Stress fracture of the proximal tibia after total knee arthroplasty (TKA) is very rare. We found only 16 cases in a review of the literature. We report the case of a 76-year-old obese woman who sustained a stress fracture of the right proximal tibia without trauma 18 months after TKA. Pain developed in the proximal medial aspect of the tibia during walking. Physical examination showed tendernes...

The authors report on a case of tibial shaft fracture associated with ankle injury. The clinical, radiological and surgical characteristics are discussed. Assessment of associated injuries is often overlooked and these injuries are hard to diagnose. When torque occurs in the lower limb, the ankle becomes susceptible to simultaneous injury. It is essential to make careful assessment based on cli...

BACKGROUND Femoral stress fractures tend to occur at the neck, medial proximal-shaft, and distal-shaft. The purpose of this study was to determine the internal femoral forces and moments during running. It was expected that larger loads would occur at these common sites of femoral stress fracture. METHODS Ten subjects ran at their preferred running speed over a force platform while motion cap...

lhead of the tibia the horizontally shaded portion represents the extent to whiclh the upper and posterior portion of the head of the tibia is covered. The dotted line running from the top of the capsule from before backwards (throuah the vertically slhaded portion) shows the extent to wlicih the outer side of the shaft is overlapped. Fig. 3 is from a skiagram taken with the knee in semiflexion...

Background: Fractures of distal tibia and pilon fractures are one of the most common fractures and are difficult to treat on account of, absence of muscle tissue attachment on lower 1⁄4 tibia and metaphyseal cancellous comminution. Most of them are compound fractures and result in poor blood supply to the distal tibia. The conventional technique of Open Reduction and Internal Fixation (ORIF) wi...

The surgical management of ipsilateral fractures of the femoral neck and shaft presents a difficult and challenging problem for the orthopaedic surgeon. The purpose of the present study was to report the mid-term results and complications in a series of patients who sustained ipsilateral femoral neck and shaft fractures and treated in our trauma department with a single reconstruction nail for ...

BACKGROUND Little is known about oncologic outcomes of patients with primary bone tumors complicated by a pathologic fracture and treated by limb salvage. METHODS Our study included 17 men and 14 women aged 6 to 61 years (average age 17 years). All 31 patients had primary bone tumors complicated by a pathologic fracture. Diagnoses included osteosarcoma (17 patients), Ewing's sarcoma (10), mal...

We would like to congratulate Dr. Bakhshi and colleagues for being the first group to publish scientific evidence regarding the osteogenic effect of erythropoietin (EPO) in a clinical trial (1). As you correctly report, several preclinical studies have shown the efficacy of Erythropoietin to increase bone healing at early time points (2-4).In agreement with your approach, we strongly believe th...