scesses formed, pieces of bone came away, and a purulent discharge has lasted since then. He was admitted into the hospital on 28th April, for syphilitic necrosis of the head and upper part of the shaft of the left tibia. There were several cloaca, exuding fetid pus in large quantity, round the head of the bone and, in front below the tubercle, there was a large circular gap surrounded by scler...

FIG. 2C.-Pathological fracture at site of previous large osteolytic deposit but position of fragments well maintained and callus present. During treatment with testosterone metastasis in mid-shaft disappeared and deposit at lower end of tibia recalcified with reconstitution of destroyed cortex. Radiograph 38 months after beginning testosterone and three months before death with widespread depos...

Oncogenic osteomalacia is caused by a small mesenchymal tumour characterised by phosphaturia, hypophosphatemia, decreased serum vitamin D3 level, and osteomalacia. Phosphaturic mesenchymal tumour of the mixed connective tissue type (PMTMCT) is the commonest subtype and usually involves a single site. We report a case of PMTMCT involving the left proximal and shaft of the tibia in a 42-year-old ...

With increasing use of 18 F-fluorodeoxyglucose (FDG)-positron emission tomography (PET) in the current oncological practice, there is a growing body of evidence of false positive scans due to various benign conditions. In this communication we present intensely avid 18 F-FDG uptake in fibrous dysplasia of right tibia in a 12-year-old child suffering from embryonal rhabdomyosarcoma (ERMS) that c...

In a prospective study of 295 male Israeli military recruits a 31 % incidence of stress fractures was found. Eighty per cent of the fractures were in the tibial or femoral shaft, while only 8% occurred in the tarsus and metatarsus. Sixty-nine per cent of the femoral stress fractures were asymptomatic, but only 8% of those in the tibia. Even asymptomatic stress fractures do, however, need to be ...

ABSTRACT BACKGROUND Although the tibia is one of the most commonly fractured long bones in the body, there are two accepted management techniques: reamed and unreamed nailing. There is not a general consensus as to which technique is more advantageous to the patient. PATIENTS AND METHODS This was a single centre prospective randomized trial of 38 adults with a tibial shaft fracture who wer...

We analysed the results of 93 tibial shaft fractures treated with the Grosse-Kempf locked nail. Twenty-six fractures were comminuted, 19 were open grade I to II, and 54 were located outside the middle third of the tibia. The deep infection rate was 3.2%. There were only two poor results. The use of this method is recommended and discussed.

Introduction With an incidence of 75,000 per year in the United States alone, fractures of the tibial shaft are among the most common long bone fractures. Techniques using a semi-extended suprapatellar approach can facilitate intraoperative imaging, allow easier access to starting site position and counter deforming forces. While outcomes following traditional infrapatellar nailing have been we...

Failure of union of the tibia with a large defect is difficult to treat, especially in the presence of sepsis and adherent scars. Conventional methods of fixation and bone grafting are not easily applicable. Experiments on Macaca monkeys showed that a vascularised pedicle graft of the shaft of the ipsilateral fibula could be fixed across a defect in the tibia and remain viable, even if it was i...

While it is widely acknowledged that bones adapt to the site-specific prevalent loading environment, reasonable ways to estimate skeletal loads are not necessarily available. For long bone shafts, muscles acting to bend the bone may provide a more appropriate surrogate of the loading than muscles expected to cause compressive loads. Thus, the aim of this study was to investigate whether mid-thi...