PURPOSE. To review records of 11 patients who underwent retrograde nailing in conjunction with blocking screws to aid fracture reduction for distal femoral shaft fractures. METHODS. Records of 8 men and 3 women aged 27 to 60 (mean, 41) years who underwent retrograde nailing with the use of blocking screws for distal femoral shaft fractures were reviewed. Two of the fractures were open and grade...

UNLABELLED Fractures of the femoral shaft treated with interlocking nails will ultimately result in breakage of the nail if the bone does not unite. Further management requires removal of the broken nail which may be a difficult process for the distal segment. If we can identify the symptoms just before the nail breaks, an exchange nailing becomes much easier. We present a patient with fibromat...

PURPOSE To explore the possible surgical factors related with nonunion in femoral shaft fracture following intramedullary nailing. METHODS We retrospectively analyzed totally 425 patients with femoral shaft fracture in level I urban trauma center, including 254 males and 171 females, with an average age of 37.6 (ranging from 21 to 56) years old. The inclusion criteria included: (1) traumatica...

The management of distal Achilles tendon rupture is still controversial, especially in elderly patients, due to poor bone quality and stump integrity. One the proposed repair techniques by using an anchoring screw. Here we report mid-term follow-up two patients with treated Two males their sixties came outpatient clinic similar complaints intermittent pain, reddening, ankle swelling after falli...

BACKGROUND Proximal femoral nail anti-rotation (PFNA) is a standard femoral intertrochanteric fracture operation. Iatrogenic vascular injury, although uncommon, is a reported complication of PFNA surgery as well as a complication of hip fracture surgery. This study aimed to compare the safety and best use of the distal locking screw in 170 mm PFNA and 240 mm PFNA devices, and to determine the s...

Purpose. To investigate the clinical abstractnd radiographic outcome of multi-axial expandable pedicle screws (MEPS) in patients with osteoporosis. Methods. One hundred and twenty-!ve consecutive patients received MEPS from the UPASS spinal !xation system to obtain thorocolumbar or lumbosacral stabilization. All patients underwent bone mineral density (BMD) scans. "e indications for use of the ...

Distal ulnar fractures often occur with distal radius fractures (DRFs), and ulnar styloid fractures commonly occur in the setting of DRF. However, isolated ulnar head fractures are rare. We report a case of isolated ulnar head fracture in which we performed bone resection because the ulnar head bone fragment fractured when internal screw fixation was attempted. His outcome at 18 months postoper...

PURPOSE The purpose of this study was to compare the interfragmentary compression force across a simulated scaphoid fracture by two commonly used compression screw systems; the Acutrak 2 Standard and the 3.0 mm Synthes headless compression screw. METHODS Sixteen (8 pairs; 6 female, 2 male) cadaver scaphoids were randomly assigned to receive either the Acutrak 2 or Synthes screw with the contr...

INTRODUCTION Much of the currently available data on the technical aspects of syndesmotic screw placement are based upon biomechanical studies, using cadaveric legs with different testing protocols, and on surgeon preference. The primary aim of this study was to investigate the effect of the level of syndesmotic screw insertion on functional outcome. Further, the effects of number of cortices e...