BACKGROUND Osseous healing of distal lower leg fractures can be prolonged and is often associated with wound healing problems because of the marginal soft - tissue and vascular supply in this area. Postoperative complications are frequent, and according to the literature, open reduction and plate fixation is thought to be associated with higher complication rates. The objective of this study wa...

This study compared the biomechanical performance of 4.5-mm limited-contact dynamic compression plates and 3.5-mm locking compression plates for the fixation of unstable humeral shaft fractures. Composite humeri were divided into two groups: 3.5mm LC and 4.5-mm LCDC plates. Osteotomy gaps of 5-mm, simulating diaphyseal comminution, were created. Stiffness tests were performed in anterior-poster...

Fracture of Tibia is the most common amongst pediatric fractures. Most tibial shaft fractures are treated conservatively with close reduction and above knee cast application. Surgery is indicated only when the fracture is unstable, open fracture and associated with multiple injuries. Flexible intramedullary nailing is commonly used for diaphyseal tibial fracture and is also well used in other l...

Introduction: Management of pathological diaphyseal fractures secondary to osteomyelitis in children still remains a nightmare for the treating orthopedic surgeon owing to the highly unpredictable clinical course and lack of certainty in achieving successful results. This study highlights the potential role of rail fixator in the management of pathological femur fracture secondary to osteomyeli...

conclusions although external fixation in open pediatric fractures and severe injuries is recommended, intramedullary nailing is also an effective method with low complications. combining pins and flexible intramedullary nails is effective in developing more stability and is not associated with more complications. background tibial fractures are the third most common pediatric long-bone fractur...

A series of four agreement studies (classification sessions) were conducted to support the development and validation of a comprehensive pediatric long bone fracture classification system. This system follows the principle of the Müller-AO classification for long bones in adults and integrates most relevant existing pediatric classification systems. The diagnosis includes the distinction betwee...

The distal end of the femur traditionally encompasses the lower third of this bone. This zone varies greatly in the literature, from the distal 7.6 cm to the distal 15 cm of the femur. This chapter deals only with fractures that involve the supracondylar (metaphyseal) or intercondylar (epiphyseal) areas of the distal end of the femur. Distal femoral fractures that are purely diaphyseal are disc...