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Axillary artery entrapment following proximal humeral fracture: A case report and review of literature

Keser S. | Ege A. | Turhan E. | Songür M. | Bayar A. | Akça M.K.

Article | 2011 | European Journal of Orthopaedic Surgery and Traumatology21 ( 2 ) , pp.117 - 122

Injury to the axillary artery following proximal humerus fracture is a very rare occurrence. The most common mechanism of axillary artery injury is fracture dislocation, resulting with intimal tears, arterial lacerations or avulsions. The most common lesion is the subtotal transaction of the vessel. In this report, we aim to define entrapment of axillary artery by tethering of anterior circumflex humeral artery, which is an unreported mechanism of injury that occurred after a proximal humerus fracture. Diminution of pulse with abduction of arm was the only finding at initial examination, and diagnosis was confirmed with angiography. . . . Treatment was accomplished through ligation and release of anterior circumflex artery with reduction and fixation of fracture fragments, resulting with full recovery. We also have reviewed current literature about axillary artery injuries following proximal humeral fracture. © 2010 Springer-Verlag Daha fazlası Daha az

Arthroscopy-assisted reduction versus open reduction in the fixation of medial malleolar fractures

Turhan E. | Doral M.N. | Demirel M. | Atay A.O. | Bozkurt M. | Bilge O. | Huri G.

Article | 2013 | European Journal of Orthopaedic Surgery and Traumatology23 ( 8 ) , pp.953 - 959

Purpose: Purpose of this case-control study was to evaluate the feasibility and advantages of arthroscopically assisted reduction and internal fixation of isolated medial malleolar fractures and compare the outcomes with conventional open reduction and internal fixation. Methods: Forty-seven patients with medial malleolar fractures were grouped into two: arthroscopy-assisted group, and conventional open reduction and internal fixation group. Arthroscopic treatment group consisted of 21 patients. The mean age was 34 years (range: 22-49 years). Conventional open reduction and internal fixation group included 26 patients. The mean age . . .was 42 years (range: 22-58 years). According to Herscovici system, 6 fractures in the arthroscopy group were classified as type-B, 13 fractures as type-C, and 2 fractures were classified as type-D. In both groups, fractures were classified according to Herscovici system. Radiological and clinical outcomes were evaluated according to van Dijk classification and Olerud-Molander scoring system, respectively. Results: The mean follow-up period was 26 months (18-52 months) for arthroscopically assisted group and 38 months (24-58 months) for the conventional group. According to van Dijk classification, there was only one patient with Grade 1 osteoarthritic changes in arthroscopically assisted group compared with the conventional group where two patients had Grade 2 and one patient had Grade 1 osteoarthritic changes. Median Olerud Scores were 92.3 (75-100) and 86.3 (70-100) for the arthroscopically assisted group and for the conventional group, respectively. The difference was statistically significant (p = 0.015). Conclusions: With the use of arthroscopically assisted techniques in fixation of isolated medial malleolar fractures, surgeon can evaluate intra-articular surface and reduction that may be of value in the improvement in clinical outcomes over conventional surgical treatment. Level of evidence: Case-control study, Level III. © 2012 Springer-Verlag France Daha fazlası Daha az

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