The optimal treatment for intra-articular calcaneus fractures remains controversial, despite internal fixation techniques providing good results. The major point of contention is the need to reconstruct the overall morphology versus to restore the anatomy of the subtalar joint perfectly. We will describe a two-stage technique for treating intra-articular calcaneus fractures in which the primary...

Objectives 1. Describe the anatomy of the calcaneus; including the articular facets and their orientation, the sustentaculum tali, and the apophysis 2. Describe the ossification of the calcaneus, and differences between the immature and adult calcaneus 3. Describe a classification system of calcaneal fractures useful for assessing such fractures in the immature foot 4. Discuss the imaging of a ...

abstract   background: different methods of surgical treatment for acromioclavicular(ac) joint injury were considered in the literature. the purpose of the study was to compare intra- articular ac repair technique with the extra-articular coracoclavicular repair technique for the patients with rockwood type iii and vac joint injury when indicated.   methods: nineteen consecutive patients with r...

Depending upon initial treatment, between 2 and 30% of patients with a displaced intra-articular calcaneal fracture require a secondary arthrodesis. The aim of this study was to investigate the effect of subtalar versus triple arthrodesis on functional outcome. A total of 33 patients with 37 secondary arthrodeses (17 subtalar and 20 triple) with a median follow-up of 116 months were asked to co...

Nineteen patients were prospectively randomized for operative treatment of their ankle fracture to be supplemented with or without ankle arthroscopy. All patients had an SER or PER fracture with an intact medial malleolus requiring operative treatment without evidence of intra-articular debris preoperatively. All patients underwent plate fixation of their fibula fracture and had a similar posto...

Intra articular Coronal fracture of the femoral condyle (Hoffa) is rare-especially that of medial condyle. We report the case of a patient who had a bilateral Hoffa fracture of the medial condyles (type 33 - B3, Orthopaedic Trauma Association) occurred as a result of an accident at work (worker mover). Lesions were treated with the functional and orthopaedic approach. At follow- up of 8-month f...

Osteochondral fracture of lateral femoral condyle can result from support and other twisting injuries of the knee. Arthroscopy is a better diagnostic and therapeutic tool as standard radiographs can mislead regarding the size and location of the fragment. If fragment is large and displaced, arthrotomy may become necessary. We present a case of large osteochondral fracture of lateral femoral con...

Our previous reports on the pathological anatomy and operative treatment of intra-articular fractures of the calcaneum failed to take account of the fracture pattern anterior to the posterior facet of the subtalar joint. We have reviewed our experience of 63 operative cases and have studied fractures with axial and coronal CT scans reconstructed onto plastic model bones. A constant anterolatera...

BACKGROUND Intra-articular physeal fractures of the distal femur are an uncommon injury pattern, with only a few small case series reported in the literature. PURPOSE To pool patients from 3 high-volume pediatric centers to better understand this injury pattern, to determine outcomes of surgical treatment, and to assess risk factors for complications. STUDY DESIGN Case series; Level of evid...

abstract background: distal radial fracture is one of the most common fractures of the skeletal system. although it has been believed to be a simple fracture with excellent outcomes, practical operations’ results have always been undesirable and even poor. the goal of this study was to compare two methods of treatment “pin and plaster and precautious pin fixation in patients with unstable extra...