abstract   background: fractures of the tibia are important for their commonness and controversy in their management. both conservative and surgical techniques have been introduced in an effort to speed time to :::::union::::: while minimizing the occurrence of complications. standard treatment for low-energy tibial shaft fractures includes closed reduction and cast immobilization. the purpose ...

  Background: In children, inappropriate treatment of open femoral fractures may induce several complications. A few studies have compared the external fixator with flexible intramedullary nails in high-grade open femoral fractures of children. The present study aims at comparing results of these two treatment methods in open femoral fractures. Methods: In this descriptive analytical study, 27 ...

Femoral and tibial shaft fractures are common injuries in the United States. Since their introduction, reamed intramedullary nails have become the treatment of choice for most of these fractures. However, delayed union and nonunion can complicate treatment in up to 10% of patients. Removal of interlocking screws, or dynamization, can promote fracture healing in cases of delayed union or nonunio...

Background: Supracondylar fractures are one of the commonest fractures encountered in high velocity trauma which are associated with high morbidity and mortality.Isolated fracture can itself lead to complications such as ARDS and pulmonary embolism.this necessitates early stabilization of fractures.Internal fixation is the choice of treatment in supracondylar fractures(AO type – A).Retrograde s...

BACKGROUND Scaphoid fractures are common, but can easily be overlooked clinically. The purpose of this study was to determine the incidence of this injury and the treatment outcome for patients with scaphoid fractures in our department. MATERIAL AND METHOD All patients with scaphoid fractures who were treated in the Orthopaedic Section of Haugesund Hospital from 1987 up to and including 2011 ...

INTRODUCTION Stabilisation of fractures with an intramedullary nail is a widespread technique in the treatment of femoral shaft fractures in adults. To ream or not to ream is still debated. The primary objective of this study was to determine the incidence of non-union following unreamed intramedullary stabilisation of femoral fractures. Secondary objectives were intra- and postoperative compli...

Background and purpose - Fracture non-union remains a major clinical problem, yet there are no data available regarding the overall risk of fractures progressing to non-union in a large population. We investigated the rate of non-union per fracture in a large adult population. Methods - National data collected prospectively over a 5-year period and involving just under 5,000 non-unions were ana...

INTRODUCTION Subtrochanteric femur fractures remain challenging injuries to treat. Historically, varus malreduction has been linked to the development of nonunion; however, there is a paucity of literature evaluating the impact of sagittal plane malreduction. The purpose of this study was to evaluate the influence of coronal and sagittal plane malreductions on time to union of subtrochanteric f...

Reamed intramedullary nailing was carried out on R57 Gustilo grade-IIIB tibial fractures in 55 patients. After debridement, there was substantial bone loss in 28 fractures (49%). The mean time to union was 43 weeks (14 to 94). When there was no bone loss, the mean time to union was 32 weeks; it was 45 weeks if there was bone loss. Fractures complicated by infection took a mean of 53 weeks to he...