Congenital pseudarthrosis of tibia (CPT) is still a condition extremely difficult to treat in the field of paediatric orthopaedics. Ilizarov technique, free fibular bone graft, Charnley-Williams method [1] are the current treatment options achieving reasonable fusion rate. The solid bone fusion is the most difficult problem to treat. Limb length discrepancy (LLD) is one of the adjacent problems...

1 Sir: D of the distal fibula can result in ankle instability.1 Ankle reconstruction for defects involving the distal fibula include arthrodesis, nonvascularized autografts, and free flaps.2 Pedicled flaps have some advantages over free flaps, including decreased operative time and decreased postoperative complications.3 Pedicled retrograde fibula flaps have been previously described for tibial...

PURPOSE To assess treatment outcomes in adults with neglected femoral neck fractures, and propose a treatment protocol based on bone quality measured by the Singh index. METHODS 16 men and 6 women aged 18 to 48 (mean, 33) years presented with neglected (>3 weeks old) femoral neck fractures. Those with good bone quality (Singh index, >3) underwent closed reduction and valgus osteotomy and fixa...

BACKGROUND Numerous proposed surgical techniques have had minimal success in managing greater trochanter overgrowth secondary to retarded growth of the femoral capital epiphysis. For reconstruction of residual hip deformities, a novel type of proximal femur L-osteotomy was performed with satisfactory results. Although the clinical outcome was good, the biomechanical characteristics of the femur...

Introduction: Femoral neck fracture at any age always shows relatively higher rate of complications like non union, avascular Necrosis of femoral head, loss of fixation, screw cut-out and delayed secondary osteoarthritis. These fractures in physiologically old age are managed by replacement of femoral head. In Femoral neck fractures in young adult the main aim is to preserve the natural head an...