We undertook a retrospective study of 50 consecutive patients (41 male, 9 female) with an infected nonunion and bone defect of the femoral shaft who had been treated by radical debridement and distraction osteogenesis. Their mean age was 29.9 years (9 to 58) and they had a mean of 3.8 (2 to 19) previous operations. They were followed for a mean of 5.9 years (2.0 to 19.0). The mean duration of t...

Revision knee arthroplasty for infection poses a treatment challenge. The presence of massive osteolysis limits the treatment options in this cohort. Controversy exists in the management of these patients. Direct exchange arthroplasty has provided good results in the presence of infection, but whether this is appropriate in the presence of massive bone defects associated with the infection is u...

Background: Nowadays combined high tibial osteotomy and ACL reconstruction is accepted as a safe and effectivesurgery for patients with symptomatic varus osteoarthritis and anterior knee instability; however, the source of varusdeformity is sometimes the femoral bone. No studies have reported concomitant ACL reconstruction and distal femoralosteotomy in ACL-deficient knees wit...

Percutaneous transosseous Ilizarov wiring, whilst preferred in the tibia because of its unique properties, carries a high risk of complications in the femur. The aim of this work was to evaluate the efficacy of a more patient-friendly semicircular pin external fixator module built up from parts of the Ilizarov fixator components and its use in managing diaphyseal femoral nonunions. A group of 2...

Bilateral femoral agenesis is a rare anomaly.  To the best of our knowledge, only three cases of simple congenital anomaly and three cases associated with femoral facial syndrome have been reported.  Here, we describe a simple form of bilateral femoral agenesis observed in one of the 2 dead fetuses delivered after termination of a 24-week twin pregnancy of a normal mother.  Post-mortem x-ray ex...

conclusions our results in terms of asami scores are comparable with the published literature. furthermore, our return to work is better than most european studies (63%). all our patients said they would have the procedure again. we attribute this success partly to the multidisciplinary approach. we recommend early referral to a dedicated unit if there is any evidence of a non-:union:. results ...

regarding the increasing numbers of iv drug addicts, the incidence of infected pseudoaneurysm is increasing. so far, different therapeutic strategies have been tried, but each method has its own drawbacks. therefore, discovering an appropriate therapeutic method is necessary. 65 patients with infected pseudoaneurysm due to drug injection referred to shohada medical center from feb 1994 till oct...

We report a case of a mycotic (infected) aneurysm of the popliteal artery due to Salmonella enteritidis. The clinical presentation may be confused with other more common causes of diffuse swollen leg, causing a delay in the diagnosis and proper therapy. Prompt surgical resection of the infected aneurysm together with medical therapy is required for successful treatment.

background: bisphosphonates (bps) are used extensively for managing the osteoporosis. there are some controversies on atypical fractures of femur that associated with increase in cortical thickness (ct) and bps' use. in this study, the effects of alendronate consumption were studied on femoral ct as a predictor for atypical fracture.   methods: forty nine post-menopausal women aged 50-70 years ...