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Malunited Fracture

Fractures Malunited


Presentation

  • This article presents a case of femoral corrective osteotomy for malunited supracondylar femoral fracture after TKA in a patient with rheumatoid arthritis.[healio.com]
  • The purpose of this paper is to: (1) illustrate, through a case presentation, the functional disability that may result at the wrist from a malunited fracture of the distal end of the ulna; (2) emphasize the value of distal ulnar resection to restore[mdedge.com]
  • Majority of the patients (38%) presented between 3 and 5 months after injury, whereas the rest 34% presented after 6-8 months.[mjdrdypu.org]
  • Herein, we present our experience of intra-articular corrective osteotomy for a case of malunited coronal plane fracture. Case presentation A 31-year-old man injured his left knee in a failed landing attempt during snowboarding.[bmcsportsscimedrehabil.biomedcentral.com]
  • […] by excessive swelling, twisting, bending, and possibly shortening of the bone. [3] Patients may have trouble placing weight on or near the malunion. [4] However, most commonly the presentation of a bend in the bone exhibits the diagnosis of a malunion[en.wikipedia.org]
Poor Oral Hygiene
  • Intraoral incisions may dehisce partially or completely because of inadequate closure during surgery, poor oral hygiene, local trauma, or excessive motion.[ijps.org]

Workup

Joint Space Narrowing
  • Imaging • Radiographs • Weightbearing ankle xrays • Asymmetry of the medial and lateral clear spaces • Talar tilt 2mm • Talar subluxation • Lateralization of the talus • Eccentric joint space narrowing • Arthritic changes • Fibular shortening 13.[slideshare.net]

Treatment

  • The Wrist: Diagnosis and Operative Treatment, Second Edition is the most comprehensive text and reference on diagnosis and treatment of wrist disorders.[books.google.com]
  • […] features of this case are the absence of soft tissue scar stiffness and deficiency of the rotator cuff, because malunion of the bone fragment to the posterior edge of the humeral head produced a mechanical block of internal rotation, and the arthroscopic treatment[ncbi.nlm.nih.gov]
  • Surgical fixation is the recommended method of treatment for Hoffa fractures [ 2 – 5 ].[bmcsportsscimedrehabil.biomedcentral.com]
  • Treatment with the Taylor spatial frame applied to a deformed bone, before and after correction (above). This frame permits simultaneous correction of complex deformities with less need to make frame adjustments in the clinic. (courtesy of J.[lifebridgehealth.org]
  • Delport et al 2 showed the satisfactory results of conservative treatment of supracondylar femoral fracture after TKA.[healio.com]

Prognosis

  • […] at vthe end of the day... sometimes carrying out a revision may be needed but the prognosis always lowers each time this is done... there are so many factors to consider in any of these cases, patient age, level of function prior to surgery, previous[physiobob.com]
  • Are there factors that should be considered during evaluation to improve surgical decision making and prognosis of such injuries? Presented here is a case study of an untreated bi-malleolar malunion approximately 8 months after initial injury.[faoj.org]
  • Prognosis Prognosis depends on the type of spinal fracture and associated spinal cord involvement. spiral fracture A fracture that follows a helical line along and around the course of a long bone. sprain fracture The separation of a ligament from its[medical-dictionary.thefreedictionary.com]

Etiology

  • However, there is a big difference between the etiology of ACL injury and that of Hoffa fracture. To the best of our knowledge, no reports have described ACL injury associated with Hoffa fracture.[bmcsportsscimedrehabil.biomedcentral.com]
  • Tibial Malunion ICD-9 733.81 (Malunion of fracture) 733.82 (Nonunion of fracture, pseudoarthrosis) Tibial Malunion Etiology / Epidemiology / Natural History 5 angulation has been shown to cause subjective complaints and functional limitations (Kyro A,[eorif.com]
  • Stress fractures are classified as fatigue fractures or insufficiency fractures based on their etiology. Undiagnosed and untreated stress fractures may progress to frank fractures.[medical-dictionary.thefreedictionary.com]

Epidemiology

  • Tibial Malunion ICD-9 733.81 (Malunion of fracture) 733.82 (Nonunion of fracture, pseudoarthrosis) Tibial Malunion Etiology / Epidemiology / Natural History 5 angulation has been shown to cause subjective complaints and functional limitations (Kyro A,[eorif.com]
  • Lind T, Kroner K, Jensen J (1989) The epidemiology of the proximal humerus. Arch Orthop Trauma Surg 108:285–287 PubMed CrossRef Google Scholar 2.[link.springer.com]
  • A retrospective study on epidemiology and treatment of maxillofacial fractures. J Craniofac Surg 2002;13:772-5. 20. Mehta N, Butala P, Bernstein MP. The imaging of maxillofacial trauma and its pertinence to surgical intervention.[ijps.org]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology of Fracture Nonunion There are multiple factors responsible for the development of nonunion and all the factors responsible for the event may not be known. Biologic factors play a part in the consolidation of a fracture.[boneandspine.com]

Prevention

  • Although appropriate initial management should prevent the development of symptomatic malunion, results of the current study suggest that later reconstruction of the glenoid cavity restores satisfactory function, even if so much time has elapsed that[ncbi.nlm.nih.gov]
  • […] to restore adequate function of the wrist joint, particularly pronation and supination; and (3) point out the value of making an oblique osteotomy resection of the distal end of the ulna in order to preserve the ulnar collateral ligament and thereby prevent[mdedge.com]
  • We believe that primary accurate operative treatment is very important for preventing malunion of Hoffa fractures.[bmcsportsscimedrehabil.biomedcentral.com]
  • Use of an incentive spirometer is encouraged to prevent atelectasis and respiratory complications. Prophylactic antibiotics and anticoagulants are administered as prescribed, and hip precautions are implemented to prevent dislocation.[medical-dictionary.thefreedictionary.com]
  • Px total restoration of facial form and function prevents latent cosmetic and functional deficits.[ijps.org]

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