Treatment of displaced, proximal, humeral, epiphyseal fractures with a two-prong splint.

Abstract:

:To evaluate the use of a two-prong splint for displaced, proximal, humerus, epiphyseal fractures, seven children with Neer-Horwitz Classification Type 3-4 fractures of the proximal humerus were retrospectively investigated. After closed reduction, fracture stabilization was accomplished with the use of a two-prong splint, and at an average follow-up of 54 months (range 48-62 months), all children were evaluated radiographically and functionally. There were no complications, and all patients had full painless range of shoulder and elbow motion, without malunion, joint incongruity, nonunion, avascular necrosis, and limb-length discrepancy. The results did not change over time. Treatment of displaced, proximal, humeral, epiphyseal fractures with a two-prong splint gives satisfactory results while allowing immediate motion and gradual reduction of the fragments without anesthesia, and it may be the treatment of choice for such injuries in children.

journal_name

J Orthop Trauma

authors

Karatosun V,Unver B,Alici E,Serin E

doi

10.1097/00005131-200309000-00007

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

578-81

issue

8

eissn

0890-5339

issn

1531-2291

journal_volume

17

pub_type

杂志文章
  • Intramedullary interlocked tibia nailing: a new technique (preliminary report).

    abstract::This paper presents a modified surgical technique for interlocked intramedullary stabilization of tibia fractures. An external distractor is used to achieve an indirect fracture reduction on a fluoroscopy table. This method avoids the potential traction complications associated with conventional fracture tables. The f...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Rubinstein RA Jr,Green JM,Duwelius PJ

    更新日期:1992-01-01 00:00:00

  • Stiffness of knee-spanning external fixation systems for traumatic knee dislocations: a biomechanical study.

    abstract:OBJECTIVE:The purpose of this study was to compare the relative stiffness of four common external fixation (XF) configurations used to span and stabilize the knee after knee dislocation. METHODS:Synthetic composite femora and tibiae connected with cords were used to simulate a knee. Four configurations of external fix...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181e3cd4b

    authors: Mercer D,Firoozbakhsh K,Prevost M,Mulkey P,DeCoster TA,Schenck R

    更新日期:2010-11-01 00:00:00

  • Pathomechanical significance of radial head subluxation in the onset of osteochondritis dissecans of the radial head.

    abstract::Osteochondritis dissecans of the elbow mainly involves the capitellum; however, no authors have reported the condition in the radial head with subluxation of the radial head. We report four cases in which osteochondritis dissecans involved the radial head and was accompanied by radial head subluxation. All patients we...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318214d678

    authors: Tatebe M,Hirata H,Shinohara T,Yamamoto M,Morita A,Horii E

    更新日期:2012-01-01 00:00:00

  • Mechanical failure after locking plate fixation of unstable intertrochanteric femur fractures.

    abstract:OBJECTIVES:The aim of this study was analyze modes of mechanical failure in a consecutive cohort of patients and establish possible risk factors. DESIGN:This was a retrospective cohort study. SETTING:The study was conducted at an academic level-1 trauma center. PATIENTS:Twenty-nine patients (mean age 56 years, range...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318251930d

    authors: Streubel PN,Moustoukas MJ,Obremskey WT

    更新日期:2013-01-01 00:00:00

  • Loss of Follow-up in Orthopaedic Trauma: Who Is Getting Lost to Follow-up?

    abstract:OBJECTIVES:Noncompliance with postoperative follow-up visits remains a common problem in orthopaedic trauma. The aim of this study was to identify risk factors for loss of follow-up after orthopaedic trauma. DESIGN:Retrospective review. SETTING:Urban level 1 academic trauma center. PATIENTS:A total of 307 (226 men/8...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000346

    authors: Zelle BA,Buttacavoli FA,Shroff JB,Stirton JB

    更新日期:2015-11-01 00:00:00

  • Inflammatory cytokine and chemokine expression is associated with heterotopic ossification in high-energy penetrating war injuries.

    abstract:OBJECTIVE:Heterotopic ossification (HO) develops frequently after modern high-energy penetrating war injuries. The purpose of this prospective study was to identify and characterize the unique cytokine and chemokine profile associated with the development of HO as it pertained to the systemic inflammatory response afte...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31825d60a5

    authors: Evans KN,Forsberg JA,Potter BK,Hawksworth JS,Brown TS,Andersen R,Dunne JR,Tadaki D,Elster EA

    更新日期:2012-11-01 00:00:00

  • The effect of suture pattern and tension on cutaneous blood flow as assessed by laser Doppler flowmetry in a pig model.

    abstract:OBJECTIVE:To determine the effects of various suture patterns on cutaneous blood flow (CBF) at the wound edge as increasing tension is applied through the suture. METHODS:Four different suture patterns commonly used for wound closure (simple, vertical mattress, horizontal mattress, and Allgower-Donati) were placed ind...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318169074c

    authors: Sagi HC,Papp S,Dipasquale T

    更新日期:2008-03-01 00:00:00

  • External fixation with standard AO-plates: technique, indications, and results in 31 cases.

    abstract::The standard AO-plate was used as an external fixator in 31 patients with an infected nonunion or open fracture mainly of the upper extremity. With the use of this technique, good stability can be achieved with an inexpensive and relatively simple construction. The low profile of the frame is an advantage for the pati...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200301000-00010

    authors: Kerkhoffs GM,Kuipers MM,Marti RK,Van der Werken C

    更新日期:2003-01-01 00:00:00

  • Postoperative Computed Tomography for Articular Fractures: A Systematic Review.

    abstract:OBJECTIVES:To determine the current published patterns of computed tomography (CT) use postoperatively in peri-articular fractures and identify those populations whereby postoperative CT changes management or results in better clinical outcomes. DATA SOURCES:Systematic review of MEDLINE and Cochrane using a combinatio...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,meta分析,多中心研究

    doi:10.1097/BOT.0000000000000660

    authors: Stott S,Balogh ZJ

    更新日期:2017-01-01 00:00:00

  • Autograft, Allograft, and Bone Graft Substitutes: Clinical Evidence and Indications for Use in the Setting of Orthopaedic Trauma Surgery.

    abstract::Bone grafts are the second most common tissue transplanted in the United States, and they are an essential treatment tool in the field of acute and reconstructive traumatic orthopaedic surgery. Available in cancellous, cortical, or bone marrow aspirate form, autogenous bone graft is regarded as the gold standard in th...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000001420

    authors: Baldwin P,Li DJ,Auston DA,Mir HS,Yoon RS,Koval KJ

    更新日期:2019-04-01 00:00:00

  • A new ankle spanning fixator construct for distal tibia fractures: optimizing visualization, minimizing pin problems, and protecting the heel.

    abstract::Pilon and ankle fractures and ligamentous injuries about the ankle often require external fixation to allow for soft tissue stabilization before definitive surgery. Often used external fixator constructs can cause obscuring of the site of injury on radiographs, pin tract infections, loosening of calcaenal pin fixation...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3182604639

    authors: Ziran BH,Morrison T,Little J,Hileman B

    更新日期:2013-02-01 00:00:00

  • Can locking screws allow smaller, low-profile plates to achieve comparable stability to larger, standard plates?

    abstract:OBJECTIVE:The open reduction and internal fixation of radial shaft fractures and osteotomies with standard 3.5-mm plates can be complicated by tendon irritation, hardware prominence, and fracture through the screw holes. With the advent of locking plate technology, implant companies and some surgeons have recommended e...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181f8bf9b

    authors: Garrigues GE,Glisson RR,Garrigues NW,Richard MJ,Ruch DS

    更新日期:2011-06-01 00:00:00

  • Predictors of Improved Early Clinical Outcomes Following Elective Implant Removal.

    abstract:OBJECTIVES:To determine preoperative factors predictive of improvement in pain and function following elective implant removal. We hypothesized that patients undergoing orthopaedic implant removal to relieve pain would have significant improvements in both pain and function. DESIGN:Prospective Cohort Study SETTING:: L...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001920

    authors: Kempton LB,Gaski GE,Brown K,McKinley TO,Virkus WW

    更新日期:2020-10-13 00:00:00

  • Radiographic analysis of the Brooker-Wills interlocking nail in the treatment of comminuted femoral fractures.

    abstract::Forty-three patients with 43 comminuted femoral shaft fractures treated with the Brooker-Wills interlocking nail were followed through bony union to determine the device's ability to maintain length and rotational control of these difficult injuries. Only severely comminuted fractures, types III and IV, were included....

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198702010-00002

    authors: Brumback RJ,Handal JA,Poka A,Burgess AR,Feddis G

    更新日期:1987-01-01 00:00:00

  • Results of indirect reduction and plating of femoral shaft nonunions after intramedullary nailing.

    abstract:OBJECTIVE:To observe and report the clinical results of indirect plating techniques in the treatment of femoral shaft nonunions originally treated with intramedullary nailing. DESIGN:Prospective consecutive. SETTING:Regional trauma center. PATIENTS:A consecutive series of twenty-three patients with nonunion of femor...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200105000-00004

    authors: Bellabarba C,Ricci WM,Bolhofner BR

    更新日期:2001-05-01 00:00:00

  • Traumatic Separation of the Distal Ulnar Physis in Children: A New Classification for Displaced Volar-Flexion Injuries.

    abstract:OBJECTIVES:To propose a new fracture classification according to the direction of epiphysis displacement and to compare clinical findings and surgical outcomes between these subtypes. DESIGN:Retrospective study. SETTING:A tertiary referral hospital. PATIENTS:Twelve adolescents (mean age, 13.4 ± 1.3 years) who experi...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000060

    authors: Cheng PG,Chang WN,Lin HS,Wu SK,Wang MN

    更新日期:2014-08-01 00:00:00

  • A concept for the validation of fracture classifications.

    abstract::The fracture classification systems currently used most frequently were not developed or validated by rigorous scientific evaluation methods. This paper discusses the classification of fractures from an epidemiological and clinical decision-making perspective and proposes a standardized methodological concept for thei...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/01.bot.0000155310.04886.37

    authors: Audigé L,Bhandari M,Hanson B,Kellam J

    更新日期:2005-07-01 00:00:00

  • Inadvertent intraforaminal iliosacral screw placement despite apparent appropriate positioning on intraoperative fluoroscopy.

    abstract::We present the case of an intraforaminal iliosacral screw placed percutaneously with aid of C-arm using inlet, outlet, and lateral views of the pelvis. The iliosacral screw was placed above the S1 foramen on the outlet view, into the middle of S1 via the ala on the inlet view, and below the cortical shadow of the ala ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200502000-00010

    authors: Sagi HC,Lindvall EM

    更新日期:2005-02-01 00:00:00

  • Use of the reamer irrigator aspirator for the treatment of a 20-year recurrent osteomyelitis of a healed femur fracture.

    abstract:SUMMARY:In the following case, a 20-year-old male was involved in a motorcycle accident where he sustained an open midshaft femur fracture treated with open reduction and internal fixation. Several weeks later, the wound became infected and the plate was removed. Over the following 20 years numerous incision and debrid...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318051532d

    authors: Bellapianta J,Gerdeman A,Sharan A,Lozman J

    更新日期:2007-05-01 00:00:00

  • Single provider reduction and splinting of displaced ankle fractures: a modification of Quigley's classic technique.

    abstract::Ankle fractures are commonly treated by orthopaedic surgeons and often require manipulative reduction. This can be painful for the patient and frequently uses 2 or more providers. Intra-articular injection of local anesthetic into the ankle joint precludes the need for conscious sedation (intravenous narcotics and ben...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000206

    authors: Alton TB,Harnden E,Hagen J,Firoozabadi R

    更新日期:2015-04-01 00:00:00

  • Alleviation of Pain After Femur and Tibia Shaft Fractures Using Nothing Stronger Than Codeine and Tramadol.

    abstract:OBJECTIVE:To determine whether using nothing stronger than codeine and tramadol provides adequate pain alleviation in people recovering from fixation of a fracture of the femur or tibia shaft. DESIGN:Retrospective case series. SETTING:Level 1 trauma center in the United States. PATIENTS:All adult patients from Octob...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001683

    authors: Reich MS,Klahs KJ,Fernandez I,Nguyen MP

    更新日期:2020-02-01 00:00:00

  • Recombinant human bone morphogenic protein-7: applications for clinical trauma.

    abstract::Several clinical trials have examined the safety and efficacy of recombinant human bone morphogenic protein-7 (rhBMP-7) for osseous repair in clinical trauma. This article summarizes the results obtained from three recent clinical trials, which suggest that rhBMP-7 is useful in the treatment of tibial nonunion, long b...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200511101-00008

    authors: McKee MD

    更新日期:2005-11-01 00:00:00

  • Medial elbow exposure for coronoid fractures: FCU-split versus over-the-top.

    abstract:OBJECTIVE:The optimal exposure interval for anteromedial coronoid fractures is unknown. The purpose of this study was to quantitatively compare the osseous and ligamentous exposure of the medial elbow using the flexor carpi ulnaris (FCU)-Splitting and Hotchkiss Over-the-Top approaches. METHODS:Forty surgical approache...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31828ba91c

    authors: Huh J,Krueger CA,Medvecky MJ,Hsu JR,Skeletal Trauma Research Consortium.

    更新日期:2013-12-01 00:00:00

  • A mechanical comparison of the locking compression plate (LCP) and the low contact-dynamic compression plate (DCP) in an osteoporotic bone model.

    abstract:OBJECTIVE:To determine if locking compression plates (LCP) are mechanically advantageous compared to low-contact dynamic compression plates (DCP) when used as a bridging plate in a synthetic model of osteoporotic bone. METHODS:Five synthetic bars (Synbone Osteoporotic bone) were initially tested in compression and the...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318160c84c

    authors: Snow M,Thompson G,Turner PG

    更新日期:2008-02-01 00:00:00

  • Fractures in Patients With COVID-19 Infection: Early Prognosis and Management. A Case Series of 20 Patients in a Single Institution in Lombardy, Northern Italy.

    abstract::Fifty-eight percent of the total infections in Italy of COVID-19 were found in northern Italy, in particular, Lombardy. From February 21, 2020, to March 23, 2020, 20 patients with a fracture and a diagnosis of COVID-19 were hospitalized. Demographic data, COVID-19 symptoms, laboratory and radiographic examinations, an...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001905

    authors: Jannelli E,Castelli A,Ferranti Calderoni E,Annunziata S,Maccario G,Ivone A,Pasta G,Mosconi M

    更新日期:2020-10-01 00:00:00

  • False positive indium-111 white blood cell scan in a closed clavicle fracture.

    abstract::Aggressive treatment of the multiply injured patient often requires early fixation of many fractures, some of which may be open. Often, patients develop postoperative fevers requiring a thorough workup to rule out infection. Recently, indium-111 white blood cell (WBC) imaging has become a valuable adjunct in the diagn...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Friedman RJ,Gordon L

    更新日期:1988-01-01 00:00:00

  • Acute vascular injury associated with fracture of the distal radius: a report of 6 cases.

    abstract:OBJECTIVES:To highlight the potential for vascular injury with fracture of the distal radius. DESIGN:Retrospective case series. SETTING:The practices of several orthopaedic hand surgeons. PATIENTS/PARTICIPANTS:Six patients with arterial injury as a consequence of fracture of the distal radius: 2 partial lacerations ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318188d686

    authors: de Witte PB,Lozano-Calderon S,Harness N,Watchmaker G,Green MS,Ring D

    更新日期:2008-10-01 00:00:00

  • Infection Rates and Treatment of Low-Velocity Extremity Gunshot Injuries.

    abstract:OBJECTIVES:To determine the rates of infection in low-energy gunshot wounds (GSWs) to the extremity. DESIGN:Retrospective review. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:Patients (N = 140) with at least 90-day follow-up for extremity-only low-energy GSW injuries from 2010-2014 were retrospectively revie...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000827

    authors: Nguyen MP,Savakus JC,OʼDonnell JA,Prayson NF,Reich MS,Golob JF Jr,McDonald AA,Como JJ,Vallier HA

    更新日期:2017-06-01 00:00:00

  • The thermal effects of intramedullary reaming.

    abstract:OBJECTIVE:To study the effect of tourniquet control on intramedullary reaming. DESIGN:An experimental prospective nonsurvival animal study was performed using 5 mongrel dogs. A pneumatic tourniquet was randomized to either the right or left hind limb. Tibial intramedullary reaming was performed with progressively larg...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200411000-00004

    authors: Karunakar MA,Frankenburg EP,Le TT,Hall J

    更新日期:2004-11-01 00:00:00

  • Prospective Randomized Trial on Smoking Cessation in Orthopaedic Trauma Patients: Results from the Let's STOP (Smoking in Trauma Orthopaedic Patients) Now Trial.

    abstract:OBJECTIVES:To determine if inpatient counseling with additional counseling could increase smoking cessation. DESIGN:Prospective study. SETTING:Level I trauma center. PATIENTS/PARTICIPANTS:Current smokers with an operative fracture randomly assigned to control (no counseling), brief counseling (inpatient counseling),...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000002028

    authors: Matuszewski PE,Joseph K,O'Hara NN,DiClemente C,O'Toole RV

    更新日期:2020-11-25 00:00:00