Purpose To analyze the location of the femoral tunnel by three-dimensional computed tomography (3D CT) of the lateral condyle in patients who underwent arthroscopic single-bundle anterior cruciate ligament (ACL) reconstruction, performed using a modified transtibial technique, and to compare the results with data from the literature. Materials and Methods Seventeen patients with ACL lesions u...

BACKGROUND Optimal tunnel placement is critical in anterior cruciate ligament reconstructive surgery, yet the method used to drill the tunnels may compromise their placement. HYPOTHESIS An independent drilling method versus a conventional transtibial drilling method will place tunnels in different locations and produce reconstructions with different kinematics. STUDY DESIGN Controlled labor...

Objectives: Multiple limb amputations are an uncommon complication from inotrope-induced peripheral gangrene. Case Presentation: A 20-year-old lady with valvular heart disease had septic shock secondary to infective endocarditis and required prolonged cardiopulmonary resuscitation. Despite aggressive fluid resuscitation, the patient triple strength intravenous noradrenaline maintain hemodynamic...

  Abstract   The supracondylar process is a beak-like bony projection that arises from the anteromedial   surface of the humerus. The process has rarely been associated with   compression of the median nerve and seldom requires treatment. We report a case   of a supracondylar process that caused tenting of the median nerve with elbow extension   and pronation.  

Supracondylar intercondylar distal femur fractures are devastating injuries that frequently have a concurrent coronal plane fracture, which mandates dedicated operative fixation. The purpose of this study was to determine whether small-fragment cortical lag screws oriented in the sagittal plane were sufficient to stabilize coronal plane fractures associated with supracondylar intercondylar dist...

Supracondylar humerus fractures are common in children and can compromise the brachial artery 5% to 15% of cases. A 4-year-old boy with a left supracondylar fracture developed upper extremity ischemia after pinning fracture. Computed tomography angiography revealed cutoff flow artery. Intraoperatively, he was found have bands tethering into fracture, obstructing blood flow. The orthopedic pins ...

BACKGROUND The prevalence of penetrating wartime trauma to the extremities has increased in recent military conflicts. Substantial controversy remains in the orthopaedic and prosthetic literature regarding which surgical technique should be performed to obtain the most functional transtibial amputation. We compared self-reported functional outcomes associated with two surgical techniques for tr...

BACKGROUND More than 200,000 children are injured at playgrounds in the United States each year. Our goal was to introduce a composite measure of playground safety and use this instrument to correlate the incidence of supracondylar humerus fractures with playground safety in an ecologic study design. METHODS We used a novel "overall-safety rating," defined as a composite of 3 previously valid...

The supracondylar process is a beak-like bony projection that arises from the anteromedial surface of the humerus. The process has rarely been associated with compression of the median nerve and seldom requires treatment. We report a case of a supracondylar process that caused tenting of the median nerve with elbow extension and pronation.