Tips and Tricks for Problem Fractures

Description

Preface Contents Abbreviations Contributors Chapter 1: Clavicle Fracture: Open Reduction Internal Fixation Introduction Equipment Positioning Approach Reduction Techniques Implant Choice Plate Placement Closure References Chapter 2: Acromioclavicular and Sternoclavicular Joint Injuries Sternoclavicular Injuries Statistics and Introduction Anatomy Imaging Classification Options Anterior Sternoclavicular Dislocation Posterior Sternoclavicular Dislocation Preferred Surgical Technique Patient Positioning Closed Reduction Approach Procedure Post-operatively Pearls and Pitfalls Acromioclavicular Injuries Statistics and Introduction Anatomy Imaging Classification [30] Options [31] Patient Positioning Open Approach Fixation Tips and Tricks References Chapter 3: Proximal Humerus Fractures Introduction Authors’ Preferred Approach: General Principles and Case Examples Case 1: Avoiding Varus Case 2: Avoiding Impingement Case 3: Supplemental Fixation Summary References Chapter 4: Humeral Shaft Fractures Case 1. Non-operative Treatment Case 2. Plate Fixation of Comminuted Fracture with Associated Nerve Injuries, Anterolateral Approach Case 3. Plate Fixation of a Distal Humeral Shaft Comminuted Fracture with Radial Nerve Injury, Posterior Approach Cases 4 and 5. Management of Polytrauma Patients References Chapter 5: Distal Humerus Fractures Case Presentation Additional Imaging Preoperative Planning Patient Positioning Intraoperative Imaging Implant Choices Non-anatomic Plates Pre-contoured Periarticular Locking Plates Mini-fragment Plates Operative Treatment Surgical Approach Post-operative Protocol and Follow-Up Outcomes Summary References Chapter 6: Olecranon Fractures Preoperative Imaging Planning Patient Positioning Surgical Approach Skin Incision Simple Fracture Pattern (Transverse or Short Oblique) Complex Fracture Patterns and Fracture Dislocations Initial Fixation Through the Fracture Assessing Reduction Plate Contouring Triceps Incision Plate Seating Suturing the Triceps Wound Closure and Dressing Postoperative Care Outcomes References Chapter 7: Radial Head Fractures References Chapter 8: Monteggia and Monteggia Variant Fractures Introduction Classification Diagnosis Preoperative Planning Patient Positioning Surgical Approach Surgical Principles Joint Reconstruction Without Remaining Steps and Gaps in the Articular Surface Restoration of the Anatomical Axis of the Proximal Ulna and the Radius Stability of the Osteosynthesis Stability of the Joint Rehabilitation References Chapter 9: Fractures of the Distal Radius Case Presentation Preoperative Planning Operative Treatment Postoperative Protocol Complications References Chapter 10: Scaphoid Fractures Illustrative Cases Diagnostic Evaluation Plain Radiographs MRI CT Scan Treatment Non-displaced Distal Third/Waist Fractures Displaced Scaphoid Waist/Proximal Pole Fractures Surgical Technique: Volar Approach Bone Graft References Chapter 11: Lunate and Perilunate Dislocations: Tips and Tricks for Problem Fractures Background Diagnosis Classification Closed Management Closed Reduction Reduction Maneuver Splinting Surgical Management Surgical Indications Approaches to the Wrist Management of Chronic Perilunar Injuries Complications and Outcomes References Chapter 12: Metacarpal Fractures: Tips and Tricks Case 1: Closed Reduction Percutaneous Pinning History Indications Description of Operation Post-Operative Course Case 2: Intramedullary Pin Fixation History Indications Description of Operation Post-operative Course Case 3: Low Profile Plate Fixation History Indications Description of Operation Post-operative Course Case 4: Lag Screw/Plate Fixation History Indications Description of Operation Post-operative Course Case 5: Retrograde Headless Compression Screw Fixation History Indications Description of Operation Post-operative Course References Chapter 13: Phalanx Fractures: Tips and Tricks Case 1 History Indications Description of Operation Post-operative Course Case 2 History Indications Description of Operation Post-operative Course Case 3 History Indications Description of Operation Post-operative Course Case 4 History Indications Description of Operation Post-operative Course Case 5 History Indications Description of Operation Post-operative Course References Index