ABSTRACT
Open reduction and internal fixation of distal tibia and fibula fractures generally involves two separate incisions: an anteromedial incision to approach the tibia and a lateral incision to approach the fibula. Exposing the distal tibia from the medial side is associated with the risk of wound dehiscence, infection, and discomfort to the patient since the hardware is directly beneath the skin. By using a single incision from the anterolateral side, the fibular fracture can be fixed and the lateral aspect of the distal tibia can be safely approached for internal fixation, thus eliminating the need for two separate incisions.
Subject(s)
Fibula/injuries , Fracture Fixation, Internal/methods , Fractures, Bone/surgery , Tibial Fractures/surgery , Female , Humans , Male , Postoperative ComplicationsABSTRACT
To compare the predictive value of the Herring lateral pillar and the Catterall classifications of Legg-Calvé-Perthes' disease, 71 hips with radiographic follow-up to maturity were reviewed. The Herring classification was a significantly better predictor of Stulberg outcome than the Catterall classification. Three independent observers classified early fragmentation stage films by both Herring and Catterall classifications. The interobserver reliability of the Herring classification was significantly better than the reliability of the Catterall measure.
Subject(s)
Hip Joint/diagnostic imaging , Legg-Calve-Perthes Disease/classification , Humans , Legg-Calve-Perthes Disease/diagnostic imaging , Observer Variation , RadiographyABSTRACT
A technique for applying a modified coaptation splint for humeral shaft fractures is presented. Using this method, the splint extends from the base of the neck, passes over the shoulder and along the front and back of the arm, and returns toward the axillary fold. To prevent slippage, the proximal end of the splint is secured to the chest with a strap.
Subject(s)
Humeral Fractures/therapy , Splints , HumansABSTRACT
Ring butterfly fragment was described after it was noted to pose problems during insertion of flexible intramedullary nails. This fragment contains the entire circumference of the medullary canal or a substantial part of it. Once recognized preoperatively the fragment is reduced, providing a stable fracture configuration for fixation with flexible intramedullary nails. If the fragment is left displaced, it may lead to nonunion of the fracture; particularly after flexible intramedullary nailing of the tibia.
