Displaying publications 1 - 20 of 97 in total

  1. 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*
  2. Anuar-Ramdhan IM, Azahari IM, Med Orth M
    Malays Orthop J, 2014 Nov;8(3):33-6.
    PMID: 26401234 MyJurnal DOI: 10.5704/MOJ.1411.008
    The diaphyseal tibia fracture is best treated with intramedullary nail but in some cases where the nail is not applicable, plate fixation will be the next option of fixation. The extensile anterior approach is normally used for conventional compression plate fixation in tibia shaft fractures. The extensive surgical dissection may devitalizes the bony fragments and interfere with the fracture union as well as soft tissue healing. Minimally Invasive Plate Osteosynthesis (MIPO) provides good preservation of blood supply and fracture hematoma at the fracture site thus promotes biological bone healing. The use of indirect reduction techniques and small skin incisions to introduce the plate is technically demanding and requires fluoroscopy exposures throughout the surgery, being some of its drawbacks. We recommend MIPO for conventional compression plate fixation in tibial shaft fractures in view of the reduced surgical trauma to the surrounding soft tissue and good functional outcome.
    Matched MeSH terms: Fracture Fixation, Internal
  3. 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
  4. Khairul Nizam Siron, Lim, Chia Hua
    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
  5. Kamarul Izham Kamarudin, Nur Dini Mohd Yusof, Suresh Chopra
    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
    Matched MeSH terms: Fracture Fixation, Internal
  6. 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
  7. Sa-Ngasoongsong P, Chulsomlee K, Wongsak S, Suphachatwong C, Kawinwonggowit V
    Malays Orthop J, 2016 Nov;10(3):52-55.
    PMID: 28553451 DOI: 10.5704/MOJ.1611.012
    Patellar fracture after total knee replacement (TKR) is one of the challenging problems in periprosthetic fracture. Open reduction with internal fixation (ORIF), as tension band wiring (TBW), usually required in cases with extensor mechanism disruption. However, many studies reported a high failure rate after using this technique. In this report, we presented an interesting case of periprosthetic patellar fracture after TKR with TBW failure that was successfully treated with double non-locking reconstruction plates fixation and TBW augmentation.
    Matched MeSH terms: Fracture Fixation, Internal
  8. Singh TS, Sadagatullah AN, Yusof AH
    Singapore Med J, 2015 Oct;56(10):562-6.
    PMID: 25814075 DOI: 10.11622/smedj.2015130
    The purpose of this study was to examine the differing curves of the volar distal radius of healthy Malaysian Malays, so as to obtain detailed morphological information that will further the understanding of volar plate osteosynthesis in Malaysian Malays.
    Matched MeSH terms: Fracture Fixation, Internal
  9. Sidhu JS, Kadni T
    Med J Malaysia, 1988 Jun;43(2):117-24.
    PMID: 3237127
    Matched MeSH terms: Fracture Fixation, Internal*
  10. Rughubar V, Vares Y, Singh P, Filipsky A, Creanga A, Iqbal S, et al.
    J Oral Maxillofac Surg, 2020 Oct;78(10):1781-1794.
    PMID: 32589939 DOI: 10.1016/j.joms.2020.05.012
    PURPOSE: We aimed to compare complication rates and functional outcomes in patients with bilateral mandibular fractures treated with different degrees of internal fixation rigidity.

    PATIENTS AND METHODS: This international, multicenter randomized controlled trial included adults with bilateral mandibular fractures located at either the angle and body, angle and symphysis, or body and symphysis. Patients were treated with either a combination of rigid fixation for the anterior fracture and nonrigid fixation for the posterior fracture (mixed fixation) or nonrigid fixation for both fractures. The primary outcome was complications within 6 weeks after surgery. Secondary outcomes were complications within 3 months, Helkimo dysfunction index, and mandibular mobility at 6 weeks and 3 months after surgery.

    RESULTS: Of the 315 patients enrolled, 158 were randomized to the mixed fixation group and 157 to the nonrigid fixation group. The overall complication rate at 6 weeks in the intention-to-treat population was 9.6% (95% confidence interval [CI], 5.3% to 15.6%) in the mixed fixation group and 7.8% (95% CI, 4.0% to 13.5%) in the nonrigid fixation group. With an unadjusted odds ratio of 1.25 (95% CI, 0.51 to 3.17), there were no statistically significant differences in complication rates between the 2 groups (P = .591). A multivariable model for complication risk at 6 weeks found no significant differences between treatment groups, but patients with moderate or severe displacement had a higher complication rate than those with no or minimal displacement (adjusted odds ratio, 4.58; 95% CI, 1.16 to 18.06; P = .030). There were no significant between-group differences in complication rates at 3 months. Moreover, no significant differences in Helkimo dysfunction index and mandibular mobility index at 6 weeks and 3 months were found between groups according to treatment allocated and treatment received.

    CONCLUSIONS: A combination of rigid and nonrigid fixation in patients with bilateral mandibular fracture has similar complication rates and functional outcomes to nonrigid fixation for both fractures.

    Matched MeSH terms: Fracture Fixation, Internal*
  11. Ajit Singh V, Jia TY, Devi Santharalinggam R, Gunasagaran J
    PLoS One, 2023;18(1):e0279210.
    PMID: 36662743 DOI: 10.1371/journal.pone.0279210
    BACKGROUND: Ulna styloid fracture occurs approximately about 55% of all distal end of radius fractures. However, the clinical and functional outcome of these fractures remains indefinite.

    RESULTS: Only 56 patients with distal radius fractures had concomitant ulna styloid fractures. The mean age was 32 years (range: 18-69; SD: ± 12.7). The majority were men. The mean time from injury was 18.7 months (range: 6-84; SD: ± 13.3). The most common was Frykman 2, followed by 6, type 8, and type 4. All were closed fractures; 60.7% were base, and 39.3% were tip fractures. 50% were treated with casting, 48.3% plating, and 1.8% external fixation. The mean period of casting was 7.67 weeks (range: 4-16; SD ± 3.1). The ulna styloid was united in 35.7%. There is no significant difference in the range of movement between those with ulna styloid union and non-union. The Ballottement test and Piano key sign was statistically insignificant between both groups. All the displacements were dorsal except in 1 case. The mean displacement of ulna styloid is 1.88mm (SD±1.08, Range: 0.20-4.60mm). The mean VAS score at rest and work is not statistically significant. The mean grip strength and functional score (DASH) are similar in both groups.

    CONCLUSION: Ulna styloid fractures do not contribute to the DRUJ instability and the status of the union of the ulna styloid and the site of the ulna styloid fracture (tip or base) did not have a bearing on the range of movement and functional status of the affected wrist. Temporary DRUJ immobilization might allow TFCC recovery.

    Matched MeSH terms: Fracture Fixation, Internal/adverse effects
  12. Malerba G, Basilico M, Bonfiglio N, Maccauro G
    Malays Orthop J, 2020 Nov;14(3):177-179.
    PMID: 33403082 DOI: 10.5704/MOJ.2011.029
    Isolated apophyseal avulsion of the greater trochanter is a rare condition in the paediatric population, frequently related to avascular necrosis of the femoral head. Since there are few cases in the literature, there is no consensus regarding the best treatment of this injury. Our study describes the case of a 9-year-old patient with an avulsion of the right greater trochanter. A minimally invasive osteosynthesis was performed, achieving complete clinical and radiographic healing of the patient and no long-term complications after four years.
    Matched MeSH terms: Fracture Fixation, Internal
  13. 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
  14. Zairul-Nizam, Z.F.
    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
  15. Zamzuri, Z., Nazri, M.Y., Amindudin, C.A., Azril, A., Shukrimi, A., Hafiz, A., et al.
    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
  16. Chee, W.H., Ahmad, A.R.
    JUMMEC, 2018;21(2):59-63.
    Locked pubic symphysis is a rare form of pelvic injury that usually occurs after a lateral compression injury to
    the pelvis, where the intact pubis is trapped behind the contralateral pubis. To the best of our knowledge, there
    were 25 similar cases reported in the English literature since it was first described in 1952. We present a case
    of locked pubic symphysis with a left iliac wing fracture and a left femur shaft fracture requiring open reduction
    and internal fixation. We also reviewed previous reported cases of locked pubic symphysis and analysed the
    pattern of presentation and guide to management of such injuries. We propose a classification system for
    grading overlapping pubic symphysis that will provide a better guide to the management of such injuries.
    Matched MeSH terms: Fracture Fixation, Internal
  17. 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
  18. 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*
  19. Abdul-Rahman MR, Seong NK, Hee TG, Aljada ME, Reda TA, Sumin JO, et al.
    Heart Surg Forum, 2009 Jun;12(3):E184-6.
    PMID: 19546075 DOI: 10.1532/HSF98.20091016
    Various techniques of sternal stabilization via either metal plates or wires have been described. We describe an alternative technique of simple median sternotomy followed by reduction and wire fixation of the sternal fracture. The 2 patients described in this report had traumatic comminuted and displaced sternal fractures. Even though wire repair was deemed to be tedious and achieved poor approximation of the bone, we performed median sternotomy and achieved simple wire fixation with an excellent result.
    Matched MeSH terms: Fracture Fixation, Internal/instrumentation*; Fracture Fixation, Internal/methods*
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