Chheiti, Hindu male, aged 30, a coolie in the Kanknarah Jute Mills, was admitted into tlie Imambarrah Hospital on 9th June 1893. A hale of jute fell on his left leg and caused the following injuries :? (?) Simple comminuted fracture of the left fibula at the junction of the middle and lower third; (/?) compound dislocation of the left ankle joint, the lower end of the tibia protruding through a...

A 67-year-old man sustained an anterior dislocation of his right shoulder following a fall down the stairs. He attended the Casualty Department 4 days after his injury. On examination he had no neurovascular injury. Radiographs confirmed anteroinferior dislocation of the shoulder with a comminuted fracture of the greater tuberosity (Fig. 1). Two attempts at closed reduction, under sedation, fai...

Fractures of the mandible and their management are discussed in detail in textbooks and articles dealing with facial trauma. This paper presents the management and treatment of a case of a unilateral comminuted and complicated fracture of the mandible due to dog attack on a geriatric patient. The attack also severed the patient's right arm. Due to the severity of the trauma, an emergency surger...

ankle joint. There was a lacerated wound about two inches above the internal malleolus through which the tibia protruded. The protruding bone was stripped of its periosteum for about two inches. The fibula was also fractured, but did not protrude. On examining the wound it was found that the lower fragment of the tibia was comminuted, and the joint opened. There was considerable haemorrhage, bu...

Paediatric supracondylar fractures of the femur are not common. The treatment options depend on the age of child, the site of the fracture, the pattern of injury and the surgeon's preference. We report a case of an 11-year old boy who sustained a comminuted displaced supracondylar fracture of the femur and was treated with indirect reduction and internal fixation with the Less Invasive Stabiliz...

Figure 2. Specimen mounted on the MTS. Intramedullary nails with distal interlocking screws locked to the nail may have higher fatigue strength in comminuted supracondylar femur fractures McDonald, E;, Fischer, J; Bartlett, T; Buckley, J.M; Pekmezci, M, +Kandemir, U +Biomechanical Testing Facility, UCSF/SFGH Orthopaedic Trauma, University of California at San Francisco, San Francisco, CA, USA D...

Between June 1987 and December 2002, 237 cases of malleolar fractures were treated at Erasme Hospital using pneumatic stapling, alone or combined with another type of fixation. This retrospective study addresses 176 well-documented cases. The mean follow-up period was 36 months. The results indicate that pneumatic stapling is an effective technique with a very low rate of failure. Comminuted fr...

We present the case of an 11-year-old girl who presented to our Emergency Department having fallen from a height of 8.5 meters. Amongst the sustained injuries was a comminuted fracture of the body of the talus. This was managed conservatively with an excellent outcome. We discuss the case with reference to the literature in this field, particularly highlighting comparisons between cases from pa...

Cemented Bipolar arthroplasty is an established method for treatment of comminuted Intertrochanteric fractures. Reconstruction of greater trochanter is an essential technical step to avoid complications like abductor lurch gait. We here describe a technique of reconstruction and fixation of greater trochanter using cancellous screws with wide washers made of reconstruction plate and tension ban...