Anatomic reduction and fixation of unstable ankle fractures is necessary to prevent posttraumatic arthritis. Malunion of the distal fibula in unstable ankle fractures may lead to progressive talar instability. Ankle fracture malunions often present with concomitant syndesmotic widening, which can cause surgeons to overlook changes in fibula length and rotation. The decision to proceed with surg...

Maisonneuve fractures result from a disruption of the medial ankle structures and a proximal fibular fracture. Patient complaints can be misleading and there is a significant rate of delayed diagnosed injuries. We present a case of bilateral Maisonneuve fractures after a fall due to a syncopal collapse. A precise clinical examination led to this rare diagnosis. The injuries were treated with sy...

Chheiti, Hindu male, aged 30, a coolie in the Kanknarah Jute Mills, was admitted into tlie Imambarrah Hospital on 9th June 1893. A hale of jute fell on his left leg and caused the following injuries :? (?) Simple comminuted fracture of the left fibula at the junction of the middle and lower third; (/?) compound dislocation of the left ankle joint, the lower end of the tibia protruding through a...

Gustilo type IIIC open fractures of the tibia are high-energy injuries necessitating long treatment periods and usually multiple surgical procedures and eventually resulting in high morbidity rates and even amputations. We present here a case involving a type IIIC open tibial fracture with massive loss of the entire tibial diaphysis, which we treated by performing acute tibialization of the fib...

Hajdu-Cheney syndrome (HCS) and serpentine fibula-polycystic kidney syndrome (SFPKS) share many similarities, including craniofacial abnormalities, bony deformities, and renal involvement. Because mutations in exon 34 of NOTCH2 have been identified recently in both HCS and SFPKS patients, it has been suggested that these two syndromes be classed as the same disorder. A 3-year-old boy presented ...

The supination-external rotation or Weber B type fracture exists as a stable and an unstable type. The unstable type has a medial malleolus fracture or deltoid ligament lesion in addition to a fibular fracture. The consensus is the unstable type and best treated by open reduction and internal fixation. The diagnostic process for a medial ligament lesion has been well investigated but there is n...

Predator confrontation or predator evasion frequently produces bone fractures in potential prey in the wild. Although there are reports of healed bone injuries and pathologies in non-avian dinosaurs, no previously published instances of biomechanically adaptive bone modeling exist. Two tibiae from an ontogenetic sample of fifty specimens of the herbivorous dinosaur Maiasaura peeblesorum (Ornith...

Wounds come in many shapes and sizes often requiring washout and exploration. The limb is prepared and draped in the desired fashion. A large sterile x-ray C-arm cover is placed under the limb and secured proximally with a towel clip. A suction tube is placed in the lowest part. This tube can be cut and dropped into the bag when washout is completed and the bag removed, allowing further procedu...

We report a patient who had resection of the humerus for osteosarcoma, initial reconstruction with a free fibular graft of the humerus, and subsequent lengthening of the graft. A 9-cm (100% of free fibula length) lengthening was achieved to equalize the humerus length. A complication of regenerate fracture was treated successfully with plating. Four years after the initial surgery for lengtheni...

In most cases it is an advantage to provide means of skeletal traction before attacking the fracture-site. Femur. 1. Thomas splint. Kirschner wire extension via tibial crest. 2. Brauns splint and skeletal traction. 3. Sliding-bed traction. Tibia and fibula. 1. Watson Jones apparatus. 2. Thomas splint and flexion-piece, with Kirschner wire extension via os calcis. 3. Brauns splint and skeletal t...