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Epidemiology of inpatient tibia fractures in Singapore -- A single centre experience

Chinese Journal of Traumatology 2019年第2期22卷 99-102页

作者： Joshua Decruz rex premchand antony rex Suheal Ali Khan Department of Orthopaedic Surgery Khoo Teck Puat Hospital Singapore

Purpose:There are no previous epidemiological studies to represent the trends of tibia fractures in the urban *** purpose of our study was to provide unique epidemiological information on the incidence of tibia fractures requiring admission in the urban population of ***:This is a retrospective review of clinical and radiological records encompassing three years period from 2012 to 2014 in a tertiary hospital in Northern Singapore,which covers an adult population of 550,*** information included demographics,mechanism of injury,and Gustillo-Anderson *** records were evaluated by two of the authors and fractures were classified using the AO classification after consensus was ***:There were 214 cases of tibia fractures with a population incidence of 13 in 100,*** the tibia fractures,47% were diaphyseal,43% proximal and 10% *** of patients were males with a male to female ratio of 3 to *** mean age of females was 64 years while that of males was 40 *** commonest mechanism of injury was road traffic accident,which contributed to 42% of cases,with motorcyclists making up 78% of all road traffic *** fractures made up 23% of all fractures,most of which were Gustillo-Anderson type Ⅲ;69% of patients underwent surgical ***:The incidence of tibia fractures is 13/100,000 with a male-to-female ratio of 3∶*** incidence is lower than other studies,but the proportion of open fractures were surprisingly high at 23%.Distribution of fractures was unimodal with a peak in younger men and older *** may signify a component of fragility among tibia fractures,especially proximal and distal fractures,which peaks above the age of 80 years old.

关键词： Tibia fractures Epidemiology Urban

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Peri-articular elbow fracture fixations with magnesium implants and a review of current literature: A case series

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World Journal of Orthopedics 2024年第3期15卷 215-229页

作者： Christopher Fang antony Xavier rex premchand Derek Howard Park Dong Hao Toon Department of Orthopaedic Surgery Khoo Teck Puat HospitalNational Healthcare GroupSingapore 768828Singapore

BACKGROUND In recent years,the use of Magnesium alloy implants have gained renewed popularity,especially after the first commercially available ConformitéEuropéenne approved Magnesium implant became available(MAGNEZIX®CS,Syntellix)in *** To document our clinical and radiographical outcomes using magnesium implants in treating peri-articular elbow *** Our paper was based on a retrospective case series ***-operatively,a standardized surgical technique was utilized for insertion of the magnesium ***–operatively,clinic visits were standardized and physical exam findings,functional scores,and radiographs were obtained at each *** complications were *** Five patients with 6 fractures were recruited(2 coronoid,3 radial head and 1 capitellum).The mean patient age and length of follow up was 54.6 years and 11 months *** fractures healed,and none exhibited loss of reduction or complications requiring revision *** patient developed synovitis of the elbow joint or suffered electrolytic reactions when titanium implants were used *** Although there is still a paucity of literature available on the subject and further studies are required,magnesium implants appear to be a feasible tool for fixation of peri-articular elbow fractures with promising results in our *** In recent years,the use of Magnesium alloy implants in orthopaedic surgeries have gained renewed *** from being bioabsorbable,negating the need for implant removal,magnesium also has good osteoconductive properties[1-4].Biomechanically,it exhibits greater biomechanical strength than any pre-existing polymers,and reduces the stress-shielding effect associated with titanium and steel implants as it has a Young’s modulus closer to bone[4].Currently,the main utility of magnesium implants in the orthopaedic community is within the foot and ankle community where satisfactory results have been reported

关键词： Magnesium screw Fracture Peri-articular Elbow

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