Internal Fixation of Fractures (Subscribe)  

The tension band concept was introduced to orthopedics by Pauwels in the 1930's and was applied to internal fixation of eccentrically loaded bone. The concept had been around in engineering circles for a long time.
OTA Basic Fracture Course Highly Reputable

Distal tibial fractures are difficult to manage. Limited soft tissue and poor vascularity impose limitations for traditional plating techniques that require large exposures. The nature of the limitations for traditional plating techniques is intrinsic to the large exposure required to approach distal tibia, a bone characterized by limited soft tissue...

ORIF of Proximal Humerus Fracture using Locked Plating
17 min Video presentation By: Mark A Mighell

Background Restoration and maintenance of the plateau surface are the key points in the treatment of tibial plateau fractures. Any deformity of the articular surface jeopardizes the future of the knee by causing osteoarthritis and axis deviation. The purpose of this study is to evaluate the effect of Trabecular Metal (porous...

Video report of technique for doing internal fixation of an Intertrochanteric fracture of the hip through a minimal incision (5 cms)

Lecture/presentation in the Basic Fracture Course of the Orthopaedic Trauma Association Highly Reputable

By Douglas W. Jackson, MD ORTHOPEDICS TODAY 2006; 26:68 May 2006 The indications for “hardware removal” have often seemed somewhat subjective. There are those obvious cases where it presents mechanical symptoms or removal is necessary for another procedure to be done. In addition, surgeons often underestimate the time necessary for the removal and...

Anatomical Considerations:
- osseous anatomy of proximal femur dictates where internal fixation device should be placed for maximum purchase in femoral head;
- maximum bone density is found in the area where compression & tension trabeculae coalesce in the center of the head;
...

Lag Screw & Neutralization Plating: Principles & Techniques. Basic Fracture Course of Orthopaedic Trauma Association Highly Reputable

3 min. technique video. ORIF Radial Neck Fracture By: William Geiss

Conclusion: When learning bicortical bone drilling, feedback related to plunging is not necessary to achieve a competent level of performance. In addition, although external feedback facilitates the achievement of better outcomes, it does not improve learning. It is suggested that to minimize plunging, trainees should learn how to optimize their...

From the Basic Fracture Course of the Orthopaedic Trauma Association Highly Reputable

Plate Fixation of Scapula Fracture
10 min video presentation By: William Geissler

Metacarpal fractures are common injuries. Metacarpal fracture nonunions are uncommon because of the support provided by adjacent metacarpals, but can be a difficult problem following high energy trauma. This series of pictures document the difficulty of treating a middle metacarpal nonunion following a gunshot injury.

The tension band technique converts a tensile force into a compressive force. This enables improved fracture healing, as stability is improved when tensile forces are reduced at the fracture site. Tension banding is particularly useful in the setting of fractures where a muscle pull produces distraction of the fracture fragments,...