Literature based review of lateral hip approach (MacFarland, Osborne) modifications offered by Bauer, Harding, Mills, Moscal and Mann is presented. Surgical technique for the Moscal and Mann approach is described. The approach allows easy access to the proximal femur for reaming, cementing, prosthesis orientation and leg-length discrepancy correction. It offers visualization of the joint superi...

Following a post-traumatic incident, orthopaedic surgeons often struggle to look for an abundant source of alternative bone graft because the bone defect is too big or when nonunion is refractory to treatment. We present two cases where the patients' bone grafts were harvested from the healthy femur. This process involved the use of a new intramedullary reamer, which allowed the bone graft to b...

Reaming of the long bones is widely practiced because it allows for improved healing and early mobilization in patients needing surgical debridement of bone tissue. The insertion of reamed intramedullary nails can cause complications such as bone necrosis, cortical blood supply damage, and fat or bone marrow embolism. We describe a novel way to limit the amount of material in the canal before n...

To the Editor: We read with great interest the article by Gavaskar and Chowdary.1 1. What is the exact location of blocking screws, as being too close to the fracture site may risk propagation of the fracture line during nail insertion? Furthermore, there may be a risk of injuring the patellofemoral joint and neurovascular bundle while placing the blocking screws in an anteroposterior direction...

INTRODUCTION Heterotopic ossification is a rare complication of musculoskeletal injuries, characterized by bone growth in soft tissues. Percutaneous antegrade intramedullary nailing represents the 'gold standard' for the treatment of femur shaft fractures. Minor bone growth is frequently seen around the proximal end of reamed femoral nails (so-called 'callus caps'), which are asymptomatic and l...

Loosening of the glenoid component is a frequent cause of failure of total shoulder arthroplasty (TSA). The etiology of glenoid component loosening is multifactorial and includes aseptic osteolysis, rotator cuff insufficiency, soft tissue instability, and infection. A loose glenoid component is frequently associated with a substantial loss of glenoid bone, which necessitates additional procedur...

OBJECTIVES Our aim was to assess the use of intra-operative fluoroscopy in the assessment of the position of the tibial tunnel during reconstruction of the anterior cruciate ligament (ACL). METHODS Between January and June 2009 a total of 31 arthroscopic hamstring ACL reconstructions were performed. Intra-operative fluoroscopy was introduced (when available) to verify the position of the guid...

Reaming is a common finishing process for improving the drilled holes surface quality. Choosing an appropriate finishing method in drilling process has a significant effect on the surface quality of holes and in decreasing the process total cost and time. In this study, four similar holes were drilled on the AISI 4340 workpiece with different two pair feed rates. The drilling process was perfor...