BACKGROUND AND PURPOSE It is not known whether there is a difference in bone healing after external fixation and after intramedullary nailing. We therefore compared fracture healing in rats after these two procedures. METHODS 40 male rats were subjected to a standardized tibial shaft osteotomy and were randomly assigned to 2 treatment groups: external fixation or intramedullary nailing. Evalu...

Open clavicle fracture is an uncommon injury mostly caused by severe direct trauma. It is often associated with multiple organ injuries. Generally, surgical intervention with debridement and fracture repair is always indicated in order to prevent infection, non-union, and malalignment. In situations of bony exposure and significant contamination concomitant with severe soft tissue damage, the e...

Distal humerus fractures are uncommon, comprising 2% of all fractures and a third of all humerus fractures. Open fractures, comminuted fractures and fracture dislocation of the elbow are often accompanied by severe soft tissue damage. External fixation of the humerus is indicated when severe soft tissue damage or the presence of infection warrants initial alternative immobilisation of the fract...

Distraction osteogenesis is widely used for leg lengthening, but often requires a long period of external fixation which carries risks of pin-track sepsis, malalignment, stiffness of the joint and late fracture of the regenerate. We present the results of 20 cases in which, in an attempt to reduce the rate of complications, a combination of external fixation and intramedullary nailing was used....

Background The purpose of this meta-analysis was to compare the outcomes of external fixation and flexible intramedullary nails for femoral fractures in children between 5 and 15 years of age based on the current evidence. Materials and methods We searched relevent studies in the following database: Cochrane library, PubMed and EMABASE up to May 2014. All randomized controlled trials, Clinica...

PURPOSE To assess the efficacy of acute invaginating docking for infected non-unions of the humerus. METHODS Eight men and 3 women aged 17 to 59 years with infected non-unions of the humerus underwent acute invaginating docking with shortening and Ilizarov fixation. RESULTS The mean shortening was 2.9 cm owing to additional debridement. The mean time to external fixator removal was 14.9 (ra...