Abstract Introduction Complete transection of the sciatic nerve following a closed femoral fracture is exceedingly uncommon. Delayed diagnosis may result due to this unrecognised injury pattern. Case Description: An 18-year-old male motorcyclist was referred significantly displaced closed, fracture. The patient sedated at scene and transferred theatre for definitive fixation, where an open redu...

conclusions although external fixation in open pediatric fractures and severe injuries is recommended, intramedullary nailing is also an effective method with low complications. combining pins and flexible intramedullary nails is effective in developing more stability and is not associated with more complications. background tibial fractures are the third most common pediatric long-bone fractur...

We describe a unique, utilitarian reconstructive treatment option known as tibial "spackling" for chronic, localized medial joint line pain corresponding with progressive radiographic peripheral medial tibial bone loss beneath a well-fixed revision total knee arthroplasty tibial baseplate. It is believed that this localized pain is due to chronic irritation of the medial capsule and collateral ...

Anterior cruciate ligament (ACL) is the primary stabilizer of the knee. An impairment of any of the dynamic or static stability providing factors can lead to overload on the other factors and ultimately to deterioration of knee stability. This can result in anterior tibial translation and rupture of the ACL. The purpose of this study was to examine the influence of tibial slope on ACL injury ri...

 Abstract  Background: Reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non:::union:::. The purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non:::union:::.  Methods: Twenty-nine patients with non:::union::: after initial therapy for tibial fracture  were retrospectively assessed...

BACKGROUND Primary closure of skin wounds after debridement of open fractures is controversial. The purpose of the present study was to determine whether primary skin closure for grade-IIIA or lower-grade open extremity fractures is associated with a lower deep-infection rate. METHODS We identified 349 Gustilo-Anderson grade-I, II, or IIIA fractures treated at our level-I academic trauma cent...

Surgical debridement and prolonged systemic antibiotic therapy are an established management strategy for infection after tibial fractures. Local antibiotic delivery via cement beads has shown improved outcome but requires further surgery for extraction of beads. OSTEOSET(®)-T is a resorbable bone void filler composed of calcium sulphate and 4 % tobramycin that is packed easily into bone defect...