OBJECTIVE We describe a new technique for removing the distal fragments of broken intramedullary femoral nails without disturbing the nonunion site. METHODS This technique involves the application of an AO distractor prior to the removal of the nail fragments, with subsequent removal of the proximal nail fragment in an anterograde fashion and removal of the distal fragment through a medial pa...

Introduction: Distal Femoral fracture may lead to the development of post-traumatic arthrosis knee joint because direct intraarticular injury. Malunion distal femur fracture, intra-articular osseous defects, limb malalignment and compromised surrounding soft tissues in turn affect outcome total arthroplasty (TKA) makes it a technically demanding surgery. Here we report our experience regarding ...

Many techniques have been employed to facilitate intramedullary nailing of femur fractures. Maintaining limb length during the operation can be difficult. The authors describe the use of distal femoral fine wire skeletal traction as a technique to maintain reduction while allowing intramedullary nailing of femur fractures. This technique is safe, is effective, and negates the need for a fractur...

background: bisphosphonates (bps) are used extensively for managing the osteoporosis. there are some controversies on atypical fractures of femur that associated with increase in cortical thickness (ct) and bps' use. in this study, the effects of alendronate consumption were studied on femoral ct as a predictor for atypical fracture.   methods: forty nine post-menopausal women aged 50-70 years ...

background: there are few studies comparing the biomechanical properties of angled blade plate and locking compression plates in supracondylar osteotomy. in the current randomized study, we prospectively compared the clinical and radiological outcomes of supracondylar osteotomy using these two plates. methods: forty patients with valgus knee malalignment were randomly assigned to two equal numb...

conclusions in summary, there is a lack of consensus about the use of neuromuscular blockers in patients with ibm. the authors avoided these drugs and were able to easily secure the patient’s airway and maintain adequate muscle relaxation using a balanced sevoflurane-remifentanil anesthetic. clinical trials are necessary to define the pharmacology of neuromuscular blockers in patients with ibm ...

  Background: Some studies have previously shown that geometry of proximal femur can affect the probability of fracture and type of fracture. It happens since the geometry of the proximal femur determines how a force is applied to its different parts. In this study, we have compared proximal femur’s geometric characteristics in femoral neck (FNF), intertrochanteric (ITF) and Subtrochanteric (ST...

OBJECTIVE Malposition of the femoral Less Invasive Stabilization System (LISS) plate may alter its biomechanical behavior. This study compares the mechanical stability of "correctly" affixed LISS plates matching the slope of the lateral femoral condyle to "incorrectly" placed LISS plates fixed in external rotation relative to the distal femur. METHODS A fracture gap model was created to simul...

BACKGROUND Notching of the anterior femoral cortex in distal femoral fractures following TKR has been observed clinically and studied biomechanically. It has been hypothesized that femoral notching weakens the cortex of the femur, which can predispose to femoral fractures in the early postoperative period. We examined the relationship between notching of the anterior femoral cortex during total...

background: posttraumatic and/or postsurgical knee stiff ness is one of the orthopedic complications which is difficult to be treated and can affect individual’s life negatively. the aim of this study is to investigate the results of quadricepsplasty in patients with knee stiff ness resulted from femoral fracture. materials and methods: this is a cross-sectional study on all patients with femor...