Olecranon Fractures. Olecranon Fx Anatomy. Olecranon Fx Considerations 4/26/2018
|
|
- Joan Fisher
- 5 years ago
- Views:
Transcription
1 Olecranon Fractures Allan Peljovich, MD, MPH The Hand & Upper Extremity Ctr of GA; Shepherd Center; Atlanta Medical Center Orthopedic Residency Program Olecranon Fx Anatomy Olecranon Fx Considerations Soft tissue, i.e., closed vs. open Simple vs. Comminuted Associated elbow injury Patient s age Co morbidities 1
2 Olecranon Fx Classification Colton (displacement) Mayo (stability, displacement, comminution) Schatzker (morphology) AO (comminution, radial head) Tamaoki, et al, 2014; Benetton, et al, 2015 Olecranon Fx Nonoperative Rx No clear guidelines or data <2mm displacement and stable with flexion lateral Typically reported for elderly None with dislocation Very good to excellent outcomes are the norm Regardless of displacement Mayo type 2 case control study Avg 55 years (9/14 > 60 years old) MEPI 91F, 99M QuickDASH 6F, 18M Veras Del Monte, et al, 1999; Erturer, et al, 2011; Duckworth, et al, 2014; Galluci, et al, 2014; Putnam, et al, 2017; Marot, et al, 2018 Olecranon Fx Operative Rx Displacement (>2mm) & Instability Articular incongruity Recent study brings attention to the intermediate fragments in comminuted fractures. Associated trauma von Rüden, et al,
3 Olecranon Fx ORIF Tension Band Wiring (TBW) TBW works by resisting triceps pull more than creating an anterior compressive force Gold standard? 86 96% good/excellent outcomes Non union is rare Arthrosis in approx 5 10% Hardware removal!!! 45 85% (many for personal reasons) Wound problems 0 10% Kozin, et al, 1996; Hutchinson, et al, 2003; Duckworth, et al, 2012; van der Linden, et al, 2012; Saeed, et al, 2014; Flinterman, et al, 2014; Kim, et al, 2014; Claessen, et al, 2016 Olecranon Fx TBW Specifics Short, intramedullary K wires migrate Improving K wire placement? Penetrate the anterior cortex Occasional problems with anterior prominence Run into the distal intramedullary canal Avoids complications associated with prominent wires K wires with eyelets less likely to migrate Utilize large threaded compression screw Kozin, et al, 1996; Woo, et al, 2000; Huang, et al, 2010; Hammond, et al, 2012; van der Linden, et al, 2012; Kim, et al, 2013; Kim, et al, 2014 Olecranon Fx TBW Scope Secure regardless of the level of the fracture Can be utilized for comminuted fragments Add K wires or other fixation for fragments Allows for precise positioning of the intermediate fragment Can add an extra wire for further stability Biomechanically stronger than single wire Can be applied with comminuted fragments Suresh 2009; Hammond, et al, 2012; Kim, et al,
4 Olecranon Fx Pseudo TBW Designed to reduce hardware irritation Olecranon Sled MEPI 95.5 in 22 pts No hardware issues 1 case of HO Tension band plate Combination of transcortical screw and TBW Some biomechanical superiority to TBW Gruszka, et al, 2017; Lovy, et al, 2018 Olecranon Fx Plates? Comminution and extensive injuries Consistent anatomic articular alignment Excellent outcomes MEPI 90 s & DASH 10 Loss of full elbow extension 39% lacked >10degrees in one study >15% hardware removal rate Proximal screw hole especially irritating Plates on the subcutaneous border of the ulna irritate 20% with mild arthrosis at long term f/u Non union rare Erturer, et al, 2011; Flinterman, et al, 2014; De Giacomo, et al, 2016 Olecranon Fx Plates Plate design Extended proximal fixation? Locking vs. non locking plates Plate alternatives Mini plate with home run screw As strong as a 3.5mm locked plate!! No loss of reduction/fixation Nearly 50% required hardware removal Dual plating for sagittal and comminuted fragments Buizje & Kloen, 2009; Erturer, et al, 2011; Morwood, et al, 2015; Wellman, et al, 2015; Wellman, et al, 2017; Boden, et al,
5 Olecranon Fx What Else? Fragment excision and triceps advancement Intermediate fragment excision and olecranon advancement Intermediate fragment size loss of motion Suture bridge fixation Triceps avulsion Poor soft tissue envelope Elderly Transcortical screw fixation biomechanics to TBW with lower profile IM nail (internal profile) Fern & Brown, 1993; Iannuzzi & Dahners 2009; Argintar, et al, 2012; Jones, et al, 2014; Cha, et al, 2014; Henseler, et al, 2014; Bateman, et al, 2015; Cha, et al, 2016; Marmor, et al, 2017 Olecranon Fx Comparative Studies Outcome Consistently TBW = plate fixation Long term results similar Mobility TBW > plate Need for re operation (hardware removal) TBW > plates, but not absolutely Costs TBW more cost effective than plates Duckworth, et al, 2012; Flinterman, et al, 2014; Schliemann, et al, 2014; Tarallo, et al, 2014; Claessen, et al, 2016; DelSole, et al, 2016; Ren, et al, 2016; Francis, et al, 2017; Liñán Padilla 2017 Olecranon Fx Conclusions ORIF is successful with reproducible outcomes Hardware removal/irritation is among the primary issues with surgery TBW is pretty much gold standard Important to be facile with alternatives like plating There is a role for excision/advancement and non operative treatment 5
Case Presentation: Comminuted Fractures of the Proximal Ulna 11/28/2017. Disclosures. Surgical Strategy. Implant Choice. Melvin P.
Current Solutions in Orthopaedic Trauma Case Presentation: Comminuted Fracture of the Proximal Ulna Melvin P. Rosenwasser, MD Robert E. Carroll Professor of Surgery of the Hand Chief, Orthopaedic Hand
More informationOlecranon fracture. Lonnie Froberg, MD, Ph.D Rigshospitalet, Copenhagen University Hospital
Olecranon fracture Lonnie Froberg, MD, Ph.D Rigshospitalet, Copenhagen University Hospital 20% of forearm fracture 12 per 100.000 persons per year Low-energy fall Increased risk >50 years 90% AO 21.B1.1
More informationOrthopedics in Motion Tristan Hartzell, MD January 27, 2016
Orthopedics in Motion 2016 Tristan Hartzell, MD January 27, 2016 Humerus fractures Proximal Shaft Distal Objectives 1) Understand the anatomy 2) Epidemiology and mechanisms of injury 3) Types of fractures
More informationFractures and dislocations around elbow in adult
Lec: 3 Fractures and dislocations around elbow in adult These include fractures of distal humerus, fracture of the capitulum, fracture of the radial head, fracture of the olecranon & dislocation of the
More informationForearm Fracture Solutions. Product Overview
Forearm Fracture Solutions Product Overview Acumed Forearm Fracture Solutions Acumed Forearm Fracture Solutions includes plating and rodding systems with a range of diaphyseal radius and ulna fracture
More informationUpper limb fractures. Mithun Nambiar Orthopaedic Resident Royal Melbourne Hospital
Upper limb fractures Mithun Nambiar Orthopaedic Resident Royal Melbourne Hospital http://janeaustensworld.files.wordpress.com/2010/10/17_skeleton.jpg Principles of fracture management Restoration of anatomy
More informationElbow System Anatomy:
Elbow System Elbow System Anatomy: Olecranon Fossa Medial Lateral Ulna Olecranon Radius 2 Elbow System AO-classification of distal humerus fractures 3 3 3 Elbow System Case example Transkondylar elbow
More informationElbow Fractures ORIF VS Arthroplasty
Elbow Fractures ORIF VS Arthroplasty Oke Anakwenze, M.D. Olympus Orthopedics No disclosures Disclosures Distal humerus fractures 0.5-0.7% of all fractures 30% of all elbow fractures Bimodal etiology Young
More informationMEDIAL EPICONDYLE FRACTURES
MEDIAL EPICONDYLE FRACTURES Demographic 20% of elbow fractures 60% of which are associated with elbow dislocation. 75% in boys between 6-12 years 20% of elbow dislocation with ME fracture, the ME is incarcerated
More informationSimply Complete. VA-LCP Elbow Plating System.
Simply Complete. VA-LCP Elbow Plating System. Building on success Founded upon the established principles of Synthes LCP technology and the first generation elbow plates, the Variable Angle LCP Elbow Plating
More informationMANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT. By Dr B. Anudeep M. S. orthopaedics Final yr pg
MANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT By Dr B. Anudeep M. S. orthopaedics Final yr pg INTRAARTICULAR FRACTURES Intercondyar fracture Elbow dislocation Capitellum # Trochlea # Radial head
More informationLocking Radial Head Plates
Locking Radial Head Plates Locking Radial Head Plates Since 1988, Acumed has been designing solutions to the demanding situations facing orthopaedic surgeons, hospitals and their patients. Our strategy
More informationRadial Head Fractures Save or Replace?
Radial Head Fractures Save or Replace? Current Solutions in Orthopedic Trauma Sepember 19, 2015 Jorge L. Orbay MD. Disclosure Skeletal Dynamics Elbow Joint Ulno-Humeral and Radio-Capitellar The key joint
More informationDiaphyseal Humerus Fractures. OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD
Diaphyseal Humerus Fractures OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD OBJECTIVES TREATMENT OPTIONS SURGICAL INDICATIONS CONTROVERSIES IN MANAGEMENT Humerus Fractures Treatment Goals: Functional
More informationA Patient s Guide to Adult Olecranon (Elbow) Fractures
A Patient s Guide to Adult Olecranon (Elbow) Fractures 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 1 DISCLAIMER: The information in this booklet is compiled from
More informationFracture fixation. Types. Mechanical considerations. Biomechanics of fracture fixation. External fixation. Internal fixation
Fracture fixation Biomechanics of fracture fixation Types External fixation Mechanical considerations Internal fixation Mechanical considerations in treatment of 1. In the external fixation: fracture When
More informationAcUMEDr. LoCKING CLAVICLE PLATE SYSTEM
AcUMEDr LoCKING CLAVICLE PLATE SYSTEM LoCKING CLAVICLE PLATE SYSTEM Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons, hospitals and their patients.
More informationDistal Humerus Fractures: How should they be fixed?
Distal Humerus Fractures: How should they be fixed? Dr. Emil Schemitsch, MD, FRCS(C) Richard Ivey Professor and Chairman, Department of Surgery, Western University Chief of Surgery London Health Sciences
More informationFibula Rod System. Lateral Malleolus Fracture Indications:
Fibula Rod System Fibula Rod System Since 1988, Acumed has been designing solutions for the demanding situations facing orthopaedic surgeons, hospitals and their patients. Our strategy has been to know
More informationDISTAL ELBOW SET. proximal ulna plate SURGICAL TECHNIQUE GUIDE
SURGICAL TECHNIQUE GUIDE DISTAL ELBOW SET proximal ulna plate As described by: Jorge L. Orbay, M.D. Miami Hand & Upper Extremity Institute Miami, Florida DISTAL ELBOW SET proximal ulna plate Indications
More informationSurgical Technique. Distal Humerus Locking Plate
Surgical Technique Distal Humerus Locking Plate PERI-LOC Locked Plating System Distal Humerus Locking Plate Surgical Technique Table of Contents Introduction...2 Indications...3 Plate Features...3 Patient
More informationFractures of the Calcaneus
Fractures of the Calcaneus Anthony T. Sorkin, M.D. Rockford Orthopedic Trauma Service Rajeev Garapati, MD Illinois Bone and Joint Institute Assistant Clinical Professor University of Illinois at Chicago
More information2.7 mm/3.5 mm Variable Angle LCP Elbow System DJ9257-B 1
2.7 mm/3.5 mm Variable Angle LCP Elbow System DJ9257-B 1 System overview Simply complete: A comprehensive system, consisting of five (5) distal humerus plates and three (3) types of olecranon plates Implant
More informationFractures of the Distal Humerus
Fractures of the Distal Humerus Functional Anatomy Hinged joint with single axis of rotation (trochlear axis) Trochlea is center point with a lateral and medial column distal humeral triangle Functional
More informationAcUMEDr. FoREARM ROD SYSTEM
AcUMEDr FoREARM ROD SYSTEM FoREARM ROD SYSTEM Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons, hospitals and their patients. Our strategy has been
More informationAcUMEDr. Olecranon Threaded Compression Rod
AcUMEDr Olecranon Threaded Compression Rod Olecranon Threaded Compression Rod Since 1988, Acumed has been designing solutions to the demanding situations facing orthopaedic surgeons, hospitals and their
More informationTension Band Pin System
Tension Band Pin System Tension Band Pin System Acumed is an industry leader in innovative solutions for extremities and trauma. We are dedicated to pioneering solutions that benefit the patient and drive
More informationSurgical Technique. Fibula Rod System
Surgical Technique Fibula Rod System Acumed is a global leader of innovative orthopaedic and medical solutions. We are dedicated to developing products, service methods, and approaches that improve patient
More informationAnkle Fractures in the Elderly: How to Deal with Poor Bone Quality
: How to Deal with Poor Bone Quality Richard T. Laughlin, MD Professor of Orthopaedic Surgery University of Cincinnati College of Medicine No disclosures relative to this presentation acknowledgement Some
More informationTop 10 Ortho Urgent Care Injuries. J.C. Clark, M.D. ORA Orthopedics
Top 10 Ortho Urgent Care Injuries J.C. Clark, M.D. ORA Orthopedics 10. Proximal Humerus Fractures Treatment Simple sling ICE, pain meds Button-down shirts Recliner to sleep in It will be up to the surgeon
More informationDistal Femur Fractures in The Elderly The Ideal Construct
Distal Femur Fractures in The Elderly The Ideal Construct Tak-Wing Lau Department of Orthopaedics and Traumatology Queen Mary Hospital The University of Hong Kong Singapore Trauma 2015 Trauma Through the
More informationSurgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE
Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a
More informationVasu Pai FRACS, MCh, MS, Nat Board Ortho Surgeon Gisborne
Vasu Pai FRACS, MCh, MS, Nat Board Ortho Surgeon Gisborne FRACTURE MANAGEMENT I Simple closed fracture : Complete or Incomplete Stable or unstable II Open fracture III Multiple fracture IV Polytrauma Fractures
More informationNearly all of these fractures are displaced, given the paucity of soft tissue attachments.
CAPITELLAR FRACTURE Vasu Pai Nearly all of these fractures are displaced, given the paucity of soft tissue attachments. Nonsurgical management is fraught with complications including chronic pain, mechanical
More informationPROXIMAL HUMERUS FRACTURE TSHT 2017
PROXIMAL HUMERUS FRACTURE TSHT 2017 ANIL DUTTA, M.D. ASSOCIATE PROFESSOR Displacement > 1 cm Angulation > 45 degree SHOULDER AND ELBOW SURGERY UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER SAN ANTONIO DISCLOSURE
More informationTerrible Triad: Tricks for Dealing with the Unstable Elbow
Terrible Triad: Tricks for Dealing with the Unstable Elbow Mark A. Mighell, MD Kaitlyn N. Christmas, BS Disclosure Paid Consultation Research Support Speakers Bureau Paid Consultation Speakers Bureau The
More informationOsteosynthesis involving a joint Thomas P Rüedi
Osteosynthesis involving a joint Thomas P Rüedi How to use this handout? The left column contains the information given during the lecture. The column at the right gives you space to make personal notes.
More informationEfficacy and safety of tension band wiring versus plate fixation in olecranon fractures: a systematic review and meta-analysis
Ren et al. Journal of Orthopaedic Surgery and Research (2016) 11:137 DOI 10.1186/s13018-016-0465-z RESEARCH ARTICLE Open Access Efficacy and safety of tension band wiring versus plate fixation in olecranon
More informationBiomechanical and Clinical Evaluation of a New Operative Technique
27 Posterior Olecranon Plating Biomechanical and Clinical Evaluation of a New Operative Technique Nirmal C. Tejwani, M.D., Ian R. Garnham, F.R.C.S., Philip R. Wolinsky, M.D., Frederick J. Kummer, Ph.D.,
More informationSurgical Technique. Olecranon Locking Plate
Surgical Technique Olecranon Locking Plate PERI-LOC Locked Plating System Olecranon Locking Plate Surgical Techniquealog Infor Table of Contents Introduction...2 Indications...3 Plate Features...3 Patient
More informationFlower Opening Wedge Plate
Flower Opening Wedge Plate PROCEDURE GUIDE www.flowerortho.com The Flower Foot & Ankle Application NC FUSION PLATE 2-HOLE COMPRESSION PLATE TMT FUSION PLATE LAPIDUS FUSION PLATE COMPRESSION T-PLATE, OBLIQUE
More informationDistal radius fractures
Distal radius fractures One of the most common fractures seen by orthopaedic surgeons Incidence 195.2/100,000 persons per year Significant financial burden Distal radius fractures Improved implants ORIF
More informationRehabilitation after Total Elbow Arthroplasty
Rehabilitation after Total Elbow Arthroplasty Total Elbow Atrthroplasty Total elbow arthroplasty (TEA) Replacement of the ulnohumeral articulation with a prosthetic device. Goal of TEA is to provide pain
More informationNE Nebraska Trauma Conference Tristan Hartzell, MD November 8, 2017
NE Nebraska Trauma Conference 2017 Tristan Hartzell, MD November 8, 2017 Traumatic arm injuries in the elderly Fractures Hand Wrist Elbow Shoulder Soft tissue injuries Definitions Elderly? old or aging
More informationThe Flower Proximal Humerus Plate
The Flower Proximal Humerus Plate PROCEDURE GUIDE www.flowerortho.com The Flower Upper Extremity Application PROXIMAL HUMERUS PLATE SMALL BONE PLATES FOUR CORNER FUSION PLATE ANATOMIC DISTAL RADIUS PLATE
More information3.5 mm LCP Extra-articular Distal Humerus Plate
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique Table of Contents Introduction 3.5 mm LCP Extra-articular Distal Humerus
More informationLCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius.
Technique Guide LCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius. Table of Contents Introduction LCP Proximal
More informationTHE HUMERUS 20 THE HUMERUS* CROSS SECTION CROSS SECTION SUPERIOR VIEW
20 THE HUMERUS* CROSS SECTION CROSS SECTION SUPERIOR VIEW The marrow canal of the humerus is funnel-shaped. Its successful pinning is influenced by many factors. With a few exceptions, the entire humerus
More informationOther Elbow Concerns in Overhead Athletes
Other Elbow Concerns in Overhead Athletes John A. Steubs, M.D. Team Physician, Minnesota Twins TRIA Orthopaedic Center Disclosures None relevant to this presentation. Other Elbow Problems Valgus extension
More informationWhat s New in the Treatment of Proximal Humerus Fractures?
NHMI Winter Meeting Stowe, VT January 2015 What s New in the Treatment of Proximal Humerus Fractures? John Bell, M.D., M.S. Associate Professor Shoulder and Elbow Surgery Dartmouth-Hitchcock Medical Center
More information7/23/2018 DESCRIBING THE FRACTURE. Pattern Open vs closed Location BASIC PRINCIPLES OF FRACTURE MANAGEMENT. Anjan R. Shah MD July 21, 2018.
BASIC PRINCIPLES OF FRACTURE MANAGEMENT Anjan R. Shah MD July 21, 2018 DESCRIBING THE FRACTURE Pattern Open vs closed Location POLL OPEN HOW WOULD YOU DESCRIBE THIS FRACTURE PATTERN? 1 Spiral 2 Transverse
More information2.7 mm/3.5 mm LCP Distal Fibula Plate System. Part of the Synthes locking compression plate (LCP) system.
2.7 mm/3.5 mm LCP Distal Fibula Plate System. Part of the locking compression plate (LCP) system. Anatomically contoured Multiple screw options for fixedangle support Coaxial holes minimize screw head
More informationPediatric Fractures. Objectives. Epiphyseal Complex. Anatomy and Physiology. Ligaments. Bony matrix
1 Pediatric Fractures Nicholas White, MD Assistant Professor of Pediatrics Eastern Virginia Medical School Attending, Pediatric Emergency Department Children s Hospital of The King s Daughters Objectives
More informationHUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do?
HUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do? TRAUMA 101 2018 FRACTURE CARE FOR THE COMMUNITY ORTHOPEDIST William W. Cross III, MD Assistant Professor Division of Orthopaedic Trauma Chair, Division
More informationLocking Proximal Humerus Plate. For complex and unstable fractures.
Locking Proximal Humerus Plate. For complex and unstable fractures. Features and Benefits Anatomic design & low profile (2.2mm) 95 No bending required Minimised soft tissue irritation Low risk of subacromial
More informationTechnique Guide. 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.
Technique Guide 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology. Table of Contents Introduction 2.4 mm Variable Angle LCP
More informationHand Fracture System with Small Bone External Fixation System. Product Overview
Hand Fracture System with Small Bone External Fixation System Product Overview Acumed Hand Fracture System The Acumed Hand Fracture System is designed to provide both standard and fracture-specific fixation
More informationEVOS MINI with IM Nailing
Case Series Dr. John A. Scolaro EVOS MINI with IM Nailing A series of studies Introduction Intramedullary nailing has become the standard for many long bone fractures. Fracture reduction prior to nail
More informationLCP Distal Humerus Plates
The anatomic fixation system for the distal humerus with angular stability Surgical technique LCP Locking Compression Plate Contents Indications and contraindications 2 Implants 3 Instruments 5 Preparation
More informationFractures of the Radial and Ulnar Shafts In the Pediatric Patient
Fractures of the Radial and Ulnar Shafts In the Pediatric Patient Kaye E Wilkins DVM, MD Professor of Orthopedics and Pediatrics Departments of Orthopedics and Pediatrics University of Texas Health Science
More informationINTERNAL FIXATION OF THE METACARPALS AND PHALANGES P. BURGE
Riv Chir Mano - Vol. 43 (3) 2006 INTERNL FIXTION OF THE METCRPLS ND PHLNGES P. URGE Nuffield Orthopaedic Centre, Oxford, UK SUMMRY Techniques and instrumentation for open reduction and internal fixation
More information2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System.
2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System. Technique Guide Instruments and Implants approved by the AO Foundation Table of Contents Introduction 2.4 mm LCP Radial
More informationConventus CAGE PH Surgical Techniques
Conventus CAGE PH Surgical Techniques Conventus Orthopaedics The Conventus CAGE PH (PH Cage) is a permanent implant comprised of an expandable scaffold, made from nitinol and titanium, which is deployed
More informationInjuries of the upper extremity
Injuries of the upper extremity Dep. of Traumatology M.Szebeny Egon Schiele Sternoclavicular dislocation Direction: towards the outside or inside (what is behind the dislocation!) Reduction? Retention?
More informationLong Volar Plates for Diaphyseal-Metaphyseal Radius Fractures LCP. Dia-Meta Volar Distal Radius Plates. Surgical Technique
Long Volar Plates for Diaphyseal-Metaphyseal Radius Fractures LCP Dia-Meta Volar Distal Radius Plates Surgical Technique Table of Contents Introduction LCP Dia-Meta Volar Distal Radius Plates 2 AO Principles
More informationCase Presentation: Comminuted Radial Head Fracture
11/28/2017 Current Solutions in Orthopaedic Trauma Case Presentation: Comminuted Radial Head Fracture Melvin P. Rosenwasser, MD Robert E. Carroll Professor of Surgery of the Hand Chief, Orthopaedic Hand
More informationWrist Fixation System
Wrist Fixation System Anatomy / Fracture Implant EXTRA & SIMPLE ARTICULAR Volar Radius Volar Fixed Angle Plate Volar Bearing Plate Radial Peg Plate Volar Hook Plate Volar Buttress Pin Volar Shear Plate
More informationTranscapsular Buttonholing of the Proximal Ulna as a Cause for Irreducible Pediatric Anterior Elbow Dislocation.
Transcapsular Buttonholing of the Proximal Ulna as a Cause for Irreducible Pediatric Anterior Elbow Dislocation. Nick N. Patel, Emory University Robert W. Bruce, Emory University Journal Title: Case report
More informationSurgical Technique. Tension Band Pin System
Surgical Technique Tension Band Pin System Acumed is a global leader of innovative orthopaedic and medical solutions. We are dedicated to developing products, service methods, and approaches that improve
More informationRecurrent subluxation or dislocation after surgical
)263( COPYRIGHT 2017 BY THE ARCHIVES OF BONE AND JOINT SURGERY CASE REPORT Persistent Medial Subluxation of the Ulna with Radiotrochlear Articulation Amir R. Kachooei, MD; David Ring, MD, PhD Research
More informationSurgical Technique. Clavicle Locking Plate
Surgical Technique Clavicle Locking Plate PERI-LOC Locked Plating System Clavicle Locking Plate Surgical Technique Table of Contents Introduction...2 Indications...3 Plate Features...3 Patient Positioning...4
More informationPeritroch Hip Fractures. Robert M Harris MD. Hip Fractures. Factors Influencing Construct Strength: Uncontrolled factors 4/28/2016
Peritroch Hip Fractures Should be treated with an IMHS Robert M Harris MD Hip Fractures General principles Approximately 250,000 hip fractures/ year Cost approximately $8.7 billion annually The number
More informationLCP Extra-articular Distal Humerus Plate.
Technique Guide LCP Extra-articular Distal Humerus Plate. The anatomically shaped and angular stable fixation system for extraarticular fractures of the distal humerus. Table of Contents Introduction
More informationE ORIGINAL ARTICLE Low extra-articular (transcondylar) fractures of the distal humerus
Shoulder & Elbow. ISSN 1758-5732 E ORIGINAL ARTICLE Low extra-articular (transcondylar) fractures of the distal humerus Alexander A. Weening, Kim M. Brouwer, Margaritha Adams & David Ring Orthopaedic Hand
More informationThe Flower Four Corner Fusion Plate
The Flower Four Corner Fusion Plate PROCEDURE GUIDE www.flowerortho.com The Flower Upper Extremity Application PROXIMAL HUMERUS PLATE SMALL BONE PLATES FOUR CORNER FUSION PLATE ANATOMIC DISTAL RADIUS PLATE
More informationAO / Synthes Proximal Posterior Medial Tibia Plate. Tibial Plateau Fx. Osteosynthesis
Tibial Plateau Fx. Osteosynthesis Articular Fractures Osteosynthesis Characteristics of the LCP system LCP 3.5 system LCP 4.5 system Many different traditional plates (small, large) Lag screws Rafting
More informationTechnique Guide. 2.7 mm/3.5 mm LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 2.7 mm/3.5 mm LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 2.7 mm/3.5 mm LCP Distal Fibula Plates 2 AO Principles
More informationIndex. B Backslap technique depth assessment, 82, 83 diaphysis distal trocar, 82 83
Index A Acromial impingement, 75, 76 Aequalis intramedullary locking avascular necrosis, 95 central humeral head, 78, 80 clinical and functional outcomes, 95, 96 design, 77, 79 perioperative complications,
More informationMidfoot - Reduction & Fixation - ORIF - screw fixation - AO Surgery Reference. ORIF - screw fixation
Midfoot - TMT (Lisfranc) injury 1. Diagnosis ORIF - screw fixation Authors Mechanism of the injury Tarso-metatarsal (Lisfranc) injuries may be caused by direct or indirect forces. Direct forces include
More informationTechnique Guide. 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Proximal Humerus Plate 2 AO Principles
More informationMark VanDer Kaag 1, Ajmal Ikram 2. Hand Unit, Tygerberg Hospital University of Stellenbosch
A Prospective, Randomized Controlled Study To Determine The Radiological And Functional Outcomes Of IMN Fixation Of Distal Radius Fractures Using A Novel Device The Sonoma Wrx Distal Radius Nail Compared
More informationClinical. Solutions. Synthes Solutions. Foot and Ankle.
Clinical Solutions Foot and Ankle. Foot and Ankle. Fractures of the tibial shaft Fractures of the distal fibula Fractures of the distal tibia Fractures and osteotomies of the calcaneus Arthrodesis Fractures,
More informationRadial - Head Fractures. Christophe Spormann Endoclinic Zürich
Radial - Head Fractures Christophe Spormann Endoclinic Zürich Elbow Func6on > 90% Ac6vi6es of daily living : 100 Flexion Extension : 130-30 Pro Supina9on : 50-0 - 50 Extension deficit beeer tolerated than
More informationAnkle Fractures: The Bad and the Ugly
Ankle Fractures: The Bad and the Ugly Florida Podiatric Medical Association Science & Management Symposium January 12, 2018 Alan A. MacGill, DPM, FACFAS, AO Fellow Director, Foot & Ankle Surgery Residency
More informationA prospective study of surgical management of distal end humerus fractures in adults
2016; 2(4): 223-229 ISSN: 2395-1958 IJOS 2016; 2(4): 223-229 2016 IJOS www.orthopaper.com Received: 06-08-2016 Accepted: 07-09-2016 Dayanand BB Associate Professor, Shri BM Patil Medical College Hospital
More informationElbow, forearm injuries. K. Fekete
Elbow, forearm injuries K. Fekete 1. Outline: Fractures of the elbow Dislocation of the elbow Fractures of the forearm Special injuries 2. ANATOMY 3. Lennard Funk Anatomical reminder Three joints: Humero-ulnar
More informationMinimally Invasive Plating of Fractures:
Minimally Invasive Plating of Fractures: Advantages, Techniques and Trade-offs Matthew Garner, MD Created January 2016 OUTLINE Principles of fracture management The importance of vascular supply Equipment
More informationLISS DF and LISS PLT. Less Invasive Stabilization Systems for Distal Femur and Proximal Lateral Tibia.
LISS DF and LISS PLT. Less Invasive Stabilization Systems for Distal Femur and Proximal Lateral Tibia. LISS DF and LISS PLT. Less Invasive Stabilization Systems for Distal Femur and Proximal Lateral Tibia.
More informationAcUMEDr. Locking Proximal Humeral Plate. PoLARUSr PHPt
AcUMEDr Locking Proximal Humeral Plate PoLARUSr PHPt PoLARUSr PHPt LOCKING PROXIMAL HUMERAL PLATE Since 1988 Acumed has been designing solutions to the demanding situations facing orthopedic surgeons,
More informationInstrument and Implant for wrist fracture
Instrument and Implant for wrist fracture Jansri Janpanya Product specialist The Bangkok Unitrade Co,.ltd. Objectives Type of LCP for distal radius Fx. The new LCP design for distal radius Fx. Have knowledge
More informationProximal Humerus Fractures
Proximal Humerus Fractures Trafford General Hospital, June 2010 Nehmat Singh, Jawad Sultan Anatomy of the Proximal Humerus Consists of four parts: humeral head, surgical neck and greater and lesser tubercles
More informationFactors Associated With Reoperation After Fixation of Displaced Olecranon Fractures
Clin Orthop Relat Res (2016) 474:193 200 DOI 10.1007/s11999-015-4488-2 Clinical Orthopaedics and Related Research A Publication of The Association of Bone and Joint Surgeons CLINICAL RESEARCH Factors Associated
More informationDisclosures. Distal Radius Fractures 5/16/2017. Distal Radius Fractures: Complications & Limitations of the Volar Approach
Distal Radius Fractures: Complications & Limitations of the Volar Approach Frank R. Avilucea, MD Assistant Professor Department of Orthopaedic Surgery University of Cincinnati Medical Center Disclosures
More informationINnate. Surgical Technique Guide. Anatomic Fixation in Your Hands. The INnate Implant
INnate Surgical Technique Guide The INnate Implant Anatomic Fixation in Your Hands www.exsomed.com INDICATIONS FOR USE The ExsoMed INnate Cannulated Screw System is intended for fixation of intra-articular
More informationP.R.C.T II FIXATION PLATE FOR ARTICULAR FRACTURE OF THE PROXIMAL HUMERUS SURGICAL TECHNIQUE
P.R.C.T II FIXATION PLATE FOR ARTICULAR FRACTURE OF THE PROXIMAL HUMERUS SURGICAL TECHNIQUE INDICATIONS - Surgical technique...page 0 - Mini invasive approach...page 04 - Diaphyseal plates...page 05 -
More information2.4 mm LCP Volar Column Distal Radius Plates. Part of the 2.4 mm LCP Distal Radius System.
2.4 mm LCP Volar Column Distal Radius Plates. Part of the 2.4 mm LCP Distal Radius System. 12 anatomically shaped volar plates Multiple screw options for fixedangle support to articular surface Combi holes
More informationFractures of the tibia shaft treated with locked intramedullary nail Retrospective clinical and radiographic assesment
ARS Medica Tomitana - 2013; 4(75): 197-201 DOI: 10.2478/arsm-2013-0035 Șerban Al., Botnaru V., Turcu R., Obadă B., Anderlik St. Fractures of the tibia shaft treated with locked intramedullary nail Retrospective
More information