A 62-year-old man underwent total knee arthroplasty using a mobile-bearing prosthesis. Four days post-operatively the patient experienced the first of several acute knee dislocations. Closed reduction was performed at an outside hospital a total of three times prior to presentation at this institution. A two-stage exchange of the TKA was recommended due to the clinical suspicion for an infected...

Five hundred subcapital fractures of the femur have been subjected to close analysis, and follow-up has been continued for as long as possible during the past fifteen years (Table I). In the course of this review, the quality of reduction has clearly emerged as the factor most commonly affecting both the early and late results of treatment. Accurate apposition of the fragments is already known ...

While antegrade nailing for proximal and diaphyseal femur fractures is a commonly utilized fixation method with benefits including early mobilization and high rates of fracture union, both intraoperative and postoperative complications may occur. Intraoperative errors include leg length discrepancy, anterior cortical perforation, malreduction of the fracture, and neurovascular injury, and posto...

D iagnosis and treatment of syndesmotic injuries, whether associated with malleolar ankle fractures, Maisonneuve fractures or purely ligamentous injuries, has been extensively researched. There has been increasing interest as more recent studies have demonstrated a relatively high rate of syndesmotic malreduction and resultant morbidity after surgical fixation. These studies suggest the need fo...

A 19-year-old female patient sustained a closed spiral midshaft femoral fracture and subsequently underwent femoral intramedullary nail insertion. At followup she complained of difficulty in walking and was found to have a unilateral in-toeing gait. CT imaging revealed 30 degrees of internal rotation at the fracture site, which had healed. A circumferential osteotomy was performed distal to the...

Post-traumatic premature closure of the distal fibular growth plate is a rare entity leading to shortening of the lateral malleolus. We report on a 14-year old boy who presented with a 4-year history of worsening, diffuse discomfort and swelling of his left ankle, as well as fibular shortening and talar malreduction. He had sustained a distal tibial fracture 4 years earlier and had been treated...