Congenital pseudarthrosis of the tibia continues to pose one of the most difficult problems in paediatric orthopaedic surgery. The surgical procedures most used for treating congenital pseudarthrosis of the tibia are intramedullary nailing associated with bone grafting, vascularized fibular graft and the Ilizarov external circular fixator. Even when union is achieved, the residual deformities i...

This paper describes a new technique for greater trochanteric hip arthroplasty in which the femur is divided at the subtrochanteric level and the upper fragment rotated through 180 degrees to place the greater trochanter deeply in the acetabulum; with the lower limb in the weight-bearing position the fragments are then fixed with a short intramedullary nail. This operation was carried out in a ...

abstract   background: pseudoarthrosis of the tibia poses one of the most challenging treatment problems in all of orthopedics. the goal of the study was to assess the clinical outcome of intramedullary rod fixation in its treatment.   methods: the results of the management for nine patients with pseudoarthrosis of the tibia with im rod fixation were reviewed retrospectively between 1986 - 2006...

BACKGROUND and purpose Limb lengthening is performed for a diverse range of orthopedic problems. A high rate of complications has been reported in these patients, which include motor and sensory loss as a result of nerve damage. We investigated the effect of limb lengthening on peripheral nerve function. PATIENTS AND METHODS 36 patients underwent electrophysiological testing at 3 points: (1) ...

Two cases of lower limb lengthening after replantation are presented. Both patients had detachment at the level low third crus. The were admitted to hospital 17 and 12 hours injury. Detached segments transported in two polyethylene bags with ice. At arteria tibialis posterior accompanying veins anastomosed. One 1.5 years cruses lengthened using external fixation device. crus was equal 13 11 cm,...

BACKGROUND AND PURPOSE Growth inhibition and stimulation have both been reported after juvenile limb lengthening. Distraction of a joint usually suspends and unloads the growth plate and may stimulate growth. We investigated the influence of knee joint distraction on the speed of growth after limb lengthening. METHODS In a retrospective study, growth patterns were analyzed in 30 children mean 6...

A unique combination of external and internal fixation techniques, for a fibular lengthening procedure using the Ilizarov method is described. The technique is minimally invasive, allows precise deformity correction, enables early weight bearing, and minimizes the time that the patient wears the external fixator. Introduction Bone lengthening procedures have, over time, been approached in a var...

The purpose of this study was to determine whether distraction osteogenesis can be used to treat hypertrophic nonunion associated with angular deformity and shortening after Coventry style high tibial osteotomy. Five consecutive patients were retrospectively reviewed. In all cases, the alignment had collapsed into excessive varus or valgus and leg length discrepancy was present. The leg length ...

Diaphyseal fractures of the femur and tibia in adults are mostly treated surgically, usually by means of intramedullary locked-nail osteosynthesis. Some comminuted and/or highly deviated shaft fractures may present a veritable technical challenge. Fracture (or orthopedic) tables, which enable vertical, horizontal and rotational instrumental stabilization of the limb, greatly facilitate reductio...