Blog Elements – Page 13 – Trauma International

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Acute Scaphoidectomy and Lunocapitate Fusion for the Surgical Treatment of Compound Trans Styloid, Trans-Scaphoid, Peri-Lunate Fracture- Dislocation with Extensor Tendon Injury

January 10, 2021/in January-June 2021 | Volume 7 | Issue 1

Vol 7 | Issue 1 | January-June 2021 | page: 15-18 | Divyesh V. Bukalsaria, Sachin Kale, Prakash D. Samant, Arvind Vatkar, Sanjay Dhar, Prasad Chaudhari Author: Divyesh V. Bukalsaria [1], Sachin Kale [1], Prakash D. Samant [1], Arvind Vatkar [1], Sanjay Dhar [1], Prasad Chaudhari [1] [1] Department of Orthopaedic Surgery, D Y Patil […]

Multi-Fragment Patellar Non-Union in a Young Patient Due to Failed Fixation and its Management – A Rare Case Report

January 10, 2021/in January-June 2021 | Volume 7 | Issue 1

Vol 7 | Issue 1 | January-June 2021 | page: 12-14 | Neetin P Mahajan, Prasanna Kumar GS, Pranay Kondewar, Kishor Jadhav Author: Neetin P Mahajan [1], Prasanna Kumar GS [1], Pranay Kondewar [1], Kishor Jadhav [1] [1] Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India. Address of Correspondence Dr. Prasanna Kumar GS, […]

Acute Scaphoidectomy and Lunocapitate Fusion for the Surgical Treatment of Compound Trans Styloid, Trans-Scaphoid, Peri-Lunate Fracture- Dislocation with Extensor Tendon Injury

January 10, 2021/in January-June 2021 | Volume 7 | Issue 1

Multi-Fragment Patellar Non-Union in a Young Patient Due to Failed Fixation and its Management – A Rare Case Report

January 10, 2021/in January-June 2021 | Volume 7 | Issue 1

Full Sized Blog Element (Big Preview Pic)

Acute Scaphoidectomy and Lunocapitate Fusion for the Surgical Treatment of Compound Trans Styloid, Trans-Scaphoid, Peri-Lunate Fracture- Dislocation with Extensor Tendon Injury

January 10, 2021/in January-June 2021 | Volume 7 | Issue 1

Vol 7 | Issue 1 | January-June 2021 | page: 15-18 | Divyesh V. Bukalsaria, Sachin Kale, Prakash D. Samant, Arvind Vatkar, Sanjay Dhar, Prasad Chaudhari

Author: Divyesh V. Bukalsaria [1], Sachin Kale [1], Prakash D. Samant [1], Arvind Vatkar [1], Sanjay Dhar [1], Prasad Chaudhari [1]

[1] Department of Orthopaedic Surgery, D Y Patil Medical College and Research Centre, Navi Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Divyesh Vinod Bukalsaria,
Resident Physician, Department of Orthopaedic Surgery, D Y Patil Medical College and Research Centre, Navi Mumbai, Maharashtra, India.
E-mail: divyeshbukalsaria7@gmail.com

Abstract

Compound fracture-dislocations of proximal carpal bones are very rare. We report a 54-year-old male, laborer, who sustained a compound Gustilo Anderson type III-A dorsal wound with trans styloid, trans-scaphoid, peri-lunate dislocation with an extensor tendon injury. The patient underwent primary scaphoidectomy with Lunocapitate fusion with extensor tendon repair. On follow-up after 3 months, the patient had partial recovery of range of motion around the wrist without any significant discomfort.

Keywords: Compound fracture-dislocation, Primary proximal row carpectomy, Trans-styloid trans scaphoidperilunate dislocation

References

1. Ali, Nadeem, et al. “Compound Transstyloid, Transscaphoid, Perilunate Fracture Dislocation.” Journal of the Scientific Society, vol. 40, no. 2, 2013, p. 111., doi:10.4103/0974-5009.115485.
2. Herzberg, G., and D. Forissier. “Acute Dorsal Trans-Scaphoid Perilunate Fracture-Dislocations: Medium-Term Results.” Journal of Hand Surgery, vol. 27, no. 6, 2002, pp. 498–502., doi:10.1054/jhsb.2002.0774.
3. Calandruccio, James H., et al. “Capitolunate Arthrodesis with Scaphoid and Triquetrum Excision.” The Journal of Hand Surgery, vol. 25, no. 5, 2000, pp. 824–832., doi:10.1053/jhsu.2000.16364.
4. Oehmke, M. J., et al. “The Blood Supply of the Scaphoid Bone.” Journal of Hand Surgery (European Volume), vol. 34, no. 3, Dec. 2009, pp. 351–357., doi:10.1177/1753193408100117.
5. Mayfield, Jack K. “Patterns of Injury to Carpal Ligaments.” Clinical Orthopaedics and Related Research, & NA; no. 187, 1984, doi:10.1097/00003086-198407000-00006.
6. Herzberg G, Comtet JJ, Linscheid RL, et al. Perilunate dislocations and fracture-dislocations: a multicenter study. J Hand Surg Am.1993;18:768–79.
7. Herzberg, G., and D. Forissier. “Acute Dorsal Trans-Scaphoid Perilunate Fracture-Dislocations: Medium-Term Results.” Journal of Hand Surgery, vol. 27, no. 6, 2002, pp. 498–502., doi:10.1054/jhsb.2002.0774.
8. Herzberg, G., et al. “Perilunate Dislocations and Fracture-Dislocations: A Multicenter Study.” The Journal of Hand Surgery, vol. 18, no. 5, 1993, pp. 768–779., doi:10.1016/0363-5023(93)90041-z.
9. E. Hagert, M. Garcia-Elias, S. Forsgren, B.O. LjungImmunohistochemical analysis of wrist ligament innervation in relation to their structural composition
10. J Hand Surg, 32 (2007), pp. 30-36
11. Moody, Lisa, and Andrew Y. Zhang. “Treatment of an Unusual Trans-Scaphoid Perilunate Avulsion Fracture Dislocation: A Case Report.” Hand, vol. 10, no. 2, Mar. 2014, pp. 328–332., doi:10.1007/s11552-014-9634-x.
12. Sotereanos DG, Mitsionis GJ, Giannakopoulos PN, et al.Perilunate dislocation and fracture-dislocation: a critical analysis of the volar-dorsal approach. J Hand Surg Am. 1997;22:49–56.
13. Yao, Yu-Cheng, et al. “Lunocapitate Fusion with Scaphoid Excision for the Treatment of Scaphoid Nonunion Advanced Collapse or Scapho-Lunate Advanced Collapse Wrist.” Journal of the Chinese Medical Association, vol. 80, no. 2, 2017, pp. 117–120., doi:10.1016/j.jcma.2016.10.001

How to Cite this article: Bukalsaria DV, Kale S, Samant PD, Vatkar A, Dhar S, Chaudhari P | Acute Scaphoidectomy and Lunocapitate Fusion for the Surgical Treatment of Compound Trans Styloid, Trans-Scaphoid, Peri-Lunate Fracture-Dislocation with Extensor Tendon Injury | Trauma International | January-June 2021; 7(1): 15-18.

(Article Text HTML) (Download PDF)

Multi-Fragment Patellar Non-Union in a Young Patient Due to Failed Fixation and its Management – A Rare Case Report

January 10, 2021/in January-June 2021 | Volume 7 | Issue 1

Vol 7 | Issue 1 | January-June 2021 | page: 12-14 | Neetin P Mahajan, Prasanna Kumar GS, Pranay Kondewar, Kishor Jadhav

Author: Neetin P Mahajan [1], Prasanna Kumar GS [1], Pranay Kondewar [1], Kishor Jadhav [1]

[1] Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Prasanna Kumar GS,
Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India.
E-mail: prasannakumargs5@gmail.com

Abstract

Introduction: Multi-fragmentary patellar non-union is rare and it causes functional disability in patients. The purpose of studying this case is to present an unusual patella multi-fragmentary non-union and discuss its management.
Case presentation: We present a case of a 25-year-old male patient presented with pain and instability and decreased movements of the right knee since last 1 year. The patient had a history of trauma for which he was operated at the local hospital. X-ray and CT scan of the right knee was suggestive of the non-union of the right patella with three main fragments. We managed with open reduction and internal fixation using CC screw, cerclage and tension band wiring. At one-year follow up, the patient is having a clinical and radiological union of non-union with good functional outcome.
Conclusion: Combination of cannulated cancellous screw, cerclage and tension band wiring provides stable fixation in the multi-fragmentary patellar non-union, helps in early mobilisation which in turn helps in getting good functional outcome and prevents implant-related complications.
Keywords: Non-union; Multi-fragmentary patella; Internal fixation; Fixation failure.

References

1. E. J. Eric, “Fractures do joelho,” in Fractures em adultos, R. CAJ, D. P. Green, and R. W. Bucholz, Eds., vol. 1991, pp. 1729–1744, Lippincott, Philadelphia, PA, USA, 3rd edition.
2. Klassen JF, Trousdale RT. Treatment of delayed and nonunion of the patella. J Orthop Trauma. 1997;11(3):188–194.
3. Lachiewicz PF. Treatment of a neglected displaced transverse patella fracture. J Knee Surg. 2008;21:58–61.
4. Satku K, Kumar VP. Surgical management of non-union of neglected fractures of the pa-tella. Injury. 1991;22:108–10.
5. Dhar SA, Mir MR. Use of the Illizarov method to reduce quadriceps lag in the manage-ment of neglected non union of a patellar fracture. J Orthop. 2007;4:12.
6. Nathan ST, Fisher BE, Roberts CS, Giannoudis PV. The management of nonunion and delayed of unionof patella fractures: A systematic review of the literature. Int Orthop. 2011;35:791–5.
7. R. K. Baruah, “Modified Ilizarov in difficult fracture of the patella. A case report,” Jour-nal of Orthopaedic Case Reports, vol. 6, no. 1, pp. 26–28, 2016.
8. C. Gwinner, S. Märdian, P. Schwabe, K. D. Schaser, B. D. Krapohl, and T. M. Jung, “Cur-rent concepts review: fractures of the patella,” GMS Interdisciplinary plastic and recon-structive surgery DGPW, vol. 5, pp. 1–15, 2016.
9. Sutton S, Jr, Thompson C, Lipke J, Kettelkamp D. The effect of patellectomy on knee function. J Bone Joint Surg Am. 1976;58:537–40.
10. Lennox IA, Cobb AG, Knowles J, Bentley G. Knee function after patellectomy a 12- to 48-year follow-up. J Bone Joint Surg Br. 1994;76:485–7.

How to Cite this article: Mahajan NP, Prasanna Kumar GS, Kondewar P, Jadhav K | Multi-Fragment Patellar Non-Union in a Young Patient Due to Failed Fixation and its Management- A Rare Case Report | Trauma International | January-June 2021; 7(1): 12-14.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Acute Scaphoidectomy and Lunocapitate Fusion for the Surgical Treatment of Compound Trans Styloid, Trans-Scaphoid, Peri-Lunate Fracture- Dislocation with Extensor Tendon Injury

Multi-Fragment Patellar Non-Union in a Young Patient Due to Failed Fixation and its Management – A Rare Case Report

Acute Scaphoidectomy and Lunocapitate Fusion for the Surgical Treatment of Compound Trans Styloid, Trans-Scaphoid, Peri-Lunate Fracture- Dislocation with Extensor Tendon Injury

Multi-Fragment Patellar Non-Union in a Young Patient Due to Failed Fixation and its Management – A Rare Case Report

Full Sized Blog Element (Big Preview Pic)

Acute Scaphoidectomy and Lunocapitate Fusion for the Surgical Treatment of Compound Trans Styloid, Trans-Scaphoid, Peri-Lunate Fracture- Dislocation with Extensor Tendon Injury

Author: Divyesh V. Bukalsaria [1], Sachin Kale [1], Prakash D. Samant [1], Arvind Vatkar [1], Sanjay Dhar [1], Prasad Chaudhari [1]

Abstract

References

(Article Text HTML) (Download PDF)

Multi-Fragment Patellar Non-Union in a Young Patient Due to Failed Fixation and its Management – A Rare Case Report

Author: Neetin P Mahajan [1], Prasanna Kumar GS [1], Pranay Kondewar [1], Kishor Jadhav [1]

Abstract

References

(Article Text HTML) (Download PDF)

Contact

Important Links

LICENSE