Displaying publications 1 - 20 of 97 in total

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  1. Fulltext Clinical outcome and operative cost comparison: Locked compression plate versus reconstruction plate in midshaft clavicle fractures
    Gan JT, Chandrasekaran SK, Tuan Jusoh TB
    Acta Orthop Traumatol Turc, 2020 Sep;54(5):483-487.
    PMID: 33155556 DOI: 10.5152/j.aott.2020.19219
    OBJECTIVE: The aim of this study was to compare the clinical outcomes and operative cost of a locked compression plate (LCP) and a nonlocked reconstruction plate in the treatment of displaced midshaft clavicle fracture.

    METHODS: From January 2013 till March 2018, a total of 55 patients with acute unilateral closed midshaft clavicle fracture were treated with either a 3.5-mm pre-contoured LCP [32 patients; 25 men and 7 women; mean age: 35 years (range: 19-63 years)] or a 3.5-mm nonlocked reconstruction plate [23 patients; 20 men and 3 women; mean age: 31.4 years (range: 17-61 years)]. The clinical outcomes in terms of fracture union, Quick Disability of Arm, Shoulder and Hand (DASH) score, implant irritation, failure rate, and reoperation rate were evaluated retrospectively. The patient billing records were reviewed to obtain primary operation, reoperation, and total operative cost for midshaft clavicle fracture. These values were analyzed and converted from Malaysia Ringgit (RM) to United States Dollar (USD) at the exchange rate of RM 1 to USD 0.24. All patients were followed up for at least one-year duration.

    RESULTS: The mean time to fracture union, implant irritation, implant failure, and reoperation rate showed no significant difference between the two groups of patients. The mean Quick DASH score was significantly better in the reconstruction plate group with 13 points compared with 28 points in the LCP group (p=0.003). In terms of total operative cost, the LCP group recorded a cost of USD 391 higher than the reconstruction plate group (p<0.001).

    CONCLUSION: The 3.5-mm reconstruction plate achieved not only satisfactory clinical outcomes but was also more cost-effective than the LCP in the treatment of displaced midshaft clavicle fractures.

    LEVEL OF EVIDENCE: Level III, Therapeutic study.

    Matched MeSH terms: Fracture Fixation, Internal/economics; Fracture Fixation, Internal/instrumentation; Fracture Fixation, Internal/methods
  2. Fulltext Management Of Zygomatico-Orbital Fractures Using Rigid Internal Fixation With Cosmetic Surgical Considerations - Case Report
    Ong, A.H.M.
    Ann Dent, 1996;3(1):-.
    MyJurnal
    The current standard of managing facial bone fractures is the use of rigid internal fixation. This method provides good stabilization and repair for mid-face fractures such as the zygomatico-orbitalfracture. Nowadays, for the young and old, patients want not only rapid bone healing, but also good facial aesthetics after surgical treatment following maxillofacial trauma. Therefore, osteosynthesis of fractures and inconspicuous post-operative scars are considered essential. The lower eyelid approach or modified blepharoplasty provides rapid access to the infraorbital rim as well as the orbital floor, while the lateral eyebrow incision gives direct access for fixation at the fronto-zygomatic suture. Combining the Gillies' approach and a single form of rigid internal fixation, good cosmetic results and function can be achieved. Cases using the micro-plate-system for thin infraorbital bones and the miniplate- system for thicker facial bones involving zygomatico-orbital fractures are described.
    Matched MeSH terms: Fracture Fixation, Internal
  3. Cemento-ossifying fibroma with mandibular fracture. Case report in a young patient
    Ong AH, Siar CH
    Aust Dent J, 1998 Aug;43(4):229-33.
    PMID: 9775467
    The cemento-ossifying fibroma is classified as an osteogenic neoplasm of the jaws. It commonly presents as a progressively growing lesion that can attain an enormous size with resultant deformity if left untreated. A case of a large cemento-ossifying fibroma involving the left mandible is described in a 15 year old male patient. The clinical, radiographic and histological features as well as surgical findings are presented. The treatment of choice of this lesion is also emphasized. Two years after surgery, there was no evidence of recurrence and the transosseous wire used to immobilize the fracture was found to be completely buried in the jaw bone.
    Matched MeSH terms: Fracture Fixation, Internal
  4. Fulltext Two variants of fat embolism syndrome evolving in a young patient with multiple fractures
    Bajuri MY, Johan RR, Shukur H
    BMJ Case Rep, 2013;2013.
    PMID: 23576653 DOI: 10.1136/bcr-2013-008631
    Fat embolism syndrome (FES) is a continuum of fat emboli. Variants of FES: acute fulminant form and classic FES are postulated to represent two different pathomechanisms. Acute fulminant FES occurs during the first 24 h. It is attributed to massive mechanical blockage pulmonary vasculature by the fat emboli. The classic FES typically has a latency period of 24-36 h manifestation of respiratory failure and other signs of fat embolism. Progression of asymptomatic fat embolism with FES frequently represents inadequate treatment of hypovolaemic shock. We present a rare case of two variants of FES evolving in a patient with multiple fractures to emphasis the importance of adequate and appropriate treatment of shock in preventing the development of FES. Since supportive therapy which is a ventilatory support remains as the treatment of FES, it is appropriate to treat FES in the intensive care unit setting.
    Matched MeSH terms: Fracture Fixation, Internal/methods
  5. Intramedullary cement osteosynthesis (IMCO): a pilot study in sheep
    Mirzasadeghi A, Narayanan SS, Ng MH, Sanaei R, Cheng CH, Bajuri MY, et al.
    Biomed Mater Eng, 2014;24(6):2177-86.
    PMID: 25226916 DOI: 10.3233/BME-141029
    The application of bone substitutes and cements has a long standing history in augmenting fractures as a complement to routine fracture fixation techniques. Nevertheless, such use is almost always in conjunction with definite means of fracture fixation such as intramedullary pins or bone plates. The idea of using biomaterials as the primary fixation bears the possibility of simultaneous fixation and bone enhancement. Intramedullary recruitment of bone cements is suggested in this study to achieve this goal. However, as the method needs primary testings in animal models before human implementation, and since the degree of ambulation is not predictable in animals, this pilot study only evaluates the outcomes regarding the feasibility and safety of this method in the presence of primary bone fixators. A number of two sheep were used in this study. Tibial transverse osteotomies were performed in both animals followed by external skeletal fixation. The medullary canals, which have already been prepared by removing the marrow through proximal and distal drill holes, were then injected with calcium phosphate cement (CPC). The outcomes were evaluated postoperatively by standard survey radiographs, morphology, histology and biomechanical testings. Healing processes appeared uncomplicated until week four where one bone fracture recurred due to external fixator failure. The results showed 56% and 48% cortical thickening, compared to the opposite site, in the fracture site and proximal and distal diaphyses respectively. This bone augmentative effect resulted in 264% increase in bending strength of the fracture site and 148% increase of the same value in the adjacent areas of diaphyses. In conclusion, IMCO, using CPC in tibia of sheep, is safe and biocompatible with bone physiology and healing. It possibly can carry the osteopromotive effect of the CPCs to provide a sustained source of bone augmentation throughout the diaphysis. Although the results must be considered preliminary, this method has possible advantages over conventional methods of bone fixation at least in bones with compromised quality (i.e. osteoporosis and bone cysts), where rigid metal implants may jeopardize eggshell cortices.
    Matched MeSH terms: Fracture Fixation, Internal/instrumentation*; Fracture Fixation, Internal/methods*
  6. Fulltext Prospects of implant with locking plate in fixation of subtrochanteric fracture: experimental demonstration of its potential benefits on synthetic femur model with supportive hierarchical nonlinear hyperelastic finite element analysis
    Latifi MH, Ganthel K, Rukmanikanthan S, Mansor A, Kamarul T, Bilgen M
    Biomed Eng Online, 2012;11:23.
    PMID: 22545650 DOI: 10.1186/1475-925X-11-23
    Effective fixation of fracture requires careful selection of a suitable implant to provide stability and durability. Implant with a feature of locking plate (LP) has been used widely for treating distal fractures in femur because of its favourable clinical outcome, but its potential in fixing proximal fractures in the subtrochancteric region has yet to be explored. Therefore, this comparative study was undertaken to demonstrate the merits of the LP implant in treating the subtrochancteric fracture by comparing its performance limits against those obtained with the more traditional implants; angle blade plate (ABP) and dynamic condylar screw plate (DCSP).
    Matched MeSH terms: Fracture Fixation, Internal/instrumentation*
  7. Fulltext Treatment of Extensively Comminuted Mandibular Fracture with the Aid of a Condylar Positioning Device
    Nazimi AJ, Ezulia T, Rajaran JR, Mohd Yunus SS, Nabil S
    Case Rep Dent, 2017;2017:2732907.
    PMID: 29391956 DOI: 10.1155/2017/2732907
    We describe a case of extensively comminuted mandibular fracture that extends bilaterally to the angle of mandible successfully treated with the use of condylar positioning device (CPD). This simple, yet effective, technique that almost exclusively described in orthognathic surgery is useful when advance surgical techniques such as pre- or intraoperative landmark identification may not be readily available. CPD technique optimizes the manual manipulations of the comminuted distal segments during fracture reduction and internal fixation. At the same time, it allows greater control of the proximal segments to avoid further surgical complication.
    Matched MeSH terms: Fracture Fixation, Internal
  8. Angular stable lateral plating is a valid alternative to conventional plate fixation in the proximal phalanx. A biomechanical study
    Shanmugam R, Ernst M, Stoffel K, Fischer MF, Wahl D, Richards RG, et al.
    Clin Biomech (Bristol, Avon), 2015 Jun;30(5):405-10.
    PMID: 25846324 DOI: 10.1016/j.clinbiomech.2015.03.019
    Dorsal plating is commonly used in proximal phalanx fractures but it bears the risk of interfering with the extensor apparatus. In this study, dorsal and lateral plating fixation methods are compared to assess biomechanical differences using conventional 1.5mm non-locking plates and novel 1.3mm lateral locking plates.
    Matched MeSH terms: Fracture Fixation, Internal/instrumentation*; Fracture Fixation, Internal/methods*
  9. Fulltext "Free Hand" or Wire Guide: To the Editor
    Sinha NK, Bhardwaj A
    Clin Orthop Surg, 2019 12;11(4):495.
    PMID: 31788175 DOI: 10.4055/cios.2019.11.4.495
    Matched MeSH terms: Fracture Fixation, Internal
  10. Fulltext Chronic Osteomyelitis Revisited: A Case Report
    Chuah SK, Bajuri MY, Mohd Nor F
    Cureus, 2019 Jun 28;11(6):e5023.
    PMID: 31501722 DOI: 10.7759/cureus.5023
    Chronic osteomyelitis treatment is always a challenge to orthopaedic surgeons which requires great dedication and perseverance. We report a successful limb salvage case of a 46-year-old man who suffered from a left tibia chronic osteomyelitis with soft tissue defect. The treatment approach was a thorough wound debridement of devitalized tissues and necrotized bone, commencement of culture-directed antibiotics, reconstruction with vascularized osteomyocutaneous fibula flap, and skeletal stabilization with internal fixation. As compared to below knee amputation, the result we obtained in this case is more promising with regard to mobility and function.
    Matched MeSH terms: Fracture Fixation, Internal
  11. Is arthroscopic assisted percutaneous screw fixation as good as open reduction and internal fixation for the treatment of displaced intra-articular calcaneal fractures?
    Yeap EJ, Rao J, Pan CH, Soelar SA, Younger ASE
    Foot Ankle Surg, 2016 Sep;22(3):164-169.
    PMID: 27502224 DOI: 10.1016/j.fas.2015.06.008
    BACKGROUND: This study compares the outcomes of calcaneal fracture surgery after open reduction internal fixation and plating (ORIF) versus arthroscopic assisted percutaneous screw fixation (APSF).

    METHODS: Group I (N=12) underwent ORIF. Group II (N=15) underwent APSF. Anthropometric data, pre and post-operative stay, complications and duration off work were recorded in this retrospective case cohort study. Radiographs were analyzed for Bohler's, Gissane's angle and Sanders' classification. AOFAS Hindfoot and SF 36 scores were collected at final follow-up.

    RESULTS: Anthropometric data, Bohler's and Gissane's angles, AOFAS and SF 36 scores were not significantly different. Pre-operative duration was 12.3 days in ORIF and 6.9 days in APSF. Post-operative duration was 7.3 days vs 3.8 days. Duration off work was 6.2 months vs 2.9 months.

    CONCLUSION: The APSF group was able to have surgery earlier, go home faster, and return to work earlier. This study was not powered to demonstrate a difference in wound complication rates.

    Matched MeSH terms: Fracture Fixation, Internal/adverse effects; Fracture Fixation, Internal/instrumentation*; Fracture Fixation, Internal/methods
  12. Fulltext Spinopelvic Fixation Supplemented With Gullwing Plate for Multiplanar Sacral Fracture With Spinopelvic Dissociation: A Case Series With Short Term Follow Up
    Mohd Asihin MA, Bajuri MY, Ahmad AR, Ganaisan PK, Fazir M, Salim AA
    Front Surg, 2019;6:42.
    PMID: 31380389 DOI: 10.3389/fsurg.2019.00042
    We describe a series of three patients who sustained multiplanar sacral fracture with spinopelvic dissociation treated with bilateral triangle osteosynthesis supplemented with a gullwing plate. Multiplanar sacral fracture causes the sacrum to divide into two parts which in severe cases, fracture displacement results in neurological injury. Spinopelvic fixation supplemented with a gullwing plate surgical treatment is still a viable option with an acceptable outcome. The average waiting time prior to surgery is 3 weeks.
    Matched MeSH terms: Fracture Fixation, Internal
  13. Percutaneous plating in paediatric tibial fractures
    Yusof NM, Oh CW, Oh JK, Kim JW, Min WK, Park IH, et al.
    Injury, 2009 Dec;40(12):1286-91.
    PMID: 19539282 DOI: 10.1016/j.injury.2009.02.020
    Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous plating of tibial fractures in children.
    Matched MeSH terms: Fracture Fixation, Internal/methods*
  14. A simple and inexpensive external fixator
    Noor MA
    Injury, 1988 Nov;19(6):377-8.
    PMID: 3267638
    A simple and inexpensive external fixator has been designed. It is constructed of galvanized iron pipe and mild steel bolts and nuts. It can easily be manufactured in a hospital workshop with a minimum of tools.
    Matched MeSH terms: Fracture Fixation, Internal/economics; Fracture Fixation, Internal/instrumentation*
  15. Fulltext Operative internal fixation of isolated femoral diaphyseal fractures - is interlocking nail the best option?
    Zairul-Nizam, Z.F.
    International Medical Journal Malaysia, 2008;7(2):25-30.
    MyJurnal
    Femoral fractures are one of the commonest fractures encountered in orthopaedic practice. Over the years, treatment of this injury has evolved tremendously. The initial non-operative methods of reduction and stabilization have largely been replaced by operative fixation. There are currently three basic modes of internal fixation of femoral diaphyseal fractures in the adult age group: plate and screws, intramedullary Kuntscher nailing, and interlocking nailing. The objective of this study is to determine whether the so-called more ‘technologically advanced’ interlocking nailing results in better outcome compared to the more ‘traditional’ plate and screws, and Kuntscher nailing. It is found that, in terms of time to union and final function after an average of just under 2 years post-operative period, the group of patients who had interlocking nailing fared poorer. A review of relevant literature will then be presented.
    Matched MeSH terms: Fracture Fixation, Internal
  16. Fulltext Bilateral Olecranon Fracture in Adult. A Case Report
    Zamzuri, Z., Nazri, M.Y., Amindudin, C.A., Azril, A., Shukrimi, A., Hafiz, A., et al.
    International Medical Journal Malaysia, 2006;5(1):1-3.
    MyJurnal
    We report a case of a 14-year-old Malay male who fell at school and sustained bilateral olecranon fractures. He had undergone an open reduction and tension band wiring to stabilize the fracture. Three months after the surgery, the movement of both his elbows was satisfactory.
    Matched MeSH terms: Fracture Fixation, Internal
  17. Fulltext Infection Following Internal Fixation Of Closed Fractures
    Nazri Mohd Yusof, Ahmad Hafiz Zulkifly, Kamarul Ariffin Khalid, Zamzuri Zakaria, Aminuddin Che Ahmad, Mohamed Azril Mohamed Amin, et al.
    International Medical Journal Malaysia, 2006;5(1):1-6.
    MyJurnal
    This is a prospective study on infection following fixation of closed fractures done in Hospital Tengku Ampuan Afzan ,Kuantan from May 2003 to May 2005. There were 23 cases in this study. The mean age of patient was 32.9 years (range 15 to 77). Twenty one were males and 2 females. Twenty (87%) infections occurred in the lower limb and only 3(13%) occurred in the upper limbs. Twenty two patients (91%) had plating done for the fracture. Infection following internal fixation is commonly a deep seated (96%) and florid (78%) infection in which 70% occur after the surgical wound has healed. Staphylococcus aureus is the commonest organism isolated in which 43% are Methicillin resistant (MRSA). Overall infection caused by gram negative organisms is more common than gram positive organisms.
    Matched MeSH terms: Fracture Fixation, Internal
  18. Fulltext Stage protocol in the management of infection following plating of the Tibia
    Nazri, M.Y.
    International Medical Journal Malaysia, 2012;11(1):41-46.
    MyJurnal
    Introduction: Anterior border of the tibia is covered only by a thin layer of protective tissue. Plating of the tibia often results in wound complication and infection if the injury to this area is not recognized. We review our results of managing infection following plating of the tibia using a protocol base on the status of bone healing and the presence of bone or soft-tissue defect. Methods: Eight cases of infection following plating of the tibia were managed according to stage procedures protocols and classification, which is based on the state of bony union and the defect following wound debridement. The soft-tissue defects were managed with local flaps, and the bone defects were managed with Illizarov bone transport. Results: Three patients had more than one bacterium isolated. Gram negative organisms were isolated from seven patients. Methicillineresistant Staphylococcus aureus was isolated in two patients. All patients achieved union with a mean union
    time of seven months. The infections were controlled in seven patients. One patient had minimal sinus discharge but refused further treatment. Conclusions: The stage protocol for the management of infection following plating of the tibia is practical and produces excellent results.
    Matched MeSH terms: Fracture Fixation, Internal
  19. Fulltext Primary Hemiarthroplasty following severe proximal humerus fracture dislocations with irretrievable humeral head in young patients
    Khairul Nizam Siron, Lim, Chia Hua
    International Medical Journal Malaysia, 2017;16(11):44-44.
    MyJurnal
    Neer first popularised the use of primary hemiarthroplasty to treat complex proximal
    humerus fractures, especially when the humeral head is nonviable or not
    reconstructable with internal fixations, and with younger patients. (Copied from article).
    Matched MeSH terms: Fracture Fixation, Internal
  20. Medial distal femur fixation with proximal tibial locking plate: A case series
    Kamarul Izham Kamarudin, Nur Dini Mohd Yusof, Suresh Chopra
    International e-Journal of Science, Medicine & Education, 2017;11(3):32-34.
    MyJurnal
    Open reduction and internal fixation using
    conventional lateral distal femur locking plate is a
    standard operative method for distal femur fracture.
    This case series describes medial plating of distal
    femur fracture using proximal tibia locking plate that
    is anatomically fit to the medial aspect of distal femur,
    by the minimally invasive plate osteosynthesis (MIPO)
    technique which gives a stable construct with good
    outcome.
    Matched MeSH terms: Fracture Fixation, Internal
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