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Abstract: Biomechanical properties of basket plate fixation for fracture dislocation in the distal part of the patella were studied on 22 fresh–frozen lower extremities (human cadaveric knees). The patella and the patellar ligament with the proximal tibia were removed. A comminuted fracture of the distal part of the patella was created with a chisel. The fractured patella, patellar ligament and tibial tuberosity of each specimen were fixed with a basket plate and mounted into the jaws of the testing machine. The measured load to failure was 421.66±45.90 N, which is approximately 70% higher than the results in other studies. The results of the measurements verified the results of finite element analysis. The modified precurved patellar basket plate developed in this study showed improved performance compared to the pre-existing fixation methods. [Copyright &y& Elsevier]

Metal-on-metal hip resurfacing is a popular procedure for a select group of patients. A variety of surgical approaches are being utilised, each of which may be associated with specific complications. We describe an unusual complication following a Ganz trochanteric osteotomy approach, and the technique used to treat the subsequent periprosthetic fracture. [ABSTRACT FROM AUTHOR]

The treatment of post-traumatic femoral deformity with circular frames can be difficult both for the patient and for the surgeon. Patients frequently suffer from residual knee stiffness, and the cumbersome location of the frame can even result in psychiatric problems such as depression and anxiety during their treatment. Here we describe a novel technique of constructing the Taylor spatial frame (TSF) eccentrically from the femur to allow the same level of comfort as a monolateral external fixator, while applying trigonometric principles to successfully retain the utility of the TSF prescription software. Deformity correction and fracture compression can therefore still be achieved in a controlled and predictable manner on an outpatient basis. [ABSTRACT FROM AUTHOR]

Fractures of the distal humerus are most commonly fixed by open reduction and internal fixation, using plates and screws, either in a locking or in a non-locking construct. Three different plating systems are commonly used in practice. The most important differences between them are in plate orientation, which affects both the rigidity of the osteosynthesis and invasiveness of the surgical procedure. Unfortunately, there is no common agreement between surgeons about which plate configuration brings the best clinical outcome. In this study, we investigate the theoretical rigidity of plate osteosyntheses considering two types of AO/ASIF configurations (90° angle between plates), Mayo clinic (Acumed) configuration (180° between plates) and dorsal fixation of both plates. We also compared the results for cases with and without contact between the bone fragments. In the case of no bone contact, the Mayo clinic plate configuration is found to be the most rigid, followed by both AO/ASIF plate configurations, and the least rigid system is the Korosec plate configuration. On the other hand, no significant differences between all types of fixation configurations are found in cases with contact in-between the bone fragments. Our findings show that this contact is very important and can compensate for the lack of load carrying capacity of the implants. This could therefore incite other implant fixation solutions, leading to less invasive surgical procedures and consequently improved clinical outcome. [ABSTRACT FROM AUTHOR]