Asunto(s)
Adulto , Pie Equinovaro/diagnóstico , Dracunculiasis/complicaciones , Fijadores Externos , Humanos , India , MasculinoRESUMEN
Two cases of posttraumatic irreducible compound dislocation of the interphalangeal joint of the thumb are presented. This rare injury requires surgical intervention with anatomic repositioning of the structures responsible for the irreducibility viz. the long Flexor tendon and the volar plate.
Asunto(s)
Accidentes por Caídas , Adulto , Fenómenos Biomecánicos , Luxaciones Articulares/etiología , Humanos , Masculino , Manipulación Ortopédica , Pulgar/lesionesRESUMEN
Osteotomy has been used in treatment of unstable intertrochanteric hip fractures in an attempt to increase the stability of the fracture fragments. We have assessed this stability in a randomised prospective study on 138 patients, all having been fixed by dynamic hip screen, comparing anatomical reduction with medialisation osteotomy. The groups were similar in terms of age, gender and fracture configuration. There was no difference in final results in both groups except that operation time was longer in osteotomy group and the blood loss was more. We found no clear benefit from osteotomy and therefore recommend anatomical reduction and fixation by a sliding hip screw in most cases. Rarely, a fracture configuration which does not allow anatomical reduction may benefit from an osteotomy.