background : femoral shaft fractures are major causes of mortality and morbidity and are managed with intramedullary nailing (imn). in this study we compared the results of open and closed nailing in femoral shaft fractures. between 1993 and 2001 we managed 136 femoral shaft fractures by imn (81 closed and 55 open nailings) methods : in 120 patients with mean age of 36.2 years. the mean time of...

BACKGROUND Periprosthetic distal femur fractures associated with total knee replacement are increasing in incidence. We hypothesized that a standardized management protocol would result in few implant failures and a low rate of postoperative complications. METHODS Retrospective observational cohort study at an urban level 1 trauma center and academic level 2 trauma center. Consecutive patient...

BACKGROUND Stabilization and bone healing of fractures in weight-bearing long bones are challenging. This study was conducted to evaluate the effect of a scaffold composed of chitosan fiber and calcium phosphate ceramics (CF/CPC scaffold) on stability and fracture repair in weight-bearing long bones. MATERIAL/METHODS Comminuted fractures of paired radiuses were created in 36 healthy, mature d...

The patellar bone is involved in repetitive, load bearing motion sequences every day and functions as a vectorial force translator. A fracture rate of 1% of all skeletal fractures is reported and surgical treatment often required. beside a direct trauma mechanism, indirect mechanism but as well as fatigue fractures after reconstructive knee surgery are published. The fracture management is depe...

BACKGROUND The surgical treatment of fractures of the tibia includes reamed and unreamed options. Reamed nails have mechanical advantages but they significantly harm the endosteal circulation. Unreamed nails spare the endosteal circulation, but provide a less stable fixation. In both systems, immediate full weight-bearing is not possible due to instability related to distal interlocking (DI). F...

The Less Invasive Stabilization System (LISS) and titanium distal femoral locking compression plate (DF-LCP) was designed by the AO Group to combine the advantages of both interlocked intra-medullary nailing and biological plating techniques in one system. The stiffness of the construct is similar to a 95° condylar plate, dynamic condylar screw, or condylar buttress plate. We report a case of t...

BACKGROUND Our preliminary retrospective study assessed outcomes after the use of Ni-Ti arched shape-memory connector (ASC) combined with partially threaded cancellous screws (PTCS) to repair coronal plane supracondylar-condylar femoral fractures. METHODS Twenty-one patients (16 men and 5 women) with a mean age of 34.1 years (range, 28 to 44 years) with coronal plane supracondylar and condyla...

INTRODUCTION For decades, open reduction and internal fixation was the surgical treatment of choice for intra-articular calcaneal fractures, either with or without any augmentation. Delayed weight bearing and wound-related complications are still unresolved. Aiming at a minimally invasive therapy with accelerated mobilization, we applied closed reduction and balloon-assisted augmentation with c...

INTRODUCTION An isolated coronal fracture of either or both femoral condyles is a rare entity and is usually associated with high-energy injury trauma. Such fractures should be meticulously fixed for a good functional outcome as they involve the articular surface of a weight bearing joint. A modified swashbuckler approach provides adequate exposure for appropriate reduction and fixation of such...

This study compared the radiographic and clinical outcomes of pediatric diaphyseal femur fractures treated by submuscular plating, flexible retrograde intramedullary nailing, or rigid antegrade intramedullary nailing with a trochanteric entry point in skeletally immature patients who were 8 years and older. A retrospective review was conducted of skeletally immature patients 8 years and older w...