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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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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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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Related Experiment Video

Updated: Jun 25, 2025

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
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Lisfranc Injuries.

Mark H Hofbauer1, Sriya S Babu1, Austin Vonasek2

  • 1WVU Medicine Wheeling Hospital, 10 Medical Park Road Suite 203, Wheeling, WV 26003, USA.

Clinics in Podiatric Medicine and Surgery
|May 24, 2024
PubMed
Summary
This summary is machine-generated.

Lisfranc injuries are increasingly recognized as low-energy injuries, shifting treatment from fusion to open reduction internal fixation. Achieving anatomic reduction is key, with flexible fixation methods and potential future arthrodesis for comminuted cases.

Keywords:
DislocationHigh-energyLisfrancLow-energySubtle LisfrancTarsometatarsal

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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Area of Science:

  • Orthopedic surgery
  • Trauma care

Background:

  • Historically, Lisfranc injuries were attributed mainly to high-energy trauma.
  • This led to a primary preference for surgical fusion as the treatment of choice.
  • Recent evidence suggests a higher prevalence of low-energy mechanisms in Lisfranc injuries.

Purpose of the Study:

  • To re-evaluate the treatment paradigm for Lisfranc injuries.
  • To emphasize the role of open reduction internal fixation (ORIF) in managing these injuries.
  • To outline factors influencing treatment decisions and fixation strategies.

Main Methods:

  • Review of current literature and clinical data on Lisfranc injuries.
  • Analysis of injury characteristics, anatomical considerations, and joint involvement.
  • Evaluation of surgical techniques, including ORIF and bridge plating.

Main Results:

  • Low-energy mechanisms are more common than previously thought for Lisfranc injuries.
  • Open reduction internal fixation is increasingly favored over fusion.
  • Treatment success depends on achieving anatomic reduction and appropriate fixation.

Conclusions:

  • The management of Lisfranc injuries requires a nuanced approach considering injury type and patient factors.
  • Flexible fixation strategies are essential for successful outcomes.
  • Bridge plating may be indicated for comminuted fractures, with consideration for future arthrodesis.