In children the growth plate is up to five times weaker than the ligaments stabilising the adjacent joint.The adjacent bone is also stronger than the cartilaginous growth plate. Injury thus often leads to separation of the growth plate leaving the ligaments and capsule intact. The separation takes place in the...

Percutaneous plate fixation for peri-articular distal tibial fractures reduces the risk of complications such as non-union and infection when compared to traditional open fixation. To remove such plates whilst minimising soft tissue disruption, carefully open the old incisional scars, locate the plate and remove the screws. Using a simple punch,...

Abt & Hurwitz 2007
Triplane fractures of the distal tibia are generally sustained during adolescence and occur before complete closure of the distal tibial physis (growth plate). Incomplete closure of the tibial growth plate, as well as the stress forces applied during injury, are responsible for the unique occurrence of this...

OTA 2002 Posters OTA 2002 Posters Poster #1 Basic Science *Biomechanical Stability Provided by Oblique Screws in Intramedullary Nailed Proximal Tibial Fractures Cari M. Whyne, PhD ( a-Zimmer, Inc. USA) ; G. Yves LaFlamme, MD, FRCS(C); Daniela Heimlich, BS; Hans J. Kreder, MD, FRCS(C); David J. Stephen, MD, FRCS(C); Sunnybrook & Women's...

Dall-Miles cable and plate fixation system in the treatment of periprosthetic femoral fractures: a review of 20 cases R Sandhu, K Avramidis, C Johnson-Nurse Department of Trauma and Orthopaedics, James Paget Hospital, Great Yarmouth, Norfolk, UK PURPOSE. To assess the effectiveness of Dall-Miles cables and plates in the treatment of periprosthetic...

OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #69, 11:00 AM *Corrective Osteotomy of Dorsally Malunited Fractures of the Distal Radius via the Extended Flexor Carpi Radialis Approach Jorge L. Orbay, MD (d-Hand Innovations, Inc.); Alejandro Badia, MD; Roger K. Khouri, MD; Eduardo González,...

The purpose of this study was to compare the clinical outcome, union rate, and complications of a consecutive series of Scaphoid excision and limited wrist arthrodesis performed by a single surgeon using distal radius bone graft and K-wires or circular plate fixation. A sequential series of ten patients(11 wrists) who...

Background Scaphoid excision and four-corner fusion is commonly performed to reconstruct advanced scapholunate collapse and scaphoid nonunion with collapse. Metallic plates were introduced for achieving fixation of the four carpal bones. Although the developer reported high rates of fusion, several other early reports of circular plate fixation suggest higher complication rates...

We performed 45 wrist arthrodeses in 43 patients by a modification of the AO technique using the dynamic compression plate. Radiological follow-up was obtained in 41 wrists; all had united at a mean of ten weeks. Clinical follow-up was obtained in 32 wrists. Subjectively, the surgical outcome was satisfactory in...

Sprains and strains commonly occurring in active adults are relatively benign injuries. However, when similar injuries occur in growing children, they often result in the potentially more serious growth plate or physeal fracture. This article discusses some of the important orthopedic history relative to the physes, relevant anatomy, classification systems,...

Due to improved oncological therapeutic procedures with longer survival times, the stabilization of osteolyses and pathological fractures is gaining importance. The proximal femur is often affected by metastases. As femoral stability can be compromised by such bone lesions, stabilization as a palliative measure is indicated to restore function and relieve...

Clavicle fractures are common in the adult patient. Classic treatment is nonoperative for midshaft fractures. But treatment options have recently been discussed controversially. In recent years, several studies demonstrated better results with operative treatment, especially for displaced fractures.
This video summarizes the current thinking on midshaft clavicle fractures and leads through...

The decision of whether or not to remove pediatric metallic implants remains a controversial issue. Many factors have been cited both in favor and against routine removal of metallic implants. The purpose of this study was to determine the fracture rate following the routine removal of hardware from patients with...

The decision is between a condylar buttress plate versus a 95 degree fixed angle device such as a blade plate or a DCS condylar screw. Biomechanically, the results are better with a fixed angle device.
OTA Basic Fracture Course Expert

Conclusion: The locking plate construct is as strong as the conventional plate plus interfragmentary lag screw construct for fixing transverse acetabular fractures. Lock- ing plates may improve management of acetabular fractures by eliminating the need for placement of an interfragmentary lag screw. Furthermore, they may be helpful in revision hip...

Between June 1991 and May 1996 we carried out arthrodesis on 15 patients with flail or partially flail wrists using an AO/ASIF dynamic compression plate (DCP) without a bone graft. The wrist was approached through the second extensor compartment. The minimum follow-up was for 24 months with a mean of...

The most widely used classification of acetabular fractures is that of Letournel and colleagues. This anatomic classification divides all acetabular fractures into elementary and associated types based on the anterior and posterior columns and walls. We report the case of a patient with an isolated quadrilateral plate fracture of the pelvis...

There have been few reports on the long-term function after shoulder arthrodesis. We report the outcome after shoulder arthrodesis with plate fixation in 18 patients who were followed for 3-15 years.
Interpretation In this patient series there were few complications after shoulder arthrodesis, and the longterm functional results were acceptable....

The aim of this study was to compare the results of the humerus intramedullary nail (IMN) and dynamic compression plate (DCP) for the management of diaphyseal fractures of the humerus. Forty-seven patients with diaphyseal fracture of the shaft of the humerus were randomised prospectively and treated by open reduction and...

Ingrown toenail is a common problem resulting from various etiologies including improperly trimmed nails, hyperhidrosis, and poorly fitting shoes. Patients commonly present with pain in the affected nail but with progression, drainage, infection, and difficulty walking occur. Excision of the lateral nail plate combined with lateral matricectomy is thought to...

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

Volar Versus Dorsal Plating in the Management of Intra-Articular Distal Radius Fractures David S. Ruch MD, and Anastasios Papadonikolakis MD Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC Received 16 February 2005; accepted 7 September 2005. Available online 25 January 2006. Purpose To compare...

Dislocation of a joint occurs when traumatic forces cause complete loss of continuity between the joint’s 2 articulating surfaces. Subluxation, on the other hand, occurs when the loss of continuity between the joints is only partial. A dislocation may or may not involve a fracture. Dislocations of the finger joints...

Discussion:
- with plate fixation of the humerus, the anterior approach is preferred for proximal and mid-diaphyseal frx w/ application of plate to anterolateral aspect of the humerus (see humeral shaft fractures);
-...

Discussion: - benign and asymptomatic cartilaginous tumor of bone which most often occurs in adolescents or young adults; - it is an intramedullary cartilage lesion located in central metaphysis; - intramedullary tumor develops in adjacent metaphysis and may...