Background: The objective of this study was to evaluate the results of our experience in open reduction and internal fixation of fractures of calcaneus.Methods: In a quasi experimental study, 20 patients with mean age of 35.5 years (15-69 years) with calcaneus fracture- grade II and III- underwent surgery with open reduction and fixation in a 5-year period in a training hospital in Tehran-Iran. The patients' profile, Bohler and Gysan angles before and after surgery were measured and statistically analyzed.Results: Post surgery Bohler and Gysan angles showed significant improvement (p=.000). Open surgery with internal fixation contributed to improving the angles. The questionnaire with a 4-6 months follow-up showed that the average American Orthopedic Foot and Ankle Society (AOFAS) score and Food Function Index (FFI) score was good or excellent in 80% and fair in 20%. Overall, 7 patients had complications after surgery, which were controlled successfully painted patients have had good results after surgery.Conclusion: The results of calcaneus fractures treated with open reduction internal fixation surgery have a positive effect and are in line with previous studies.

Background: Displaced fractures of radius and ulna bones in adults are usually treated with open reduction and internal fixation. The purpose of this research was to access functional outcome of these fractures.Materials and Methods: In this research 52 Patients who underwent ORIF with DCP 3.5 in past 5 years were investigated. Post- operation protocol was one week immobilization and then active elbow and forearm motion and then muscle strengthening after 2 months. The patients were followed for 18 months and were assessed clinically for forearm and wrist ROM & grip strength & functionally with DASH questionnaire.Findings: Pronation of the affected forearm by comparison with supination of unaffected forearm was reduced. Wrist and elbow flexion and extension were the same. Grip strength was reduced compared with unaffected limb. DASH questionnaire demonstrated high patient satisfaction.Conclusion: Anatomic reduction and internal fixation is the standard method for treatment of fractures by displacing radios and ulna in adults. According to results, it seems more intension to motions specially pronation and muscle strengthening foream after surgery will have affect on improving patients’ function specially pronation and Grip strength.

Background: Open reduction and internal fixation is the standard surgical approach for lisfranc fracture, however, osteoarthritis is a long term complication. We surveyed the frequency of osteoarthritis after open reduction and internal fixation of lisfranc fracture and its associated factors including accompanied fracture, delayed diagnosis and open or closed fracture. Materials and methods: Patients who suffered from lisfranc fracture between 1997 and 2005 and underwent open reduction and internal fixation at least 2 years ago were included. Tarsometatarsal osteoarthritis was investigated among these patients. Results: Of 94 patients, 44 were included with a mean follow up duration of 36 months, among whom, 34 had anatomic reduction while 12 (35.3%) developed osteoarthritis. Meanwhile, of 10 patients with non-anatomic reduction, 8 (80%) developed osteoarthritis. The difference is statistically significant (p=0.004). Unfortunately, 4 patients (9.1%) were misdiagnosed during the first visit, while 10 (22.7%) patients referred late. Accompanied fractures were reported in 34 (77%) patients. Conclusion: Higher prevalence of osteoarthritis among patients with non-anatomic reduction support the prior theory that open reduction and internal fixation could prevent further degenerative changes in lisfranc joint.

Background: Femoral neck fracture is considered to be one of the most devastating and common injuries encountered by orthopedic surgeons. Over 150000 femoral neck fractures occur every year in the United States (US), and in accordance with aging of the population, this number will be doubled by the year 2050. This condition can be considered as a healthcare burden with notable socioeconomic impact worldwide (1-3). Regarding the Garden classification, type 1 and 2 are considered impacted or undisplaced femoral neck fracture (UFNF) (4). Although the treatment of displaced femoral neck fracture in the elderly is commonly defined as hip arthroplasty, the treatment for UFNF is still controversial (5, 6). . .

The scapula is a complex bone. It involves the scapular body, scapular spine, acromion, and glenoid. While the majority of it is flat and the site of muscle attachments, it also includes the glenoid and is involved with shoulder joint mechanics. Scapula fractures are uncommon, and their treatment depends on the fracture location, amount of displacement, and other patient and fracture characteristics. This publication aims to briefly present the approach for scapular fracture open reduction internal f ixation...

Background: Clavicle fracture, especially midshaft fractures is a common bone injury that happens after a fall onto the shoulder. It is uncommon to need surgical treatment. We would like to report on a selected group of cases that required open reduction and plate fixation.Methods: 53 consecutive adult patients with severely displaced fresh fractures of the middle third of the clavicle, who were treated by open reduction and plate internal fixation, were studied in a one year period in Zahedan, Iran. Union shoulder motion and complications were analyzed in 49 patients (29 women, 20 men) who referred for follow-up, with an average follow-up of 12 months.Results: The mean age of patients was 33.4 years (19-62 years). 48 cases (97.9%) obtained union and one case (2%) developed malunion and required corrective osteotomy. Dermatologic complications were observed in 2 cases. All the patients had full motion and function.Conclusion: Open reduction and plate fixation of severely displacement fresh clavicle fracture in well-selected cases can result into good union with minimal complications rate.

A 5 month-old terrier dog with history of falling and signs of clinical lameness in left hind limb with swelling, tenderness and crepitus in palpation was referred to the Veterinary Hospital of the Faculty of Veterinary Medicine, Razi University. A complete transverse fracture at distal portion of left femur with subluxation of patella has been shown in radiological evaluation. Based on open reduction and internal fixation, fracture’s fragments in anatomical alignment had been fixed by using two cross intramedullary pins. For excessive stability of mentioned alignment and reduction, the fracture ends were compressed exactly towards each other by passing an orthopedic wire via figure 8 wiring technique. The following radiographic evaluation confirmed correct insertion of cross pins and proper reduction and fixation of fracture’s fragments. Ultimately, the method using pin and wire in surgical treatment of distal femur fracture seemed successful after eight-week exercise restriction and postoperative followings respectively.

Background: Pilon fracture is one of the challenging injuries in orthopedic surgery. Associated soft tissue injury is an important factor in choosing treatment options. Two major methods of treatment are considered as one-stage open reduction internal fixation (ORIF) and two-stage treatment (primary external fixation and secondary ORIF). The latter is most accepted in literature. In the current study, we compared the results of these two methods. Methods: In a retrospective study, 41 patients were assigned to two groups containing one-stage primary ORIF (21 patients) group, and two-stage group included external fixation and secondary ORIF (20 patients). The rate of infection (superficial or deep infection, osteomyelitis), malunion, nonunion, duration of hospital stay, neurovascular injury, pain intensity, and patients’ satisfaction with AOFAS score, were compared between the two groups. Results: There was no significant difference between the two groups in measured variables except hospital stay which was significantly longer for the two-stage group. Conclusion: Based on our findings, we recommend using one stage ORIF for a patient with Pilon fract

Background: The Best treatment for displaced intracapsular fracture of the femoral neck in active and lucid elderly patients is still controversial. The main aim of our study was to determine whether a primary total hip arthroplasty (THA) or internal fixation (IF) give a better outcome.Methods: In this randomized clinical-trial study, among patients referred to Isfahan University of Medical Sciences Hospitals in Isfahan, Iran, 80 patients in the ages of 60-70 years old with displaced intracapsular fracture of the femoral neck ware enrolled. Studied patients were randomly assigned into two groups. Internal fixation was the only therapeutic method in first group; and total hip arthroplasty was done in the second group. Then, patients were evaluated. The severity of pain, hip function (Harris Hip Score) and health related quality of life were assessed one year after the procedure.Findings: The severity of pain, the rate of complication, and need to reoperation were significantly lower in patients treated with THA. Quality of life and hip function were significantly better in these patients, too.Conclusion: It seems that THA is a more effective method in treatment of the femoral neck fracture in elderly patients.