BACKGROUND Upper tibia defects ,type3b Gustilo, due to huge size and volume are very difficult to reconstruct; usually several operations are needed for bone and soft tissue defects and the definite one stage reconstruction is yet to be found. OBJECTIVES In this article we reintroduce the rib- latissimus flap as an acceptable method to reconstruct tibia defects in selected cases. MATERIALS ...

Methods Between 2008 and 2012, 24 patients with a complicated sternal wound underwent a sternal reconstruction with bilateral pectoralis advancement flaps and a transverse plate fixation system. The median age of the cohort (4 female and 20 males), was 65.8 years (range: 33-83 years). In 19 patients, a bilateral internal thoracic artery had been used. Considerable preoperative risk factors were...

Objective: Laparoscopic nephropexy has been reported as a minimally invasive approach for symptomatic nephroptosis. We performed five cases of laparoscopic nephropexy using a self-made polytetrafluoroethy-lene “basket” to fix the inferior parts of kidneys to 12th rib. Methods: All patients (4 women and 1 man) had symptomatic nephroptosis presenting with flank pain, repeat hematuresis or hydrone...

Clavicle fractures are common in adults. Recent studies have shown that operative treatment of clavicle fractures has benefits in many situations. However, there is controversy about the indications. Data on social outcomes are limited. A total of 434 patients with 436 clavicle fractures treated both operatively and nonoperatively at a level 1 trauma center were identified. Narcotic use was rec...

Background: Manubriosternal joint dislocation as a result of trauma is rare with only few case reports published in the literature. Materials that have been used for fixation of displaced manubriosternal joint are steel wires, polydioxanone ropes, and plates with screws. Case: We present a case of manubriosternal dislocation in which fixation was done with locking compression plate. It is a cas...

Increasing attention has been directed towards operative rib fixation of traumatic flail chest; reported benefits include more rapid weaning from the ventilator, decreased intensive care unit stays, decreased complications and improved functional results. The outcomes of this surgical intervention in patients with osteogenesis imperfecta, a rare condition characterized by low bone density and b...

Blunt chest trauma is associated with a high risk of morbidity and mortality. Complications in blunt chest trauma develop secondary to rib fractures as a consequence of pain and inadequate ventilation. This literature review aimed to examine clinical interventions in rib fractures and their impact on patient and hospital outcomes. A systematic search strategy, using a structured clinical questi...