1/155. Articular fractures of the proximal interphalangeal joint with missing elements: repair with partial toe joint osteochondral autografts.Five cases of traumatic destruction of a condyle of the proximal interphalangeal joint repaired with a free autogenous graft of a corresponding toe condyle are presented. Precise fitting is essential: 1 patient required a second graft when the initial undersized graft was absorbed. Four of the 5 cases regained laterally stable bicondylar joints and functional fingers. Range of motion varied inversely to the magnitude of the injury and the surgery. Active range of motion at the proximal interphalangeal joint was 80 degrees in 2 digits, 45 degrees in 1, and 10 degrees in 1 complex case; 1 case was considered a failure.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
2/155. Triplane fractures in the hand.Two new cases of triplane fracture of the distal tibia are reported in the proximal phalanx of the thumb and the distal radius, respectively, of a 12-year-old girl and a 13-year-old boy. Neither fracture showed any displacement, achieving healing at 4 weeks of external immobilization. Triplane fractures can occur across growth plates other than the distal tibia. Because of the rapid physiologic physeal arrest, the potential for growth deformity is null. In cases without displacement, these fractures should be treated conservatively by external immobilization, as one would treat a one-plane fracture.- - - - - - - - - - ranking = 2.25keywords = fracture (Clic here for more details about this article) |
3/155. Salter-Harris type III and IV epiphyseal fractures in the hand treated with tension-band wiring.We present tension-band wiring in the treatment of Salter-Harris types III and IV avulsion fractures in the hand. By placing a small-gauge wire through the insertion of the ligament into the fracture fragment, accurate reduction and stability, allowing early mobilization, are achieved, avoiding many of the pitfalls and complications of other methods of internal fixation. The technique is simple and adheres to important physiological and biomechanical principles.- - - - - - - - - - ranking = 1.5keywords = fracture (Clic here for more details about this article) |
4/155. The Bone Tie. A new device for interfragmentary fixation.A new method of bone fixation is described, using a small stainless steel device to provide compression between fragments with a single drill hole. The Bone Tie uses an old architectural principle to hold bone fragments together with minimal surgical dissection for access. The technique has been used in 14 cases, and the results are presented. In ten cases the outcome was good. Complications were encountered in four, mostly through technical error, although the final outcomes were acceptable.- - - - - - - - - - ranking = 0.00040787528156111keywords = compression (Clic here for more details about this article) |
5/155. Avascular necrosis of the distal phalangeal epiphysis following physeal fracture: a case report.Avascular necrosis of the distal phalangeal epiphysis following an unrecognized angulated Salter II fracture of the distal phalanx treated by open reduction and internal fixation resulted in premature closure of the growth plate and mild shortening. The epiphysis itself revascularized and good function of the distal interphalangeal joint was maintained.- - - - - - - - - - ranking = 1.25keywords = fracture (Clic here for more details about this article) |
6/155. Irreducible phalangeal fracture in a child due to flexor tendon entrapment.A 4-year-old girl sustained a longitudinal shaft fracture of the proximal phalanx of the ring finger. The fracture was irreducible by closed manipulation and required open reduction. The fragments were separated by both flexor tendons near the level of Camper's chiasma, which caused a "pinching" phenomenon when manipulative reduction was attempted. The case presented reveals that an irreducible fracture should be suspected in hyperextension injuries with severe angulation when rubbery resistance is noted at the time of closed manipulation.- - - - - - - - - - ranking = 1.75keywords = fracture (Clic here for more details about this article) |
7/155. Treatment of triplane fractures of the head of the proximal phalanx.We report the morphology and treatment of 2 cases of a triplane intra-articular bicondylar fracture of the head of the proximal phalanx. Fracture lines in the coronal, sagittal, and transverse planes characterize this fracture, making it highly unstable. Open reduction and internal fixation using two 1.5-mm interfragmentary screws oriented in a dorsal to volar direction resulted in anatomic restoration of the articular surfaces and satisfactory functional results. In 1 case, autogenous cancellous bone graft was harvested from the ipsilateral radial styloid to support the articular fragments.- - - - - - - - - - ranking = 1.5keywords = fracture (Clic here for more details about this article) |
8/155. Irreducible juxta-epiphyseal fracture due to entrapment of extensor hood: a case report.A case of irreducible juxta-epiphyseal fracture of the proximal phalanx of the little finger is presented. The extensor hood was trapped under the proximal end of the distal fracture fragment and open reduction was necessary. An open reduction was performed using the dorsal approach, with good results.- - - - - - - - - - ranking = 1.5keywords = fracture (Clic here for more details about this article) |
9/155. Infections of the hand.In this paper the importance is stressed of the dangers associated with neglecting hand infections in Paua new guinea, where, for understandable reasons, there is a tendency for people to be slow in seeking treatment. The prevention of hand infections is emphasised, and the principles in regard to rest, antibiotic therapy, and surgical decompression are discussed. The more common types of hand infection are described, with particular reference to surgical anatomy and surgical drainage. Some of the more complicated infections such as middle palmar and thenar space infections, suppurative tenosynovitis, osteomyelitis and septic arthritis are of sufficient importance to warrant the attentions of the specialist surgeon when this is possible.- - - - - - - - - - ranking = 0.00040787528156111keywords = compression (Clic here for more details about this article) |
10/155. Operative treatment of mallet finger due to intra-articular fracture of the distal phalanx.Treatment of a mallet finger due to an intra-articular fracture of the distal phalanx involving one-third or more of the articular surface is controversial. Thirty-three digits with such fractures were treated by open reduction and internal fixation with Kirschner wires. Of these 33 fractures, 13 were associated with subluxation of the distal phalanx. After an average follow-up period of 29 months, the average loss of extension of the distal phalanx was 4 degrees, and the average flexion of the distal interphalangeal joint was 67 degrees. Radiographs of the distal joint in 27 digits appeared normal, while in the remaining 6 digits, slight degenerative changes were noted. In one there was a minor surgical complication. By using the operative technique described, a congruous reduction of the inta-articular fracture and satisfactory function were achieved.- - - - - - - - - - ranking = 2keywords = fracture (Clic here for more details about this article) |
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