When fracture of the femoral shaft and dislocation of the hip occur in the same limb the dislocation is often missed. In this paper we offer a way to avoid this diagnostic pitfall. It has been estimated that combined femoral shaft fracture and hip dislocation occur once in every 100,000 cases of fracture (Wiltberger, Mitchell and Hedrick 1948). In a century and a half a total of eighty-one such...

The term “ re-fracture “ was applied only to cases in which a femur broke again after beingjudged clinically and radiologically to be united enough to permit cessation of continuous splintage and to allow mobilisation and walking with or without crutches or a caliper. The term was not applied to any case in which there was any suggestion of delayed union or non-union. Cases in which a medullary...

To evaluate a new technique of Dynamic hip screw (DHS) fixation without using traction table. From july 2006 to july 2012, 328 patients undergoing DHS fixation using manual traction technique were evaluated in terms of Tip apex distance (TAD), -quality of fracture reduction, operation time, preoperative preparation time. In 97% cases good to moderate reduction could be achieved. The mean TAD wa...

IN 1891, Dr. Cemil Topuzlu operated on a brain abscess that originated as a complication of a depression fracture of the cranial inner table. The patient presented with Jacksonian seizures on his left side after a sharp trauma resulting in a 15 cm-long scalp laceration and underlying linear cranial fracture in the right parietal bone. Dr. Topuzlu attributed Jacksonian epilepsy to the fracture i...

BACKGROUND Underwriting the elderly will challenge the skills of the medical director. Factors not typically reflecting an increased mortality risk in younger applicants assume major importance in the elderly. This article demonstrates osteoporotic fractures in the elderly can be predictive of adverse mortality. MATERIALS AND METHODS In a 5-year prospective community study, all residents age ...

The authors present the case of a soldier wounded in Iraq with a gunshot wound to the skull exhibiting a characteristic keyhole fracture pattern on CT scan. Tangential gunshot wounds to the skull were termed “keyhole fractures” by Spitz in 1980 and the mechanics involved in the creation of the defect were later described by Dixon in 1982 (1,2). Keyhole fractures exhibit entrance and exit wound ...

We recently demonstrated differences in fracture incidence by ethnicity in the UK population using the Clinical Practice Research Datalink (CPRD) [1]. In their letter, Harper et al. [2] draw attention to the differential age structure of the UK population by ethnicity, and suggest that the lower incidence of fractures in Asian adults over 50 years might reflect the lower proportion of very elde...

Objective: To compare and analyze the curative effect of fracture upper limb fixator traditional splint in emergency treatment fracture.
 Methods: This is a prospective study. A total 80 patients with fractures admitted to Emergency Department Sichuan Province Orthopedic Hospital from December 2021 August 2022 were prospectively selected as subjects. They divided into two groups according ...