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Introduction Sliding hip screw devices were developed in the middle of the 20th century and gained popularity for surgical fixation of proximal femoral fractures in the late 1980s. 1 The latest versions of these implants, such as the
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screws implanted percutaneously by a trans-subscapularis approach offer a great advantage when compared to an ORIF, 8 though, if there is extensive comminution, or if the fracture fragments are too small, it is preferable to perform suture fixation
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Major Trauma Centre, Leeds Teaching Hospitals NHS Trust, University of Leeds, United Kingdom
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secondary fall can lead to a new fracture and failure of the fixation in a dual device construct. The safer is to achieve an overlap of the two implants with or without crosslinking, as described in both case examples of ‘dual-implant’ constructs of this
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fracture model . Foot Ankle Int 2011 ; 32 : 630 - 637 . 48 Papadokostakis G Kontakis G Giannoudis P Hadjipavlou A . External fixation devices in the treatment of fractures of the tibial plafond: a systematic
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Department of Orthopaedics & Trauma, Royal Adelaide Hospital, Adelaide, South Australia, Australia
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. Annual Report 2019 , 2019 . 7. Chapman T Zmistowski B Krieg J Stake S Jones CM Levicoff E . Helical blade versus screw fixation in the treatment of hip fractures with cephalomedullary devices: incidence of failure and atypical ‘medial
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Introduction Several devices and techniques are currently used for the treatment of phalangeal and metacarpal fractures. 1 , 2 While percutaneous intramedullary Kirschner (K) wires, plate fixation and lag screws exhibit specific
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and fix the syndesmosis ring to avoid the potential sequelae of instability, chronic pain, and arthritis seen following syndesmosis mismanagement. 1 , 2 Accurate syndesmosis fixation is a predictor of good functional outcomes in ankle fractures
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effects of cartilage impact . Clin Orthop Relat Res 2004 ; 423 : 33 - 39 . 34 Papadokostakis G , Kontakis G , Giannoudis P , Hadjipavlou A . External fixation devices in the treatment of fractures of the tibial
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‘principles’ suggesting, for example, that 2 mm displacement of a distal fibula fracture requires surgical reduction and fixation, or that posterior malleolus fractures affecting less than 25% of the tibial plafond can be treated non-operatively. To illustrate
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Introduction Approximately one in eight patients undergoing surgical treatment for rotational ankle fracture is diabetic. 1 , 2 Complications after ankle fracture fixation in diabetics have been shown to vary between 26% and 47% versus
