Fracture Upper End of Humerus in 62 years old male fixed With Kiwres after closed reduction
Fracture Upper End Humerus Fixed With Kwires
Fracture healed uneventfully and Kwires were removed after 6 weeks of surgery
What Is Interfragmentary Screw or Lag Screw
February 14, 2011 by 2 Comments
Interfragmentary screw or lag screw is used in fixation of spiral or oblique fractures of the shaft of a bone. Interfragmentary screw or lag screw is used as an adjunct to plating and often as initial fixation holder so as to safe and secure application of plate in neutral mode in reduced fracture.
The procedure involves placement of one or more screws across a fracture site so that fractured fragments are apposed and compressed to each other, called interfragmentary compression ( See image below). The interfragmentary screw can also be used for fixation after osteotomies. [Read more...]
Osteosynthesis
May 31, 2010 by Leave a Comment
Osteosynthesis is the term used for the reduction and fixation of a bone fracture and fixing them with rigid implants. Thus it points to a surgical procedure. Osteosynthesis aim to bring the fractured bone ends together and immobilize the fracture site while healing takes place.
Kirschner Wire or K Wire
January 13, 2010 by Leave a Comment
Kirschner wires or K wires were invented by Martin Kirschner in 1909. They have a great role in management of orthopedic trauma and correction of deformities.
They are sharpened, smooth stainless steel pins which are available in different diameters and lengths.
They are used both in surgical and conservative management of fractures. In surgery they are either used to hold the fracture fragments temporarily before definitive implant is put or are used as for definitive treatment o fractures too. [Read more...]
Fracture Humerus Fixed Plates and Screws With Radiological Signs of Implant Loosening
January 7, 2010 by 4 Comments
If after fixation of a fracture, there is failure to unite within certain amount of time, there is danger of implant getting failed.
With improved qualities of implants, meticulous surgical techniques and careful postoperative protocols, the failures can be reduced.
But still failures do occur.
After a fracture is fixed there is kind of race between fracture union and implant fatigue. Fatigue is the progressive and localized structural damage that occurs in materials when a material is subjected to cyclic loading.
In other words every time an implant is subjected to stress, there occurs a damage to it. Repetitive damage accumulates over the periods and ultimately leads to breakage of the implant.
This is one kind of fixation failure. [Read more...]
Fracture of Medial Malleolus Fixed With Malleolar Screw – An Xray
December 3, 2009 by 4 Comments
Medial malleolus is the projection of tibia beyond ankle joint on inner side of leg. A similar projection of fibula on outer (lateral) aspect of the leg is called lateral malleolus.
Most of fractures of medial malleolus are caused by twisting injury to ankle. It my or may not be accompanied by the injury to lateral malleolus.
The xray in picture is of 27 years old male who fell after his ankle got twisted. He had a displaced fracture of medial malleolus and the fracture was fixed with two malleolar screw. [Read more...]
Xray of Fracture of Humerus Operated With Low Contact Direct Compression Plate and Bone Graft
November 29, 2008 by Leave a Comment
This is a post operative xray of arm of 43 years old female who suffered a fall on her hand which resulted in fractures of humerus. The side involved was left.
At first she was given a trial of conservative treatment in form of hanging cast but serial follow up xrays failed to show any contact.
After 3 weeks of her injury, she was treated with open reduction and internal fixation using low contact dynamic compression plate (LCDCP) and autogenous bone grafting which was harvested from her lef iliac crest.
The patient is still in follow up and is showing good bone healing.
Note
Conservative treatment in obese persons is relatively dificult. In my experience nothing suits an obese arm as for as splintage is considered. The splint does not provide any support because it cannot snugly fit due to fat and the fracture mobility is unchecked.
I have always found it difficult to treat the obese patients by conservative means. I am more inclined to treat them with a surgical procedure as I have found them to respond better.
However, this is my personal view and is not a fact. It would require a study on arge number of cases to prove my hypothesis
Polytrauma-Fracture Management In Patient With Head Injury
January 7, 2008 by Leave a Comment
Presence of head injury with fractures makes a special situation. Whenever this occurs diagnosis and initial management of the head injury generally take priority in the earliest phase of treatment. Head injury if severe puts patient into danger of increased mortality.
Mortality rates in large trauma patient studies are driven by severe head injury more than any other organ system. [Read more...]
Join Discussions