OBJECTIVE To report a case of subtrochanteric femur fracture that led to intraoperative compartment syndrome in the well leg. CLINICAL PRESENTATION AND INTERVENTION A 28-year-old obese male who presented with a comminuted subtrochanteric fracture underwent a prolonged open reduction and internal fixation using dynamic condylar screw. In the postoperative period, after the effect of epidural a...

PURPOSE To review preoperative radiography and computed tomography (CT) of the ankle in 69 patients who underwent surgery for ankle fractures to determine the value of CT in diagnosis and surgical planning. METHODS Preoperative radiography and CT of the ankle of 46 women and 23 men aged 17 to 90 (mean, 48.8) years were reviewed. CT was deemed necessary when radiographs showed the following fe...

Efficacy of prophylactic antibiotics in craniofacial fracture management is controversial. The purpose of this study was to compare evidence-based literature recommendations regarding antibiotic prophylaxis in facial fracture management with expert-based practice. A systematic review of the literature was performed to identify published studies evaluating pre-, peri-, and postoperative efficacy...

BACKGROUND The global incidence of fatal head injuries as the result of assault is greater than the number of non-fatal cases. The important factors that determine the outcome in terms of survival of such head injury cases include the type of weapon used, type and site of skull fracture, intra cranial haemorrhage and the brain injury. The present study aims to highlight the role of skull fractu...

Fractures of the distal radius constitute about 15 % of all fractures treated in emergency department. Closed reduction and cast immobilization has been the mainstay of treatment of these fractures, but invariably it results in malunion, poor functional and cosmetic outcome.This study was conducted to examine the functional outcome of non comminuted extra-articular distal end radius fractures t...

A prospective study was undertaken on 50 acute, consecutive fractures of the radial head. Clinical examination and stress testing were performed on each patient. A valgus stress radiograph, in conjunction with clinical stress testing, was used to assess competence of the medial elbow ligaments. Axial stability of the radius was determined by the axial stress test. Eleven patients (22%) sustaine...

Calcaneal osteomyelitis with pseudarthrosis after calcaneal fracture is rare, and its treatment challenging. We describe the use of a free fibular osteocutaneous flap to treat 52-year-old man who presented an operation for closed comminuted fracture. The patient was previously treated multiple surgeries antibiotics 8 months, but he not cured. performed radical bone debridement reconstruction au...

A 62-year-old woman with severe seizure disorder presented with right ankle and foot pain after being found down, presumably following a seizure recurrence. Imaging showed an acute comminuted fracture of the anterolateral aspect of the right calcaneus, as well as an acute avulsion fracture of the right navicular tuberosity at the site of insertion of the tibialis posterior tendon. This fracture...

A rare injury of the wrist, scapho-capitate fracture syndrome, in a young patient is reported. Despite early recognition of the injury and surgical intervention, the scaphoid fracture did not unite and another attempt to achieve union with bone grafting and internal fixation also failed. The wrist continued to be painful and stiff. Radiographs of the wrist, 18 months after the injury, showed no...