Patient cases

Medial malleolus fracture fixation using ActivaScrew™

My name is Marjut and I have gone on trekking trips for many years already.

While on a trekking trip with my husband in 2008, my right foot slipped and was badly splayed outwards as the path below me caved in.Case2_Nainen

In hospital, a dual compound fracture was diagnosed.  The physician’s diagnosis was that both sides of my ankle would need surgery.

The inner side of my ankle was corrected utilizing Bioretec 4.5 bioabsorbable screws, whereas the area which had undergone surgery on the outside of the ankle was reinforced with a metal plate. A metal plate was affixed to the ankle with 7 small metal screws.

I was in hospital for a total of 4 days, and both surgery points on my ankle healed well. A second surgery was performed in 2009 to remove the metal screws and plate due to them causing me pain and irritation.

My physician told me that the bioabsorbable screws had resorbed without problem in my body, and that the fracture which they had supported had healed well.

I have been very pleased with the end results of my surgery. My ankle has healed well, all told, and I have been able to return to my trekking hobby.

OCD fragment fixation in elbow using ActivaNail™ 

My name is Emilia, and I am 11 years old. I like exercise, and have actively pursued sports, and particularly gymnastics my whole life. Case_I_tytto_copy

I have had three‐hour practice sessions, several times a week. 

A little more than a year ago, I suffered a stress fracture to my right elbow. The physician decided to repair my fracture in 2013. The operation was performed quickly, and I was in hospital only for one day, so the procedure was not scary to me at all. A cast, which was later replaced by an arm sling, was placed on my hand. I felt some pain in the beginning, but the doctor said that was normal following an operation. I did not partake in gymnastics exercises while my hand healed, but rather did some rack and field exercise, which did not disrupt the healing process of my hand.

It has now been a year since my surgery, and I can start my gymnastics training again. There is no pain in my hand, and I can do all of the things I could before my injury, which is great. 

Fracture of Patella

18 years old, normal weight male had fracture of patella occurred while playing badminton due to subluxation of the patella. A dislocated 26 x 15 mm fracture was found at the medial side of the patella and loose osteochondral fragments were found around the main fracture.

The main fragment was fixed using one ActivaScrew™ 4.5 mm x 45 mm fully threaded. A loose osteochondral fragment was fixed using two ActivaPin™ 2.0 mm x 30 mm.

As a postoperative care a functional brace was applied. Partial weight bearing was allowed at 3 weeks and full weight bearing at 6 weeks.

Bone healing took place and the patient was able to return to normal sport activities 6 weeks postoperatively.

ActivaScrew™ 4.5 mm is well suitable for fixation of large patellar fractures. The ActivaPin™ 2.0 mm is a practical tool in fixing small osteochondral fragments.

Surgeon from Finland

Fixation of Malleolar Fracture Using ActivaScrews™

Patient was an 18 years old normal weight sports active male, with high energy snowboarding injury. Preoperative X-ray revealed 4 mm dislocated
Weber B -type lateral malleolus fracture with rotational mal position. The fracture was fixed through the lateral incision with two fully threaded ActivaScrew™ 4.5 x 50 mm bioabsorbable screws.
Heads of the both screws were cut off using an oscillating saw.

As a postoperative immobilization a functional brace was applied. Partial weight-bearing was allowed at 3 weeks and full weight bearing at 6 weeks.

Functional result of the operation was excellent. ActivaScrew™ 4.5 mm is well suitable for fixation of malleolar fractures. The screws can be cut to sufficient length with an oscillating saw intraoperatively.

 

Surgeon from Finland

Fixation of Malleolar Fracture Using ActivaPins™

Patient was 58 years old normal weight female, with Weber A -type lateral malleolar fracture. Primary treatment was done conservatively with 6 weeks plaster cast immobilization. Pain persisted and clinical examination suggested a nonunion of the fracture.

Two ActivaPins™ 20 mm x 30 mm were used in angle to create rigid stability and compression to the fragment line. Both implants were fully inserted and proximal heads of the pins were sunk 1 mm under the cortical level. During the operation good compression of the

fracture was achieved due to grooved pin surface. As a postoperative care a functional brace was applied. Full weight bearing was allowed after 6 weeks. After failed conventional treatment, the Weber A -type malleolar fracture was successfully treated with two ActivaPins™.

M.D. from Southern Finland