Large segmental bone defects of the tibia may be due to infections, high-energy fractures, congenital diseases or tumors and represent a challenge for both the physician and the patient. In developing countries, the use of expansive techniques is not possible so that amputation is sometimes proposed. However, an alternative technique for limb salvage, applicable in developing countries consists...

Postmenopausal women with vertebral fractures have abnormal bone microarchitecture at the distal radius and tibia by HR-pQCT, independent of areal BMD. However, whether trabecular plate and rod microarchitecture is altered in women with vertebral fractures is unknown. This study aims to characterize the abnormalities of trabecular plate and rod microarchitecture, cortex, and bone stiffness in p...

Objective: To study the effects of distal uniplanar locking and bi planar on union times in uncomplicated fractures shaft tibia managed with an intramedullary interlocking nail.
 Study Design: Comparative prospective study.
 Place Duration Study: Department Orthopedics Trauma Combined Military Hospital Rawalpindi from Jan to Nov 2020.
 Methodology: Fifty-three patients having nai...

Some studies based on bone biopsy have demonstrated that in patients with tumor-induced osteomalacia (TIO) the mineralization process of matrix is profoundly disturbed. However, interrelationship between clinical and biochemical features microarchitecture this disease needs further analysis. With purpose mind, we set out three objectives: (i) to determine estimated strength a group using high-r...

A nonunion of the distal tibial metaphysis in close proximity to the articular surface is a challenging clinical problem. Many of the commonly used techniques in a surgeon's treatment armamentarium can be ineffective because of the relative lack of distal bone stock. This study describes a technique of en bloc excision of all infected or nonunited distal tibial bone with an application of a cir...