Fracture fixation technique and chewing side impact jaw mechanics in mandible fracture repair

Orthopaedic wire is widely used in companion animal fracture repair. It is mainly applied as an auxiliary fixation method, in combination with other orthopaedic implants, and rarely as the sole method of fixation. The most frequently used types of orthopaedic wire are those with both ends straight, and the AO/ASIF wire, which has an "eye" twisted into one end of it, whereas the other end is straight. The wire should be applied tighdy and secured into place, either by a twist knot or by the use of a locking loop, respectively. Three types of wiring can be seen: fullcerclage wire, tension band wire and interfragmentary wires (cruciate or hemi-cerclage). The understanding of the proper principles of orthopaedic wire application and of the limitations of its use with fracture management is crucial. When applied properly and in the correct circumstances, orthopaedic wire is an effective mean of fracture fixation.

Download Full-text

Simplifying Mandible Fracture Repair

JAMA Facial Plastic Surgery ◽

10.1001/jamafacial.2019.0332 ◽

2019 ◽

Vol 21 (4) ◽

pp. 276-277 ◽

Cited By ~ 1

Author(s):

Clinton D. Humphrey ◽

J. David Kriet

Keyword(s):

Fracture Repair ◽

Mandible Fracture

Download Full-text

Mandible fracture repair: Specific indications for newer techniques

Otolaryngology ◽

10.1016/s0194-5998(94)70563-1 ◽

1994 ◽

Vol 111 (6) ◽

pp. 751-757 ◽

Cited By ~ 15

Author(s):

D TERRIS ◽

M LALAKEA ◽

K TUFFO ◽

J SHINN

Keyword(s):

Fracture Repair ◽

Mandible Fracture

Download Full-text

Intra-medullary, at fracture site introduction of K-wires for metacarpal fracture fixation (in-site technique). A new fixation technique and a case series

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2020.07.032 ◽

2020 ◽

Vol 73 ◽

pp. 218-222

Author(s):

Abdulaziz K. Alhujayri ◽

Nawaf S. Alohaideb ◽

Seham F. Alarfaj ◽

Nasser I. Alhodaib

Keyword(s):

Fracture Fixation ◽

Case Series ◽

Fracture Site ◽

Metacarpal Fracture ◽

Fixation Technique ◽

K Wires

Download Full-text

Long Bone Fracture Fixation with an Intramedullary Pin and C-clamp-on Plate in Dogs: 21 Cases (1992-1997)

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1632554 ◽

1999 ◽

Vol 12 (01) ◽

pp. 26-32 ◽

Cited By ~ 1

Author(s):

G. L. Coetzee

Keyword(s):

Internal Fixation ◽

Bone Fracture ◽

Fracture Fixation ◽

Long Term Results ◽

Long Bone ◽

Fixation Technique ◽

Long Bone Fracture ◽

Diaphyseal Fractures

This article describes the use of a modified C-clamp-on plate in conjunction with an intramedullary pin for the treatment of long bone diaphyseal fractures in dogs. Based on the long-term results, the advantages, as well as the limitations and possible complications of this new internal fixation technique are described.

Download Full-text

The Influence of Obesity on Ankle Fracture Treatment

Foot & Ankle Orthopaedics ◽

10.1177/2473011418s00243 ◽

2018 ◽

Vol 3 (3) ◽

pp. 2473011418S0024

Author(s):

Jeffery Hillam ◽

Niall Smyth ◽

Jonathan Kaplan ◽

Amiethab Aiyer

Keyword(s):

Body Mass Index ◽

Logistic Regression ◽

Postoperative Complications ◽

Fracture Fixation ◽

Ankle Fracture ◽

Operative Time ◽

Surgical Repair ◽

Fracture Repair ◽

Ankle Injuries ◽

Obese Patients

Category: Ankle Introduction/Purpose: Obesity is a public health concern in the United States, with an overall prevalence of greater than one-third. From a surgical perspective, obesity may increase risk for postoperative complications, including delayed wound healing, infection or compromise of fixation/repair constructs. The purpose of this study was to retrospectively review outcomes data from the American College of Surgeons: National Surgical Quality Improvement Program (NSQIP) to delineate the impact that obesity has on operative treatment of ankle fractures. Methods: Perioperative data was collected from patients undergoing operative intervention for distal fibular or bimalleolar ankle injuries. Patients were identified from the 2006-2015 NSQIP database using current procedural terminology (CPT) codes. Obese (body mass index>30 kg/m2) and non-obese (body mass index<30 kg/m2) cohorts were identified to elucidate the influence of obesity on perioperative /postoperative complications after undergoing operative treatment for distal fibular or bimalleolar ankle injuries. Univariate and multivariate logistic regression models were created to identify independent risk factors for complications. Results: Our study identified a total of 8,377 patients including, 4,357 undergoing surgical bimalleolar ankle fracture repair and 4,020 patients undergoing surgical repair of distal fibular ankle fracture. Obese patients undergoing surgical repair of either distal fibular or bimalleolar ankle fractures were more likely to have a longer length of hospital stay (p < 0.05). Patients undergoing distal fibular fixation were found have a longer operative time. Analysis using logistic regression demonstrated no significant association obesity and DVT/sepsis (bimalleolar ankle fracture fixation) and re-operation/deep incisional SSI/wound complication/UTI (distal fibular ankle fracture fixation) Obesity was not determined to be associated with postoperative complications following distal fibular nor bimalleolar ankle fracture repair. ankle fracture repair. Conclusion: This study demonstrated that, after adjusting for potential confounders, obesity is not significantly associated with adverse outcomes following bimalleolar or distal fibular ankle fracture repair. Further analysis demonstrated that operative time and length of stay are lengthened in ankle fracture fixation in obese patients.

Download Full-text