Abstract Aim Deltoid ligament complex (DLC) injury repair in the presence of an ankle fracture remains a topic controversy current literature. No work literature has commented on hindfoot and subtalar instability DLC associated with fixation. Our aim was to introduce validate new method for assessment instability, when fixing injury. Method injury, specifically superficial DLC, controls not onl...

BACKGROUND Medial clear space (MCS) width on mortise radiographs of the ankle is commonly used by clinicians for determining the competence of the deltoid ligament in the Weber B supination-external rotation ankle fracture. Significant variability exists in the current literature regarding methods of obtaining this measure and definition of a normal measure in comparison with a pathologic state...

BACKGROUND AND PURPOSE Fractures of the lateral malleolus often require open reduction and internal fixation (ORIF). Despite uneventful fracture healing, many patients will suffer from long-term detriments after ORIF, such as local tenderness that requires hardware removal. In Sweden, there are 2 major fixation methods, either the AO method (plate and screws) or the Cedell method (cerclage wire...

by L. F. Richmond in the Journal of the Royal Army Medical Corps for April 1930. On the evening of the 5th February, 1930, No. 4966775 Pte. while playing hockey was struck with the ball at close range on the right shin. The impact was exceptionally severe, and the spot struck was the junction of the upper and middle third of the right tibia. The patient felt intense pain and had to be carried o...

Segmental defects of the tibia are challenging therapeutic problems for both the physician and the patient. These defects may be caused by severe trauma, infection, tumors and congenital processes. Several different techniques have been described for treatment of these defects including the Papineau technique, allograft reconstruction, bone transport using the Ilizarov frame, free vascularized ...

BACKGROUND AND PURPOSE Non-steroidal anti-inflammatory drugs (NSAIDs) inhibit cyclooxygenase (COX) activity, which is the rate-limiting enzyme in the synthesis of prostaglandins. Previous studies have indicated that NSAID therapy, and in particular NSAIDs that specifically target the inflammatory cyclooxygenase (COX-2), impair bone healing. We compared the effects of ibuprofen and rofecoxib on ...