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The functional outcome of surgically treated unstable pelvic ring fractures by open reduction, internal fixation

The functional outcome of surgically treated unstable pelvic ring fractures by open reduction, internal fixation

Kabak S, et al functional outcome of open reduction and internal fixation for complete- ly unstable pelvic ring fractures (type C): a report of 40 cases reported that morbidity and mortality rates were higher in patients with a completely unstable pelvic ring in- jury. Emergency department stabilization and reconstruction of the pelvic ring with optimal operative techniques in these pa- tients can reduce morbidity and mortality rates. Anterior and posterior internal fixation results in satisfactory clinical and radiologic outcomes. The affective status of patients was an important aspect that should be con- sidered during the entire care of the patients [20].
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Treatment of chronic anterior shoulder dislocation by open reduction and simultaneous Bankart lesion repair

Treatment of chronic anterior shoulder dislocation by open reduction and simultaneous Bankart lesion repair

closed reduction was possible were excluded from the study and the remaining eight patients were treated by open reduction and Bankart lesion repair. All patients were available for complete clinical and radiographic analysis at a minimum of 6 months postoperatively. Writ- ten informed consent was signed by all patients enrolled in the study. The patients included six men and two women with an average age of 42 years (range 17 to 75 years). The mechanism of injury was falling in all patients. Five dislocations involved the right arm and three the left arm. Five dislocations involved the domi- nant limb. The delay between dislocation and treatment ranged from 3 weeks to 5 months with an average of 10 weeks. Table 1 lists the demographic data of our patients. Dislocations were diagnosed on anteroposterior radio- graphs and a definite diagnosis was made with an axillary projection. All dislocations had Hill-Sachs lesion with less than 40% of head involvement and all were nonengaging. Three cases had also greater tuberosity fracture. Surgery was performed with the patient in beach chair position. We used the anterior approach to the shoulder through the deltopectoral interval. Subscapularis tendon and cap- sule were cut in one layer and reduction was achieved with lateral traction and internal rotation. In two cases Coracoid osteotomy was done for better exposure. After reduction the capsulolabral complex was reinserted on to the anterior glenoid rim in all cases. Transglenoid suture with fiber wire no.2 was used for repair (figure 1). No bone graft was used in the anterior glenoid and humeral head and the capsule and Subscapularis tendon were repaired in internal rotation position. No joint fixation method was used following operative reduction. strong repair of capsule, subscapularis and Bankart lesion pro-
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Evaluation of clinical and functional outcome of open reduction/closed reduction with intra medullary interlocking nailing and `Poller' blocking screws in tibial metaphyseal fractures

Evaluation of clinical and functional outcome of open reduction/closed reduction with intra medullary interlocking nailing and `Poller' blocking screws in tibial metaphyseal fractures

Certified that the dissertation on “Evaluation of Clinical and Functional outcome Of Open Reduction/Closed Reduction with Intra Medullary Interlocking Nailing and ‘Poller’ Blocking Screws in Tibial Metaphyseal Fractures” is a bonafide work done by Dr.K.SHANMUGANATHAN, Postgraduate, in the Department of Orthopaedic Surgery and Traumatology, Madurai Medical college. &Govt Rajaji Hospital, Madurai, under my guidance and supervision in fulfilment of the regulations of The Tamilnadu Dr. M. G. R. Medical University for the award of M.S. Degree Branch II (Orthopaedic Surgery) during the academic period of May 2010– April 2013
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Ligamentotaxis versus Open Reduction and Internal Fixation for Distal Radius Intra Articular  Fractures

Ligamentotaxis versus Open Reduction and Internal Fixation for Distal Radius Intra Articular Fractures

Intra-articular fractures of the distal radius represent a therapeutic challenge compared to unstable extra-articular fractures [1]. These fractures can be ma- naged either by external fixation with Kirschner wire (K-wire) [2] or by open reduction and internal fixation (ORIF) using volar fixed angle locked plate, which is also used for treating unstable fractures [3] [4]. Clinical outcome of the distal radius fractures (limited range of motion, reduced grip strength, and radiographic abnormalities) does not always reflect the pain and disability of the injured wrist [5] [6].
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Management of Avulsion Fracture Tibial Spine by Open Reduction and Endobutton Fixation an Outcome Study

Management of Avulsion Fracture Tibial Spine by Open Reduction and Endobutton Fixation an Outcome Study

have been employed since ages. Management of fracture neck of femur in elderly has been debatable. Open reduction and internal fixation for this fracture in elderly has unfavourable outcome because non- union and avascular necrosis of femur head were common. Arthroplasty is standard treatment in geriatric patients in most countries.

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Open reduction and compression with double Kirschner wires for the treatment of old bony mallet finger

Open reduction and compression with double Kirschner wires for the treatment of old bony mallet finger

At present, some authors [24, 25] advocate closed reduc- tion because complications related to skin and soft tissues easily occur during or after open reduction. On the other hand, the present study suggests that when the procedures are gently performed, the occurrence of such complications was extremely low. There was only one patient with avascu- lar necrosis of partial tissues caused by K-wire compression, and there were no residual complications over the long term. After evaluation, it was determined that the avascular necrosis was caused by compression from the K-wire rather than from the open reduction. With the learning curve and after improving the insertion angle and point, there were no complications related to skin and soft tissues. Neverthe- less, because the bone at the distal part is so small, this technique may be suitable for expert surgeons.
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Original Article A retrospective study of open reduction and traction bed-assisted closed reduction intramedullary nailing for femoral shaft fracture

Original Article A retrospective study of open reduction and traction bed-assisted closed reduction intramedullary nailing for femoral shaft fracture

Abstract: Objective: To compare treatment of femoral shaft fractures using traction bed assisted closed reduction (CR) or conventional open reduction (OR) for intramedullary nail fixation. Methods: The study group consisted of 126 patients with femoral shaft fractures who were treated via intramedullary nail fixation from July 2009 to May 2013. Traction bed assisted CR was adopted in 71 patients, while OR was performed in 55 cases. Data regarding surgery duration, intraoperative blood loss, complications and recovery of postoperative hip and knee function were abstracted and analyzed. Results: In patients with non-comminuted fractures, no significant differences were ob- served between the CR and OR groups in operation time (P = 0.560) or blood loss (P = 0.739). However, in patients with comminuted fractures, operation time (P = 0.024) and blood loss (P = 0.008) were significantly reduced in the table traction group when compared with the OR group. All patients in the CR group had prolonged positioning time (P = 0.000), but no statistically significant differences were found between the open and CR groups in the function of the hip (P = 0.058) or knee (P = 0.625) of the injured limb. Conclusions: Treatment of comminuted femoral shaft fractures using traction bed assisted CR during intramedullary nail fixation had the advantages of reduced surgical time and less intraoperative blood loss when compared with conventional OR.
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Original Article Comparative study of the efficacy of open reduction and internal fixation versus closed reduction and external fixation in treating distal radius fracture

Original Article Comparative study of the efficacy of open reduction and internal fixation versus closed reduction and external fixation in treating distal radius fracture

A total of 77 patients with distal radius fracture, who were diagnosed in the orthopedics depart- ment of the Affiliated Zhongshan Hospital of Dalian University from January 2017 to Dece- mber 2018, were enrolled in this analysis. The- re were 33 males and 44 females, aged from 40 years old to 75 years old, with an average age of 64.0±8.9 years old. Among them, 40 patients were treated with open reduction and internal fixation with steel plates (observation group). In the observation group, there were 18 males and 22 females, with an average age of 62.9±8.5 years. The other 37 patients were treated by closed reduction and external fixa- tion (control group), including 15 males and 22 females, with an average age of 63.4±8.7 ye- ars. This study was approved by the Ethics Com- mittee of Affiliated Zhongshan Hospital of Da- lian University. All the patients signed an infor- med consent form.
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OUTCOME OF OPEN REDUCTION AND INTERNAL FIXATION IN LATERAL CONDYLE HUMERAL FRACTURES IN PEDIATRICS

OUTCOME OF OPEN REDUCTION AND INTERNAL FIXATION IN LATERAL CONDYLE HUMERAL FRACTURES IN PEDIATRICS

With open reduction and internal fixation (ORIF) in a clinical study, Ages of our patients range between 2-8 years with a mean age of 4.83 years. It is demonstrated in our study that 83.3% of our patients were males, while 16.7% were females. Leonidou et al. [8] reviewed the results of patients with a displaced lateral humeral condyle fracture treated with open reduction and internal fixation (ORIF). They retrospectively reviewed children treated with ORIF of lateral humeral condyle fractures at a single institution over a period of 13 years. One hundred and five patients with a displaced paediatric lateral humeral condyle fracture were identified and included in the study, 76 males and 29 females. The age of the patients
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Evaluation of Test of Stability as an Aid for Osteotomy in Open Reduction for Developmental Dysplasia of Hip

Evaluation of Test of Stability as an Aid for Osteotomy in Open Reduction for Developmental Dysplasia of Hip

62 open reduction of DDH. In our study we used test of stability as an aid to decide whether osteotomies at femur or pelvic or both are required. Persistent acetabular dysplasia and hip subluxation in children lead to arthritis of hip as a lifelong disability. To avoid this complication dislocated hip must be reduced concentrically and this reduction needed to be maintained for proper development of hip. Haverkamp and Marti reported that the results of both types of surgery (pelvic osteotomy and Intertrochanteric osteotomy), have been described as tending to be better if the patients are younger and if the grade of OA is not too advanced (Haverkamp et al., 2007).
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Original Article Supraclavicular nerves protection during open reduction and internal fixation

Original Article Supraclavicular nerves protection during open reduction and internal fixation

Open reduction and internal fixation (ORIF) is the standard surgical treatment for displaced clavicle fractures [17, 18]. Meanwhile, plate fix- ation is recommended due to providing imme- diate rigid fixation and helping to facilitate early mobilization [15, 19]. Thus, we performed this prospective study to investigate the efficacy of meticulous dissection in a modified ORIF by specially preventing transection of supraclavic- ular nerves (diameter > 0.5 mm) on relieving postoperative numbness and reducing inci- dence of complications related to the supracla- vicular nerve injury.
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Functional Outcome analysis of Open reduction and internal fixation of complex acetabular fractures.

Functional Outcome analysis of Open reduction and internal fixation of complex acetabular fractures.

This is a prospective study done to assess the functional and outcome of complex acetabular fractures treated by open reduction and internal fixation in 20 patients over the period of two and half years from April 2010-October 2012 at Our Institute of Orthopaedics and Traumatology , Madras medical college and Rajiv Gandhi Government general hospital, Chennai.

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Evaluation of 3 Dimensional Plates in Open Reduction and Internal Fixation of Subcondylar Fractures

Evaluation of 3 Dimensional Plates in Open Reduction and Internal Fixation of Subcondylar Fractures

This is to certify that Dr.TRIVENI.P, Post Graduate student (2014-2017) in the Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai-600003, has done dissertation titled “EVALUATION OF 3 DIMENSIONAL PLATES IN OPEN REDUCTION AND INTERNAL FIXATION OF SUBCONDYLAR FRACTURES” under our direct guidance and supervision in partial fulfillment of the regulation laid down by The Tamilnadu Dr. M.G.R. Medical University, Guindy, Chennai-32 for Master of Dental Surgery, Oral and Maxillofacial Surgery (Branch III) Degree Examination.
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Open Reduction by Fenestration to the Ilium for Central Acetabular Depression Fractures: A Case Report and Operative Technique

Open Reduction by Fenestration to the Ilium for Central Acetabular Depression Fractures: A Case Report and Operative Technique

Aim: The aim was to report a fenestration technique for gap reduction of acetabular depression fractures. Case presentation: A 76-year-old man suffered from severe left leg pain. The computed tomography scanning showed a displaced acetabular depression fracture, including a third frac- ture fragment in the center of the acetabular weight-bearing area. We performed a fenestration technique to fenestrate the outer plate of ilium to push down the dislocated fragment of the frac- ture. The patient was pain-free with good functional outcome of the hip joint at three years after operation. Conclusion: The fenestration technique is useful for displaced acetabular depression fractures. We performed open reduction in this particular case, but the technique may be done less invasively with the use of hip arthroscopy.
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Functional Outcomes of Traumatic Complex Acetabulum Fractures with Open Reduction and Internal Fixation: 200 Cases

Functional Outcomes of Traumatic Complex Acetabulum Fractures with Open Reduction and Internal Fixation: 200 Cases

After admission, initial management was directed to patient’s general condition and associated injuries. After making establish the patient’s general condition and vital signs of patients, full assessment including clinical and neurological examinations for each patient has been done. Any neurological deficit was recorded. Standard X-ray views and CT cuts were done. The patients who have experience of bleeding are usually not treated for 5 - 10 days following the injury. Because the patient’s own clotting me- chanisms should have enough time to be effective which is usually within 3 - 5 days. During this period, traction or a system of ropes, pulleys and weights are used to relieve pressure in the joint. All patients with complex fracture associated with unstablehip, loss of congruence articular surface and hip displacement more than 2 mm should be candidate for surgery with open reduction and internal fixation which is performed to realign the joint with enough stability to allow immediate mobilization and hence pre- serve the smooth lining of cartilage and avoid subsequent arthritis.
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Original Article Comparison of open reduction and internal fixation in treatment of delayed and early acetabular fractures

Original Article Comparison of open reduction and internal fixation in treatment of delayed and early acetabular fractures

Abstract: To retrospectively compare the clinical efficacy of open reduction and internal fixation (ORIF) in treating delayed and early acetabular fractures. Ninety cases with delayed (n = 35) and early acetabular fractures (n = 55) undergoing ORIF between September 2009 and March 2013 were retrospectively analyzed. Patients in the delayed acetabular fracture group underwent ORIF at 22-65 d (mean 36 d) after injury and those in the early acetabular fracture group received ORIF at 3-20 d (mean: 8.1 d) after trauma. Ilioinguinal, Kocher-Langenbenk or combined approaches were adopted according to the types of fracture. Fracture reduction was evaluated using the Matta standard. Clinical efficacy was assessed by Matta modified D’Aubigne and Postel grading system. Postoperative follow-up endured for 18-36 months, 25 months on average. In the delayed fracture group, 15 (43%) cases had ana- tomical reduction, 17 (49%) were satisfied with the reduction whereas 3 (9%) were unsatisfied. In the early fracture group, 35 (64%) cases had anatomical reduction, 19 (35%) cases were satisfied with the reduction and only 1 (3%) patient was unsatisfied with no statistical significance between two groups. In the delayed fracture group, 16 cases obtained excellent outcomes, 15 good, 2 average and 2 had poor results, and 35 excellent, 18 good, 1 average and 1 poor in the early fracture group. Excellent rate did not significantly differ between two groups. Satisfactory and excellent rates of ORIF did not significantly differ between two groups. ORIF is an effective and feasible treatment of delayed acetabular fracture.
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The study of the functional outcome of open reduction and internal fixation of three and four part proximal humerus fracture (according to neer’s classification) with philos (proximal humerus internal locking system)

The study of the functional outcome of open reduction and internal fixation of three and four part proximal humerus fracture (according to neer’s classification) with philos (proximal humerus internal locking system)

treated with sling immobilization and physical therapy 7 [Ianotti et al 2003]. Approximately 20% of proximal humeral fractures are displaced & maybenefit from operative treatment 6 [shene et al]. Many surgical fixation techniques have been described inthe literature, but no single surgical fixation technique is considered to be the gold standard of care 8 [Robert j et al 2009]. There are various treatment options available like conservative treatment with immobilisation and gradualphysiotherapy, operative treatment including transosseous suture fixation, percutaneous k wire fixation, open reduction and internal fixation with conventional or locked-plate fixation, and hemiarthroplasty 6,9 [Shene et al and Koval et al].There is a uniform agreement that when the tuberosities and medial calcar are anatomically reduced the successful outcome is most likely and the range of motion occurs early in the rehabilitation process 10 [Gallo et al 2005]. Open reduction internal fixation offers best chance at accurate reduction and union of all fracture fragments, including the greater tuberosity and therefore, good and excellent functional results can be achieved 10 . However, this method has been limited by difficulty in obtaining adequate exposure especially if greater tuberosity is diplaced and rigid fixation without compromising soft tissue structures. There are several fixation options which have different methods & principles of maintaining reduction, however they also have specific implant related problems as well. [Gallo et al]
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Original Article A comparative study of open reduction with internal fixation and percutaneous poking reduction fixation for the treatment of Sanders type II calcaneal fractures

Original Article A comparative study of open reduction with internal fixation and percutaneous poking reduction fixation for the treatment of Sanders type II calcaneal fractures

Abstract: Objective: To compare and analyze the clinical efficacy of open reduction with internal fixation and per- cutaneous poking reduction fixation for Sanders type II calcaneal fractures. Methods: A total of 57 patients with calcaneal fractures were randomly divided into the poking group (27 cases, underwent percutaneous poking reduc- tion) and the incision group (30 cases, underwent open reduction with internal fixation). The operation time, drain- age volume, intraoperative blood loss, and hospitalization days were recorded. During the postoperative follow-up, fracture healing and incidence of complications were observed and recorded for both groups. At the last follow-up, Visual Analog Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score, and the MOS item short form health survey (SF-36) were used to evaluate the clinical efficacy. Results: The operation time, drainage volume, intraoperative blood loss and hospitalization days in poking group were significantly less than those in the incision group, with statistically significant differences (P<0.05). In the postoperative follow-up, it was found that there was no significant difference in fracture healing time between the two groups. The incidence of complications was 3.70% in poking group, significantly lower than 10.00% in incision group (P<0.05). The Böhler and Gissane angles were significantly improved after surgery in both groups (P<0.05), but there was no significant difference between the two groups after surgery (P>0.05). At the last follow-up, VAS and SF-36 scores in the poking group were signifi- cantly higher than those in the incision group (P<0.05). There was no significant difference in excellent and good rate between the poking group and the incision group (P>0.05). Conclusion: Percutaneous poking reduction fixation can effectively reduce the incidence of postoperative complications and significantly improve the clinical efficacy and outcomes in treatment of Sanders II calcaneal fractures, so it is an efficient treatment method for calcaneal fractures.
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Arthroscopically assisted reduction and internal fixation (ARIF) versus open reduction and internal fixation (ORIF) for lateral tibial plateau fractures: a comparative retrospective study

Arthroscopically assisted reduction and internal fixation (ARIF) versus open reduction and internal fixation (ORIF) for lateral tibial plateau fractures: a comparative retrospective study

Tibial plateau fractures are articular lesions that typically involve either active young patients after high-energy trauma or older osteoporotic patients [1–3]. Due to the complexity of injury mechanism, mostly a combination of rotational and axial compression forces, these fractures are often associated with intra-articular lesions such as chon- dral damage, meniscal tear, and ligament rupture [4–6]. The severity of the fracture pattern is typically characterized according to the Schatzker classification system [7]. Schatz- ker type I–III fractures involve the lateral tibial plateau and traditionally were treated with open reduction and internal fixation (ORIF) through an anterolateral approach [8]. However, it requires extensive soft tissue dissection and in- creased risk of post-operative complications has been re- ported (e.g., infections, hematomas, surgical wound dehiscence, and wound necrosis) [9, 10] even when minim- ally invasive techniques were proposed for low-grade lateral tibial plateau fractures [11].
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Minimally invasive reduction and percutaneous
fixation versus open reduction and internal
fixation for displaced intra articular calcaneal
fractures : a systematic review of the literature

Minimally invasive reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra articular calcaneal fractures : a systematic review of the literature

25. Yeap eJ, rao J, Pan Ch, soelar sa, Younger ase. Is arthroscopic assisted percutaneous screw fixation as good as open reduction and internal fixation for the treatment of displaced intra-articular calcaneal fractures? Foot Ankle Surg 2016;22(3):164-169. 26. dingemans sa, meijer st, Backes m, et al. Outcome following osteosynthesis or primary arthrodesis of calcaneal fractures: A cross-sectional cohort study. Injury 2017;48(10):2336-2341.

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