background at altnagelvin, a district general hospital in northern ireland, we have observed that a significant number of hip fracture admissions are later readmitted for treatment of other medical conditions. these readmissions place increasing stress on the already significant burden that orthopedic trauma poses on national health services. objectives the aim of this study was to review a ser...

Open reduction and internal fixation is used to treat complex acetabular fractures. Traction on the femur is necessary to reduce the acetabulum and is accomplished by surgical assistants or with mechanical devices. To overcome the disadvantages of various traction methods, the author designed a simple, novel traction device that can be used on an ordinary orthopedic or radiolucent operating tab...

Military surgical doctrine has traditionally taught that all ballistic wounds should be formally managed by surgical intervention. There is now, however, both experimental and clinical evidence supporting the nonoperative treatment of selected small fragment wounds. Low energytransfer wounds affecting the soft tissues, without neuro-vascular compromise and with stable fracture patterns, may be ...

Retrograde femoral nailing is gaining in popularity. We report a prospective, randomised comparison of antegrade and retrograde procedures in 68 patients with 69 fractures of the femoral shaft. All nails were inserted after appropriate reaming. There was no difference in operating time, blood loss, technical complications, size of nail or reamer, or transfusion requirements. There were more pro...

carpal fracture-dislocation is regarded as an unusual orthopedic injury and, thus, orthopedic surgeons are less experienced in dealing with and treating these fractures and dislocations. we report a 20-year-old worker man suffering from an unusual carpal fracture-dislocation. there was trans-scaphoid fracture and lunate dislocation with other carpal proximal bones toward volar of the wrist. two...