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Fractures: Bone Repair

Fractures: 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...

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[Augmented primary sutures "internal bracing" following ligamentous elbow dislocation].

Valentin Rausch¹, Matthias Königshausen², Thomas A Schildhauer²

¹Chirurgische Universitätsklinik und Poliklinik, BG Universitätsklinikum Bergmannsheil Bochum, Ruhr-Universität Bochum, Bürkle-de-la-Camp Platz 1, 44789, Bochum, Deutschland. rauschv@gmail.com.

Operative Orthopadie Und Traumatologie

|December 5, 2022

Summary

Primary surgical repair of unstable elbow dislocations using augmented sutures provides excellent stability and functional outcomes. This technique avoids recurrent dislocations and persistent instability, leading to high patient satisfaction.

Keywords:

Dislocation Elbow Elbow dislocation Internal bracing Primary suture

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Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

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Published on: April 11, 2012

Area of Science:

Orthopedic Surgery
Sports Medicine
Traumatology

Context:

Unstable elbow dislocations often involve collateral ligament and musculature injuries.
Surgical intervention is considered when nonoperative management fails to stabilize the joint.

Purpose:

To describe the surgical technique and outcomes of augmented primary suture for unstable ligamentous elbow dislocations.
To evaluate the efficacy of this surgical approach in restoring elbow stability and function.

Summary:

The augmented primary suture technique involves lateral and medial approaches to repair collateral ligaments with high-strength polyethylene sutures.
Suture anchors are used to reattach extensor and flexor muscles to the epicondyles.
Postoperative management emphasizes early functional exercise with an elbow brace to prevent varus/valgus stress.

Impact:

This surgical method resulted in a mean Mayo Elbow Performance Score of 98.5 and a functional arc of 115° in 12 patients.
No recurrent dislocations or persistent instability were reported after a mean follow-up of 14 months.
The technique offers a reliable solution for managing complex elbow instability.