Related Experiment Video
Updated: Jul 18, 2026
07:35
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
Unusual patterns of Monteggia fracture-dislocation
Constantinos J Kazakos1, Vasilios G Galanis, Dennis-Alexander J Verettas
1Department of Orthopaedics, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece. kazakosk@yahoo.gr
Journal of Orthopaedic Surgery and Research
|December 8, 2006
Summary
High-energy elbow trauma requires emergency surgical intervention for optimal outcomes. Prompt fixation and soft tissue management are crucial, though severe injuries may impact functional results.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Elbow Injuries
Background:
- High-energy trauma can cause complex open elbow joint injuries.
- Management of these severe elbow traumas presents significant challenges.
Purpose of the Study:
- To evaluate the outcomes of managing severe open elbow trauma.
- To identify factors influencing functional results in these patients.
Main Methods:
- Retrospective analysis of 14 patients treated between 1999-2003 for complex open elbow injuries.
- Surgical intervention within 4-6 hours using internal/external fixation; secondary wound closure.
- Inclusion of diverse injuries: Monteggia fractures, segmental ulnar fractures, forearm fractures, neural/soft tissue damage.
Main Results:
- 11 out of 14 patients achieved excellent or good functional results (Mayo Elbow Performance Index).
- 3 patients had fair or poor results, associated with severe neural, soft tissue, or multiple fractures.
- 6 patients required additional surgical procedures.
Conclusions:
- Severe open elbow injuries necessitate emergency treatment.
- Prioritize internal fixation for fracture stability and meticulous soft tissue handling.
- Prognosis is significantly influenced by the severity of osseous, soft tissue, and neural damage.
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:20Normal Strain under Axial Loading
Normal strain under axial loading is an important concept in the field of mechanics of materials. Axial loading implies the application of a force along the axis of a material, like a column or bar. This force can either compress or stretch the material. In the context of axial loading, normal strain is the deformation experienced by the material in the direction of the loading force. It's calculated as the change in length divided by the original length of the material. This unitless ratio...