Solitary bone cysts are benign, fluid-filled cavities that most often occur in childhood. Several minimally invasive decompression methods have been proposed; however, performing a surgical procedure through the thinned overlying cortex raises the risk of pathological fracture and neurovascular damage, especially in lesions located in the bone diaphysis. We describe a new technique that circumv...

The present study present a three-dimensional virtual simulation method to evaluate the fit-and-fill effect of the insertion of a trochanteric gamma nail (TGN) in 98 Thai dadaveric proximal femora. The circular best fit of the 2-dimensional cross-section of the femoral canal and the nail at 4 levels [d100, d120, d140 and d160] which were located at 100, 120, 140 and 160 mm distal to the tip of ...

Intertrochanteric fractures can be fixed with various implants surface or intramedullary implants. A study was done on Fixation of trochanteric Hip Nail/Intra Medullary Screw an innovative cephalomedullary nail designed by author to determine its efficacy, union operative use and functional outcome. Trochanteric hip were classified upon number parts, stable unstable in initial 43 cases. All as ...

we present a case report of acute spontaneous knee hemarthosis due to erosion of the nail through the knee joint capsule in a boy, seven months following retrograde flexible nailing for fractured femur. careful positioning of the location of the insertion site of flexible nails and proper nail tip management are important to avoid this rare late complication.

©2004 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.86B7. 15273 $2.00 J Bone Joint Surg [Br] 2004;86-B:947-53. Over the past few years there has been a marked increase in the use of intramedullary fixation in the management of fractures of long bones in children. To some extent this reflects a more interventionist attitude among paediatric orthopaedic surgeons but is...

In 1966, Kuntscher2 introduced a condylo-cephalic intra-medullary nail, claiming more stable reduction with reduced blood loss and risk of infection. Unfortunately, technical difficulties due to the rigid nature of the rod, and, a high incidence of postoperative knee pain, limited its use. Ender and Simon-Weidner,3 and subsequently, Kuderna and Bohler4 described fixation of trochanteric fractur...

Introduction: Successful minimally invasive extraction of a broken intramedullary distal piece the nail is very challenging. We herein report simple and reproducible technique cannulated nails using self-made extractor. Case Presentation: present 48-year-old male patient who was admitted to our hospital for internal implant removal, whose right tibial fracture had healed, retained at 12 years. ...

BACKGROUND Rotational osteotomy is frequently indicated to correct excessive femoral anteversion in cerebral palsy patients. Angled blade plate is the standard fixation device used when performed in the proximal femur, but extensile exposure is required for plate accommodation. The authors developed a short locked intramedullary nail to be applied percutaneously in the fixation of femoral rotat...

PURPOSE The aim of our study was to determine predictive factors and requirement for perioperative blood transfusion in elderly patients with extra capsular hip fractures treated with cephalo-medullary device. METHODS Seventy-nine patients with extra capsular hip fractures treated with cephalo-medullary nailing were included in the study. Age, sex, ASA grade, timing of surgery, preoperative a...