OBJECTIVE The aim of this study was to evaluate the long term behavior of pedicled vascualrized fibula graft in reconstruction of middle and distal tibia defects following malignant tumor resection with particular emphasis on success in limb salvage and the specific late related complications. PATIENTS AND METHODS Between 1997 and 2006, 16 patients having malignant bone tumors of the middle t...

Nonunion of the humerus in a severely osteoporotic bone is a likely event especially if the fracture is transverse. The management of such a combination is a challenge. Most of the conventional fixation methods are unlikely to succeed as the bone failure precedes implant failure in osteoporosis. The challenge is further compounded in severe osteoporosis when the cortical thickness is affected m...

The peculiar anatomical features of the common peroneal nerve and its nutrient vessels render it particularly susceptible to injuries near the lateral aspect of the knee joint (Sunderland, 1968). Numerous aetiopathologic factors have been enumerated as the possible causes of injuries to this nerve at this site such as; posterior-dislocation of the proximal tibio-fibular joint (Lyle, 1925); frac...

A 49 years old gentleman presented to our hospital with purulent discharge from his left leg for two months duration after sustaining an open fracture grade IIIA of left tibia and fibula in January 2016. He had a fall from 20 feet height while working and was admitted to another medical facility on 12/1/16. There were no other injuries reported. He underwent wound debridement initially and was ...

Management of severe open tibial fracture with neurovascular injury is difficult and controversial. Primary amputation is an acceptable option as salvaging the injured, insensate, and ischaemic limb may result in chronic osteomyelitis and non-functional limb. We report a case of open tibial fracture associated with segmental bone and soft tissue loss, posterior tibial nerve and artery injuries,...

Fractures of the Proximal tibial epiphysis are rare. We report a case of proximal tibial epiphyseal fracture with completely separated and displaced physis . The injury was a result of high speed road traffic accident. The fracture displacement was such that it was difficult to put it in any existing classification system except poland type 4. The injury has a high risk of neurovascular comprom...

GIANT-CELL tumours of bone may be malignant from the onset or malignancy may develop during treatment. They are, therefore, best treated by complete excision where this is surgically possible, with bone grafting of the resultant defect. A patient presented with an osteoclastoma of the lower end of the radius, which was completely excised and replaced by an autogenous fibula graft. The successfu...

The ipsilateral and contralateral fibulae have been used as a vascularised bone graft for loss of tibial bone usually by methods which have involved specialised microvascular techniques to preserve or re-establish the blood supply. We have developed a method of tibialisation of the fibula using the Ilizarov fixator system, ipsilateral vascularised fibular transport (IVFT), and have used it in f...

Stress fractures result from cyclic overload and usually affect the bones of the lower extremities. These stress fractures occur most often in athletes and in members of the military. These fractures, which are also known as fatigue fractures, are susceptible to repeated trauma and typically involve the metatarsal bones, femur, tibia, fibula, pelvis or spine. The few cases of sacral stress frac...