We report a 41 years old man with rapidly growing and tender lump on the anteromedial surface of tibia. The patient had the history of gastrectomy and gastrojejunostomy due to gastric carcinoma. On admission, the Simple X-ray of lower extremity disclosed a slight thinning of the anterior cortex of tibia without cortical destruction. The whole-body bone scan with (99m)TC MDP revealed activity of...

In vivo bone lead measurements with 109Cd-based K-shell X-ray fluorescence (XRF) have been used to assess long-term lead exposure in adults. Tibia lead levels were measured in 210 children (106 boys, 104 girls) of 11-12(1/2) years of age in a lead smelter town and in a control (nonexposed) town. Tibia lead levels, methodological uncertainties, and models of some of the factors influencing them ...

Bone graft is essential in various orthopaedic procedures. Among the many donor sites for harvesting autologous bone graft, the iliac crest has been the most commonly used. However, for foot and ankle procedures the proximal tibia has gained popularity as an alternative donor site due to its anatomic proximity to the primary surgical site. In this article we evaluated the possible complications...

Aseptic non-union is a major problem following complicated fracture tibia, which carries significant morbidity and prolonged course of treatment. Plate fixation and autogenous bone grafting has been established as a method of treatment. However the risk of infection, implant failure and donor site morbidity are high. We reviewed twelve consecutive cases of established non-union tibia treated by...

Despite advances in reconstructive surgery, salvage of mangled extremities still requires long periods of treatment with many operations that can be taxing both to the surgeon and the patient. Attempts at reconstruction of severely shattered limbs necessitate counselling with regard to the protracted course of treatment and associated morbidity as well as problems which may require abandoning o...

CASE REPORT A 60-year-old man was referred from his primary care physician in December 1999 with a 2-week history of pain and swelling in his left lower leg. He reported the pain had started suddenly with no recent trauma. He recalled striking his left leg on a metal carriage at work 2 months earlier, but noted there was no laceration of the skin and he developed only minor pain and swelling th...

Adamantinoma ofthe tibia is not a common lesion, but because ofits somewhat anomalous features and confusing histological picture it continues to arouse the interest of clinicians and pathologists. Much of the interest stems from the term adamantinoma which was first used by Fischer (1913) to describe a primary bone tumour involving the tibia. He used the term adamantinoma because of its resemb...

A 71 year old female from a village was admitted to Ahwaz Imam Khomeini hospital in southwestern part 7 years ago with pain and swelling at the upper and middle third of right tibia. Operation was performed and permanent sinus secretion of the midportion occurred. After 7 years the patient returned to hospital recently with warmness, swelling and edema and sinus secretion in middle and upper of...

Infected nonunions of tibia pose many challenges to the treating surgeon and the patient. Challenges include recalcitrant infection, complex deformities, sclerotic bone ends, large bone gaps, shortening, and joint stiffness. They are easy to diagnose and difficult to treat. The ASAMI classification helps decide treatment. The nonunion severity score proposed by Calori measures many parameters t...

216 Volume XI, no. 2 : May 2010 We were unable to reduce the dislocation despite moderate sedation with etomidate. The patient was also seen by orthopedic surgery in the ED. At follow-up two days later, he was noted to have mildly decreased sensation in the peroneal nerve distribution. He was scheduled for surgery, but prior to repair he slipped and felt a “pop.” Pre-operative radiographs revea...