OBJECTIVES To investigate longterm pain and disability subsequent to a tibial shaft fracture treated conservatively. DESIGN AND SETTING Subjects who had sustained a tibial shaft fracture more than 27 years ago were compared with those who had not. SUBJECTS 572 fracture patients (identified from the records of the plaster room) aged over 16 at the time of injury were contracted and were comp...

INTRODUCTION Aircraft bombs can cause severe orthopaedic injuries. Tibia shaft fractures caused by aircraft bombs are mostly comminuted and followed by bone defects, which makes the healing process extremely difficult and prone to numerous complications. The goal of this paper is to present the method of treatment and the end results of treatment of a serious open tibial fracture with soft and ...

BACKGROUND Ipsilateral femoral shaft and neck fractures are rare injuries, affecting mostly young patients who sustained high-energy traumas. In 19-50% of cases, the femoral fracture is misdiagnosed or overlooked at the initial presentation, with reportedly increased risk of complications such as non-union and avascular necrosis. We present a case of an ipsilateral femoral neck and shaft fractu...

Understanding the etiology of skeletal fragility during growth is critical for the development of treatments and prevention strategies aimed at reducing the burden of childhood fractures. Thus we evaluated the relationship between prior fracture and bone parameters in young girls. Data from 465 girls aged 8 to 13 years from the Jump-In: Building Better Bones study were analyzed. Bone parameters...

OBJECTIVE To determine how axial rotation around the anatomic axis of the femur, as would occur with malrotation of a femoral fracture, affects frontal and sagittal plane alignment and knee joint orientation. DESIGN Computer-generated models of the lower extremity were constructed using standardized dimensions. To simulate a malrotated fracture, these models were rotated in the shaft around t...

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 ...

This paper describes the treatment of the more vertical type of subcapital fracture of the neck of tile femur by reduction, nailing, and immediate wedge osteotomv, with fixation by a plate attached to the head of the nail. Ten cases are recorded. As in other clinics, it had been found that the results of treatment, by the standard Smith-Petersen technique, of subcapital fractures of the neck of...

BACKGROUND There is increasing evidence associating "atypical" femoral fractures with prolonged exposure to bisphosphonate therapy. The cause of these fractures is unknown and likely multifactorial. This study evaluated the hypothesis that patients with primary osteoporosis who sustain atypical femoral fracture(s) while on chronic bisphosphonate therapy have a more varus proximal femoral geomet...

patients and methods the study population consisted of all patients with type iiia gastilo open fractures of tibial shaft, with or without fibula fracture (caused by trauma). after wound irrigation, debridement, and wound swab sampling for microbial culture, all patients received prophylactic antibiotic regimens in fitting with their wound class. no topical antibiotics were used with a 6-month ...