PURPOSE In comminuted intertrochanteric fractures, various operative options have been introduced. The purpose of this study was to determine whether there were differences in clinical and radiologic outcomes among bipolar hemiarthroplasty (BH), compression hip screw (CHS) and proximal femur nail antirotation (PFNA) in treating comminuted intertrochanteric fractures (AO/OTA classification, A2 [...

BACKGROUND While a full-length standing anteroposterior radiograph of the lower extremity provides the best radiographic method for assessing limb alignment, other methods must be used intraoperatively. We have employed intraoperative fluoroscopy with use of an electrocautery cord to assess limb alignment in the supine patient. METHODS We retrospectively compared the measurements of lower lim...

BACKGROUND and purpose Limb lengthening is performed for a diverse range of orthopedic problems. A high rate of complications has been reported in these patients, which include motor and sensory loss as a result of nerve damage. We investigated the effect of limb lengthening on peripheral nerve function. PATIENTS AND METHODS 36 patients underwent electrophysiological testing at 3 points: (1) ...

Despite concerted intraoperative attempts to establish equal limb alignment, leg length discrepancy (LLD) remains a frequent complication following elective total hip arthroplasty (THA) [1]. A number of effective intraoperative imaging and clinical limb length techniques have been recommended to minimize this complication; however, all of these assessment modalities have their reported limitati...

T he most common locations for bone sarcomas in children are the distal femur and proximal tibia. 1 The epiphyses of the distal femur and proximal tibia contribute approximately 35% and 30%, respectively, to growth of the lower extremity. 1 Therefore, resection of the physis will result in leg-length discrepancy at skeletal maturity, functional deficit, gait disturbances , and cosmetic issues. ...

Septicaemia resulting from meningococcal infection is a devastating illness affecting children. Those who survive can develop late orthopaedic sequelae from growth plate arrests, with resultant complex deformities. Our aim in this study was to review the case histories of a series of patients with late orthopaedic sequelae, all treated by the senior author (CFB). We also describe a treatment st...

Wide resection and reconstruction of tumors of the proximal tibia in the pediatric population are challenging procedures. The use of hinged, expandable prostheses may cause early closure of the distal femoral growth plate, which may increase the risk of limb discrepancy already present in this population. Between 1991 and 2001, 2 girls and 1 boy, aged 6, 6, and 4 years, respectively, were diagn...