Background: Open reduction and internal fixation is the adequate treatment for capitellar and trochlear fractures. Given the low incidence of this type of fractures, it is difficult to constitute a universally accepted method for fixation. Thus, we hypothesised that combined use of Kirschner wires (K-wires), absorbable rods and sutures for fixation and post-operative hinged external fixator for early rehabilitation exercise can restore elbow joint function well. Methods: This retrospective study included 20 patients with a mean age of 48.3 (range 16-76) years. According to the Dubberley classification, fractures were classified on plain radiographs, computed tomography images and intra-operative findings. All patients were evaluated by the range of motion of the elbow and the Broberg-Morrey score. Results: All fractures had healed without non-union, and the average time was 13.6 (range 8-17) weeks. The mean follow-up was 42.5 (range 24-80) months. The mean flexion was 117.1 (range 90 -135 ), and the mean extension was 17.5 (range 0 -45 ). The mean pronation was 74.4 (range 45 -85 ), and the mean supination was 84.3 (range 60 -90 ). The average Broberg-Morrey score was 86.2 (range 68-98) points with 10 excellent, 7 good and 3 fair results. Conclusion: K-wires, absorbable rods and sutures combined with hinged external fixator are feasible for fixation of capitellar and trochlear fractures. However, due to the absence of a control group (such as Herbert screw fixation), comparative studies are still needed to demonstrate the safety and reliability of K-wires for fixation.
Flow monitoring of the fluid confined in a regular microchamber becomes essential for the fundamental studies and applications accompanied by the bloom of microfluidic technique. The unique properties of anisotropic...
The trial (NCT01877772) did not demonstrate the superiority of intraoperative bone channeling in rotator cuff repair over standard rotator cuff repair at 24 months postoperatively. Milano and colleagues 2 performed microfractures that were about 5 mm deep and 1.5 mm wide. The trial showed that the microfracture group had a greater healing rate for large tears involving the supraspinatus and infraspinatus. We hypothesize that the underlying mechanism of this effect may be related to the different method of the bone channeling technique. Lapner and colleagues 1 used a 2-mm K-wire, which was advanced into the insertion site through the cortex and into the metaphyseal bone of the proximal humerus (~4 cm). What confused us is the depth of the hole and the scope of bone channeling in the article.
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