Symptomatic patellofemoral chondral lesions are a challenging clinical entity, as these defects may result from persistent lateral patellar maltracking or repetitive microtrauma. Anteromedializing tibial tubercle osteotomy has been shown to be an effective strategy for primary and adjunctive treatment of focal or diffuse patellofemoral disease to improve the biomechanical loading environment. S...

Knee axial deformities associated with medial or lateral compartment osteoarthritis can be reliably addressed with high tibial osteotomies. Different surgical techniques can be successfully used for achieving the correction. Whatever the technique used, accurate patient selection and precise surgical procedure are critical to the success of the operation. The authors believe that proximal tibia...

In a case of a neglected radial neck fracture in childhood, the management of initial fracture and its complications are subjected to discussion. In children, open reduction should be avoided but an angulation less than 30° must be obtained. Several techniques exist to manage symptomatic malunion in adults, including resection, prosthesis, and osteotomy. When performing an osteotomy, it is impo...

A secondary high-velocity trauma to a previously stabilized femoral fracture with intramedullary nailing is rare. In this paper, we present the management of a 40-year-old man presented with a bent intramedullary nail due to secondary trauma. A lateral longitudinal femoral osteotomy was used for the resection of the distorted nail. The femur was reconstructed with a new nail, and the fixation o...

OBJECTIVES To review our experience with our anatomic (medial, transverse, and lateral) nasal osteotomy technique for correcting the asymmetric bony nasal vault in esthetic and functional rhinoplasty. METHODS All patients undergoing anatomic nasal osteotomy technique by the senior author (y.d.) from August 1997 to August 2005 with a minimum follow-up of 6 months were reviewed. Preoperative an...

Cubitus varus is commonest complication of paediatric supracondylar humerus fracture. These deformities are most commonly result of malunion, however avascular necrosis of trochlea or growth arrest of medial physis may also cause the deformity. Cubitus varus mostly presents as cosmetic deformity but it may also cause posterolateral instability, increased risk of secondary fractures, tardy ulna ...

An osteotomy must be performed in almost all types of external nose correction. By mobilising the bony skeleton, the nose may be sculpted into the desired shape and position. The osteotomy is carried out as gently as possible in an effort to minimize postoperative swelling and soft tissue bleeding. Finger and sharp chisels are used. Nasal bones are accessed through a short intercartilaginous in...

Isolated lateral compartment arthritis or focal chondral defects in the setting of genu valgum young, active individuals can be treated with a varus-producing distal femoral osteotomy without cartilage treatment. Both medial closing-wedge and opening-wedge techniques have been described, neither demonstrating clear superiority. The objective this Technical Note is to describe technique biplanar...