The authors conducted a retrospective review at their level I trauma center to assess the outcomes of closed vs open pediatric tibial fractures treated with titanium elastic nails. The study group included 38 pediatric patients (median age, 12 years) treated with titanium elastic nails for tibial fractures during a 5-year period. Patient demographics, closed or open injury, Gustilo-Anderson typ...

Traumatic dislocation ofthe hip with a fracture ofthe shaft ofthe femur on the same side is such a rare injury that, although there are several reports ofsingle patients, only two surgeons, Dehne and Immermann (1951), have reported treating a number ofpatients. Sir Astley Cooper in I 823 was the first to record the successful treatment of this condition. His patient, a boy of sixteen, had a fra...

vascular injuries with acute or chronic arterial hemorrhage after femoral shaft fractures are a rare but a life-threatening complication. we observed a case of iatrogenic rupture of the profunda femoris artery after the internal fixation of a femoral shaft fracture. the pseudoaneurysm, presenting with painful expansile swelling and hemodynamic instability, together with the rupture was evident ...

Fractures of the tibia account for approximately 17-21% of all lower extremity fractures and approximately 2% of all combined fractures [1,2]. Within this number, 3% to 13% of tibia fractures are classified as segmental with most literature on this injury consisting of case series or retrospective reviews [3,4]. Segmental fractures of the tibia present a challenge to treating orthopedic surgeon...

A displaced tibial tuberosity avulsion fracture associated with an open extra-articular proximal tibial diaphyseal fracture is an uncommon fracture pattern. This case report describes the successful management of such a fracture pattern in a 45-year old male using an open reduction and lag screw fixation of the tuberosity with a minimally invasive reduction and plate fixation of the proximal ti...

Background: Surgeons agree on the benefits of operative treatment of tibial fractures – the most common of long bone fractures – with an intramedullary rod or nail. Rates of re-operation remain high – between 23% and 60% in prior trials – and the two alternative nailing approaches, reamed or non-reamed, each have a compelling biological rationale and strong proponents, resulting in ongoing cont...