BACKGROUND Combat is associated with high-energy explosive injuries, often resulting in open tibial fractures complicated by nonunion and infection. We characterize the infections seen in conjunction with combat-associated type III tibial fractures. METHODS We performed a retrospective medical records review to identify US military service members wounded in Iraq or Afghanistan with open diap...

To cite: Concha Sandoval JM, Osma Rueda JL, Sandoval Daza A. Trauma Surg Acute Care Open Published Online First: [please include Day Month Year] doi:10.1136/tsaco2016-000029 ABSTRACT Background Fixation of diaphyseal tibial fractures by plates is not considered the best option due to complications that may eventually arise; however, if principles of stability and proper surgical techniques are ...

PURPOSE Women with breast cancer are at increased risk for femur fracture. Contributing factors include estrogen deficiency, cancer-related therapies, or direct bone involvement. This study examines fracture subtypes in women with prior breast cancer experiencing a femur fracture. METHODS Women age ≥50 years old with a history of invasive breast cancer who experienced a femur fracture were id...

Background: In sub-Saharan Africa, surgery for hand injuries is usually performed under axillary or general anesthesia. This often not without consequences. The Wide Awake Local Anesthesia No Tourniquet (WALANT) is, therefore, an anesthetic asset in the surgical treatment of injuries. study aims to share experience on this technique’s effectiveness and spark interest among African authors pract...

Tibial diaphyseal fractures are the most frequent among long bone fractures. It is estimated that around 300,000 new fractures are treated per year in the USA, and around 50,000 in Brazil.1 The classification used most often in the evaluation of these fractures is that proposed by the AO group, where type A fractures are simple, those of type B present a wedge fracture, and those of type C are ...

The authors report a case of spontaneous bilateral diaphyseal femoral fractures believed to be caused by oversuppression of bone remodeling as a result of long-term, high-dose treatment with bisphosphonate. The patient reported pain in both thighs before the fractures. Typical pathologic changes appeared on both femoral radiograph and bone scan before the fractures. Several hours after admissio...

Background: Enders nailing is a good modality of treatment especially because of its cost effectiveness, minimum use of image intensifier and simple technique with short learning curve. Flexible or elastic nails are used in specified fracture situations in tibia. Our study aims to confirm that Ender nails are still useful and can give good results in patients of tibial diaphyseal fracture with ...

We illustrate a rare complex dislocation of the elbow involving a posterior ulno-humeral dislocation associated with open diaphyseal fracture of the ulna, radial shaft fracture, Type 1 coronoid fracture and neuropraxia of the deep branch of the radial nerve. The isolated ulno-humeral dislocation without radio-capitellar involvement, and ulnar diaphyseal fracture, makes this "reverse Monteggia" ...