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Journal articles on the topic 'Metaphyseal fracture'

Author: Grafiati

Published: 4 June 2021

Last updated: 13 February 2022

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1

Engelhardt, Lucas, Frank Niemeyer, Patrik Christen, et al. "Simulating Metaphyseal Fracture Healing in the Distal Radius." Biomechanics 1, no. 1 (2021): 29–42. http://dx.doi.org/10.3390/biomechanics1010003.

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Simulating diaphyseal fracture healing via numerical models has been investigated for a long time. It is apparent from in vivo studies that metaphyseal fracture healing should follow similar biomechanical rules although the speed and healing pattern might differ. To investigate this hypothesis, a pre-existing, well-established diaphyseal fracture healing model was extended to study metaphyseal bone healing. Clinical data of distal radius fractures were compared to corresponding geometrically patient-specific fracture healing simulations. The numerical model, was able to predict a realistic fra

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2

Deahl, Lauren, Ron Ben-Amotz, Ana Caceres, and Kimberly Agnello. "Proximal tibial metaphyseal fractures in immature dogs." Veterinary and Comparative Orthopaedics and Traumatology 30, no. 04 (2017): 237–42. http://dx.doi.org/10.3415/vcot-16-11-0154.

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SummaryObjective: To describe proximal tibial metaphyseal fractures in immature dogs.Materials and methods: Medical records of immature dogs with metaphyseal fractures of the proximal tibia were reviewed and data were collected on signalment and history of trauma. Craniocaudal and mediolateral radiographs were evaluated for the determination of the bones fractured, location of the fracture within the bone, fracture configuration, and the presence of fracture segment displacement and angulation.Results: Eighteen dogs with 22 proximal tibial metaphyseal fractures fulfilled the inclusion criteria

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3

Kim, Jae Kwang, Jong-Oh Kim, and Yong-Do Koh. "Management of Distal Ulnar Fracture Combined with Distal Radius Fracture." Journal of Hand Surgery (Asian-Pacific Volume) 21, no. 02 (2016): 155–60. http://dx.doi.org/10.1142/s2424835516400075.

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The distal ulna is composed of the ulnar styloid, ulnar head, and distal ulnar metaphyseal area. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly. Consideration of the treatment of distal ulna metaphyseal fracture should be addressed after treating a distal radius fracture. If it is stable, cast immobilization is preferred, however, if it shows malalignment or instability, an operative method should be considered. More than half of distal radius fractures are combined with an ulnar styloid frac

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4

Haffner-Luntzer, M., and A. Ignatius. "Animal models for studying metaphyseal bone fracture healing." European Cells and Materials 40 (October 29, 2020): 172–88. http://dx.doi.org/10.22203/ecm.v040a11.

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An estimated 2 million osteoporotic fractures occur annually in the US, resulting in a dramatic reduction in quality of life for affected patients and a high economic burden for society. Osteoporotic fractures are frequently located in metaphyseal bone regions. They are often associated with healing complications, because of the reduced healing capacity of the diseased bone tissue, the poor primary stability of the fracture fixation in the fragile bone, and the high frequency of comorbidities in these patients. Therefore, osteoporotic fractures require optimised treatment strategies to ensure

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AL-QATTAN, M. M., K. AL-ZAHRANI, and A. A. AL-BOUKAI. "The Relative Incidence of Fractures at the Base of the Proximal Phalanx of the Fingers in Children." Journal of Hand Surgery (European Volume) 33, no. 4 (2008): 465–68. http://dx.doi.org/10.1177/1753193408090146.

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There is debate regarding the most common fracture type at the base of the proximal phalanx of the fingers in children prior to closure of the epiphysis. In total, 100 consecutive children presenting with 103 fractures were included in a prospective study and their X-rays were reviewed by a consultant musculoskeletal radiologist. The study included 61 boys and 39 girls with a mean age of 10 (range 4–14) years. The most common fracture observed was the juxta-epiphyseal type II fracture (53%), followed by the Salter–Harris type II fracture (26%). Other fractures observed included Salter–Harris t

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6

Githens, Michael, and Julius Bishop. "Complex Tibial Fractures: Tips and Tricks for Intramedullary Nail Fixation." Clinical Medicine Insights: Trauma and Intensive Medicine 5 (January 2014): CMTIM.S12264. http://dx.doi.org/10.4137/cmtim.s12264.

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Intramedullary nailing of metaphyseal and segmental tibia fractures can be technically challenging for a variety of reasons. Restoring length, alignment and rotation of the injured limb requires careful preoperative planning and meticulous attention to surgical technique, while avoiding common pitfalls. Understanding the deforming forces on the fracture segments and normal tibial osteology provides a background for recognizing the most common pitfalls when nailing these fractures. Many adjuncts for obtaining and maintaining fracture reduction while nailing have been described, including extend

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7

Inoue, Satoshi, Jiro Takito, and Masanori Nakamura. "Site-Specific Fracture Healing: Comparison between Diaphysis and Metaphysis in the Mouse Long Bone." International Journal of Molecular Sciences 22, no. 17 (2021): 9299. http://dx.doi.org/10.3390/ijms22179299.

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The process of fracture healing varies depending upon internal and external factors, such as the fracture site, mode of injury, and mechanical environment. This review focuses on site-specific fracture healing, particularly diaphyseal and metaphyseal healing in mouse long bones. Diaphyseal fractures heal by forming the periosteal and medullary callus, whereas metaphyseal fractures heal by forming the medullary callus. Bone healing in ovariectomized mice is accompanied by a decrease in the medullary callus formation both in the diaphysis and metaphysis. Administration of estrogen after fracture

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8

Cai, Haoqi, Zhigang Wang, and Haiqing Cai. "Prebending of a Titanium Elastic Intramedullary Nail in the Treatment of Distal Radius Fractures in Children." International Surgery 99, no. 3 (2014): 269–75. http://dx.doi.org/10.9738/intsurg-d-13-00065.1.

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Abstract The aims of this study were to introduce a method to treat distal radius diaphyseal metaphyseal junction fractures by prebending an elastic intramedullary nail and to evaluate the factors influencing fracture apposition. Fifty-two consecutive patients (4 to 15 years old) with a distal radius diaphyseal metaphyseal junction fracture were included. The nail was inserted and advanced into the proximal radial fragment as normal. After bending the nail distally about 90° at the site predetermined to lie at the distal segment, the elastic intramedullary nail was advanced until the prebent p

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9

Abrego, M. O., F. L. De Cicco, J. G. Boretto, G. L. Gallucci, and P. De Carli. "Extensor Tendons Rupture after Volar Plating of Distal Radius Fracture Related to a Dorsal Radial Metaphyseal Bone Spur." Case Reports in Orthopedics 2018 (2018): 1–5. http://dx.doi.org/10.1155/2018/8351205.

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Extensor tendon ruptures due to volar plating in distal radius fractures have mostly been described in relation with technique failures such as screw prominence and drill penetration. We report the case of a 71-year-old female with a C2 distal radius fracture with severe dorsal metaphyseal comminution. The patient underwent surgical treatment with reduction of the large fragments and fixation with a volar locking plate; the small dorsal metaphyseal nonarticular fragments were not reduced. Six months later, the patient developed extensor digitorum communis (EDC) rupture and extensor indicis pro

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10

Wong, R. M. Y., M. H. V. Choy, M. C. M. Li, et al. "A systematic review of current osteoporotic metaphyseal fracture animal models." Bone & Joint Research 7, no. 1 (2018): 6–11. http://dx.doi.org/10.1302/2046-3758.71.bjr-2016-0334.r2.

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ObjectivesThe treatment of osteoporotic fractures is a major challenge, and the enhancement of healing is critical as a major goal in modern fracture management. Most osteoporotic fractures occur at the metaphyseal bone region but few models exist and the healing is still poorly understood. A systematic review was conducted to identify and analyse the appropriateness of current osteoporotic metaphyseal fracture animal models.Materials and MethodsA literature search was performed on the Pubmed, Embase, and Web of Science databases, and relevant articles were selected. A total of 19 studies were

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Lamichhane, Norman, Bhogendra Bahadur KC, Chandra Bahadur Mishra, and Sabita Dhakal. "Non-locking buttress plate in distal tibial metaphyseal fractures." Medical Journal of Pokhara Academy of Health Sciences 1, no. 2 (2018): 87–91. http://dx.doi.org/10.3126/mjpahs.v1i2.23401.

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Background: Treatment of distal tibial metaphyseal fractures is often challenging and no single technique has been unanimously advocated. Open reduction and internal fixation with plates and screws allows better restoration of anatomical alignment but with more soft tissue complication. Simultaneous fixation of the fibula is not universally carried out. This study aims at evaluation of the outcome of plating technique and the effect of fixation of fibula fracture in treatment of distal tibial metaphyseal fractures. Material and methods: Thirty-one cases (14 cases in Group A with concomit

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Hariharan, Arun R., Lili Schindelar, Louise Reid Boyce Nichols, and Richard W. Kruse. "A Metaphyseal Corner Fracture that Wasn't." JBJS Case Connector 10, no. 1 (2020): e0557-e0557. http://dx.doi.org/10.2106/jbjs.cc.19.00557.

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Moongilpatti Sengodan, Mugundhan, Singaravadivelu Vaidyanathan, Sankaralingam Karunanandaganapathy, Sukumaran Subbiah Subramanian, and Samuel Gnanam Rajamani. "Distal Tibial Metaphyseal Fractures: Does Blocking Screw Extend the Indication of Intramedullary Nailing?" ISRN Orthopedics 2014 (February 17, 2014): 1–7. http://dx.doi.org/10.1155/2014/542623.

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Aim. To evaluate the clinical use of blocking screws as a supplement to stability in distal tibial metaphyseal fractures treated with statically locked intramedullary nail. Main Outcome Measurement. Alignment and reduction preoperatively, postoperatively, and at healing were the main outcome measured with an emphasis on maintenance of initial reduction on followup. Patients and Methods. This was a prospective study of 20 consecutive cases of distal tibial metaphyseal fractures treated with statically locked intramedullary nailing with supplementary blocking screw between August 2006 and Septem

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14

Lee, Kwang Won, Yoon Sub Hwang, Choon Myeon Kim, Dae Suk Yang, and Tae Soo Park. "The Analysis of the Treatment Outcomes of Proximal Humeral Fractures with Locking Plates." Clinics in Shoulder and Elbow 17, no. 1 (2014): 10–17. http://dx.doi.org/10.5397/cise.2014.17.1.10.

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BACKGROUND: The aim of this study was to assess the clinical outcomes after treatment of proximal humeral fractures with locking plates, and to determine which factors influence the clinical and radiological outcomes.METHODS: Fifty six patients who were treated with locking plates for proximal humeral fractures and had been followed for more than 1 year were enrolled in this study. We performed functional evaluation using the Constant score and analyzed radiographic results. The following factors that may potentially influence the clinical outcomes were assessed: age, gender, type of fracture,

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Polzer, Hans, Mareen Braunstein, and Sebastian Baumbach. "Functional treatment for fractures to the base of the 5th metatarsal - Influence of fracture location and fracture characteristics." Foot & Ankle Orthopaedics 3, no. 3 (2018): 2473011418S0038. http://dx.doi.org/10.1177/2473011418s00387.

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Category: Trauma Introduction/Purpose: Fractures to the base of the fifth metatarsal are common, but their treatment remains controversial. Especially for Lawrence and Botte (L&B) type II fractures, there is conflicting evidence and consequently no consensus. Further, many authors consider displacement, articular involvement, and number of fragments an indication for surgery, although evidence is missing. The aim of this study was to evaluate the outcome of functional treatment for all L&B type I and II fractures. Of special interest were the influence of (1) the fracture location (L&a

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16

Patel, Parth, Harpreet Singh, Kamal Kumar Agarwal, Tilak Patel, Krushna Saoji, and Dhruv Patel. "Functional outcome of comminuted upper metaphyseal tibial fracture treated with circular external fixators." International Journal of Research in Orthopaedics 7, no. 3 (2021): 622. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20211620.

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<p class="abstract"><strong>Background:</strong> High speed motor vehicle accidents are on the rise over the past few years. These are responsible for most of the complex fractures of the tibial metaphysic. Proper treatment of these fractures is of paramount importance. The use of circular fixators for the definitive treatment of such fractures entails a minimally invasive technique of insertion that gives good fracture reduction and stability combined with minimal postoperative complications.</p><p class="abstract"><strong>Methods:</strong> This study

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17

Schmalzl, Jonas, Malik Jessen, Fabian Gilbert, Christian Gerhardt, and Lars-Johannes Lehmann. "Proximal humeral fracture morphology in patients with advanced osteoarthritis: An observational study in a surgically treated cohort." Journal of Orthopaedic Surgery 28, no. 3 (2020): 230949902094411. http://dx.doi.org/10.1177/2309499020944114.

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Background: Several factors affect proximal humeral fracture (PHF) morphology. In the presence of glenohumeral osteoarthritis (GOA), the joint kinematics is alternated which might influence fracture configuration. The purpose of this study was to identify fracture patterns in patients with advanced osteoarthritis to facilitate recognition and treatment. Methods: In this retrospective analysis, and computed tomography (CT) scans of all patients undergoing surgical treatment for a PHF during a 5-year period were analyzed. Fracture pattern according to the AO Foundation/Orthopaedic Trauma Associa

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18

Yang, Kyu Hyun, Dae Yong Han, and Seong Jin Park. "Intramedullary Nailing in Distal Tibial Metaphyseal Fracture." Journal of the Korean Orthopaedic Association 35, no. 2 (2000): 325. http://dx.doi.org/10.4055/jkoa.2000.35.2.325.

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19

Simon, U., S. J. Shefelbine, P. Augat, and L. Claes. "Simulation of fracture healing in metaphyseal bone." Journal of Biomechanics 39 (January 2006): S456. http://dx.doi.org/10.1016/s0021-9290(06)84866-9.

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20

Saka, Natsumi, Yoshinobu Watanabe, Gen Sasaki, and Hirotaka Kawano. "Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion." Case Reports in Orthopedics 2020 (January 28, 2020): 1–8. http://dx.doi.org/10.1155/2020/1250231.

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Comminuted distal femur fracture is a challenging injury, and care must be taken to reduce the articular fragment and acquire the sufficient stability for the metaphyseal comminution. We report the case of a AO/OTA C3-type distal femur fracture with articular malunion and metaphyseal nonunion. Articular malunion was treated with corrective osteotomy using a 3D-printed model for planning, and metaphyseal nonunion was treated with an induced membrane technique. Conclusion. Two major complications in the comminuted periarticular fracture can be addressed by an osteotomy and induced membrane techn

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Nasr, P. J., and G. S. Keene. "Revision of a Fractured Uncemented Revision Stem Using a Custom Designed Punch and Retrograde Through-Knee Approach." Case Reports in Orthopedics 2015 (2015): 1–3. http://dx.doi.org/10.1155/2015/485729.

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We report a unique case of a fractured modular cobalt chromium connection taper Revitan (Zimmer, Warsaw, IN) revision prosthesis. Macroscopic examination revealed a fracture at the diaphyseal-metaphyseal junction of this modular component. This report highlights that fractures can still occur with modern modular prostheses. We are not aware of any published failures of the Revitan revision prosthesis. We also describe a unique method of retrieval for a broken well fixed uncemented femoral stem, using a custom designed extraction instrument via a through-knee approach.

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22

Ugurlar, M., G. Saka, N. Saglam, A. Milcan, T. Kurtulmus, and F. Akpınar. "Distal phalanx fracture in adults: Seymour-type fracture." Journal of Hand Surgery (European Volume) 39, no. 3 (2013): 237–41. http://dx.doi.org/10.1177/1753193413510863.

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Seymour’s fracture is an extra-articular, transverse, physeal, and juxta-epiphyseal open fracture of the distal phalanx seen in childhood. In this study, we present 10 adult cases of fractures localized to the metaphyseal region, 1–2 mm distal to the insertion of the extensor tendon. Mean age was 38 years. Four patients were treated conservatively with a mallet finger splint. Closed reduction and osteosynthesis with Kirschner wires (K-wires) was performed in three of the patients. Three of the patients had open fractures in whom closed reduction could not be performed. They underwent open redu

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Vinchhi, Pratik J., Sharvil H. Gajjar, Tirth Vyas, and Yatin Patel. "Study of outcomes of metaphyseal plate fixation in extra articular lower tibia fractures in adults." International Journal of Research in Orthopaedics 3, no. 3 (2017): 456. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20171550.

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<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The purpose of the present study was to see results of metaphyseal plate fixation in fractures of distal tibia in adults.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a retrospective study of 45 patients with 45 open fractures of tibia operated primarily by either Solid Titanium or Stainless steel tibia interlocking nail within 24 hours of injury</span>.<strong></strong></p><p class="abstract"><str

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KRISHNAN, J., L. S. CHIPCHASE, and J. SLAVOTINEK. "Intraarticular Fractures of the Distal Radius Treated with Metaphyseal External Fixation." Journal of Hand Surgery 23, no. 3 (1998): 396–99. http://dx.doi.org/10.1016/s0266-7681(98)80066-1.

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Twenty-two patients with unstable Frykman grade 7 or 8 intra-articular fractures of the distal radius were treated with an external fixator. The distal pins were inserted into the distal radial fracture fragments, permitting movement of the wrist and hand. Eleven patients were male and 11 female, with a mean age of 50 years. All patients had regained full function with good range of motion at mean final follow-up of 12 months. However function, pain and range of motion had returned to acceptable levels 4 weeks after removal of the external fixator. This method of external fixation provides a r

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Chandrakant, Kawalkar Abhijit, and Badole Chandrashekher Martand. "Distal Tibia Metaphyseal Fractures: Which is Better, Intra-medullary Nailing or Minimally Invasive Plate Osteosynthesis?" Journal of Orthopaedics, Trauma and Rehabilitation 24, no. 1 (2018): 66–71. http://dx.doi.org/10.1016/j.jotr.2017.09.004.

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Introduction Tibia fractures are the most common long bone fractures encountered by the orthopedic surgeons and distal tibia fractures have the second highest incidence of all tibia fractures after the middle third of tibia the distal tibial fractures are unique and are considered as most challenging fractures to treat due to its proximity to the ankle joint and its superficial nature. The objective of this study is to compare two osteosynthesis systems developed for surgical treatment of distal tibia fractures: the intramedullary nailing and the MIPPO technique. Methods The study was conducte

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VanEnkevort, B., and R. T. Dueland. "Lateral Tibial Head Buttress Plate: Use in a Pathological Femoral Fracture Secondary to a Bone Cyst in a Dog." Veterinary and Comparative Orthopaedics and Traumatology 08, no. 04 (1995): 196–99. http://dx.doi.org/10.1055/s-0038-1632455.

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SummaryA ten-month-old neutered Siberian Husky dog sustained a long oblique diaphyseal right femoral fracture which extended into and was secondary to a large metaphyseal bone cyst. The cyst was curetted and bone grafted. To attain adequate fracture and cyst stabilization, an AO/ASIF left tibial head buttress plate was used. Due to the unique configuration and curvature of the plate, three of 11 screws were placed in unaffected epiphyseal bone. This contributed to good frictional apposition of the plate to the bone with resultant excellent fracture stability. Twenty-six weeks after the operati

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Baumbach, Sebastian F., Marcel Urresti-Gundlach, Wolfgang Böcker, J. Turner Vosseller, and Hans Polzer. "Results of Functional Treatment of Epi-Metaphyseal Fractures of the Base of the Fifth Metatarsal." Foot & Ankle International 41, no. 6 (2020): 666–73. http://dx.doi.org/10.1177/1071100720907391.

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Background: Fractures of the fifth metatarsal base (5th MT) are common foot injuries, but their treatment remains a subject of debate. The aim was to assess the midterm outcome of functionally treated epi-metaphyseal fractures (Lawrence and Botte types I and II) of the 5th MT. Methods: This study was a longitudinal retrospective database study with prospective follow-up. Included were all patients with an acute, isolated fracture to the 5th MT base (types I and II). All patients were treated functionally: weightbearing as tolerated without immobilization. Fracture types and fracture characteri

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Kurozumi, Taketo, Hideaki Miyamoto, Takashi Suzuki, and Yoshinobu Watanabe. "Does Simultaneous Fixation of Both Distal Radius and Distal Ulnar Fractures Improve Outcomes? A Retrospective Cohort Study." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 2021): 215145932110380. http://dx.doi.org/10.1177/21514593211038089.

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Introduction: Distal metaphyseal ulnar fractures are often found in conjunction with distal radius fractures. However, there is no consensus on optimal management. The purpose of this study was to determine whether simultaneous fixation of both distal radius and distal ulnar fractures would improve outcomes. Materials and Methods: Patients treated for distal radial fractures over a 4-year period at our trauma center were identified, and their medical records were analyzed. Twenty-three patients met the inclusion criteria for this study. All radius fractures were fixed using a volar locking pla

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Giotikas, D., M. Nabergoj, and M. Krkovic. "Surgical management of complex intra-articular distal femoral and bicondylar Hoffa fracture." Annals of The Royal College of Surgeons of England 98, no. 8 (2016): e168-e170. http://dx.doi.org/10.1308/rcsann.2016.0217.

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Bicondylar Hoffa’s fractures of distal femur are rare. We report the case of an 18-year-old male who sustained a closed complex fracture of both femoral condyles of the left femur on the sagittal plane (Hoffa fracture), combined with distal metaphyseal fracture. He was treated using parallel plates and interdigitating screws, with our technique based on an extrapolation of the principles of distal humerus fixation. The fracture united clinically and radiologically at 16 weeks. Twelve months postoperatively, the range of movement in the knee was 5°–115°. In this complex case, our technique prov

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Thapa, Upendra Jung, Krishna Sapkota, Krishna Wahegaonkar, Niraj Ranjeet, Pabin Thapa, and Pratyenta Raj Onta. "Minimally invasive plate osteosynthesis with locking compression plate for proximal and distal diametaphyseal tibial fracture." Asian Journal of Medical Sciences 9, no. 6 (2018): 76–83. http://dx.doi.org/10.3126/ajms.v9i6.20584.

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Background: The treatment of proximal and distal diametaphysealtibial fractures remains controversial. This study was performed to evaluate the results of Locking compression plate using MIPO technique in the management of proximal and distal diametaphysealtibial fracture.Aims and Objective: To analyse and observe the result of management of metaphyseal fractures of tibia with respect to operative technique, stability of fixation, union of fracture, post-operative range of motion and complication. Materials and Methods: The study was prospective study. Forty two patients who sustained fracture

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Al-Ansari, Khalid, Andrew Howard, Brian Seeto, Solina Yoo, Salma Zaki, and Kathy Boutis. "Minimally angulated pediatric wrist fractures: Is immobilization without manipulation enough?" CJEM 9, no. 01 (2007): 9–15. http://dx.doi.org/10.1017/s1481803500014676.

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ABSTRACT Background: Emergency department (ED) manipulation of complete minimally angulated distal radius fractures in children may not be necessary, due to the excellent remodeling potential of these fractures. Objectives: The primary objective of this study was to determine the proportion of minimally angulated distal radius fractures managed in the ED with plaster immobilization that subsequently required manipulation. Our secondary objective was to document, at follow-up, changes in angulation for each wrist fracture. Methods: This retrospective cohort study reviewed consecutive records of

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Güleç, Ali, Mehmet Ali Acar, Bahattin Kerem Aydin, Teyfik Demir, and Mustafa Özkaya. "Methyl methacrylate in external fixation of supracondylar humerus fractures: An experimental study." Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 232, no. 10 (2018): 1025–29. http://dx.doi.org/10.1177/0954411918796533.

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Supracondylar humerus fractures are common fractures around the elbow. Open fractures, comminuted metaphyseal fractures and also fractures with bone loss may need to be treated with external fixators. The aim of this study is to compare two different external fixators, tubular external fixators and polymethyl methacrylate with K wires external fixators, with regard to stiffness and stability for metaphyseal-diaphyseal osteotomies of distal humerus close to the joint. Six matched pairs (24 specimens) of second-generation sawbone humerus were prepared in a standard fashion to create a metaphysea

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Laaksonen, Topi, Jani Puhakka, Antti Stenroos, Jussi Kosola, Matti Ahonen, and Yrjänä Nietosvaara. "Cast immobilization in bayonet position versus reduction and pin fixation of overriding distal metaphyseal radius fractures in children under ten years of age: a case control study." Journal of Children's Orthopaedics 15, no. 1 (2021): 63–69. http://dx.doi.org/10.1302/1863-2548.15.200171.

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Purpose Completely displaced distal radius fractures in children have been traditionally reduced and immobilized with a cast or pin fixed. Cast immobilization leaving the fracture displaced in the bayonet position has been recently suggested as a non-invasive and effective treatment alternative. This is a pilot comparative study between reduction and no reduction. Methods We assessed subjective, functional and radiographic outcome after a minimum 2.5-year follow-up in 12 children under ten years of age who had sustained a completely displaced metaphyseal radius fracture, which had been immobil

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Garnavos, Christos. "The use of ‘blocking’ screws for the ‘closed’ reduction of difficult proximal and distal femoral fractures." EFORT Open Reviews 6, no. 6 (2021): 451–58. http://dx.doi.org/10.1302/2058-5241.6.210024.

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Most meta-diaphyseal femoral fractures that are treated with intramedullary nailing can be reduced satisfactorily by skeletal traction without ‘opening’ the fracture site and therefore, complications such as nonunion, infection and wound healing problems are reduced. In cases where adequate fracture reduction cannot be achieved by skeletal traction, ‘reduction aids’ have been used during the operative procedure in order to avoid the exposure of the fracture site. The ‘blocking’ screw, as a reduction tool, was proposed initially for the ‘difficult’ metaphyseal fractures of the tibia. Subsequent

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Jain, Sameer, Jonathan Lamb, Oliver Townsend, et al. "Risk factors influencing fracture characteristics in postoperative periprosthetic femoral fractures around cemented stems in total hip arthroplasty." Bone & Joint Open 2, no. 7 (2021): 466–75. http://dx.doi.org/10.1302/2633-1462.27.bjo-2021-0027.r1.

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Aims This study evaluates risk factors influencing fracture characteristics for postoperative periprosthetic femoral fractures (PFFs) around cemented stems in total hip arthroplasty. Methods Data were collected for PFF patients admitted to eight UK centres between 25 May 2006 and 1 March 2020. Radiographs were assessed for Unified Classification System (UCS) grade and AO/OTA type. Statistical comparisons investigated relationships by age, gender, and stem fixation philosophy (polished taper-slip (PTS) vs composite beam (CB)). The effect of multiple variables was estimated using multinomial log

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Rhee, S. H., and J. Kim. "Distal radius fracture metaphyseal comminution: A new radiographic parameter for quantifying, the metaphyseal collapse ratio (MCR)." Orthopaedics & Traumatology: Surgery & Research 99, no. 6 (2013): 713–18. http://dx.doi.org/10.1016/j.otsr.2013.05.002.

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Bets, I. H. "Own experience of treatment of distal metaphyseal forearm fracture." TRAUMA 20, no. 2 (2019): 119–25. http://dx.doi.org/10.22141/1608-1706.2.20.2019.168032.

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Mohan, R., and P. G. deBoer. "Dislocation of the knee with ipsilateral tibial metaphyseal fracture." Injury 30, no. 5 (1999): 377–79. http://dx.doi.org/10.1016/s0020-1383(99)00104-7.

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Park, Ki Chul, and Ye Soo Park. "Minimally Invasive Plate Osteosynthesis for Distal Tibial Metaphyseal Fracture." Journal of the Korean Fracture Society 18, no. 3 (2005): 264. http://dx.doi.org/10.12671/jkfs.2005.18.3.264.

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Hart, Erin S. "Proximal Tibia Metaphyseal Fracture With Posttraumatic Genu Valgum Deformity." Orthopaedic Nursing 33, no. 1 (2014): 50–51. http://dx.doi.org/10.1097/nor.0000000000000024.

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Guo, Junfei, Junpu Zha, Jun Di, Yingchao Yin, Zhiyong Hou, and Yingze Zhang. "Outcome Analysis of Intramedullary Nailing Augmented with Poller Screws for Treating Difficult Reduction Fractures of Femur and Tibia: a Retrospective Cohort Study." BioMed Research International 2021 (April 2, 2021): 1–8. http://dx.doi.org/10.1155/2021/6615776.

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Purpose. Poller screws may serve as an adjunctive reduction tool and aid fracture reduction while augmented with intramedullary (IM) nailing for treating diaphyseal or metaphyseal fractures of the femur and tibia. However, there is no consistent conclusion about whether the method of using IM nailing augmented with poller screws is more advantageous than using IM nailing alone. Methods. A total of 96 patients who received IM nailing with or without supportive poller screw for treating long-bone fractures in lower limbs and who experienced difficulties in performing reduction or IM insertion du

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Kotb, Ahmed, Taylor Yong, and Amr Abdelgawad. "A Posteriorly Displaced Distal Metaphyseal Clavicular Fracture (Type IV AC Joint Dislocation-Like) in Children: A Case Report and Literature Review Study." Case Reports in Orthopedics 2016 (2016): 1–3. http://dx.doi.org/10.1155/2016/4015212.

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Fractures of the lateral end of the clavicle are common in pediatric patients; most of these fractures occur at the physeal level representing Salter Harris injuries. The vast majority of fractures of the lateral end of the clavicle are managed nonoperatively. In this report, we describe a unique type of fracture of the distal end of the clavicle in the pediatric patients in which the fracture occurs in the metaphyseal lateral clavicle with the proximal edge of the fracture displaced posteriorly through the trapezius muscle causing obvious deformity. It is similar in pathology to type IV AC jo

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STRICKLER, M., L. NAGY, and U. BÜCHLER. "Rigid Internal Fixation of Basilar Fractures of the Proximal Phalanges by Cancellous Bone Grafting Only." Journal of Hand Surgery 26, no. 5 (2001): 455–58. http://dx.doi.org/10.1054/jhsb.2001.0641.

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Ten patients with 13 basilar metaphyseal impaction fractures of the proximal phalanges of the fingers were treated with “rigid internal fixation” by bone grafting alone. When retrospectively reviewed at a mean follow-up of 32 months, bone healing had occurred without any relevant secondary displacement of the fracture fragments. The final ranges of motion were good and return to work was quicker than expected.

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Khoury, Amal, Meir Liebergall, Eli London, and Rami Mosheiff. "Percutaneous Plating of Distal Tibial Fractures." Foot & Ankle International 23, no. 9 (2002): 818–24. http://dx.doi.org/10.1177/107110070202300908.

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This article presents our experience with 24 patients who had distal tibial fractures and were treated by percutaneous plate fixation. Distribution of the fractures according to the AO/OTA classification was as follows: five patients suffered from a 43 A type fracture, six from a 43 B type fracture, and 13 from a 43 C type fractures. Four of the fractures were open. Exclusion criteria included 43 C3 fractures and Gustilo III open fractures. All fractures showed radiographic signs of union enough to enable full weightbearing within an average time of 12.3 weeks. All patients showed a good range

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AL-QATTAN, M. M. "An Unusual Salter type 2 Fracture of the Distal Phalanx." Journal of Hand Surgery 23, no. 2 (1998): 283–84. http://dx.doi.org/10.1016/s0266-7681(98)80200-3.

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An unusual Salter type 2 fracture of the distal phalanx is described. The metaphyseal fragment of the fracture consisted of a long and thin plate of bone corresponding to the insertion site of the flexor digitorum profundus tendon. Differences between this combined fracture and the isolated mallet deformity or flexor profundus tendon avulsion fracture are discussed.

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V., Vignesh, and J. K. Giriraj Harshavardhan. "An illustrative case report emphasizing the biological plating of a comminuted intra-articular fracture." International Journal of Research in Orthopaedics 6, no. 3 (2020): 652. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20201048.

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<p class="abstract">Comminuted intra-articular fractures are very common in high energy traumas, conventional open reduction and plate fixation has been associated with many complications as they disturb the fracture biology and hence minimally invasive plating came into existence. We are reporting a 17 year old boy who met with road traffic accident sustained an AO type 33C2 injury to left femur with severe metaphyseal comminution treated by minimal invasive plate osteosynthesis technique who achieved full radiological union at the end of 4 months and full functional recovery at 8 month

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Lambert, Simon M. "Ischaemia, healing and outcomes in proximal humeral fractures." EFORT Open Reviews 3, no. 5 (2018): 304–15. http://dx.doi.org/10.1302/2058-5241.3.180005.

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Interfragmental ischaemia is a prerequisite for the initiation of the inflammatory and immunological response to fracturing of bone. Intrafragmental ischaemia is inevitable: the extent of the initial ischaemic insult does not, however, directly relate to the outcome for healing of the fracture zones and avascular necrosis of the humeral head. The survival of distal regions of fragments with critical perfusion may be the result of a type of inosculation (blood vessel contact), which establishes reperfusion before either revascularization or neo-angiogenesis has occurred. Periosteum has a poorly

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Rathi, Prasanna, Kiran P. Paknikar, Shekhar P. Malve, et al. "Role of locking compression plate in management of metaphyseal fractures in osteoporotic bones: an experimental study from rural Maharashtra." International Journal of Research in Orthopaedics 5, no. 3 (2019): 388. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20191015.

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<p class="abstract"><strong>Background:</strong> Osteoporosis is multi factorial disease, which is caused by complex interaction between genetic and environmental factors that influence bone turnover, bone mass, skeletal geometry and risk factors. Distal femur fracture needs aggressive management in terms of open reduction and internal fixation with locking compression plate and early mobilization. Objectives were<strong> </strong>to study the role of locking compression plate in the management of osteoporotic metaphyseal fractures.</p><p class="abstract"

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Özkan, Sezai, Stefan Fischerauer, Thomas Kootstra, Femke Claessen, and David Ring. "Ulnar Neck Fractures Associated with Distal Radius Fractures." Journal of Wrist Surgery 07, no. 01 (2017): 071–76. http://dx.doi.org/10.1055/s-0037-1605382.

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Background There is little published data to guide management of ulnar neck fractures associated with fractures of the distal radius. Purpose As unplanned surgery usually reflects adverse events and this injury combination is relatively uncommon, we used a large database to study the incidence of unplanned surgeries after surgical and nonsurgical treatment of distal metaphyseal ulna fractures associated with a distal radius fracture and identify factors associated with these unplanned surgeries. Patients and Methods We identified 277 patients with an ulnar neck fracture associated with a dista

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Musa, Dr Rameez, Dr Kaushal Anand, and Dr Nimish Patel. "Study of Results of Minimal Invasive Plate Fixation in Metaphyseal Fracture of Tibia in Adult." Paripex - Indian Journal Of Research 3, no. 8 (2012): 127–31. http://dx.doi.org/10.15373/22501991/august2014/38.

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