scholarly journals Talus Fracture Dislocation Management With Crossed Kirschner Wires in Children

Cureus ◽  
2021 ◽  
Author(s):  
Gur Aziz Singh Sidhu ◽  
Jamie Hind ◽  
Neil Ashwood ◽  
Harjot Kaur ◽  
Andrew Lacon
Keyword(s):  
Fracture Dislocation ◽  
Kirschner Wires ◽  
Talus Fracture

scholarly journals Bilateral talus fracture dislocation: is avascular necrosis inevitable?

2014 ◽  
Vol 2014 (aug24 1) ◽  
pp. bcr2014205367-bcr2014205367 ◽  
Author(s):  
G. Balaji G ◽  
J. Arockiaraj
Keyword(s):  
Avascular Necrosis ◽  
Fracture Dislocation ◽  
Talus Fracture

A Unique Case of Isolated Lateral Epicondyle Fracture in an Adolescent Boy

2020 ◽  
Author(s):  
Monir Najafi Pirasteh ◽  
Ehsan Seif ◽  
Arvin Najaf ◽  
Salman Azarsina
Keyword(s):  
Closed Reduction ◽  
Treatment Approach ◽  
Rare Condition ◽  
Fracture Dislocation ◽  
Kirschner Wires ◽  
Unique Case ◽  
Lateral Epicondyle ◽  
K Wires ◽  
The Stability

Background: The lateral epicondyle fracture in children is a rare condition and only few cases have been reported in the literature. The isolated fracture without concomitant fracture/dislocation is even more uncommon, with unclear outcome and treatment approach. Case Report: We present a case of an 11-year-old boy with restricted right elbow range of motion (ROM) after falling. The radiograph and computed tomography (CT) scan showed a displaced lateral epicondyle fracture without accompanying fracture or dislocation. Due to the stability of the joint and patient’s compliance, a closed reduction with Kirschner wires (K-wires) was selected for treatment. Follow-up results were satisfactory and showed no complications. Conclusion: Closed reduction of dislocated lateral epicondyle fracture in children can result in acceptable outcomes.

Surgical Treatment for Displaced Talus Fracture-Dislocation

1998 ◽  
Vol 11 (4) ◽  
pp. 906
Author(s):  
Kwang Soon Song ◽  
Chul Hyung Kang ◽  
Seong Ryeol Kim
Keyword(s):  
Surgical Treatment ◽  
Fracture Dislocation ◽  
Talus Fracture

scholarly journals Management and functional outcome of Galeazzi fracture dislocation: a single centre retrospective study

2017 ◽  
Vol 3 (4) ◽  
pp. 809 ◽  
Author(s):  
Rohit Varma ◽  
S. S. Wani ◽  
S. K. Rai
Keyword(s):  
Functional Outcome ◽  
Plate Fixation ◽  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Radius Fracture ◽  
Unstable Fracture ◽  
Kirschner Wires ◽  
Radioulnar Joint ◽  
Galeazzi Fracture

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong>Galeazzi fracture dislocation is an unstable fracture dislocation of forearm that includes fracture of distal third or fourth shaft of radius with dislocation of distal radioulnar joint. The aim of the study was to analyse the management and functional outcome of Galeazzi fracture dislocation managed with fixation of radius fracture and distal radioulnar joint stabilisation with two Kirschner wires.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong>Thirty one patients with Galeazzi fracture dislocation were managed with plate fixation for radius fracture and distal radioulnar joint stabilisation with 2 Kirschner wires. They were clinically and radiographically assessed for functional outcome as well as union, distal radioulnar joint stability and any arthrosis of the wrist joint<span lang="EN-US">.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong>Functional outcome was assessed based on disability of shoulder, arm, and hand index. 94% of the patients in our series had good to fair outcome with 6% having poor outcome.</p><p class="abstract"><strong><span lang="EN-US">Conclusions:</span></strong>All Galeazzi fracture dislocation should be managed with plate fixation for radius fracture and Kirschner wire stabilisation of distal radioulnar joint followed by splinting for 6 weeks for best functional outcome.</p>

scholarly journals Association between vascular injury identified via echo-Doppler examination and talus fracture-dislocation

2018 ◽  
Vol 12 (2) ◽  
pp. 84-89
Author(s):  
Andresa Ramires Hoshino Ferreira ◽  
Rui Dos Santos Barroco ◽  
Álvaro Diego Pupa De Freitas ◽  
Bruno Rodrigues De Miranda ◽  
Letícia Zaccaria Prates de Oliveira ◽  
...  
Keyword(s):  
Vascular Injury ◽  
Arterial Injury ◽  
Lower Limbs ◽  
Fracture Dislocation ◽  
Vascular Injuries ◽  
Colour Doppler ◽  
Talus Fracture ◽  
Level Of Evidence ◽  
Doppler Examination ◽  
Venous Injury

Objective: To investigate the association between talus fracture-dislocation and the occurrence of pre-operative vascular injuries identified via echo-colour Doppler examination of the lower limbs and to assess whether these injuries directly affect talar necrosis. Methods: Retrospective study with data collection on 26 patients with a diagnosis of talus fracture-dislocation who were evaluated by pre-operative arterial and venous echo-colour Doppler from 2004 to 2015. Results: The sample included 26 patients (26 feet), ranging in age from 16 to 62 years, with a mean follow-up time of 2 years and 9 months. A total of six (23.07%) changes were diagnosed via echo-colour Doppler, of which five (83.33%) were due to arterial injury of the ‘segmental occlusion of the posterior tibial artery’ type and one (16.67%) was due to venous injury of the ‘recent deep venous thrombosis of the popliteal-distal segment’ type, with no arterial injury. No significant association was found between the vascular injuries diagnosed by Doppler and progression to necrosis. Conclusion: A significant portion of the patients with talus fracture-dislocation presented with vascular injury diagnosed by echo-colour Doppler, although no association was found between vascular injury and outcomes of osteonecrosis. Level of Evidence IV; Diagnostic studies.

scholarly journals Primary Blair Fusion in Displaced Comminuted Fracture Neck of Talus

1970 ◽  
Vol 9 (1) ◽  
pp. 20-23 ◽  
Author(s):  
P Chaudhary ◽  
NK Karn ◽  
BP Shrestha ◽  
GP Khanal ◽  
R Maharjan
Keyword(s):  
Prospective Study ◽  
Fracture Dislocation ◽  
Proper Treatment ◽  
Term Result ◽  
Talus Fracture ◽  
Severe Injuries ◽  
Anterior Tibial ◽  
Long Term Result ◽  
Tibiotalar Arthrodesis

Background: Fracture-dislocation of the talus is one of the most severe injuries of the ankle. Opinion varies widely as to the proper treatment of this injury. Objective: To assess effectivness modifed blair technique-retention of the talar body white performing arthrodetis with anterion sliging grafl. Subjects and methods: It was an interventional prospective study. The cases & displaced tala necle fracture were included. They were treated using modifid Blair technique. The treatment and couses was anemed. Results: Tibiotalar fusion was acluwead is all the ankles at an average of 18 weeks. The results in 4 cut of 6 were encellent, and 2 had grand results. Conclusion: A good long-term result with tibiotalar arthrodesis with modification in blair technique was achived. Keywords: Anterior tibial sliding graft; arthrodesis; avascular necrosis of talus; Fracture dislocation of talus DOI: 10.3126/hren.v9i1.4357Health Renaissance, 2011: Vol.9 No.1:20-23

scholarly journals A retrospective analysis of the definitive management of open talus fractures at a major trauma centre, comparing ORIF to FUSION: cohort study and audit of BOAST 4 guidelines

2022 ◽  
Author(s):  
Andrew Kailin Zhou ◽  
Eric Jou ◽  
Reece Patel ◽  
Faheem Bhatti ◽  
Nishil Modi ◽  
...  
Keyword(s):  
Infection Rate ◽  
Alternative Methods ◽  
Fracture Dislocation ◽  
Measure Data ◽  
Talus Fracture ◽  
Non Union ◽  
Fracture Management ◽  
Significant Difference ◽  
Patient Reported ◽  
Definitive Management

Abstract Purpose Open talus fractures are notoriously difficult to manage, and they are commonly associated with a high level of complications including non-union, avascular necrosis and infection. Currently, the management of such injuries is based upon BOAST 4 guidelines although there is no suggested definitive management, and thus, definitive management is based upon surgeon preference. The key principles of open talus fracture management which do not vary between surgeons are early debridement, orthoplastic wound care, anatomic reduction and definitive fixation whenever possible. However, there is much debate over whether the talus should be preserved or removed after open talus fracture/dislocation and proceeded to tibiocalcaneal fusion. Methods A review of electronic hospital records for open talus fractures from 2014 to 2021 returned fourteen patients with fifteen open talus fractures. Seven cases were initially managed with ORIF, and five cases were definitively managed with FUSION, while the others were managed with alternative methods. We collected patient’s age, gender, surgical complications, surgical risk factors and post-treatment functional ability and pain and compliance with BOAST guidelines. The average follow-up of the cohort was 4 years and one month. EQ-5D-5L and FAAM-ADL/Sports score was used as a patient reported outcome measure. Data were analysed using the software PRISM. Results Comparison between FUSION and ORIF groups showed no statistically significant difference in EQ-5D-5L score (P = 0.13), FAAM-ADL (P = 0.20), FAAM-Sport (P = 0.34), infection rate (P = 0.55), surgical times (P = 0.91) and time to weight bearing (P = 0.39), despite a higher proportion of polytrauma and Hawkins III and IV fractures in the FUSION group. Conclusion FUSION is typically used as second line to ORIF or failed ORIF. However, there is a lack of studies that directly compared outcome in open talus fracture patients definitively managed with FUSION or ORIF. Our results demonstrate for the first time that FUSION may not be inferior to ORIF in terms of patient functional outcome, infection rate and quality of life, in the management of patients with open talus fracture patients. Of note, as open talus fractures have increased risks of complications such as osteonecrosis and non-union, FUSION should be considered as a viable option to mitigate these potential complications in these patients.

A Complex Variant of Lisfranc Joint Complex Injury

2009 ◽  
Vol 99 (4) ◽  
pp. 359-363 ◽  
Author(s):  
Güven Bulut ◽  
Davud Yasmin ◽  
Nurettin Heybeli ◽  
Hüseyin Yener Erken ◽  
Muzaffer Yildiz
Keyword(s):  
Unusual Case ◽  
Pain Syndrome ◽  
Recovery Process ◽  
Fracture Dislocation ◽  
Kirschner Wires ◽  
Lisfranc Injury ◽  
Medial Cuneiform ◽  
Pin Tract Infection ◽  
Plantar Dislocation

We report an unusual case of a variant of Lisfranc injury, plantar dislocation of the medial cuneiform with plantar fracture-dislocation of the intermediate cuneiform and dorsal fracture-dislocation of the lateral cuneiform, which has never been reported, to our knowledge. The entire pathologic abnormality was treated by open reduction and fixation with Kirschner wires, which were removed 8 weeks postoperatively because of pin-tract infection. Complex regional pain syndrome, which was a problem early in the recovery process, is now in remission, and at the 25-month follow-up examination, the patient was almost symptom free. (J Am Podiatr Med Assoc 99(4): 359–363, 2009)

Migration of Kirschner Wires after Surgical Stabiliziation of Shoulder Injuries - Four Case Reports

Swiss Surgery ◽  
1999 ◽  
Vol 5 (6) ◽  
pp. 281-287 ◽  
Author(s):  
Schindele ◽  
Hackenbruch ◽  
Sutter ◽  
Schärer ◽  
Leutenegger
Keyword(s):  
Case Reports ◽  
Shoulder Injuries ◽  
Kirschner Wires ◽  
Klinische Symptome

Häufige Frakturen im Bereich der Schulter betreffen je nach Alter die Clavicula oder den proximalen Humerus. Die Indikation zur operativen Stabilisierung ist bei Luxationsfrakturen des lateralen Claviculaendes und bei instabilen und dislozierten Frakturen des proximalen Humerus grosszügig zu stellen. Werden Kirschner-Drähte zur Osteosynthese eingesetzt muss in hohem Masse mit Drahtwanderungen oder Drahtbrüchen gerechnet werden. In mehreren Fällen wird in der Literatur auf diese Komplikation hingewiesen. Anhand von vier Fallbeispielen möchten wir Ursachen und technische Voraussetzungen aufzeigen, die bei dieser operativen Variante zu lebensbedrohlichen Komplikationen durch eine sekundäre Migration führen können. Dies unter Umständen nach Jahren und ohne klinische Symptome. Die Indikation zur Kirschnerdraht-Osteosynthese muss vor allem bei vorliegender Osteoporose zurückhaltend gestellt werden. Regelmässige Kontrollen in der postoperativen Phase werden empfohlen, die Entfernung der Drähte sollte bei konsolidierter Fraktur frühzeitig geplant werden.

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