The purpose of this study was to identify the causes and risk factors for hip fractures, a rare but devastating complication, following hip arthroscopy. The electronic databases MEDLINE, EMBASE and PubMed were searched and screened in duplicate for relevant clinical and basic sciences studies and pertinent data was abstracted and analysed in Microsoft Excel. Nineteen studies (12 clinical studie...

BACKGROUND Tarsal navicular fractures are uncommon but important causes of foot pain. Being alert to this condition can help prevent a delay in the diagnosis. METHODS A literature search of MEDLINE was undertaken, and a case report of an adolescent with tarsal navicular stress fracture is described. RESULTS AND CONCLUSIONS Tarsal navicular fractures are often misdiagnosed for months. Becaus...

OBJECTIVE Lower extremity fractures, if not treated appropriately, can increase the risk of morbidity. Partial weight-bearing after surgical repair is recommended; however, current methods of partial weight-bearing may cause excessive loads through the lower extremity. A new rehabilitation tool that uses lower body positive-pressure is described, that may allow partial weight-bearing while prev...

The management of neglected femoral shaft fractures poses a challenge to the orthopaedic surgeon. We evaluated the outcome of open intramedullary nailing of neglected femoral shaft fractures at our centre. A total of 52 patients with 55 femoral shaft fractures, with a mean age of 39.6 years, were studied. The mean interval from injury to presentation was 24 weeks (range = 4-156). Mean time to a...

Bisphosphonates have been commonly used for the treatment of osteoporosis. However, there have been recent case reports of atypical fractures citing their long-term use, which inhibits the turnover of bone components. A 64-year-old woman visited the outpatient clinic with pain in her right thigh and ambulation difficulty. We found fractures at both pedicles of L4 vertebra. subtrochanteric regio...

Pilon fractures are distal tibia end fractures affecting the weight-bearing articular surface. They represent around 1% of all lower extremity fractures, and are more common in males between 35 and 40 years of age.1 Such injuries may be caused by highor low-energy mechanisms. Axial compression injuries where the talus impacts on the distal articular surface, causing implosion of the tibial plaf...

A majority of proximal humeral fractures are preferably treated conservatively. However, surgical management may be beneficial in proximal humeral fractures with significant displacement or angulation. Unfortunately, the complication rates associated with current surgical procedures for fracture fixation, ORIF and IM devices, can be unacceptably high. A new technology, termed the PH Cage, addre...

Management of metastatic long bone fractures requires identification of the lesion and the use of sound fracture fixation principles to relieve pain and restore function. The treating surgeon must understand the principles of pathologic fracture fixation before initiating treatment. Because these fractures occur in the context of a progressive systemic disease, management typically involves a m...

I read with great interest the recent article by Mabilleau and Edmonds on the role of neuropathy on fracture healing in Charcot neuro-osteoarthropathy. There are, however, some inconsistencies that need to be addressed: on p 84, the authors state that “the aetiopathogenesis of diabetic Charco neuro-osteoarthropathy is still unclear” , while on p 87 they claim it begins with “trauma leading to i...

The goal of this research was to find the implant which would provide a better possibility of the fractured osteoporotic bone weight bearing after trochanteric fracture fixation. The authors constructed a new implant based on the conventional condylar plate, as part of a stabile triangular system. Because of the special oblique form of the screw which absolutely stabilizes vertical and horizont...