ABSTRACT
A three-year-old girl suffered a T-condylar fracture of the distal humerus. Open reduction and pinning were performed. Three years after injury, there was no functional disturbance or radiographic evidence of avascular necrosis or epiphyseal growth arrest.
Subject(s)
Humeral Fractures/diagnosis , Humeral Fractures/surgery , Accidental Falls , Bone Wires , Casts, Surgical , Child, Preschool , Female , Fracture Fixation, Internal , HumansABSTRACT
Forty-one dorsally displaced intra-articular fractures of the distal radius were treated by open reduction and internal fixation with the dorsal Symmetry plates. The average age at the time of the injury was 49 years. An average follow-up period was 15 months. The final radial length averaged 11 mm, radial inclination 23 degrees, volar tilt 7 degrees, ulnar variance 1.5 mm, and articular incongruity 0.3 mm. According to the Gartland and Werly scales, 36 fractures were excellent and five were good. However, ulnar variance increased more than 3 mm during follow-up in eight patients, and volar tilt increased more than 5 degrees during follow-up in ten patients. Use of dorsal Symmetry plate is effective for unstable comminuted intra-articular distal radius fractures, but severely comminuted fractures may possibly undergo re-displacement post-operatively.
Subject(s)
Bone Plates , Fracture Fixation, Internal , Fractures, Comminuted/surgery , Radius Fractures/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Female , Fractures, Comminuted/diagnostic imaging , Fractures, Comminuted/physiopathology , Humans , Male , Middle Aged , Osteoarthritis/diagnostic imaging , Radiography , Radius Fractures/diagnostic imaging , Radius Fractures/physiopathology , Range of Motion, Articular/physiology , Treatment OutcomeABSTRACT
SUMMARY: The authors report a rare case of fracture separations at both ends of the radius combined with an epiphyseal and diaphyseal fracture of the ipsilateral ulna. A seven-year-old girl fell one story and sustained a closed injury of her forearm. A closed reduction was unsuccessful, and an open reduction was performed with three of the four fractures being secured with Kirschner wires. These wires were removed one month later, and range-of-motion exercises were started. Thirty months after surgery, both forearms were equal in length, although the proximal radial epiphyseal line appeared partially closed. Joint motions, including forearm rotation, were normal. Radiologically, the ulnar diaphysis and the radial neck were posteriorly convex 20 degrees and 18 degrees, respectively.
