Cannulated screw and hexapodal fixator reconstruction for compound upper tibial fractures

OBJECTIVES: The aim of the treatment of tibial plateau fractures is to obtain a pain-free and fully functional knee with closed reduction, percutaneous cannulated screw fixation and hexapodal external fixator reconstruction for high energy compound upper tibial fractures. METHODS: Patients with comminuted tibial plateau fractures underwent closed reduction, percutaneous fixation with cannulated screws, and reconstruction with hexapodal external fixator. The follow-up period was 24 months. RESULTS: The clinical and radiological results were good or excellent. The average knee flexion was 125°. CONCLUSION: Our results are successful in the initial stage, however, it should be pointed out that during the long term follow-up osteoarthritis may develop leading to worsening of the condition. Level of Evidence IV, Case Series

Distal Tibial Reconstruction with Use of a Circular External Fixator and an Intramedullary Nail

BACKGROUND: Distal tibial reconstruction with use of an external fixator when there is bone loss, limb-length discrepancy, and/or ankle instability is associated with many problems. The technique of limb-lengthening, ankle arthrodesis, and segmental transfer over an intramedullary nail has been introduced to overcome these problems. The present study investigates this combined technique

Primer epifiz lokalizasyonlu Ewing sarkomu: Olgu sunumu

Ewing sarcoma is a frequently seen malignant bone tumor of the childhood. The tumor involves the diaphyseal and metaphyseal bone and cases located in the epiphysis are unusual. We present a case of Ewing sarcoma limited to the epiphysis in an immature skeleton. We would like to emphasize the importance of the biopsy without contaminating the joint space which will reduce the morbidity during the curative surgery.Çocukluk çağı tümörlerinden Ewing sarkomu sık görülen, habis bir kemik patolojisidir. Diyafizer ve metafizer kemiklerde lokalize olan tümörün epifizde yerleşimi alışılmış değildir. Bu yazıda, iskelet olgunlaşmasını tamamlamamış bir hastada epifizde sınırlanmış Ewing sarkomu olgusunu sunuyoruz. Eklemi kontamine etmeden gerçekleştirilecek biyopsinin küratif cerrahi sırasında morbiditeyi azaltmadaki etkisine dikkat çekmek isteriz

Orthopedic Surgical Oncology For Bone Tumors

Malignant bone and soft tissue tumors are rare diseases that commonly require complex reconstruction following wide resection. The reconstruction may be biologic or non-biologic (endoprosthetic). Each has its own advantages and disadvantages and has some common and unique complications. Implant failure, loosening, and infection are the major complications in the endoprosthetic reconstructions group. This chapter focuses on cases of endoprosthetic reconstructions and the encountered complications, as well as their management

Comparative clinical study on deformity correction accuracy of different external fixators

Purpose In this study, the correction accuracy of Smart Correction spatial fixators and of Ilizarov-type external fixators are compared in terms of deformity complexity

Indirect reduction of the radial head using an external fixator to treat chronic radial head dislocations

Objectives: We evaluated the results of indirect reduction of the radial head via a circular external fixator in pediatric patients with unilateral chronic radial head dislocation