Ten aspects of failed internal fixation of femoral shaft fractures: detailed causes and prevention
Today, let’s delve deeper into the causes and preventative measures for internal fixation failure in femoral shaft fractures: 1. Patient Factors: 2. Cerclage Wire Use:2. 3. Cerclage Wire Placement: 4. Screw Placement in Intramedullary Nailing (IMF): 5. Screw Placement in Plate Osteosynthesis (PO): 6. Choice of Implant and Fixation: 7. Technical Errors During Surgery: 8. […]
Analysis and selection of advantages and disadvantages of various treatment methods for multi-segmental tibial fractures
Segmental tibial fractures are complex injuries involving two or more distinct fracture lines and a free-floating middle fragment. This complexity demands a multidisciplinary approach and careful consideration of various factors when deciding on the optimal treatment. Here’s a breakdown of common treatment methods and their pros and cons: 1. Non-operative Treatment: 2. Surgical Treatment: a) […]
What knowledge points should be paid attention to in the surgery of tibial plateau fracture?
General Principles: 1. Patient History: Obtain a detailed history, including mechanism of injury, energy level, and patient-specific factors (e.g., age, bone quality). 2. Comprehensive Examination:Conduct a thorough clinical exam, assessing neurovascular status, range of motion, ligamentous stability, and soft tissue integrity. 3. Advanced Imaging: Utilize X-rays, CT scans, and potentially MRI to fully characterize the fracture pattern, displacement, articular […]
