Tibial shaft fractures are typically the result of high-energy injuries, however bone that has been substantially weakened may be susceptible to fractures without a preceding traumatic incident. Such bone weakening may occur secondary to malignant disease but also in chronic conditions such as Paget's disease. The altered structural properties of Pagetic bone and cellular changes including incr...

Introduction: Simple fractures, potentially high-strain are classically treated through anatomical reconstruction and rigid fixation, using an open reduction approach. This study aimed to evaluate the bridge plating minimally invasive plate osteosynthesis (MIPO) of simple tibial fractures. Our hypothesis was that fixation these fractures MIPO would result in early bone healing with low complica...

Values for the urinary excretion of pyridinium crosslinks of collagen, pyridinoline and deoxypyridinoline, in a group of 30 elderly women with femoral fractures associated with osteoporosis and a group of 20 women without recent fracture but with overt or suspected osteoporosis were compared with 27 control subjects matched for age. Relative to the control group, the excretion of the crosslinks...

The purpose of the present study was to compare the results and plate fit of periprosthetic and non-periprosthetic distal femur fractures fixed with locking plates. Twenty-one periprosthetic fractures above a TKA and 27 non-periprosthetic fractures were retrospectively reviewed. The primary healing rate, bone union time, clinical and radiographic results, complications, and additional surgeries...

BACKGROUND Tibia shaft fractures are among the most common fractures. However, the incidence of tibia fractures does not increase in the elderly. Osteoporotic bone resorption is possibly compensated for by periosteal apposition, which improves the mechanical properties of the bone. The purpose of this study was to identify a correlation between geometric indices of transverse bone scans and rad...

Renal bone disease is a heterogeneous group of metabolic bone diseases that requires quantitative bone histomorphometry to make the correct differential diagnosis. Included in this group is osteoporosis. However, osteoporosis in stage 4 to 5 chronic kidney disease cannot be diagnosed on the basis of bone mineral density criteria established by the World Health Organization or the presence of fr...

The results of the treatment of 31 open femoral fractures (29 patients) with significant bone loss in a single trauma unit were reviewed. A protocol of early soft-tissue and bony debridement was followed by skeletal stabilisation using a locked intramedullary nail or a dynamic condylar plate for diaphyseal and metaphyseal fractures respectively. Soft-tissue closure was obtained within 48 hours ...

BACKGROUND AND PURPOSE The mastoid portion of the temporal bone has multiple functional roles in the organism, including regulation of pressure in the middle ear and protection of the inner ear. We investigated whether mastoid pneumatization plays a role in the protection of vital structures in the temporal bone during direct lateral trauma. MATERIAL AND METHODS The study was performed on 20 ...

BACKGROUND Patients with maxillofacial fractures are at high risk of accompanying traumatic cranial injuries. Prompt determination of head injury in these patients is crucial for improving patient survival and recovery. METHODS The records of 246 patients with maxillofacial fractures referred to the emergency department of our hospital between January 2006 and September 2009 were reviewed in ...

CONTEXT Bone fragility and low bone mass have been reported in small case series of patients with Pompe disease with severely reduced muscle strength or immobilization. OBJECTIVE Our objective was to determine the prevalence of morphometric vertebral fractures and to evaluate bone mass in adults with late-onset Pompe disease. DESIGN We conducted a multicenter cross-sectional observational s...