Introduction Non-union of femur fracture is a known complication, managed by various methods, including exchange nailing. Additional bone grafting is known to enhance fracture healing. Percutaneous bone grafting has been reported for tibia and humerus in the literature. The authors report a series of aseptic non-union of the femoral shaft managed by exchange nailing, supplemented with percutane...

BACKGROUND Tibia shaft fractures (TSF) are common for men and women and cause substantial morbidity, healthcare use, and costs. The impact of nonunions on healthcare use and costs is poorly described. Our goal was to investigate patient characteristics and healthcare use and costs associated with TSF in patients with and without nonunion. METHODS We retrospectively analyzed medical claims in ...

Abstract Background Tibial shaft fractures (TSFs) are among the most common long bone injuries often resulting from high-energy trauma. To date, musculoskeletal complications such as fracture-related infection (FRI) and compromised fracture healing following fixation of these still prevalent. The relatively high complication rates prove that, despite advances in modern care, management TSFs rem...

<p><strong>Background:</strong> Tibia shaft fractures are most common lower limb long bone fractures. In approximately 80% of patients, tibia fracture occurs in diaphysis region. The procedure intramedullary interlocking nailing is done by positioning the injured extremity at minimum 90 degree flexion knee joint to achieve optimal exposure correct entry point. tension quadrice...

As there is little information on the factors that influence fracture union following intramedullary nailing of the tibia we retrospectively investigated patient-, injury- and treatment-related factors in 161 patients with closed or grade I open fractures of the tibial diaphysis. The patients were reviewed until clinical and radiological evidence of union at a mean of 13.3 months (4 to 60). Mul...

The study presents results in treatment of pathologic fractures of long bones of all patients who underwent surgery in the last 10 years in our hospital. The study cohort comprised 133 consecutive patients divided in two groups who underwent surgery of long bone fractures caused by metastatic tumor or trauma. We used resection, open reduction and plating with bone cement application for patholo...

OBJECTIVE To evaluate structural and geometrical properties of the tibia shaft in subjects with spinal cord injury (SCI) and subjects without SCI and to estimate the potential usefulness of a multimodal approach to diagnosing osteoporosis in SCI. DESIGN A cross-sectional study of randomly selected SCI and non-SCI subjects. METHODS Measurements of bone geometric indices by computed tomograph...

Fractures of the shaft of the tibia in adults are notoriously difficult to treat and are sometimes dangerous. Poor function, non-union, skin loss and infection are the great hazards, and an awkward dilemma is posed by the fact that the treatment least likely to give one of these bad results is often the most likely to give another. Amputation, both primary and secondary, should be included amon...

This paper presents a failure analysis on a failed intake valve in a gasoline engine. During an endurance test, an intake valve was broken and caused some damages on the piston. Material examinations (by a light microscope and also a scanning electron microscope) were conducted on the fracture surface of the intake valve shaft. Results showed that no pores or defects could be observed and the m...