On a quarterly basis, William W. Cross III, MD, and Brandon J. Yuan, MD, from Mayo Clinic, Rochester, Minnesota, discuss trauma cases gone wrong in X-ray Forensics. Dr. Cross and Dr. Yuan, who specialize in orthopaedic trauma, provide tips for avoiding mistakes than can compromise patient outcomes.
A Case of Periprosthetic Fracture 15 Years after THA
A 75-year-old patient presents after a fall at home, and she is diagnosed with a Vancouver B1 periprosthetic femur fracture. She had also been diagnosed 3 months earlier with a stress fracture of the left thigh. What is the appropriate treatment for this patient – and why did it fail?
By Brandon J Yuan MD - Posted 16 May 2018
When a Car Met a Motorcycle: Managing a Non-Healing Distal Tibia Fracture
Callus formation still has not occurred 11 weeks after early definitive fixation of 47-year-old patient’s closed intra-articular distal tibia and fibula fracture. Which course of treatment will help prevent an impending non-union of the tibia?
By Brandon J Yuan MD - Posted 21 Dec 2017
Neglected Femoral Neck Fracture and Delayed Union of the Femoral Shaft
Six months after a repair of a closed diaphyseal femur fracture, a 35-year-old patient presents with severe groin pain and the inability to bear weight. What went wrong – and what should be done to fix it?
By Brandon J. Yuan, MD - Posted 20 Sep 2017
3rd Time’s the Charm? Managing a Distal Femoral Non-union
After undergoing 2 failed attempts at repairing her closed metadiaphyseal distal femur fracture, a 60-year-old female patient is scheduled for re-revision surgery. What went wrong with the 2 previous procedures?
By Brandon J Yuan MD - Posted 22 Dec 2016
Failure of a Humerus Shaft Fixation
When non-operative management for a fractured humerus shaft fails, an active 75-year-old farmer agrees to undergo surgery with plate and screw fixation. What goes wrong?
By William W Cross III MD - Posted 30 Aug 2016
The Challenges of Subtrochanteric Fracture Management
In the debut of our new quarterly column X-ray Forensics, orthopaedic trauma specialist Dr. William Cross discusses the challenges with the management of an active male patient who sustained a subtrochanteric fracture of his right hip and how the case was finally resolved.
By William W Cross III MD - Posted 29 Jun 2016