RESUMO
Based on a review of the literature and our study of six cases, we investigated avulsion fractures of the tibial tuberosity in the athletic adolescent. A study of the mechanism of this acute injury helps to explain the different types of avulsion fractures of the tibial tuberosity. An understanding of predisposing factors and the biomechanical conditions leading to this injury may help identify those young athletes at the highest risk and may help the surgeon determine the most effective treatment for such a fracture. No complications were experienced by the patients in our study. Displaced fractures underwent open reduction and fixation with screws. This method shortens the period during which athletic activities are restricted.
Assuntos
Traumatismos em Atletas/fisiopatologia , Articulação do Joelho/fisiopatologia , Fraturas da Tíbia/fisiopatologia , Atletismo , Adolescente , Medicina do Adolescente , Traumatismos em Atletas/diagnóstico por imagem , Traumatismos em Atletas/terapia , Fenômenos Biomecânicos , Feminino , Seguimentos , Humanos , Masculino , Radiografia , Fatores de Risco , Fraturas da Tíbia/diagnóstico por imagem , Fraturas da Tíbia/terapiaRESUMO
The authors have utilised rib stabilization by plating in five patients. The sites at which such operations are indicated are discussed. The procedure is performed with the patient prone or in the lateral position. A solid fixation was always achieved. This surgical procedure was performed - not only on flail chests, but also on potentially unstable lesions.
Assuntos
Placas Ósseas , Fixação Interna de Fraturas/métodos , Costelas/cirurgia , HumanosRESUMO
Many authors consider that satisfactory consolidation of fractures of the pedicles of the axis can be regularly obtained by conservative procedures. These lesions appear to be benign as far as their neurological complications are concerned, and yet a review of the world literature shows that 30 p. cent are treated surgically. In the limited number of cases where operation is justified, anterior arthrodesis through the sternomastoid with fixation by a plate appears to be less dangerous and more reliable than applying screws to the pedicles. Excellent functional results can be expected. Posterior arthrodesis appears to be less reliable, and gives poor functional results, and should be reserved for cases in which there is a combined fracture of both the odontoid and the pedicles. Anterior arthrodesis appears to be a logical choice, requiring no special surgical skills, as confirmed by the review of 257 cases reported in the published literature.
