Unreamed Intramedullary nailing and external fixation are 2 major treatments widely used in Gustilo grade III open tibial fractures, but the difference in effectiveness and complication remains controversial. We retrieved original publications of comparative studies from medical literature databases and selected 9 of them for a meta-analysis. Observation items include malunion and deep infectio...

In a prospective, randomised study we have compared the pertrochanteric external fixator (PF) with the sliding hip screw (SHS) in 100 consecutive patients who were allocated randomly to the two methods of treatment. Details of the patients and the patterns of fracture were similar in both groups. Follow-up was for six months. Use of the PF was associated with significantly less blood loss, a sh...

OBJECTIVE To evaluate the outcomes of lengthening post-traumatic femoral segments using a recently available magnetic intramedullary (IM) lengthening system. DESIGN Retrospective cohort study. SETTING Urban level II Trauma Center. PATIENTS/PARTICIPANTS Patients treated for post-traumatic femoral shortening at our institution between 2012 and 2015. We identified 17 femurs lengthened (14 me...

We have systematically reviewed the effect of alternative methods of stabilisation of open tibial fractures on the rates of reoperation, and the secondary outcomes of nonunion, deep and superficial infection, failure of the implant and malunion by the analysis of 799 citations on the subject, identified from computerised databases. Although 68 proved to be potentially eligible, only eight met a...

Muscle contracture and joint stiffness are a major concern during limb lengthening using the Ilizarov method. The aim of this study was to detect factors that may influence the final loss of knee flexion. We retrospectively studied knee movement in 32 patients undergoing femoral lengthening using the Ilizarov method. The pattern of loss of knee movement showed a rapid fall in knee flexion durin...

The purpose of this study was to evaluate the influence of intramedullary (IM) alignment used in combination with an Ilizarov external fixation on the healing index (HI) and lengthening index (LI) in the treatment of congenital leg length discrepancies (LLD). This study included 35patients aged from 3.5 to 19 (average age 10.73) who underwent thl egalisation procedure using an Ilizarov external...

A 14-year-old boy had a congenital shortening of the first right metatarsal bone, with overloading of the central metatarsals and medial deviation of the second toe. A percutaneous osteotomy and slow distraction by an external fixator for 10 weeks lengthened the bone from 32 mm to 60 mm. After the distraction, a bone graft was performed, and tenotomies and a capsulotomy corrected a threatening ...

Neglected posterior dislocation of the elbow is a common problem in developing countries. One acceptable form of treatment is open reduction and transarticular Steinmann pin fixation. However, this leads to a stable but stiff elbow. We used an improvised external fixator after open reduction in two cases, which allowed for early mobilisation with adequate stability. This option can be considere...