38 years old man with intercondylar fracture of humerus.
Communited Intercondylar Fracture of Femur
Fracture was fixed by open reduction and internal fixation using distal femoral plate and cancellous screws. [Read more...]
Xrays of Intercondylar Fracture Of Femur Before And After Fixation
August 22, 2011 by Leave a Comment
Xray of Fracture of Radius and Ulna Before and After Internal Fixation
September 28, 2010 by Leave a Comment
22 years old female had an accident while she was driving a scooter that resulted in injury to her right [dominant limb] forearm. Examination also revealed posterior interosseus nerve palsy.
Xray revealed fracture of proximal third of radius with mid shaft ulna.
The fractures were fixed with locking compression plate for radius and low contact dynamic compression plate for ulna. Posterior interosseus nerve was found tethered between two fragments of radius but was intact. [Read more...]
Few Terms Used In Fracture Treatment – Types of Reduction and Fixations
April 18, 2009 by 11 Comments
Fracture treatment has evolved from its earlier days and now includes many modalities. This has led to coining of new terms to describe new procedures. While we can continue this discussion endlessly, in this article we would stick to very basic terms that one should know.
Closed Reduction
Closed reduction of the fracture means reducing the fracture fragments into acceptable anatomical position After reduction has been achieved by manipulation and maneuvers, the alignment is generally maintained by plaster cast.
Open Reduction
This means the fracture fragments are surgically opened, accessed and reduced. This opens the fracture hematoma and therefore term open is used for this kind of reduction. [Read more...]
Operative Treatment of Fracture of Shaft of Humerus
January 12, 2009 by 2 Comments
Closed treatment yields satisfactory outcome for most humeral fractures, specific situations do exist in which better results have been achieved through surgical stabilization.
Methods of Fixation
Compression Plating
This method involves fixing the fracture using a plate and screws. It is quite effective method of fracture fixation but involves quite significant amount of dissection and soft tissue stripping from the bone. and at itmes may cause blood loss. [Read more...]
Three and Four Part Fractures of Proximal Humerus
December 8, 2008 by Leave a Comment
Three Part Fractures
Three part fractures involves a fracture of surgical neck of humerus along with fracture of either greater tuberosity or lesser tuberosity. While surgical neck is quite displaced to miss out, small degree of tuberosity displacement may be easily missed and may require additional radiographic views.
Open reduction and internal fixation is the preferred treatment. Failure of the treatment may lead to hemiarthroplasy i.e. replacement of head component with prosthesis. [Read more...]
Complications of Pelvic Fractures
May 9, 2008 by Leave a Comment
Apart from excessive bleeding that results from the injury there are many other complications of pelvic fracture which can be directly related injury or as an indirect result. There are other complications which may be related to the treatment.
Complications related To Treatment
Most complications of extenral fixation are the result of pin loosening or infection, and inadequacies of the reduction and fixation. Improper insertion and location of fixation pins in the ilium usually results in early loss of fixation. This leads to pain, loss of reduction, and pin-track infection. [Read more...]
Xrays of Bimalleaolar Fracture With Ankle Dislocation
February 15, 2008 by 9 Comments
Following are pre and post treatment xrays of a patient with bimalleolar fracture with ankle dislocation.
This is a case of 40 years old male patient who sustained injury after fall from moving bike. First is the xray done immediately after patient came to hospital.
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