BACKGROUND Selection of a treatment method in cases of unstable, nonarticular distal tibial fractures is still a matter of discussion. Intramedullary nailing, which is a "gold standard" for tibial shaft fractures, does not always work for this specific transition area between diaphysis and metaphysis. Instead, new minimally invasive techniques with special implants are popular. AIMS To determ...

Fracture of the patella is a common injury among adults having higher prevalence among males population. The mechanism of injury involves direct and indirect mechanisms. The most common fracture pattern occurring is the transverse fracture followed by comminuted and vertical fractures. Treatment of patellar fractures depends on fracture type, integrity of extensor mechanism and size of fragment...

In order to determine the relevance of radiographs of the lumbar spine in an A&E department 225 consecutive patients presenting in a 6-month period with acute back pain were studied. An analysis of the number of radiographs performed and their association with particular factors in the history and examination of the patient was performed. A total of 108 patients had radiographs (48%), with a to...

Ceramic fractures have been reported to occur in hip replacements, but the techniques used to extract a well fixed but fractured component are not commonly described. We present a case of ceramic liner fracture and validate a modification of a previously reported extraction technique that allowed us to save the acetabular cup and insert a polyethylene liner. With an increasing trend in ceramic ...

Most stress fractures occur in the lower limbs and are rarely observed in the upper limbs. The second metacarpal is the longest of all the metacarpals and has the largest base, articulating with the trapezium, trapezoid, capitate, and third metacarpal. In athletes, stress fractures in non-weight bearing joints are uncommon. Therefore, the shaft of the second metacarpal bone undergoes a higher l...

The objective of this study was to determine whether immediate mobilisation and unprotected weight-bearing of rigidly internally fixed fractured ankles had a significant effect on ankle function or whether it predisposed the ankle to loss of reduction or hardware failure. Twenty five patients with operated Weber A/B/C fractures were allowed immediate full weight-bearing without a plaster and we...

OBJECTIVES The purpose of this study was to evaluate the effectiveness of SIGN Pediatric and Fin nails in treating pediatric diaphyseal femur fractures. DESIGN Prospective case series. SETTING Level I trauma center from 2010 to 2013. PATIENT/PARTICIPANTS Eighteen patients (13 male and 5 female) with pediatric diaphyseal femur fractures who did not achieve skeletal maturity. INTERVENTION...

OBJECTIVE To investigate the use of a simple intrasound device in the detection of malleolar fractures in the accident and emergency (A&E) department. METHODS Patients aged 16 to 70 years with ankle injuries presenting within 24 hours were considered for inclusion in the study. Those patients with bony tenderness, inability to weight bear, and swelling were examined with a simple intrasound d...

Stress fractures are common injuries in athletes and military recruits. These injuries occur more commonly in lower extremities than in upper extremities. Stress fractures should be considered in patients who present with tenderness or edema after a recent increase in activity or repeated activity with limited rest. The differential diagnosis varies based on location, but commonly includes tend...

INTRODUCTION The aim of this study was to prospectively analyze the role of primary hemiarthroplasty in unstable osteoporotic pertrochanteric fractures (AO/OTA Type 31 A2.3), with emphasis given to postoperative Functional Independent Measure (FIM) and Harris Hip Score (HHS). METHODS Fifty-six consecutive patients (average age 78.25 ± 5.45), out of which 24 males (79.29 ± 4.99) and 32 females...