Management of metastatic long bone fractures requires identification of the lesion and the use of sound fracture fixation principles to relieve pain and restore function. The treating surgeon must understand the principles of pathologic fracture fixation before initiating treatment. Because these fractures occur in the context of a progressive systemic disease, management typically involves a m...

Ununited fractures of the scaphoid with extensive bone resorption are usually treated by bone grafting and internal fixation, using either an open or a minimally invasive technique. We studied the feasibility of percutaneous fixation without bone grafting in a consecutive series of 27 patients with established nonunion of an undisplaced fracture of the scaphoid and extensive local resorption of...

P roximal humerus fractures are common, and about 80% are well managed nonsurgically. The remaining 20% present a therapeutic challenge because surgical stabilization is necessary to ensure healing and to optimize function. The priorities in surgical stabilization of proximal humerus fractures are (1) restoring the anatomic relationship between the tuberosities and the articular head fragment a...

Purpose Lateral condyle fractures of the humerus are common in the paediatric population, accounting for up to 20% of elbow fractures. Traditional management involves internal fixation with Kirschner (K)-wires, however, this has been associated with complications and insufficiently rigid fixation. Recently, cannulated screws have been proposed as a more stable method of fixation. While cannulat...

the aim of this study was to present and review retromandibular anteroparotid approach and to evaluate its efficacy and safety in reduction and fixation of subcondylar fractures. materials and methods : in the period between january 2013 to february 2014, 10 patients with the age range of 17 to 41 years with a diagnosis of subcondylar fracture at sina general hospital, iran, underwent open trea...

BACKGROUND Noncompression monocortical miniplate fixation of the mandibular angle is an accepted and reliable method for providing rigid internal fixation. High complication rates have been reported for internal fixation of angle fractures. OBJECTIVE To analyze the outcome and complications in cases in which patients were treated with 2-miniplate fixation at the mandibular angle. DESIGN A r...

A bar-slider framework is a bar-joint framework a part of whose joints are constrained by using line-sliders. Such joints are allowed to move only along the sliders. Streinu and Theran proposed a combinatorial characterization of the infinitesimal rigidity of generic bar-slider frameworks in two dimensional space. In this paper we propose a generalization of their result. In particular, we prov...

Boucher was the first to use screws that crossed through the strongest point of attachment of the facet joint into the pedicle and the body of the vertebra below. He declared a pseudorthrosis rate of 14% to 17% including multilevel fusions (1). The use of pedicle screw–assisted spinal stabilization has become increasingly popular worldwide. Pedicle screw systems engage all three columns of the ...