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Objective: To evaluate the clinical effects of external fixator in treating comminuted fracture of distal radius.
Methods: From Mar.2008 to Dec.2009, 37 patients with comminuted fracture of distal radius were treated with external fixator or assisted with Kirschner wire and T-shape locking compression plate (T-LCP) fixation. There were 14 males and 23 females, ranging in age from 30 to 79 years, with an average of 59.1 years. According to AO typing, type C1 was in 3 cases, type C2 was in 11 cases and type C3 was in 23 cases. Function of wrist joint and X-ray films were observed according to Gratland-Werley system at different months.
Results: All patients were followed up from 8 to 24 months with an average of 12 months. All fractures had healing with an average time of 8 weeks. According to Gratland-Werley system, 16 cases obtained excellent result, 17 good, 4 fair, the rate of excellent and good was 89.0%.
Conclusion: External fixator can obtained satisfactory clinical effect in treating comminuted fracture of distal radius.
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Am J Case Rep
September 2025
Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.
BACKGROUND Periprosthetic tibial fractures following total knee arthroplasty (TKA) are increasingly encountered in very elderly patients, where multiple comorbidities and osteoporosis compromise early mobilization and elevate the risk of complications. Maintaining pre-injury activities of daily living (ADL) while ensuring safe surgical management is challenging. We present a case of a 95-year-old woman with a periprosthetic tibial shaft fracture managed with open reduction, additional plate fixation, and Ilizarov external fixation, enabling immediate postoperative weight-bearing.
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September 2025
Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.
BACKGROUND The treatment of nonunion with deformity and shortening remains a significant challenge in orthopedic surgery. The chipping and lengthening technique is used for bone reconstruction and new bone formation, without the need for bone grafting. However, inadequate bone regeneration can require additional treatment.
View Article and Find Full Text PDFObjective: To evaluate the feasibility and accuracy of customized 3-D-printed casts, created using virtual surgical planning, to guide wire placement for external skeletal fixation in the canine radius.
Methods: This experimental cadaver study used normal forelimbs from medium-sized canine cadavers (19 to 23 kg). Computed tomography scans were performed to generate 3-D bone and soft tissue models.
Eur J Trauma Emerg Surg
September 2025
Centre for Biological and Health Sciences, Pontifical Catholic University of Paraná, Curitiba, Brazil.
Purpose: to evaluate the effect of a novel controlled dynamization device attached to external circular fixators on bone healing of tibial fractures.
Methods: this double-blinded randomized clinical trial evaluated 43 patients over 18 years of age with complex tibial pathologies who were treated without (control) or with a 3D-printed controlled dynamization device attached to external fixators. The devices were installed 60 days after fracture fixation surgery and used for 30 days.
J Bone Joint Surg Am
September 2025
Harvard Global Orthopaedics Collaborative, Boston, Massachusetts.
Background: Low- and middle-income countries (LMICs) are disproportionately affected by trauma, resulting in >5 million deaths annually. An essential treatment for musculoskeletal trauma is external fixation. However, in LMICs, current external fixator assemblies are unaffordable, costing patients upward of $5,000 (USD), leaving LMICs to rely on donations that fail to meet the needs of the patient population.
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