Nine patients with nonunited humeral shaft fractures were treated by open reduction and internal fixation with an intramedullary fibular bone graft and a compression plate. Fixation of the screws was enhanced by passing them through the fibula as well as the two humeral cortices (quadricortical fixation). Eight of the nine fractures united at an average of 3.5 months. Tests on cadaver bones sho...

Despite abundant research on the distribution of glottal stops and glottalization in English and other languages, it is still unclear which factors matter most in predicting where glottal stops occur. In this study, logistic mixed-effects regression modeling is used to predict the occurrence of word-initial full glottal stops vs. no voicing irregularity. The results indicate that prominence and...

We report a case where a one-stage osteotomy and fixation, using a long proximal femoral nail and fibular graft, was performed to correct a severe shepherd's crook deformity (70-degree varus and 50-degree retroversion) of the femoral neck with a pathological stress fracture in a patient with fibrous dysplasia. The neck shaft angle was corrected to 125 degrees. At the 57-month follow-up, the pat...

The spinal manifestations of neurofibromatosis include cervicothoracic kyphosis, in which scalloping of the vertebral body and erosion of the pedicles may render conventional techniques of fixation impossible. We describe a case of cervicothoracic kyphosis managed operatively with a vascularised fibular graft anteriorly across the apex of the kyphus, followed by a long posterior construct using...

Reconstruction of heel defects can be challenging and requires careful consideration in restoring both the functional and aesthetic deficit. This study assessed the use of parallel fibular osteoseptocutaneous flap to repair composite heel defects. Follow-up of the 4 patients included in this study ranged from 24 months to 3 years after their operation. The flap survival rate was 100% in all pat...

The free vascularized fibular graft (FVFG) to the tibia was first described by Taylor et al in 1975.1 Since then, the operation has evolved to include transfer of adjacentmuscle, and in 1983 Chen andYandescribedanosteocutaneousflap.2These advancements have provided a limb-sparing option to those patients once destined for amputation. Indications for these procedures now include trauma, chronic ...

We have reviewed 30 patients at a mean of 36 months after free vascularised fibular transfer to reconstruct massive skeletal defects after resection of primary bone tumours. There were 23 malignant and 7 benign neoplasms, half in the lower limb and half in the upper. Arthrodesis was performed in 15 and intercalary bone replacement in 15. The mean fibular graft length was 189 mm. Union was achie...

The report describes a rare case of giant cell tumour of proximal end of ulna occurring in 22 years old lady. Pain and gradual increase in swelling was noticed for last 7 months. X-ray showing complete absorption of proximal ulna. The tumour was excised en-bloc; reconstruction by fibular graft and fusion of elbow in functional position was performed. Postoperatively neurovascular status was nor...