ABSTRACT
Minimally invasive osteosynthesis techniques are very suitable for treatment of unstable fractures in children. Because of little additional soft tissue trauma, these techniques are also called biological osteosynthesis. They allow fracture treatment in children and adolescents without any harm to the growth plate. Angular deformities can be corrected due to further growth. Kirschner wires, threaded or unthreaded, elastic intramedullary rods or external fixators are most commonly used for osteosynthesis. After successful closed reduction of the fragments under x-ray amplifier control, the implants are inserted with minimal trauma to the soft tissues. This results in safe and rapid healing, spontaneous correction of slight malunions and fast restoration of function. The main disadvantage of these methods is a greater exposure of the patient and in particular the surgical team to x-ray radiation. These techniques result in shorter hospital stays enabling a fast return to a familiar environment. However high standard technical equipment and an experienced treating team are required for success.
Subject(s)
Bone Wires , External Fixators , Fracture Fixation, Internal/methods , Fracture Fixation, Intramedullary/methods , Adolescent , Adult , Age Factors , Child , Child, Preschool , Female , Femoral Fractures/surgery , Follow-Up Studies , Humans , Humeral Fractures/surgery , Male , Minimally Invasive Surgical Procedures , Postoperative Care , Time Factors , Treatment OutcomeABSTRACT
Knee and hip dislocations are often serious injuries with an uncertain outcome. Simultaneous ipsilateral dislocation of the knee and hip joints is very rare; consequently, there is an inadequate amount of literature on the subject. In this case report we present a 35-year-old male patient with this combination of both injuries and discuss it in comparison with the available literature. This case report shows, that a methodical and sequential treatment can lead to good results in spite of this complex combination of injuries.
