Use the soft brush attachment first, on moldings and the like, then a wand for crevices.
The designed osteotomy was created while maintaining the soft tissue attachment of the medial side of the proximal ramal segment.
Calcium phosphate coatings have been applied to the surface of metallic prostheses to mediate hard and soft tissue attachment for more than 40 years.
Draping the limb free facilitated knee flexion, and hip flexion and rotation, permitting dissection through relatively relaxed muscles, which helps preservation of soft tissue attachment to the bone fragments.
In this patient, although there was no preserved soft tissue attachment to the femoral head, the decision for ORIF rather than primary arthroplasty was taken due to the patient's age and occupation.
The present study also supports the evidence in favour of mesh reconstruction for proximal humerus reconstruction which reduces subluxation/dislocation and facilitates soft tissue attachment and reconstruction after tumour resection.
Improved techniques of stem fixation and soft tissue attachment will further increase implant survivorship, improve quality of life, and continue to improve the prognosis and hope for those diagnosed with a musculoskeletal tumor [53].
It is generally accepted that surgical stabilization is necessary to achieve satisfactory function following Hoffa fracture, the reason being that reduction of the fracture fragment is difficult to achieve and maintain by closed reduction and casting/traction techniques, due to the absence of soft tissue attachment.
An orthopaedic table and skeletal traction are not necessary for the DHS application; draping the limb free facilitated conversion of the comminuted fracture into a two-part fracture and restoration of the medial buttress with preservation of soft tissue attachment to the bone fragments.
