatment of Simple Fractures of the Extremities by Splints of Hemp and Plaster of Paris