Aims. Distal third
Aim. The number of operatively treated
Implant removal after
Neer type 2 fractures of the distal third of the
Purpose. Plating remains the most widely employed method for the fixation of displaced diaphyseal
To determine the outcome of
Introduction. The Constant Score (CS) and the Oxford Shoulder Score (OSS) are shoulder scoring systems routinely used in the UK. Patients with Acromio-Clavicular Joint (ACJ) and Sterno-Clavicular Joint (SCJ) injuries and those with
Abstract. Aim. The aim of this study was to present the results of treatment of displaced lateral
Recently, a new generation of superior
Operative management of
This study investigated the anatomical relationship between the
This randomised study compared outcomes in patients with displaced fractures of the
Background.
Fractures of the
Neer Type-IIB lateral
Abstract. Objectives.
In Neer type II (Robinson type 3B) fractures
of the distal
Purpose. Intramedullary fixation of
Last decade, a shift towards operative treatment of midshaft clavicle fractures has been observed [T. Huttunen et al., Injury, 2013]. Current fracture fixation plates are however suboptimal, leading to reoperation rates up to 53% [J. G. Wijdicks et al., Arch. Orthop. Trauma Surg, 2012]. Plate irritation, potentially caused by a bad geometric fit and plate prominence, has been found to be the most important factor for reoperation [B. D. Ashman et a.l, Injury, 2014]. Therefore, thin plate implants that do not interfere with muscle attachment sites (MAS) would be beneficial in reducing plate irritation. However, little is known about the
Aim. Diagnosis of
A number of studies have described the epidemiological characteristics of
Twenty fresh-frozen
Aim: To determine the accuracy of the posterior-to-anterior (PA) 15 degrees caudad view of the
Assess the outcome of plating of lateral end
Abstract. Introduction. In our quality improvement project we implemented a novel pathway, performing acute fixation in mid-third
Background. A number of studies have described the epidemiological characteristics of
There is no clear consensus regarding the indications for surgical treatment of middle third
Aims. This study identifies early risk factors for symptomatic nonunion
of displaced midshaft fractures of the
We are presenting a prospective study of 25 patients with
This study aimed to evaluate the effect of clavicular shortening, measured by three-dimensional computerized tomography (3DCT), on functional outcomes and satisfaction in patients with healed, displaced, midshaft clavicle fractures up to one year following injury. The data used in this study were collected as part of a multicenter, prospective randomized control trial comparing open reduction and plate fixation with nonoperative treatment for displaced midshaft
Primary bone tumours of the
To investigate the incidence of complications arising from
We report the results of anterior plate fixation for symptomatic, mid-shaft
Abstract. Background. Distal third
1. Thirteen cases of congenital pseudarthrosis of the
Background: Distal third fractures account for 10 to 15% of all
Despite the vast quantities of published artificial intelligence (AI) algorithms that target trauma and orthopaedic applications, very few progress to inform clinical practice. One key reason for this is the lack of a clear pathway from development to deployment. In order to assist with this process, we have developed the Clinical Practice Integration of Artificial Intelligence (CPI-AI) framework – a five-stage approach to the clinical practice adoption of AI in the setting of trauma and orthopaedics, based on the IDEAL principles ( Cite this article:
Several recent studies have shown an increased incidence of symptomatic non-unions and malunions after non-operative treatment of displaced
Although most uncomplicated paediatric fractures do not require routine long-term follow-up with an orthopaedic surgeon, practitioners with limited experience dealing with paediatrics fractures will often defer to a strategy of unnecessary frequent clinical and radiographic follow-up. Development of an evidence-based clinical care pathway may help reduce unnecessary radiation exposure to this patient population and reduce costs to patient families and the healthcare system. A retrospective analysis including patients who presented to SickKids hospital between October 2009 and October 2014 for management of
Introduction Displaced fractures of the midshaft
Purpose: To document outcomes and patient satisfaction in relation to the incision used following
Reports of excision of the
Purpose of the study: Congenital pseudarthrosis of the
Purpose. In a previously published multicenter randomized clinical trial it was shown that young patients (16–60 years-old) with displaced mid-shaft
Introduction: Pathological fracture of the
To assess patient following operative fixation of
Background. This is a continued assessment of the effectiveness of a locked intramedullary device in the treatment of acute
Fracture of the
Purpose: Injury to the
1. Thirty-three cases of congenital pseudarthrosis of the
Background. Level 1 studies for fracture management of upper extremity fractures remains rare. The influence of these studies on management trends has yet to be evaluated. The purpose of this study was to examine alterations in national trends managing mid-shaft
Fractures of the
Introduction: Swellings of the medial end of the
The aim of this study was to assess the outcome of a pre-contoured anatomic plate in the treatment of midshaft clavicle fractures. We treated thirty patients consecutively for middle third
Malformation and hypoplasia of the
Introduction: The combined fractures of the
Purpose:. To review the union rates, outcomes and complications of angular stable plating of lateral third
Purpose of study:. To assess the effectiveness of a novel locked intra-medullary device in the treatment of acute
Purpose. Open reduction and plate fixation of displaced mid-shaft
Background: We compared five classification systems for
Background: The aim of this study was to analyse mid-shaft
Aim: Distal
Introduction: The severity of symptoms, rate and completeness of recovery after closed treatment of the fractured
Introduction Unstable distal
Introduction.
Non-operative treatment of lateral
Disruption of the coraco-clavicular ligaments may be associated with either dislocation of the AC joint or fracture of the distal
Background. This is an epidemiological study of patients with middle third
Introduction and Aims: Acromioclavicular dislocations and fractures of the distal
Acromioclavicular (AC) joint dislocations and fractures of the distal
Introduction:. Displaced and shortened
Background: Tumors and tumor-like lesions of the
Purpose of Study Disruption of the coraco-clavicular ligaments may be associated with either dislocation of the Acromioclavicular joint or fracture of the distal
Background and Aims: Plate fixation of acute mid-shaft
We describe a 46-year-old woman who presented at intervals of seven years with osteonecrosis of the outer end of both
Fractures of the mid-shaft of the
Purpose. The aim of this study was to report the outcomes of a series of patients with
Distal
The cause of pseudarthrosis of the
Aims: Developing a new effective method of
Introduction. The treatment of
We evaluated 242 consecutive fractures of the
Rates of operative fixation for
Introduction:
Displaced fractures of the lateral end of the
Aims. The aim of this study was to compare biomechanical properties of pre-contoured plate fixation using different screw fixation modes in a mid-shaft
Purpose: In a prospective randomized clinical trial, we have previously reported the “limb-specific” results comparing operative (plate fixation) versus non-operative (sling) treatment for completely displaced fractures of the shaft of the
1. A case of solitary myeloma of the
Aim: To review the experience of a tertiary referral shoulder practice in managing a group of patients each of whom presented with disabling pain and loss of function following excision of the distal end of the
We present a complete audit cycle of Emergency Department management of paediatric
1. Two patients with retrosternal dislocation of the
Retrosternal dislocation of the
Retrosternal dislocation of the
1. The symptoms, signs and treatment of three patients with a posterior dislocation of the
1. Congenital pseudarthrosis of the
We describe a new surgical treatment of atrophic nonunion of the
Introduction: Primary surgical treatment has been recommended for unstable clavicular fractures if consequences of non-union or malunion have to be avoided. A prospective study was undertaken to evaluate the results of a conservative treatment of very unstable fractures of the middle third of the
Osteolysis has been reported following ACJ reconstruction with a synthetic graft. We present the first study into its prevalence and pattern, and its effect on patient outcome. Patients who underwent treatment of an unstable ACJ injury using the Surgilig/LockDown implant were identified via our database. Patients were invited to attend a dedicated outpatient clinic for clinical examination, radiographic evaluation, and completion of outcome scoring. Patients who were unable to attend were contacted by telephone. 49 patients were identified. We assessed 21 clinically at a mean of 7 years post-procedure (range 3–11 years). All had radiographic evidence of distal
Background. Open reduction and internal fixation using plate osteosynthesis for midshaft clavicle fractures is often associated with hardware prominance. Although clinical studies have suggested a role for the use of thinner 2.7mm plates as a means of increasing cosmetic acceptability this still remains an area of controversy. We investigated the effect of plate size (2.7mm vs. 3.5mm), plate treatment (annealed vs. cold worked) and number of screws on the stiffness and yield point. Methods. Twenty-four synthetic