Osteoporosis (OP) in spinal cord injury (SCI) patients is a secondary process in which numerous factors are involved. Diagnosing OP and the threshold for fractures in this population, based on bone mineral density (BMD) measured by double energy X-ray absorptiometry (DXA), is still a challenge. The aim of this study was to evaluate bone mineral loss by DXA, its relationship with body compositio...

Distal femoral physeal fractures are not common but have a high rate of complications. They generally follow one of the patterns described in the Salter-Harris classification. We present a case of combination of Salter-Harris type III and type IV injury. Our case was a 15-year-old boy who had a motor vehicle accident. There was swelling, ecchymosis, severe pain, and valgus deformity, because of...

INTRODUCTION We report the results of treating a series of 56 fractures in 54 elderly patients with a distal femur fracture with a retrograde femoral nail. METHODS Fifty-four of the nails were inserted percutaneously with a closed reduction. After surgery all patients were allowed to weight bear as tolerated. Four fractures were supported in a temporary external splint. RESULTS The mean age...

Intramedullary nailing is the accepted treatment of femoral and tibial shaft fractures. Improvements in surgical techniques and implant designs have extended indications for nailing to metaphyseal fractures of the proximal tibia, distal tibia and the distal femur. Malalignment can still occur with intramedullary nailing of these fractures. Among many techniques that have been described, the use...

Recent literature shows an association between long-term bisphosphonate therapy and low-energy fractures of the subtrochanteric femur. It is thought that the pharmacology of bisphosphonates and stress characteristics of the subtrochanteric femur predispose patients on long-term therapy to fracture. There are few reports in the literature of bisphosphonate-associated periprosthetic fractures wit...

Background: Genu valgum usually originates from a deformity of distal femur that is often corrected by distal femoralvarus osteotomy. The osteotomy includes both components of angulationcorrection and translation because the siteof osteotomy is not commonly at the apex of deformity. Improvement of patellar tracking not only depends on valguscorrection, but also it may be partially due to centra...

Introduction: Distal femur fracture are being treated with distal nail, dynamic condylar screw and even addition of a medial plate good clinical results. By this study, we explore the potenti ability locking to counter fractures extra articular, partial or intra- articular nature. Positive results have been brought out by various groups from all over world. Aim: To study clinical, functional ra...

Eccentric reaming of cortical bone near a fracture site can introduce malalignment when an intramedullary nail is placed. The authors describe a technique of reaming metadiaphyseal and diaphyseal femur fractures in which maintaining reduction at the fracture site is not necessary to obtain an excellent alignment of long bone fractures after intramedullary nailing. They have found that central r...

A 14-year-old competitive gymnast presented for a left distal femur epiphysiodesis. She had previously sustained a right femur fracture and was noted to have asymptomatic NSVT perioperatively, which improved while under general anesthesia (GA). Holter monitor showed NSR with uniform ventricular ectopy occurring 30% of the time, including during sleep. Echocardiography was normal and exercise te...