The purpose of this study was to elaborate on the association between the use of bisphosphonates and low-energy femoral shaft fractures. A retrospective review was performed between January 2000 and January 2010 to identify patients older than 65 years who sustained femoral shaft diaphyseal fractures (Orthopaedic Trauma Association classification 32 A [extra-articular], B [partial articular/uni...

Early attempts at classifying tibial plateau fractures by Palmer in 1951 [25], Hohl and Luck in 1956 [15], and Hohl in 1967 [15] recognized some of the major themes common to many classification systems for these fractures: split of a condyle, subchondral depression, and comminuted bicondylar involvement. Schatzker et al. published their classification system in 1979 [29], deriving it from the ...

INTRODUCTION Since the reproducibility of the Schatzker and AO tibial plateau fracture classification systems has already been assessed, the goal of this study was to evaluate the Duparc classification system and compare it to the other two. HYPOTHESES CT scan is better than X-rays for analyzing and classifying tibial plateau fractures. The Duparc classification system is more effective than ...

Hoffa fracture is a rare injury consisting of unicondylar tangential posterior fracture of the distal femur and only very few cases have been reported in the literature. These fractures are due to high energy trauma and conservative treatment generally yields poor results, but rigid internal fixation allows early functional rehabilitation and decreases the incidence of complications. The purpos...

INTRODUCTION Monocondylar tibia plateau fractures with non-comminuted fragments can be treated using percutaneous screws. Currently indirect methods of reduction are used and thus the technique is limited to fragments with less than 5 mm depression. The first author has designed a device for direct elevation and reduction of the fragments thus potentially expanding the indications of percutaneo...

BACKGROUND In the management of a resected distal femoral or proximal tibial condyle as the result of tumor or trauma, a unicondylar osteoarticular allograft is currently the only reconstructive option that avoids the sacrifice of the unaffected condyle. The purposes of this study were to perform a survival analysis of unicondylar osteoarticular allografts of the knee and to evaluate the compli...

Isolated unicompartmental osteoarthritis in the young patient is a difficult problem to treat; they may be too young to consider total knee arthroplasty due to difficulties with inevitable future revision. Unicompartmental knee arthroplasty is one possible solution as it is perceived by some as being a smaller surgical insult than total knee arthroplasty, with easier revision to total knee arth...

Unicondylar knee replacement is a relatively common elective orthopedic procedure but is not often seen in the Emergency Department setting. Familiarity with normal clinical and radiological appearances is difficult to gain. Dislocation of the mobile bearing component "spacer" is a known complication of unicondylar knee replacements, and these patients will initially present to the accident and...

The Americanjoumal a/Occupational Therapy T he proXimal interphalangeal (PIP) joint is particularly susceptible to acute ligamentous injury, and such an injury can result in swelling without ligament laXity, collateral ligament laXity and disruption, or a partial or complete avulsion of the volar plate with or without bony involvement. Many articles have been written about methods for treatment...