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Orthopaedic Proceedings
Vol. 103-B, Issue SUPP_6 | Pages 39 - 39
1 May 2021
Ferreira N Saini A Birkholtz F Laubscher M
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Introduction

Purpose: Injuries to the long bones of the upper limb resulting in bone defects are rare but potentially devastating. Literature on the management of these injuries is limited to case reports and small case series. The aim of this study was to collate the most recent published work on the management of upper limb bone defects to assist with evidence based management when confronted with these cases.

Materials and Methods

Methods: Following a preliminary search that confirmed the paucity of literature and lack of comparative trials, a scoping review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) was conducted. A literature search of major electronic databases was conducted to identify journal articles relating to the management of upper limb long bone defects published between 2010 and 2020.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_29 | Pages 66 - 66
1 Aug 2013
Monni T Snyckers C Birkholtz F
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Purpose of the study:

To determine the outcomes of cases converted from an external fixator to an internal fixation device in the management of limb reconstructions and deformity corrections.

Method:

A retrospective review of 18 patients, that underwent a conversion procedure to internal fixation following long term external fixation use, was done. This comprised 24 limbs. Inclusion criteria: All cases of long term external fixator use converted to internal fixation over a 5 year period. Average external fixation time, pin site care, conversion timing, surgical device used as well as outcome were documented.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_29 | Pages 67 - 67
1 Aug 2013
de Lange P Birkholtz F Snyckers C
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Purpose of the study:

Is circular external fixation a safe and effective method of managing closed distal third tibia fractures. These fractures are conventionally treated with plaster casts, intramedullary nails or plate fixation. These treatment modalities have complication rates in the literature of up to 16% malunion, 12% non-union, and 17% deep infections.

Description and Methods:

Retrospective review of 18 patients with closed distal third tibia fractures, with or without extension into the ankle joint, treated with circular fixator systems and minimal percutaneous internal fixation of the intra-articular fragment if required. Patients were followed up for time to union, malunion incidence as well as incidence of pin tract and deep infection. Distal third fractures which were extra articular or with simple intra articular extension were included. (AO 43 A, B1, C1, C2 + AO 42 in distal third) Patients with pilon fractures (AO 43 B2, B3 and C3) were excluded.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_29 | Pages 7 - 7
1 Aug 2013
van Niekerk M Snyckers C Birkholtz F
Full Access

Purpose:

This study attempts to establish whether biomechanical manipulation through distraction can result in fracture union.

Method:

A retrospective clinical audit of 15 patients with delayed or hypertrophic non-unions treated successfully with closed distraction in circular external fixation. Average time to union, complications and complication rates were also reviewed. Inclusion criteria: all patients with delayed or hypertrophic non-union, treated by closed distraction between 2004 and 2011.