BACKGROUND AND PURPOSE Complications related to the fibula during distraction osteogenesis could cause malalignment. Most published studies have analyzed only migration of the fibula during lengthening, with few studies examining the effects of fibular complications. PATIENTS AND METHODS We retrospectively reviewed 120 segments (in 60 patients) between 2002 and 2009. All patients underwent bi...

A 68-year-old man with right knee varus osteoarthritis was treated by lateral closed-wedge high tibial osteotomy. A correction loss with non-union occurred 6 months after surgery and a re-correction osteotomy was performed. Removing the proximal screws of the lateral plate, a medial opening-wedge re-osteotomy was performed. Arthroscopically harvested osteophytes were used to fill the gap after ...

Distal tibia fractures are 7-10% of alltibial fractures and they are caused both by high and low energy traumas with different fracture pattern. We present a case report of a 23 year old female affected by mental delay, who fall down in March 2014 reporting the fracture of the distal tibia. She has been operated in emergency with two elastic nails and a lag screw. Two months after she has been ...

Background: Reports of the efficacy of open reduction and Zigzag Osteotomy combined Fibular Allograft (ZOFA) for developmental dysplasia of the hip. The purposes of this study were to evaluate the long-term outcomes and complications after surgery. Methods: We performed a retrospective match-controlled study in which 158 patients had 181 hips with developmental dysplasia of the hip. Radiographs...

Proximal tibio-fibular joint is routinely stabilised during leg lengthening, peri-articular fractures and deformity corrections of tibia. Potential injury to the common peroneal nerve at the level of the fibula head/neck junction during wire insertion is a recognised complication. Previous studies have mapped the course of the common peroneal nerve and its branches at the level of the fibular h...

Akin osteotomy is a common component of hallux valgus surgery. Holding the osteotomy in good position with a well placed staple can prove difficult. To aid this, a marker pen is used to apply ink to the tip of the proximal limb of the staple (Fig 1). A hole is drilled in the distal bone and the non-inked staple limb is inserted while the osteotomy is held in the desired position. This causes tr...

Akin osteotomy is a common component of hallux valgus surgery. Holding the osteotomy in good position with a well placed staple can prove difficult. To aid this, a marker pen is used to apply ink to the tip of the proximal limb of the staple (Fig 1). A hole is drilled in the distal bone and the non-inked staple limb is inserted while the osteotomy is held in the desired position. This causes tr...

While hip arthroscopy grows in popularity, there are still many circumstances under which open hip preservation is the most appropriately indicated. This article specifically reviews open hip preservation procedures for a variety of hip conditions. Femoral acetabular impingement may be corrected using an open surgical hip dislocation. Acetabular dysplasia may be corrected using a periacetabular...

Post-traumatic premature closure of the distal fibular growth plate is a rare entity leading to shortening of the lateral malleolus. We report on a 14-year old boy who presented with a 4-year history of worsening, diffuse discomfort and swelling of his left ankle, as well as fibular shortening and talar malreduction. He had sustained a distal tibial fracture 4 years earlier and had been treated...