scholarly journals Additional external hinged fixator after open repositioning and internal fixation of acute elbow instability in non-compliant patients

2010 ◽  
Vol 2 (2) ◽  
pp. 21 ◽  
Author(s):  
Sebastian Tobias Berendes ◽  
Christoph Zilkens ◽  
Markus Graf ◽  
Gert Muhr ◽  
Thomas Kälicke
Keyword(s):  
Internal Fixation ◽  
External Fixator ◽  
Open Reduction ◽  
Senile Dementia ◽  
Elbow Instability ◽  
Elbow Injuries ◽  
Clinical And Radiological Outcome ◽  
Ligamentous Reconstruction ◽  
Hinged Fixator ◽  
Hinged External Fixator

This is a retrospective analysis of the clinical and radiological outcome in 11 patients with complex acute posttraumatic elbow instability after dislocation. These patients had also been treated with a hinged external fixator after open reduction, capsular and ligamentous reconstruction and internal fixation, because of an expected diminished compliance, to avoid a secondary dislocation of the internal fixation. Concentric stability and a sufficient range of motion of the elbow joint were achieved in all cases. Non-compliant patients were classified by the surgeon as not compliant or not able or not willing to cooperate post-operatively for various reasons, such as alcoholism, drug abuse, mental disability, cerebral trauma or senile dementia. Non-compliant patients had undergone open reduction and internal fixation of an acute posttraumatic unstable elbow. The addition of a hinged external fixator allows early intensive mobilization, and can protect and improve the clinical outcome after these complex elbow injuries. This evaluation remains, of course, largely subjective and decision making is not easy because in most cases, the patient was not known before surgery. Thus, the only patient exclusion criteria in this study was surgeon classification as “compliant”.

scholarly journals Combined Ipsilateral Humeral Shaft and Galeazzi Fractures Creating a Floating Elbow Variant

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Patrick Lee ◽  
Allison Z. Piatek ◽  
Michael J. DeRogatis ◽  
Paul S. Issack
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Open Reduction ◽  
Humeral Fracture ◽  
Humeral Shaft ◽  
Proximal Ulna ◽  
Elbow Injury ◽  
Anatomic Reduction ◽  
Elbow Injuries ◽  
Floating Elbow

“Floating elbow” injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. She sustained a torsional and axial loading injury to her left upper extremity resulting in ipsilateral humeral shaft and Galeazzi fractures. The combination of ipsilateral humeral shaft and Galeazzi fractures resulted in a rare floating elbow variant. Prompt open reduction and internal fixation of both fractures and early range of motion of the elbow and wrist resulted in an excellent clinical and radiographic result. Floating elbow injuries and their variants should be promptly recognized as early anatomic reduction, and rigid internal fixation can allow for good elbow function with minimization of stiffness.

Treatment of Type C Pilon Fractures by External Fixator Combined With Limited Open Reduction and Absorbable Internal Fixation

2013 ◽  
Vol 34 (4) ◽  
pp. 534-542 ◽  
Author(s):  
Liangyu Zhao ◽  
Yongchuan Li ◽  
Aimin Chen ◽  
Zhiling Zhang ◽  
Jiang Xi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
External Fixator ◽  
Open Reduction ◽  
Type C ◽  
Pilon Fractures

scholarly journals Can a linear external fixator stand as a surgical alternative to open reduction in treating a high-grade supracondylar humerus fracture?

2018 ◽  
Vol 47 (1) ◽  
pp. 133-141
Author(s):  
Barak Rinat ◽  
Eytan Dujovny ◽  
Noam Bor ◽  
Nimrod Rozen ◽  
Guy Rubin
Keyword(s):  
Internal Fixation ◽  
External Fixation ◽  
External Fixator ◽  
Closed Reduction ◽  
Open Reduction ◽  
High Grade ◽  
Supracondylar Humerus Fractures ◽  
Long Term Follow Up ◽  
Humerus Fractures ◽  
Carrying Angle

Objective High-grade pediatric supracondylar humerus fractures are commonly treated with closed reduction and internal fixation with percutaneous pinning. When this fails, open reduction followed by internal fixation is the widely accepted procedure of choice. Use of a lateral external fixator was recently described as an optional procedure, but evidence is scarce. Methods We investigated the outcomes of upper limbs treated by either open reduction with internal fixation or closed reduction and external fixation. Results Twenty-one patients completed the long-term follow-up; 11 underwent open reduction, and 10 underwent external fixation. Most patients in both groups reported excellent satisfaction. In both groups, the modified Disabilities of the Arm, Shoulder, and Hand score was extremely low and the average elbow range of motion was almost identical. Radiographic analysis consisting of Baumann’s angle and the carrying angle revealed no statistical difference between the two groups. Discussion Optional treatment using a linear external fixator for complex nonreducible supracondylar humerus fractures yielded acceptable clinical and radiographic results, as with open reduction. Our sample size was small, but the promising results may assist in the implementation of an alternative surgical procedure, especially in more complicated cases involving flexion-type fractures or severe soft tissue damage and swelling.

Open Reduction-Internal Fixation of a Navicular Body Fracture with Dorsal Displacement of the First and Second Cuneiforms

2013 ◽  
Vol 103 (3) ◽  
pp. 246-249 ◽  
Author(s):  
Robert C. Andersen ◽  
Katherine Neiderer ◽  
Billy Martin ◽  
James Dancho
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Revisional Surgery ◽  
Kirschner Wire ◽  
Open Reduction Internal Fixation ◽  
Kirschner Wire Fixation ◽  
Body Fracture ◽  
Wire Fixation ◽  
Ligamentous Reconstruction

Body fractures of the tarsal navicular are relatively uncommon. To date, there is little literature discussing a navicular body fracture with dorsal subluxation of the first and second cuneiforms over the navicular. This case study presents a 30-year-old patient with this injury. He underwent open reduction internal fixation of the navicular body fracture successfully but failed adequate reduction of the navicular cuneiform joint after ligamentous reconstruction. After revisional surgery, he also failed 6 weeks of percutanous pinning with Kirschner-wire fixation. When comparing the literature of a similar injury, the Lisfranc fracture disclocation, the same principles may apply. One should consider rigid open reduction internal fixation or even primary fusion to treat disclocation of the naviculocuneiform joint following a navicular body fracture. (J Am Podiatr Med Assoc 103(3): 246–249, 2013)

Unilateral hinged external fixator of the elbow in complex elbow injuries

Injury ◽  
2004 ◽  
Vol 35 (11) ◽  
pp. 1158-1166 ◽  
Author(s):  
P. Stavlas ◽  
J. Gliatis ◽  
V. Polyzois ◽  
D. Polyzois
Keyword(s):  
External Fixator ◽  
Elbow Injuries ◽  
Hinged External Fixator

The adjunct use of lateral hinged external fixator in the treatment of traumatic destabilizing elbow injuries

2021 ◽  
Author(s):  
Ali Hassan Chamseddine ◽  
Ali H. Asfour ◽  
Mohammad Jawad H. Rahal ◽  
Abbas A. Dib ◽  
Hassan M. Wardani ◽  
...  
Keyword(s):  
External Fixator ◽  
Elbow Injuries ◽  
Hinged External Fixator
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