In comminuted patellar fractures, a combination of cerclage wiring and tension band fixation is said to provide good mechanical stability. This is a retrospective review of four patients treated with this method. All fractures described herein were classified as 45-C3 (based on Orthopaedic Trauma Association classification) and were fixed with a 1.25mm cerclage wire and tension band wire proximally looped through the quadriceps tendon and distally through the patellar ligament in a figure-of-eight configuration. The average follow-up period was 10 months. The Activity of Daily Living Scale (ADLS) of the Knee Outcome Survey was used to assess symptoms and functional capability of the knee. In all the cases, fracture union was achieved at an average of 11 weeks. The average ADLS score was good (92.5 %). Full range of knee motion was achieved by end of the third postoperative month. None of the patients had complications, such as infection and implant failure.
ABSTRACTpurpose. To propose a novel method to measure the neck shaft angle and anteversion of the femur using anteroposterior and 45º oblique radiographs. Methods. Three human subjects were used to verify the 45º oblique method. The true neck shaft angle and anteversion of the femur were determined using computed tomography. The true values were compared with the values derived by the 45º oblique method after correcting the distortion using a formula. results. With the true values based on computed tomography as references, the neck shaft angle and anteversion of the 3 subjects deviated +0.82º to +4.66º and -2.14º to +2.55º in lateral 45º oblique radiographs, respectively, whereas the corresponding values in medial 45º oblique radiographs were +0.98º to +5.93º and -10.09º to +1.58º. The lateral 45º oblique method resulted in smaller range of deviation and were more accurate. conclusion. This 45º oblique method is useful in surgical planning, especially for femoral derotational A 45-degree radiographic method for measuring the neck shaft angle and anteversion of the femur: a pilot study
Various methods, such as vascularized bone transfers,
Illizarov bone transport, allogenic bone grafts, bone graft
substitutes, are available in treating traumatic bone loss. Free
non-vascularised fibular graft is an autografting method that
only requires minimal facilities or expertise. However, this
method is not popularized due to its avascular property and
there is not many reports regarding its use in treating a large
traumatic bone loss. We reported a case in our center to
demonstrate its possibility of successfully treating the
traumatic radial bone loss in pediatric patient. Patient had
good recovery with the regain of good range of movement of
forearm and there is no harvest site morbidity after two years
of follow up.Key WordsFree non-vascularized fibular graft, pediatric radial bone
loss
This study was conducted to assess the optimum period for Kirschner wire fixation and cast immobilization for displaced lateral condylar fracture of the humerus in children. We retrospectively reviewed 12 patients with displaced lateral condyle humerus fracture, ranging in age from 3-9 y, with injuries that occurred between Jan 2005 and Dec 2006. All patients were treated with two Kirschner wire fixation and elbow immobilization. In all except 2 patients, the Kirschner wires were maintained for 3 to 4 weeks. Mean time for union was 3.78 weeks and mean humeroulnar arch motion at last review was 138.7 degrees. Only one patient had a 5 degree increased carrying angle in valgus as compared to the non-injured side, and 50% had prominent scars > 4mm. We conclude that fracture union can be expected within three to four weeks for most children after open reduction and fixation with 2 Kirschner wires.
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