Top PDF Open Reduction and Internal Fixation in Pediatric Mandibular Fracture

Open Reduction and Internal Fixation in Pediatric Mandibular Fracture

Open Reduction and Internal Fixation in Pediatric Mandibular Fracture

Reported in their study ,the anatomical complexity of the developing mandible and teeth concerns regarding biocompatibility of implanted hardware often mandate the use of surgical techniques that differ markedly from those used in adults .In case of mandibular fractures of a young child, distruption of periosteal envelope may have unpredictable effects on growth. Thus if intervention is required, closed reduction is favored. Due to the technical difficulties of IMF, acrylic splints with circumferential wiring are recommended.

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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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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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Bladder incarceration following anterior external fixation of a traumatic pubic symphysis diastasis treated with immediate open reduction and internal fixation

Bladder incarceration following anterior external fixation of a traumatic pubic symphysis diastasis treated with immediate open reduction and internal fixation

The patient was returned to the operating room later the same day by the orthopaedic traumatologist for removal of the external fixator, open reduction and internal fixa- tion of the pubic symphysis dislocation, and percutane- ous screw fixation of the right sacroiliac joint. During the anterior pelvic fixation through a Pfannenstiel incision, the bladder was noted to be intact and was easily reduced. During the course of the pelvic ring reduction, the ramus fractures were visualized with fluoroscopy and remained non-displaced. Thus, a decision was made not to extend the internal fixation beyond the ramus fractures. The sym- physis was reduced and fixed under direct visualization using a four-hole symphyseal plate (Zimmer, Warsaw IN) and large fragment screws. The right sacroiliac joint was reduced and stabilized percutaneously with a 7.3 mm can- nulated screw and washer (Synthes, Paoli PA). A postop- erative radiograph revealed a near-anatomic reduction of
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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 to certify that this dissertation titled “Functional Outcome Analysis of Open reduction and internal fixation of complex Acetabular fractures” is a bonafide record of work done by DR.D.KAMALASEKARAN , during the period of his Post graduate study from June 2010 to May 2013 under guidance and supervision in the INSTITUTE OF ORTHOPAEDICS AND TRAUMATOLOGY, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai-600003, in partial fulfilment of the requirement for M.S.ORTHOPAEDIC SURGERY degree Examination of The Tamilnadu Dr. M.G.R. Medical University to be held in April 2013.
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Open Reduction and Internal Fixation in Old Unreduced Perilunate Injury

Open Reduction and Internal Fixation in Old Unreduced Perilunate Injury

Between 2011 and 2016, 14 patients with old unreduced perilunate injury had been left untreated for a minimum of 6 weeks after the initial injury was treated at the center under study (Shafa Orthopedic hospital, Tehran, Iran). Af- ter the ethic committee’s approval and during a retrospec- tive study, these patients were invited for further evalua- tion. Twelve patients attended for final assessment. The study only included patients that were left unreduced and untreated for a minimum of 6 weeks after the injury and treated with open reduction and internal fixation surgery. The research excluded patients, who had received treatment before 6 weeks from injury or treated with other surgical procedures, including closed pining, and patients, who were lost to the final follow-up visit, as well as those, who had incomplete documents.
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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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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

Methods: Thirty eight patients with unstable pelvic fractures, treated from 2002 to2008 were retrospectively reviewed. The mean age of patients’ was 37 years old (range 20 to 67). Twenty six patients were men and 12 women. The most common cause was a road traffic accident (N=37, 97%). There were 11 type-C and 27 type-B fractures according to Tile’s classification. Thirty six patients sustained additional injuries. The most prevalent additional injuries were lower extremity fractures. Open reduction, internal fixation as a definite management was applied for all patients. Quality of reduction was graded according to the grades proposed by Matta and Majeed’s score was used to assess the clinical outcome. The mean period of follow-up was 25 months (ranged from 6 to 109 months). About 81.6% of patients had either good or excellent radiological reduction.
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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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Study of Functional Outcome in Calcaneal Fractures, Managed Conservatively and Open Reduction and Internal Fixation with Plate

Study of Functional Outcome in Calcaneal Fractures, Managed Conservatively and Open Reduction and Internal Fixation with Plate

In conservatively managed 12 fractures-average functional outcome score was good in 7 Sanders Type-I fractures, average functional outcome score was satisfactory in3 Sanders Type –II fractures and was poor in 2 Type-III Sanders fractures. . Average functional outcome score was excellent in8 Sanders Type-II fractures and good in 4 Sanders Type-III fractures fixed with open reduction and internal fixation In patients treated with open reduction and internal fixation with plating , wound dehiscence was seen in 1 patient (8.33%) which was healed with clean compressive dressings. No other complications were observed.
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Prospective Study of Distal End Radius Fracture Volar Type Treated with Open Reduction Internal Fixation with Plating

Prospective Study of Distal End Radius Fracture Volar Type Treated with Open Reduction Internal Fixation with Plating

of radius include both intra-articular and extra-articular fractures i.e. Volar- Barton’s and Smith’s fractures. The main objective of the treatment is the re-establishment of anatomic integrity and functioning. There are several options for the same which include closed reduction and Kirschner (K) wires fixation with a plaster cast, external fixation (bridging or non-bridging, with or without K wires), and open reduction and internal fixation with plate and screws (non-locking or locking, pre-contoured plates). Y-locked plates are in the process of replacing conventional plates as they provide angular and axial stability and minimize the possibility of screw loosening and implant failure 4 . Volar plating has gained widespread use over the past decade 5 .
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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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SYMPTOMATIC NONUNION AFTER FRACTURE CLAVICLE, WHAT IS THE FUNCTIONAL OUTCOME AFTER OPEN REDUCTION AND INTERNAL FIXATION WITH A CURVED RECONSTRUCTION PLATE?

SYMPTOMATIC NONUNION AFTER FRACTURE CLAVICLE, WHAT IS THE FUNCTIONAL OUTCOME AFTER OPEN REDUCTION AND INTERNAL FIXATION WITH A CURVED RECONSTRUCTION PLATE?

Background: Although fracture mid shaft clavicle always united with a good functional outcome, nonunion of fracture clavicle always leads to impaired shoulder joint functions with a significant disability that can cause poor functional outcome and limitations of shoulder joint activities due to pain and stiffness. Materials and Methods: From July 2005 through October 2011, twenty (20) patients (13 males and 7 females) were suffering from symptomatic nonunion of the mid-shaft clavicle (no union for more than three months). They had treated operatively in 14 patients who had suffered from the atrophic nonunion by using a curved reconstruction plate and autologous iliac bone grafting and in six patients with hypertrophic nonunion of mid-shaft clavicle fracture by using a curved reconstruction plate and “local bone grafting” from local callus, bone chips. The American Academy of Orthopedic Surgeons (AAOS) disabilities of the arm, shoulder and hand (DASH) questionnaire was used for the outcome results evaluation. Results: The patients were followed-up for an average of 15 months (range from one year to four years). All fractures were united within three months. The preoperative DASH score was varied from 80 to 70, mean (75). The postoperative DASH score was varied from, 10 to 25, mean (12.7) in our series. Functionally, this was very much acceptable. Conclusion: Based on the results of our and other studies, we recommended open reduction and internal fixation with using a curved reconstruction plate and autologous iliac bone grafting in patients whom suffering from the atrophic nonunion. For treating patients whom suffering from hypertrophic nonunion of mid-shaft clavicle fracture we recommended using a curved reconstruction plate and local bone graft as a sufficient procedure to achieve necessary union, and autologous bone graft from other sites of the body appears to be unnecessary. This successful procedure had a good functional outcome and most of the patients had promising results, as regard to return to a near normal level of function.
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RETRACTED ARTICLE: Open reduction and closed reduction internal fixation in treatment of femoral neck fractures: a meta analysis

RETRACTED ARTICLE: Open reduction and closed reduction internal fixation in treatment of femoral neck fractures: a meta analysis

Emergency internal fixation is one of the main options for the treatment of displaced femoral neck fractures [5]. It contains open reduction internal fixation (ORIF) and closed reduction internal fixation (CRIF). Both of the two methods have their advantages and disadvantages [6]. Although ORIF has advantages of direct look and restoration of normal function, its application still lim- ited by the potential negative effects of nerve damage, swelling, incomplete healing of the bone, increased pres- sure and blood clot [7]. CRIF has advantages of avoiding injury to the medial circumflex femoral artery [8]. How- ever, intracapsular pressure formed by CRIF compro- mised femoral head circulation, and prolonged extension and internal rotation position on the fracture table re- duced the blood supply to the femoral head, what’s more, the repeated forceful manipulation increased the risk of AVN [6]. Thus, the optimal treatment of femoral
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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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A retrospective and prospective analysis of functional and radiological outcome in acetabular fractures treated with open reduction and internal fixation

A retrospective and prospective analysis of functional and radiological outcome in acetabular fractures treated with open reduction and internal fixation

This is to certify that this dissertation titled “Retrospective and Prospective Analysis of Functional and Radiological Outcome in Acetabular Fractures Treated with Open reduction and internal fixation” is a bonafide record of work done by DR.A.BALAKRISHNAN , during the period of his Post graduate study from May 2015 to May 2018 under guidance and supervision of PROF.A.PANDIASELVAN., M.S.ORTHO., D.Ortho., in the INSTITUTE OF ORTHOPAEDICS AND TRAUMATOLOGY, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai-600003, in partial fulfilment of the requirement for M.S.ORTHOPAEDIC SURGERY degree Examination of The Tamilnadu Dr. M.G.R. Medical University to be held in April 2018.
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Short term outcome of open reduction and internal fixation with plating in displaced intra articular calcaneal fractures

Short term outcome of open reduction and internal fixation with plating in displaced intra articular calcaneal fractures

Authors conducted a prospective observational study in institution from June 2017 to December 2019 in which authors included displaced intra-articular calcaneum fractures, all of which were managed with open reduction and internal fixation with plating. 36 patients with calcaneum fractures attended the emergency and outpatient’s department of orthopedics, out of which 28 fractures were included in this study. Six patients were lost to follow-up and were excluded from this study. Hence, the final number of patients included in the study was 22 (n = 22).
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Management of gartland type III supracondylar fracture of humerus in children by open reduction and internal fixation using crossed K-wires: A Short term follow up study

Management of gartland type III supracondylar fracture of humerus in children by open reduction and internal fixation using crossed K-wires: A Short term follow up study

Thanjavur Medical College and Hospital, Thanjavur, has done this dissertation on “MANAGEMENT OF GARTLAND TYPE III SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN BY OPEN REDUCTION AND INTERNAL FIXATION USING CROSSED K – WIRES - A SHORT TERM FOLLOW UP STUDY" under my guidance and supervision in partial fulfilment of the regulation laid down by the TamilNadu DR.M.G.R. Medical University, Chennai for MS (Orthopaedics) degree examination to be held on March 2008.

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A comparative analysis between methods of open reduction and closed reduction in internal fixation of proximal tibia fractures

A comparative analysis between methods of open reduction and closed reduction in internal fixation of proximal tibia fractures

This is to certify that this dissertation titled “A COMPARATIVE ANALYSIS BETWEEN METHODS OF OPEN REDUCTION AND CLOSED REDUCTION IN INTERNAL FIXATION OF PROXIMAL TIBIA FRACTURES” is a bonafide record of work done by DR. VINOTH.S , during the period of his Post graduate study from May 2013 to April 2016 under guidance and supervision in the INSTITUTE OF ORTHOPAEDICS AND TRAUMATOLOGY, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai-600003, in partial fulfillment of the requirement for M.S.ORTHOPAEDIC SURGERY degree Examination of The Tamilnadu Dr. M.G.R. Medical University to be held in April 2016.
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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

Abstract: Objective: To compare the efficacy of open reduction and internal fixation versus closed reduction and external fixation in treating distal radius fracture. Methods: A total of 77 patients with distal radius fracture were ret- rospectively analyzed. There were 40 patients in the open reduction and internal fixation group (observation group) and 37 patients in the closed reduction and external fixation group (control group). The fracture symptoms, healing time of fracture, postoperative evaluation of wrist function, disabilities of the arm, shoulder and hand (DASH) score and life quality for 3 months after operation were compared. Results: In terms of fracture symptoms, the patients in the observation group had better improvements in pain, swelling and ecchymosis over the patients in the control group. The differences were statistically significant (P<0.05). Healing time of the patients’ fracture in the observa- tion group was less than that of the patients in the control group (P<0.05). As for the recovery of wrist function, the observation group showed better recovery of the palmar tilt angle, ulnar deviation angle and radius height than the control group (P<0.05). What’s more, the excellent and good scores of DASH scale was higher in the observation group than in the control group (P<0.05). Lastly, with regard to postoperative life quality, physical function, physical role functioning, social functioning, emotional role functioning and bodily pain of the patients in the observation group were all significantly better than those of the patients in the control group (P<0.05). Conclusion: Open reduc- tion and internal fixation is better than closed reduction and external fixation in treating distal radius fracture. When treated by open reduction and internal fixation, patients with distal radius fracture have shorter healing time and good postoperative life quality. Therefore, it is worthwhile to popularize and apply open reduction and internal fixa- tion in clinical practice.
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