Study Design: Prospective consecutive series. Objective: To evaluate the functional outcome of Surgical management of Tibial Plateau Fractures. Summary of Background data: Earlier there was great reluctance towards operative management of these fractures because of lack of proper implants and adequate fixation techniques. But now due to the better understanding of biomechanics of knee joint, ty...

The current trend in the non-operative treatment of femoral shaft fractures is away from prolonged traction and towards early ambulation. The cast brace treatment involves external support to the limb in such a way that maximal use can occur during healing. Early ambulation, while a fracture is healing, provides an environment for complete bone healing as well as allowing joint movement so that...

IntroductionWe examined the endosteal and periosteal circulations in a patient with fracture non-union who had undergone excessive osteosynthesis applications (two long plates been placed medially laterally on left tibia extending from proximal 2/7 to distal 6/7 parts of bone, while tibial component total knee prosthesis stem inserted at same time).MethodsConcomitant perfusion changes were dete...

A 68-year-old man with right knee varus osteoarthritis was treated by lateral closed-wedge high tibial osteotomy. A correction loss with non-union occurred 6 months after surgery and a re-correction osteotomy was performed. Removing the proximal screws of the lateral plate, a medial opening-wedge re-osteotomy was performed. Arthroscopically harvested osteophytes were used to fill the gap after ...

PURPOSE To assess the clinical outcome of unreamed intramedullary interlocking nailing in open fractures of tibia, and to evaluate the incidence of complications in these open fractures as a result of the unreamed intramedullary nailing. METHODS Between June 1999 and May 2000, a total of 60 cases of open tibial shaft fractures were operated on with unreamed interlocking nails at Safdarjung Ho...

The authors report the results achieved in patients with type III open tibial fractures who underwent primary autogenous bone grafting at the time of debridement and skeletal stabilisation. Twenty patients with a mean age of 35.8 years (range, 24-55) were treated between 1996 and 1999. Eight fractures were type IIIA, 11 were type IIIB, and 1 was type IIIC. At the index procedure, wound debridem...

PURPOSE To review records of 17 patients who sustained a tibial or femoral intra-operative fracture during primary cemented total knee arthroplasty (TKA) METHODS. Records of 1346 primary cemented TKAs using the NexGen LPS fluted tibial component performed by a single surgeon were reviewed. 12 tibial and 5 femoral intra-operative fractures occurred in 5 men and 12 women aged 54 to 83 (mean, 71.6...

Autologous bone grafting is an established method to overcome bone deficiencies in primary total knee arthroplasty (TKA). However, recently, metal augments have been used by many surgeons. Although autologous bone grafting is a common technique, few large studies have described its success in achieving bone union in primary TKA. The goal of this study was to evaluate primary TKA with autologous...