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Sagittal Unicondylar Fracture of the Femur on Nail of Küntscher

Open Journal of Orthopedics 2017年第7期7卷 192-197页

作者： tchatchuang paul urich tambekou Batarabadja Bakriga Noufanangue Kombate Atchi Walla Anani Abalo Assang Michel Dossim Department of Orthopaedics Tokoin Teaching Hospital Lomé Togo Afagna Hospital Afagnan Togo

Unicondylar fractures of the femur on osteosynthesis equipment are a particular entity in terms of the lesion mechanisms and therapeutic difficulties. We report this case because of its exceptional nature and discuss the mechanism of occurrence. It was a lateral sagittal unicondylar fracture of the femur on a nail of Küntscher that had been laid for medio-diaphyseal fracture. The causal mechanism was direct. A double screwing on each side of the nail after an open reduction followed by an early rehabilitation was carried out. Consolidation was obtained at 3 months and the nail removed at 18 months with a good functional knee result. Anatomical reduction and fixation allowing early rehabilitation represent a guarantee for a good long-term result.

关键词： Fracture Unicondylar Femur Nail of Küntscher Surgical Treatment

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Radial Head Dislocation Associated with an Ipsilateral Open Type II Gustilo-Anderson Fracture of the Radial Shaft

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Open Journal of Orthopedics 2023年第4期13卷 168-172页

作者： Gilbert F. O. Ngongang paul U. tambekou tchatchuang Jean G. Tsiagadigui Loïc Fonkoue Gaspary Fodjeu Marie A. Ngo Yamben Daniel E. Handy Yaoundé Emergency Centre “CURY” Yaoundé Cameroon Faculty of Medicine and Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon

Radial head dislocation associated with an ipsilateral radial shaft fracture is a rare lesion, even more so for open lesions. Few cases have been found in the literature. We report this case due to its exceptional nature and discuss the mechanism of onset. A twenty-five-year-old patient presented with a dislocation of the radial head associated with a GUSTILO ANDERSON type II open fracture of the radial shaft following an occupational accident. He was managed twenty-four hours after the trauma. The mechanism was a direct blow. The dislocation was reduced by external manoeuvre following open reduction of the radial shaft. The fracture was stabilized by two Kirschner wires following reduction. The result at 12 months was satisfactory from a clinical and radiological standpoint.

关键词： Radial Head Dislocation Radial Shaft Fracture Kirschner Wires

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