The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Qiang Huang - One of the best experts on this subject based on the ideXlab platform.
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reverse total shoulder arthroplasty for the treatment of Comminuted Fracture of proximal humerus in elderly patients with rotator cuff injury
China Journal of Orthopaedics and Traumatology, 2019Co-Authors: Jian Zhang, Qiang HuangAbstract:OBJECTIVE: To investigate clinical results of reverse total shoulder arthroplasty in treating Comminuted Fracture of proximal humerus in elderly patients with rotator cuff injury. METHODS: From January 2017 to December 12, 12 Comminuted Fracture or dislocation of proximal humerus elderly patients were diagnosed as rotator cuff injury by preoperative MRI and operative exploration, and treated by reverse total shoulder arthroplasty. Among them, including 7 males and 5 females aged from 65 to 86 years old; 5 patients injured on the left side and 7 patients injured on the right side. Range of motion, postoperative complication were observed, VAS score was used to evaluate pain release and UCLA score was used to assess recovery of shoulder joint. RESULTS: All patients were followed up from 8 to 18 months. At the latest follow-up, shoulder range of motion conditions were as following:forward bend and lifts ranged from 90° to 150°, external rotation ranged from 10°to 30°, internal rotation could reached L₃ level(S₁-L₁), VAS was for 0 to 6 points, UCLA score ranged from 18 to 32 points, 5 patients were good and 7 patients were poor. No infection, prothesis loosening, shoulder stress Fracture, injury of vessel and nerve occurred. CONCLUSIONS: Reverse total shoulder arthroplasty in treating Comminuted Fracture of proximal humerus in elderly patients with rotator cuff injury has advantages of early recovery of shoulder joint range of motion, less pain and high patients' satisfactory.
Matthew T Provencher - One of the best experts on this subject based on the ideXlab platform.
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sternoclavicular joint reconstruction in the setting of medial Comminuted clavicle Fracture
Arthroscopy techniques, 2017Co-Authors: George Sanchez, Nicholas I Kennedy, Marcio B Ferrari, Angela Chang, Matthew T ProvencherAbstract:A dislocation of the sternoclavicular joint is a particularly threatening injury given the close proximity of neighboring vital structures. Moreover, a traumatic injury resulting in a Comminuted Fracture of the medial clavicle in addition to joint instability results in even greater complexity. In the setting of sternoclavicular joint instability, definitive treatment that will lead to complete resolution of symptoms is necessary. Various treatment methods, both conservative and operative, with positive treatment outcomes have been described. The aim of this Technical Note is to describe our preferred surgical technique to treat a medial Comminuted clavicle Fracture with anterior sternoclavicular joint instability.
Sanjay Miranda - One of the best experts on this subject based on the ideXlab platform.
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Early Results of A Simple Distraction Dynamic External Fixator in Management of Comminuted Intra-Articular Fractures of Base of Middle Phalanx
Journal of Hand and Microsurgery, 2013Co-Authors: Muhammad Mansha, Sanjay MirandaAbstract:Treatment for Comminuted Fracture dislocations of the proximal interphalangeal joint (pilon injuries) remains a challenge. We present our short term results of twelve pilon Fracture dislocations treated by closed reduction and application of a distraction dynamic external fixator. The aim of the study was to assess the clinical outcomes and compare them to the original description by Hynes and Giddins. A cohort of 12 consecutive patients with pilon Fracture of the proximal interphalangeal joint (Comminuted Fracture of the base of middle phalanx, longitudinally unstable with joint subluxation), were treated with this method over the study period. Data was collected by an independent observer at last follow-up appointment in the clinic. The outcome measures recorded were; level of residual pain, arc of motion, X-ray appearance, return to work and satisfaction with the procedure. The study group comprises of 7 male and 5 female patients at a mean age of 38.1 years (range 21–70 years). The average range of movement achieved was 13–87° at a mean follow-up of 16.4 weeks (Range 12–42 weeks). Early return to work, good pain relief and high level of patient satisfaction were achieved. No serious complication was noted during this period. We used the construct with slight modification of the original description and we feel this modification may help to reduce the pin site infection. We found the results reproducible and based on our experience we recommend this technique to treat these complex intra-articular Fractures of base of middle phalanx.
Guo Yongxian - One of the best experts on this subject based on the ideXlab platform.
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the effect comparison of distal radius Comminuted Fracture by external fixation and small splint fixation
Chinese Journal of Ethnomedicine and Ethnopharmacy, 2015Co-Authors: Guo YongxianAbstract:Objective To approach effect of distal radius Comminuted Fracture by external fixation and small splint fixation,advantages and disadvantages of two methods of treatment were compared,which was provided gist for clinical data.Method The 80 cases clinical data of distal radius Comminuted Fracture,which was to be divided into two groups,small splint fixation group 40 cases and external fixation group 40 cases.Result The palm angle、ulna angle of small splint fixation group after restoration、after restoration 1month、after restoration 6 month were better than external fixation group,the excellent of small splint fixation group after treatment 2month、6 month were higher than external fixation group,the difference were statistical significance(P 0.05).Conclusion The effect of distal radius Comminuted Fracture by small splint fixation are obviously,which is to be used.
Ren Dingba - One of the best experts on this subject based on the ideXlab platform.
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comparison of clinical efficacy of small splint and external fixator immobilization treatment of distal radius Comminuted Fracture
China Medicine and Pharmacy, 2015Co-Authors: Ren DingbaAbstract:Objective To compare the clinical effect of small splint and external fixator immobilization in the treatment of distal radius Comminuted Fracture. Methods 56 patients with distal radius Comminuted Fracture, who were diagnosed and treated in our hospital from January 2012 to June 2013, were selected and were randomly divided into small splint fixation group and external fixator immobilization group. To treated the two groups according to corresponding fixation methods, to make reduction and function evaluation during the follow-up process of the two groups after discharge, to make statistics and dispose the patients' complication. Results To follow-up 3-21 months with the average follow-up time of 14.1 months. The excellent efficacy evaluation in small splint fixation group(15 cases) with the excellent and good rate of 53.6%(15/28), while which in external fixator immobilization group(24 cases) with the excellent and good rate of 85.7%(24/28), the differences were statically significant(P 0.05). The complication had occurred in the two groups, the symptoms of which were remission and elimination progressively. Conclusion The problem of how to keep the stability of Fracture after reduction on the treatment of distal radius Comminuted Fracture should be solved and be attention. External fixator immobilization is obviously better on reductive maintenance and recovery function compared with which of small splint fixation, is worthy of further clinical study.