Conflict of interests The speaker has the following to disclose related directly or indirectly to the subject of this presentation (period: past three.

Slides:

Advertisements

Similar presentations

Mr Lee Van Rensburg GEASS Munich October JBJS B Vol 49-A, NO. 4, JUNE 1967.

Advertisements

Weaver Dunn Technique for AC Joint Repair

Olecranon fracture Lonnie Froberg, MD, Ph.D Odense University Hospital.

A Prospective Study Of Functional Outcome Following Intra-articular Fracture Of Distal Radius In Adults -- A Comparison Between External Fixation And Internal.

Minimally Invasive Hip Surgery. Introduction Many people suffering from arthritis alter their lives to deal with pain. Many people suffering from arthritis.

Injuries to the Shoulder

Clavicle fracture. Frequency Clavicle fractures involve approximately 5% of all fractures seen in hospital emergency admissions. Clavicles are the most.

Extracapsular Fractures

Re-written by: Daniel Habashi Upper Extremity Fractures And Dislocations.

Pediatric Forearm Fractures OTA RCFC Pediatric Considerations Periosteum Greenstick / Incomplete fractures Remodeling Cast technique.

Fractures and Injuries of the Upper Limb

Ch. 21 Shoulder Injuries. Impingement Syndrome Space between humeral head below and acromion above becomes narrowed The structures that live in that space.

Mechanism of the Injury (cause)  Fall or hit on to knee cap.

Treatment of the Acromioclavicular Joint Dislocation with External Fixation Device Chelnokov A.N. Tyrtseva E.S. Ural Scientific Research Institute of Traumatology.

Colles’ Fractures Charles Caltagirone.

Belgian Hand Group, Social Insurance Costs and Impairment in Displaced Wrist Fractures in Young and Elderly Patients Th. MULIER, P. MILANTS,

Upper Tibia Osteotomy Single incision & MIS H.Makhmalbaf MD Consultant Orthopaedic & Knee Surgeon Mashad University.

Supracondylar fractures of the femur Usually affect: Usually affect: 1. Young adults from high energy trauma. 2. Elderly osteoporotic persons.

Minimally Invasive Hip Surgery. What is Minimally Invasive Hip Surgery? A new surgical technique A new surgical technique Uses traditional hip implants.

Clavicle fracture operative treatment(MIPO)

Introduction to Fractures Fractures - definitions, healing and management.

Operative Treatment of Chest Wall Injuries: Indications, Technique, and Outcomes by Paul M. Lafferty, Jack Anavian, Ryan E. Will, and Peter A. Cole J Bone.

Male with displaced fracture of the left clavicle, treated with clavicle pin Pre-Op Post-Op Fracture healed.

Flexible Intramedullary Nailing or External Fixation for Pediatric Femoral Shaft Fractures Soo-Sung Park M.D., Jae-Bum Park M.D. Department of Orthopaedic.

Continuous Loop Double Endobutton Reconstruction for AC Joint Dislocation Steven Struhl, MD 1, Theodore Wolfson, MD 1 1 Department of Orthopaedic Surgery,

Shoulder Injuries Part I

Surgical Treatment Of Acromioclavicular Dislocations: A Comparative Study Of Suture Ethiband N:5 With Semitendinosus Autograft Tendon Mohsen Mardani-Kivi.

Most Effective Way to Overcome the Nagging Shoulder Pain: Arthroscopy.

Athletic Shoulder Injuries Sean F. Bak, MD Sports Medicine and Shoulder Reconstruction Novi, MI.

A Thesis Presented to the Graduate School Faculty of Medicine, University of Alexandria In partial fulfilment of the requirements of the Master Degree.

FRACTURE CLAVICLE.

Growth Plate Fractures. What is a Growth Plate? Areas of cartilage located near the ends of bones Found on long bones Between widened part of the shaft.

FRACTURES AROUND SHOULDER. Fractures around Shoulder Fractures of Clavicle Fractures of Scapula Fractures of proximal Humerus.

Pediatric Femoral Shaft Fractures

Radiology in Family Medicine: Evaluation of a Longitudinal Curriculum

By Pariyo Bonane Godfrey

Scaphoid Fractures: A Comparison of Two Surgical Methods Using Either Herbert Screws or Multiple Pins for Internal Fixation By: Mohsen Mardani.

Ramachandran Govidasamy Amrut Borade Ramesh Banshiwal

OPERATIVE TREATMENT FOR THE FIRST METACARPAL BASE FRACTURE OF THE HAND

Lower radius fractures

Results of distal radius core decompression and volar percutaneous fixation in scaphoid non-unions without grafting Süleyman Semih Dedeoğlu,Yunus imren,Haluk.

Fractures of the radius and ulna

Mohammed El-Gebiely, MD

1st Zliten Orthopedic Symposium (ZOS) 10th March,2016

M Ali, D Aspros, D Clark, A Tambe

Waleed Mohamed Amrhassaen Mohammad Salah Abdelaal

Arthroscopic Bankart Reconstruction

FRACTURES OF THE OLECRANON

B. Obada, Al. Serban, M. Zekra, T. Bajenescu, Crina Alecu

Late results after a two-stage protocol for soft tissue management in the treatment of tibial pilon fractures Obadă B., Șerban Al. O., Costea D., Grasa.

Proximal Tibia Nonunion

Splint K wire Lag Screw Plate External Fixator

Florence Nightingale Hospital

Fracture of the patella

Surgical Technique for Arthroscopy-Assisted Anatomical Reconstruction of Acromioclavicular and Coracoclavicular Ligaments Using Autologous Hamstring Graft.

Chelnokov A.N. Tyrtseva E.S.

Using the Contralateral Reverse Less Invasive Plating System for Subtrochanteric Femur Fractures in Elderly Patients Med Princ Pract 2012;21:334–339 -

Obada B., Serban Al., Anderlik St., Badauta M., Costea D., Grasa C.

Obada B. , Serban Al. , Borgazi E. , Badauta M. , Botnaru V

Supplemental method for the reduction of Irreducible Mallet Finger Fractures by Two Extension Block Technique : Dorsal Counterforce Technique Jung Eun.

Complex Transverse Fractures of the Olecranon Treated by the Tension Band Wiring following Absorbable Pin Fixation of Articular Fragment Young Ho Lee.

HIP REPLACEMENT UPDATE

Surgical principles of treatment for tibial plateau fractures

Bankart Lesion Thomas J Kovack DO.

Emergency Clinical Hospital of Constanta, Romania

Distal intraarticular femoral fracture

WARRAICH ROLL#17-C Anatomy of elbow joint;

Case for small group discussion

Stress Fracture Symptoms Pain Tenderness after activity

Presentation transcript:

Conflict of interests The speaker has the following to disclose related directly or indirectly to the subject of this presentation (period: past three years). Companies, I worked for in the last 3 years: OKMEYDANI TRAİNİNG AND RESEARCH HOSP

Okmeydanı Training and Research Hospital, Istanbul, Turkey Results of minimal invasive coracoclavicular fixation by double button lift-up system in Neer type II distal clavicle fractures Suleyman Semih Dedeoglu, Yunus Imren, Haluk Cabuk, Murat Cakar, Samet Murat Arslan, and Cem Zeki Esenyel Okmeydanı Training and Research Hospital, Istanbul, Turkey

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Background Neer Type 2 fractures – “unstable” Deforming forces Various fixation methods: - K wire, screw, Knowles pin - plate (low profile, hook) - Tension band, anchor, CC lig. reconstruction - Endobutton Gold Standard ? Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Purpose Evaluate clinical and functional outcome of indirect fracture reduction performed by coracoclavicular fixation with minimal invasive double button lift-up system in Neer type IIa unstable fractures of distal clavicle. Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Materials and Method 2012 - 2015 22 patients (M/F: 19/3) Displaced Neer type IIa distal clavicle fracture Mean age: 39 (21-60) Dominant extremity affected in 14 cases Traffic accident (n: 14), falls (n: 6), sports injury (n: 2) Mean time to surgery : 5 days (3-8) Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Materials and Method Same surgeon Indirect reduction and osteosynthesis by coracoclavicular fixation with minimal invasive double button lift-up system (TightRope™ system, Arthrex) under fluoroscopy Standard sling for 3 weeks, pandular exercises on postop day 1. Active ROM and muscle strengthening at 6 weeks X-rays, ASES and Constant scores were obtained. Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Surgical technique Beach chair position under fluoroscopy Haluk Çabuk 31.05.2017 -1189

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Results Mean duration of surgery: 40 min. (30-55) Mean union time: 14 weeks (7-21) Mean ASES and Constant scores: 79.9 (66.9–88.3) and 82.2 (71–100), respectively. Return to daily activity: 4.5 months 20 patients had complete recovery and pain relief at first year. Two cases had prolonged shoulder pain Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Results No - Wound problems - Loss of reduction - AC joint arthrosis - Osteolysis, impingement - Clavicular shortening at the end of first year. Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Limitations Results of single centre, single surgeon Low number of cases with short term follow-up May not be appropriate for comminuted fractures Clear definition for the extent of the tension of the rope Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Süleyman Semih Dedeoğlu 01.06.2017 - 2033 Conclusions Indirect osteosynthesis by coracoclavicular fixation with tightrope had successful clinical, radiological, and functional outcomes for treatment of unstable Neer type IIa fractures of the distal clavicle. Probably no need for implant removal Satisfactory cosmetic view Süleyman Semih Dedeoğlu 01.06.2017 - 2033

Thank you for your attention Haluk Çabuk 31.05.2017 -1189