Browsing by Subject "open reduction"

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    Intra-articular fractures of the tibial plafond. A comparison of the results using articulated and ring external fixators
    (2004) Okcu G.; Aktuglu K.
    We retrospectively reviewed 60 fractures of the tibial plafond treated by either an ankle-sparing diaphyseal-epiphyseal technique using the Ilizarov ring fixator or by an ankle-spanning technique using a monolateral articulated external fixator. The Ilizarov ring fixator was applied in 24 fractures and the monolateral articulated transarticular external fixator in 20. Both techniques were combined with limited open reduction and internal fixation of the articular surface if necessary. Between three and nine years after the injury, all patients returned for clinical and radiological assessment and evaluation of ankle function using the modified Mazur score. There were no significant differences between the two groups in terms of age, gender, mechanism of injury, type of fracture or length of follow-up. The mean functional ankle score was 86 points for the Ilizarov group and 82 points for the articulated fixator group. The difference was not significant (p = 0.07). There were no significant differences between the groups with regard to the radiographic score and late complications. Patients treated with the Ilizarov ring fixator had significantly better ankle and subtalar movement. We conclude that both techniques of external fixation are satisfactory methods of treatment for fractures of the tibial plafond, but that the total arc of movement of the joint is preserved better without bridging the ankle. © 2004 British Editorial Society of Bone and Joint Surgery.
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    Treatment options for radial neck fractures in children
    (2009) Okcu G.
    Fractures of the neck of the radius in children are an unsolved and difficult problem. It is a comparatively rare injury and constitutes 5-10% of all elbow fractures. Its prognosis has been considered to be relatively good by many. On the other hand, these fractures remain a source of considerable controversy and have many possible complications that are usually hazardous for the elbow function. The complex anatomy of the elbow and its vascular blood supply makes treatment challenging. The radial head and its blood supply can be damaged by the original trauma and/or by surgical trauma, such as open reduction or forceful manipulations. The choice of treatment is determined by the degree of radial head angulation, which also affects the long-term results. Severe angulation and translation increases the risk of complications, mainly malunion, avascular necrosis of the head, cubitus valgus and stiffness of the joint. Conservative treatment is usually successful for the nondisplaced and minimally displaced fractures. Many studies have postulated that fractures with moderate or severe angulation require reduction. Several methods have been described for fracture reduction, but they are not without complications. In January 1980, Metaizeau proposed intramedullary nailing as a surgical option for the treatment of radial neck fractures. The main advantage of intramedullary nailing is that it simultaneously allows accurate and stable reduction without disturbing the blood supply. © 2009 Future Medicine Ltd.