Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. Controversy exists regarding the optimal treatment for patients with unstable trochanteric proximal femoral fractures. The recognised treatment alternatives are extramedullary fixation usually with a sliding hip screw and intramedullary fixation w...

Numerous modifications in nail and screw design have led to the development of the Expert Tibial Nail. It enables the surgeon to further extend the spectrum of fractures eligible for intramedullary nailing. In the proximal metaphysis spongious bone screws achieve an optimized purchase in the cancellous bone. Multidirectional interlocking screws ensure that alignment can be well maintained and s...

Proximal humerus fractures are relatively common, accounting for 5% to 9% of all fractures.1-3 These fractures can pose a challenge for the treating orthopaedist because of the generally osteoporotic nature of bone in the elderly and the relative deforming forces of the surrounding muscles. Fractures are classified according to the Neer criteria, and treatment is often guided by the relative di...

INTRODUCTION Immediate weight-bearing following osteosynthesis of proximal tibial fractures is traditionally not allowed due to fear of articular fracture collapse. Anatomically shaped locking plates with sub-articular screws could improve stability and allow greater loading forces. The purpose of this study was to investigate if immediate weight-bearing can be allowed following locking plate o...

The study presents results in treatment of pathologic fractures of long bones of all patients who underwent surgery in the last 10 years in our hospital. The study cohort comprised 133 consecutive patients divided in two groups who underwent surgery of long bone fractures caused by metastatic tumor or trauma. We used resection, open reduction and plating with bone cement application for patholo...

Two cases with open, comminuted, axially displaced fractures of the proximal third fourth metatarsal bone were referred to University Equine Hospital Vienna. Due concerns regarding risk injury suspensory ligament and implant infection an open configuration, surgical treatment ostectomy fractured was performed in both cases. Based on telephone follow-up, Case 1 reported be sound no significant r...

conclusions saddle nose reconstruction with bone graft in multiple facial fracture patients is a predictable method if surgical accesses to the region are carefully designed, considering the accompanying fractures. results there were 11 patients treated using this method. the male-to-female ratio was 7:5. one miniscrew with the lag technique was the preferred method for the fixation of the dors...

BACKGROUND Scaphoid fractures are commonly seen in orthopedic practice. An organized and thoughtful approach to diagnosis and treatment can facilitate good outcomes. However, despite optimal treatment, complications may ensue. In the setting of nonunion or an avascular proximal pole, vascularized bone grafting may be needed. METHODS AND RESULTS In this article we review the literature regardi...

Displaced three- and four-part proximal humerus fractures are among the most challenging shoulder conditions to manage. Because of the risk of symptomatic malunion, nonunion, and humeral head osteonecrosis, surgical management is preferred. Locking plate technology has provided an alternative to hemiarthroplasty for certain three- and four-part fracture patterns, even in the setting of osteopen...