Introduction: CT (ISO-C-3D) image based navigation has recently been introduced to improve the image quality and accuracy during computer assisted orthopaedic surgeries. We report on our early experience using this novel technique in intraarticular lower extremity fracture management. Methods: Real time CT-based navigation assisted surgery was used in the treatment of five patients with fractur...

Introduction. Closed reduction is a critical component of the intramedullary nailing and at times can be difficult and technically challenging resulting in increased operative time. Fluoroscopy is used extensively to achieve closed reduction which increases the intra-operative radiation exposure. Materials and Methods. Sixty patients with femoral diaphyseal fractures treated by locked intramedu...

Anterior cruciate ligament (ACL) reconstruction using four-strand hamstring graft with round-headed, cannulated, interference (RCI) screw fixation requires osteointegration of the tendon graft. This report describes the histology at the bone-tendon junction of two specimens retrieved from patients undergoing revision surgery after traumatic mid-substance ACL graft rupture at 6 and 10 weeks afte...

Purpose. To compare the compressive strength of cannulated versus non-cannulated cancellous screws for undisplaced femoral neck fractures in synthetic bones. Methods. 18 synthetic proximal femurs simulating an AO B1 valgus impacted femoral neck fracture in osteoporotic bone were used. The fracture angles were between 55o and 63o (Pauwels grade 2). Fixation was made using 6.5-mm non-cannulated s...

INTRODUCTION This study compares early failure rates of sliding hip screw (SHS) and cannulated screw (CS) constructs in young patients. METHODS Patients <60 years of age, with displaced femoral neck fractures treated with CS or SHS fixation were included. Primary outcome was failure within 6 months. RESULTS One patient (3%) with SHS fixation and 6 patients (21%) with CS fixation failed with...

Objectives: To compare the outcome of DHS (dynamic hip screw) vs cannulated screws in managing fracture neck femur. Study Design: Randomized controlled trial. Duration: 22-06-2021 to 21-12-2021 (6 months) Settings: Department Orthopedic, D.G Khan Hospital, Khan. Materials &amp; Methods: A total 60 patients with fresh femur, 18 years age both genders were included. The DCS group was managed by i...