Ilizarov circular external fixator for open olecranon fractures - a report of 3 cases

WOS: 000079200100024PubMed ID: 1019176

Sustainability of Constructions. Van Abbemuseum, Eindhoven

Eindhoven is a city of the Netherlands. Van Abbemuseum is a newly re ovated museum in 2003. The historical museum building, dating from 1936, is designed by architect Kropholler, and architect Abel Cahen designed the integration into the spectacular new wing. Also the old part of the museum is welcoming to the visitors from the main street, while the small pink aluminium cladded entrance house is an entrance to the new wing

Antegrade nailing of femoral shaft fractures combined with neck or distal femur fractures - A retrospective review of 25 cases, with a follow-up of 36-150 months

WOS: 000186778500007PubMed ID: 13680274Introduction. Complex femoral fractures pose considerable therapeutic challenges to orthopedic surgeons. We present a retrospective review of 25 patients with complex femoral fractures treated with intramedullary locked nailing and supplemental screw fixation. Materials and methods. Fifteen patients with ipsilateral femoral neck and shaft fractures (group 1) and 10 patients with ipsilateral femoral shaft and distal femur fractures (group 2) were treated from 1990 to 1998. High-energy injuries occurred in all patients. There were 4 open fractures. Antegrade, locked nailing of diaphyseal fractures was performed in all cases. Supplemental screws for the neck were used in all patients in group 1 and in 3 patients in group 2. Results. All of the fractures united during the follow-up. Five patients in group 1 underwent reoperation (33.3%): one due to a delayed union, the second due to an implant failure, the third due to a nonunion of a neck fracture, and the last two because of an initially missed femoral neck fracture. None of the patients in group 2 underwent reoperation. Angular malalignment of the shaft was found in 6 fractures in group 1 (average 4.8(o), range 3(o)-11(o)) and in 4 fractures in group 2 (average 6(o), range 3(o)-12(o)). Shortening of the limb occurred in 3 patients in group 1 (average 1.4 cm, range 1-1.8) and in 1 patient in group 2 (2 cm). Loss of fixation was seen in 1 patient in each group. Avascular necrosis and infection were not seen in any case in both groups. Conclusion. Femoral intramedullary nails with antegrade or retrograde options for insertion and different locking possibilities have extended the indications to include both diaphyseal and metaphyseal fractures. New nail designs, usually more expensive than the conventional nails, have been introduced into the market for this purpose. One has to keep in mind that antegrade, locked nailing of femoral shaft fractures combined with neck or distal femur fractures is a technically demanding but efficacious procedure. The success rate is high when the technique is meticulously implemented

Treatment of the four-part proxsimal humerus fractures in elderly patients with hemiarthroplasty [Yaşli{dotless} hastalardaki dört parça proksimal humerus ki{dotless}ri{dotless}klari{dotless}ni{dotless}n hemiartroplati ile tedavisi]

Objectives: In this study, elderly patients treated by hemiarthroplasty for the four-part proximal humerus fractures were retrospectively evaluated. Patients and methods: Twenty-eight patients 60 years of age and above who underwent hemiarthroplasty for the four-part humerus proximal shaft fractures between years 1991-2005 were evaluated. The mean age was 67.7 years (61-82). Nine patients were male and 19 patients were female. Cause of fracture in 11 cases was traffic accidents (39.3 %) and in 17 cases it was a simple fall (60.7 %). Results: The mean follow-up time was 54.5 (26-153) months. Rehabilitation started at the end of the first week of surgery. All the cases were evaluated according to the Neer Scoring System. The mean Neer score was 77.1 (32-92). Results were excellent in 14.3%, adequate in 46.4%, inadequate in 28.6% and unsuccessful in 10.7% of the cases. Conclusion: Primary shoulder hemiarthroplasty is a preferred treatment method in elderly patients having four-part humerus proximal fractures despite limited excellent results. Presence of osteoporosis, high osteonecrosis risk and difficulties in internal fixation amend the outcome