PURPOSE To assess the results of concurrent intramedullary nailing plus plate osteosynthesis for fractures of the distal tibia and fibula. METHODS 15 men and 10 women (mean age, 35 years) with concurrent fractures of the distal tibia and fibula underwent intramedullary nailing (for the tibia) and plate osteosynthesis (for the fibula). 17 fractures were type A1, 6 type A2, and 2 type A3. Compo...

©2004 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.86B8. 15663 J Bone Joint Surg [Br] 2004;86-B:1100-4. Intramedullary (IM) nailing has become the preferred method of treatment for fractures of the femur in adults. It requires a small incision and minimum dissection, gives excellent healing of the fracture and rapid recovery.1-5 Interlocking provides rotational stab...

BACKGROUND In the last years intramedullary nailing has become the treatment of choice for most displaced diaphyseal tibia fractures. In contrast intramedullary nailing of distal tibia fractures is accompanied by problems like decreased biomechanical stability. Nevertheless the indications for intramedullary nailing have been extended to include even more distal fractures. The purpose of this s...

This study compared the radiographic and clinical outcomes of pediatric diaphyseal femur fractures treated by submuscular plating, flexible retrograde intramedullary nailing, or rigid antegrade intramedullary nailing with a trochanteric entry point in skeletally immature patients who were 8 years and older. A retrospective review was conducted of skeletally immature patients 8 years and older w...

Intramedullary nailing is one of the most convenient biological options for treating distal femoral fractures. Because the distal medulla of the femur is wider than the middle diaphysis and intramedullary nails cannot completely fill the intramedullary canal, intramedullary nailing of distal femoral fractures can be difficult when trying to obtain adequate reduction. Some different methods exis...

BACKGROUND There are several different techniques commonly used to perform intramedullary (IM) nailing of the femur to fix femoral fractures. We sought to identify significant differences in outcomes of studies comparing 1) trochanteric and piriformis entry and 2) antegrade and retrograde entry in IM nailing of the femur. METHODS We searched MEDLINE, Cochrane and Embase databases and the Orth...

BACKGROUND Endoprosthetic reconstruction is widely applied for pathological fractures of the proximal humerus; however, functional impairment is usually unsatisfactory. The aims of the current study are to evaluate the reliability of interlocking intramedullary (IM) nailing with cement augmentation as a fixation method in proximal humeral lesions and to assess functional outcomes. METHODS We ...

INTRODUCTION Infected nonunion of long bones is a chronic and debilitating disorder. It is more difficult to deal with when the implant used for internal fixation itself becomes a potential media for infection because of bacterial adhesion and biofilm formation. Traditionally, it is managed by two-stage procedure for controlling the infection first and then treating the nonunion. This study has...

Photo-elastic stress analysis to show differing fringe patterns obtained by vertical loading of resin models representing subcapital fractures of the femur treated by conventional (A) and low angle (B) nailing. While the patterns are accurate for the homogeneous models themselves they cannot portray the true strains and stresses in the actual subcapital fracture. Deductions based on this type o...

with the growing population and density in metropolitan areas, higher tendency to live in high-rise buildings, and increasing demand for parking lots, it seems necessary to excavate soil to construct underground spaces. during excavation work, as the height of the wall increases, special care should be taken to the wall stabilization to avoid any consequent damage including extensive property d...