We report a 38-year-old male with a nonunion followed by plate breakage after volar plating of a distal radius osteotomy. Volar locking plates have added a new approach to the treatment of distal radius malunions, due to a lower morbidity of the surgical approach and the strength of the final construction, allowing early mobilization and return to function. Conclusion. Plate breakage is an unco...

We aimed to assess the CT-based bony tunnel valuations and their correlation with knee function after patellar dislocation triple surgeries. A retrospective study was performed on 66 patients (70 knees) who underwent patellar dislocation triple surgeries. The surgery was MPFL reconstruction primarily, combined with lateral retinaculum release and tibial tubercle osteotomy. CT examinations were ...

Realignment of the hip knee and ankle can be achieved by extra-articular osteotomy if there is no intra-articular deformity or incongruity. Intra-articular osteotomy of the femoral head, femoral condyles, tibial plateaus and tibial plafond can all be achieved technically and biologically and lead to a congruous joint. This is a new frontier for realignment surgery extending the indications for ...

We reviewed the outcome of distal chevron metatarsal osteotomy without tendon transfer in 19 consecutive patients (19 feet) with a hallux varus deformity following surgery for hallux valgus. All patients underwent distal chevron metatarsal osteotomy with medial displacement and a medial closing wedge osteotomy along with a medial capsular release. The mean hallux valgus angle improved from -11....

Triphalangeal thumb is characterized by the interposition of an extra-phalanx between two normal ones. In this article the authors present the case of a 24-year-old man with bilateral triphalangeal thumb of opposable type, without any other associated anomaly or genetic syndrome. The patient had triangular delta extra-phalanxes that caused ulnar deviation of both thumbs. Surgical procedure for ...

The chiari pelvic Osteotomy deserves better Than the rather damnirtg description of"SalVage Procedure".Although it Cannot be regarded as a physiologic reconstructive Procedure because hyaline ,articular Cartilage is not brought over.the femoral head, it. nevertheless has unique advantages and specific indications. The Procedure is entlrely extra-articular, and the tissue" largely newl ne "that ...

We describe a method of intertrochanteric osteotomy with posterior rotation of the femoral head and neck. We analysed 45 hips in 44 children and adolescents aged from six to 18 years with residual dysplasia after conservative (35) and operative (10) treatment of developmental dysplasia of the hip complicated by avascular necrosis of the femoral head. In ten, femoral osteotomy was combined with ...

We report a series of 50 patients under 70 years of age who had an ununited femoral neck fracture treated by a Pauwels abduction osteotomy. At an average follow-up of 7.1 years, seven patients had required prosthetic replacement and 37 others were reviewed in detail. In these patients the Harris hip score averaged 91. Twenty-two hips showed radiographic evidence of avascular femoral head necros...

Figure 3 The femoral rasp inserted to a sufficient depth in the canal via the piriformis fossa. The rasp acts as a guide while diathermy is used to demarcate the angle of neck osteotomy. lies medial to the greater trochanter of the proximal femur (Fig 2). This ensures only a blunt instrument is used to create an initial passage for the femoral rasp, minimising the risk of femoral perforation. W...

BACKGROUND Intramedullary (IM) nailing is the method of choice for the treatment of most femoral shaft fractures. However, despite successful solid union, great initial fracture comminution can lead to significant leg length discrepancy affecting normal gait mechanics. Femoral osteotomy and distraction osteogenesis over the pre-existing IM nail could restore this limb inequality. METHODS Five...