Per-trochanteric (4 Part) fractures of femur are commonest in elderly people. The incidence is expected to increase in the coming years, with an ageing population resulting in a greater number of traumatic injuries in patients with osteoporotic bone. DHS fixation is gold standard modality for treatment of such fractures. Various implants used for such fractures are 1) DHS Sliding compression sc...

The management of extraarticular fracture of the distal tibia remains controversial. Surgeons are not very keen on using intramedullary interlocking nail for these fractures because of diffi cult nail fi xation, wider medullary canal in the distal tibia and late angulation .The advent of newer nails with locking holes in the distal parts has made nailing possible even in cases of distal tibia f...

Interlocking nailing is a common surgical operation to stabilize fractures in long bones. One of the difficult parts of the surgery is how to locate the position and direction of a screw hole on the interlocking nail, which is invisible to the naked eye after insertion of the nail into the medullary canal. Here, we propose a novel two-stage targeting process using two passive magnetic devices t...

The sub trochanteric zone of the femur is the area extending up till 5 cm distally from the inferior border of the lesser trochanter or the junction of the proximal third and middle third of the femoral shaft. Fracture patterns presenting major displacement in this area are considered sub trochanteric fractures despite their proximal or distal extension. 1 High biomechanical stress concentratio...

BACKGROUND Femoral shaft fracture is the most common major paediatric orthopaedic. For generations traction and casting was the standard treatment for all femoral shaft fractures in children. Over the past two decades the advantages of fixation and rapid mobilisation have been increasingly recognised. METHODS A prospective study was conducted in five private hospitals in the district of Banku...

BACKGROUND Lengthening nails have been used to correct limb length discrepancy caused by different etiologies, as well as for post-traumatic reasons. Two important lengthening nail-related complications are damage to the distraction mechanism and femoral fractures around the nail tip. As a result of the curved anatomy of the femur, straight nails impinge on the anterior cortex. Therefore, prope...

Purpose Traditional teaching for fixation of paediatric femur fractures recommends 80% nail diameter/medullary canal diameter ratio (ND/MCD) for successful maintenance of reduction. Prior studies have investigated this with stainless steel Enders nails. Our aim was to assess the impact of ND/MCD on maintenance of reduction and malunion rates in paediatric femur fractures treated with flexible i...

background: nail disorders comprise approximately 10% of all dermatological conditions. abnormalities in the color of nails are called ungal dyschromia or chromonychia. ungual dyschromia may be endogenous or exogenous. yellow discoloration of the nails has been reported during the last years as separate observation related to drug administration, during hemodialysis and associated with pulmonar...

Bone transport is useful for the treatment of segmental defects, non-union and osteomyelitis. Bone transport has been compared to conventional techniques for the treatment of segmental defects and infection and found to provide better restoration of leg length, to need less cancellous grafting, to have fewer graft fractures and to require less operating time and hospital stay and to have a lowe...