OBJECTIVE To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. METHODS Eighty-seven patients were randomised upon their admission to the hospital using a sealed envelope method. Forty-five were treated with proximal femur nail antirotation (PFNA) and 42 with reverse less invasive stabilisation system (LISS). The perioperative data were rec...

INTRODUCTION Complex fracture dislocations of the midfoot are uncommon. Improved outcomes have been demonstrated where it has been possible to restore and maintain the length and alignment of the medial column as well as the congruity of the articular surfaces. We present our experience with the use of angle-stable locking plates in the stabilisation of complex midfoot fracture dislocations. ...

The advent of 'biological internal fixation' is an important development in the surgical management of fractures. Locked nailing has demonstrated that flexible fixation without precise reduction results in reliable healing. While external fixators are mainly used today to provide temporary fixation in fractures after severe injury, the internal fixator offers flexible fixation, maintaining the ...

"Wolff's law" is widely known in orthopaedics. For example, it is often said that load bearing devices, such as joint replacement prostheses or external fixators, cause bone to adapt according to Wolff's law. In this article, the scientific basis for Wolff's law is described in the light of recently developed biomechanical theories of bone behaviour.

The standard treatment for stable fractures of the spine is functional. Owing to the improvement of surgical methods and special implants, the percentage of operatively treated spine fractures has increased from 10% to 20%. In contrast to the necessity for multisegmental fixation with the rod instruments used formerly, the recently developed implants (plates, fixators) allow stable, brief, and ...

The number, activity and diversity of microorganisms define the level biogenicity indicate quality health soil. abundance structure microbial communities vary in different types soils, so order to preserve protect natural agroecological systems, addition physical-chemical analyses, monitoring dynamics microbiological agricultural non-agricultural soil is also necessary. Each type has its own ch...

The operative elongation of limbs has long been a goal of orthopaedic surgeons. Indeed, the very first external skeletal fixators, although designed for stabilization of displaced fractures, were also used to overcome the posttrauma shortening that so commonly accompanies fracture deformities.

Lengthening the femur with an external fixator is commonly practised for a wide variety of pathologies. This technical report includes tips derived from observation and experience in a busy limb reconstruction unit. It focuses on the use of a rail fixator, although some of the descriptions are applicable to lengthening by circular fixators.