INTRODUCTION A small proportion of simple elbow dislocations are grossly unstable and joint congruence is not maintained after reduction. In this rare situation operative treatment is indicated. We describe a new intra articular reconstruction that utilises a slip of triceps tendon to provide immediate stability to the elbow. METHODS We assessed 20 cadaveric elbows, measuring the length of tr...

Introduction First report of an actuate physeal distraction in preseaving the unvolved metaphysis in osteosarcoma patient. Case presentation We treated a 9-year-old female, Asian heritage patient with osteosaccoma of the diaphysis and metaphysis of her left femur which left an intact epiphysis and growth plate and was not suit for the Cañadell technique of physeal distraction. After neoadjuvant...

BACKGROUND The purpose of this study was to review the literature to provide a comprehensive description of the Level of Evidence (LOE) available to support the operative technique of distraction ankle arthroplasty for the current generally accepted indications and make a grade of recommendation for each. METHODS A comprehensive review of the literature was performed (November 2010 to January...

PURPOSE To evaluate internal distraction plating for the management of comminuted, intra-articular distal radius fractures in patients greater than 60 years of age at two level 1 trauma centers. We specifically desired to determine whether patients would have acceptable results from the clinical standpoint of range of motion, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and the rad...

External fixation is commonly used during distal tibia realignment osteotomies, distraction osteogenesis, and fractures treatment (1, 2). A frame extension across the ankle helps to prevent joint contractures(2), joint subluxations(3), and increases fixation stability (4). The effect of spanning of the ankle on the biomechanics of external fixation to our knowledge has not been studied. The pur...

Background. Hip distraction in Perthes' disease unloads the joint, which negates the harmful effect of the stresses on the articular surfaces, which may promote the sound healing of the area of necrosis. We have examined the effect of arthrodiastasis on the preservation of the femoral head in older children with Perthes' disease. Methods and Materials. Twelve children with age more than 8 years...

This review summarises the 81 papers relating to oral surgery and to the temporomandibular joint (TMJ) published in the British Journal of Oral and Maxillofacial Surgery (BJOMS) January 2008-December 2009. They include full length articles on distraction osteogenesis, imaging, extraction techniques, implants, and the management of facial pain and disorders of the TMJ including joint replacement...

PURPOSE The ability to sense the position of limb segments is a highly specialised proprioceptive function important for control of movement. Abnormal knee proprioception has been found in association with several musculoskeletal pathologies but whether nociceptive stimulation can produce these proprioceptive changes is unclear. This study evaluated the effect of experimentally induced knee pai...

background: pain is described as the fifth vital sign, and inadequate pain management is linked to numerous immediate and long-term negative outcomes. venipuncture is one of the most painful medical procedures in children. distraction is one of the most effective ways to relieve pain. reducing patients’ pain is important for all nurses for many reasons. unnecessary pain can damage the nurse-pat...

The flexed PIP joint presents a particular problem in the treatment of advanced Dupuytren's disease. Following reports of the use of skeletal traction in the treatment of this condition, a simple device, the "Pipster" was developed to extend the PIP joint by skeletal traction before surgery. In seven fingers in five patients with severe contractures, there was a pre-operative improvement of at ...