ABSTRACT
Dynamic hip/compression screw (DHS/DCS) is one of the most commonly performed surgeries in orthopaedic practice. Sliding barrel plate over the DHS/DCS lag screw is one of the very crucial and at times uncomfor-table and time consuming steps of DHS/DCS surgery especially when it comes to inexperienced surgeons and residents. Also in developing countries where not all standard instrumentation is always available, this crucial step becomes more time consuming. Here we present a case report of 58-year-old male patient with intertrochanteric fracture, in which we used a new device for insertion of barrel plate over DHS/DCS lag screw and found that a small DHS/DCS lag screw extension (sliding jig of barrel plate) can be very helpful to slide barrel plate over the DHS/DCS lag screw.
Subject(s)
Humans , Bone Plates , Bone Screws , Fracture Fixation, Internal , Hip Fractures , General Surgery , Prospective StudiesABSTRACT
Myositis ossificans is defined as formation of bone at the site of injured muscle. It is one of the rare complications of supracondylar fracture of humerus in children. Myositis mass usually develops on the anterior aspect in the brachialis muscle and produces restriction of range of motion, but complete ankylosis is rare. To the best of our knowledge, this is the first case to be reported in the literature as a consequence of myositis ossificans traumatica. In this case, a six-year-old child presented to the casualty department with pain in the right elbow after a fall on outstretched hand during play. After surgical excision through the anterior approach, the child had no symptoms referable to the elbow and a residual flexion deformity of 15 degrees with further painless flexion up to 100 degrees at last follow-up of one year after surgery.