Introduction: In a Monteggia fracture dislocation, it is important to reduce the ulnar fracture completely. Extensive plastic deformation of the proximal ulna may make reduction by closed manipulation impossible. Case presentation: We report the case of a four-year-old Caucasian boy in whom the plastic deformation of the proximal ulna was reduced, and this reduction was maintained, using intra-...

Tibial shaft fracture is a common orthopaedic and trauma condition. Incidence of tibial fracture is average 26 in 100,000 per year at the age of 15 to 19 years. It is more common in US that is 109 in 100,000 per year [1]. Operative treatment options are external fixation, open reduction and internal fixation with plate and screws or intramedullary nailing. Intramedullary nailing is widely accep...

We present results of supracondylar nailing in six patients who suffered distal femoral fractures above total knee arthroplasty. The average age of patients was 68 (42-92) years. All six fractures healed in a satisfactory alignment in an average duration of 14.6 weeks. There were no wound infection, loss of reduction or implant failure. All patients had regained their previous range of movement...

Intramedullary nailing of the tibia with suprapatellar entry and semi-extended positioning makes it technically easier to nail the proximal and distal fractures. The purpose of this article was to describe a simple method for suprapatellar nailing (SPN). A step-by-step run through of the surgical technique is described, including positioning of the patient. There are as yet only a few clinical ...

A bent femoral intramedullary nail due to secondary trauma presents unique challenges for nail extraction and subsequent exchange nailing. This article describes a case of a 25 year-old male patient who presented with a bent femoral intramedullary Kuntscher’s nail following a repeat trauma after a fall from stairs. The described surgical technique illustrates a simple method to straighten the b...

Fifty consecutive comminuted fractures of the femoral shaft were treated by closed unlocked intramedullary nailing. Twelve unstable fractures also had cast-bracing. There were no cases of infection or non-union, and satisfactory results were achieved in 38 fractures (76%). More severe comminution led to a higher incidence of unsatisfactory results, but malrotation deformity was seen more often ...

1 Mehmet Mesut Sonmez1, Figen Yilmaz2, Yunus Oc1, Ramazan E. Erturer3, Mustafa F. Seckin4, Bekir Eray Kilinc5, Irfan Ozturk6 1Department of Orthopaedics, Hamidiye Sisli Etfal Training and Research Hospital, İstanbul, 2Department of Physical Theraphy, Hamidiye Sisli Etfal Training and Research Hospital, İstanbul, 3Department of Orthopaedics, Istanbul Liy Hospital, İstanbul, 4Department of Orthop...

Endoprosthetic reconstruction, intramedullary nailing, and open reduction internal fixation (ORIF) are the most commonly practiced surgical strategies for treatment of metastatic proximal femoral fractures. This review describes functional outcome, local, and systemic complications. All three surgical strategies result in reasonable function on average; however, wide ranges indicate that both p...