The management of exposed fractures has been discussed since ancient times and remains of great interest to present-day orthopedics and traumatology. These injuries are still a challenge. Infection and nonunion are feared complications. Aspects of the diagnosis, classification and initial management are discussed here. Early administration of antibiotics, surgical cleaning and meticulous debrid...

Constellation of ipsilateral posterior hip dislocation, intertrochanteric- and proximal tibial fracture with popliteal artery injury is rare. Management of this presentation is challenging. A motor vehicle accident victim presented with these injuries, but without any initial signs of vascular compromise. Popliteal artery injury was diagnosed intra-operatively and repaired. This was followed by...

Treatment of acute ankle fractures is clear in the approach; however, questions about delayed repair of chronic malunited ankle fractures still remain. Illustrated here is a case report of a 49 year old female that presented with a bimalleolar malunion, with severe lateral talar displacement and valgus position. She presented to our clinic 8 months following the initial injury. In the presence ...

Constellation of ipsilateral posterior hip dislocation, intertrochantericand proximal tibial fracture with popliteal artery injury is rare. Management of this presentation is challenging. A motor vehicle accident victim presented with these injuries, but without any initial signs of vascular compromise. Popliteal artery injury was diagnosed intra-operatively and repaired. This was followed by e...

OBJECTIVE To report the initial results from the use of a new technique for fixation of bone grafts in uncontained tibial bone defects in patients undergoing total knee prosthesis implantation. METHODS Six patients with severe varus deformity of the knee who, after cuts and ligament balancing had been performed, still presented bone deficiencies that reached the edge of the tibial cut and com...

PURPOSE To report the case of a patient with a damaged haptic of an acrylic intraocular lens (IOL) after transscleral IOL fixation. METHODS This is a retrospective and descriptive case report. RESULTS A 40-year-old man presented with sudden visual loss in the left eye. He had undergone phacoemulsification/aspiration and IOL implantation 3 years previously and IOL repositioning with transscl...

The treatment of tibial shaft fractures is discussed with emphasis given to plate and screw fixation. A review of plate fixation of 65 tibial fractures is presented with average followup of 4.37 years. When reserved for unstable fractures with minor soft tissue disruption, internal fixation by the use of plates and screws resulted in a small incidence of deformity and shortening, with little ri...

The possibility that during Chinese reading information is extracted at the beginning of the current fixation was examined in this study. Twenty-four participants read for comprehension while their eye movements were being recorded. A pretarget-target two-character word pair was embedded in each sentence and target word visibility was manipulated in two time intervals (initial 140 ms or after 1...

We compared an enzyme-linked immunosorbent assay (ELISA) with complement fixation and radioimmunoassay in determining the presence of immunoglobulin antibodies to cytomegalovirus. Of an initial 93 serum samples tested, the correlation between ELISA and radioimmunoassay was 98.9% and that between ELISA and complement fixation was 96.1%. ELISA was used to screen 1,123 homosexual men in San Franci...