BACKGROUND Intramedullary (IM) nailing is the method of choice for the treatment of most femoral shaft fractures. However, despite successful solid union, great initial fracture comminution can lead to significant leg length discrepancy affecting normal gait mechanics. Femoral osteotomy and distraction osteogenesis over the pre-existing IM nail could restore this limb inequality. METHODS Five...

Background: Tibial fractures are the most common long bone fractures, while distal tibial even more complicated due to their proximity ankle and close relationship with thin,Objectives: To assess compare fractures' functional outcomes in Group A versus B. efficacy, advantages, disadvantages of treatment modalities complications. Materials Methods: This is a comparative study done from October 2...

To avoid a new exposition and partial damage of a knee arthrodesis site due to the removal of the Wichita fusion nail (WFN), a new extraction technique was developed, using a femoral osteotomy at the proximal end of the nail. Fixing the osteotomy with an Ilizarov frame offered the possibility to perform an additional correction of length and/or alignment if necessary.

INTRODUCTION Internal fixation of diaphyseal fracture of shaft of femur in an adult by Kuntscher nail is the most common operative method of treatment in Nepal where operative facilities for the same exist. Since the complete range of K-nail sizes and length are not available in most operation theatres in Nepal, most orthopaedic surgeons assess the size and length of the K-nail pre-operatively ...

Background: The purpose of this study was to introduce a technical tip for the preparation of tibial tunnel in a posteriorcruciate ligament (PCL) reconstruction to reduce the chance of popliteal artery injury and duration of the surgery.Methods: This study included 18 patients who underwent PCL reconstructions at Imam Khomeini University Hospital,Tehran, Iran, between 2016 and...

Lateral and longitudinal resistance of ballasted track are two main indicators for the stability quantification. Aiming at improving lateral resistance, nailed sleeper is studied with single push tests (SSPTs) discrete element modelling (DEM). The SSPTs were applied to study how much can improve, considering different nail lengths (100, 200, 400 mm), also used calibrate validate DEM models. Wit...

Aim: Retrograde intramedullary nailing for the treatment of femur fractures is a sound option due to its advantages including ease implant placement and better control distal segment, especially in fractures. Unfortunately, retrograde femoral nails are not available most developing countries or rural areas. The primary aim study investigate outcomes an alternative fracture with using tibial nai...

We present two cases of metastatic lung cancer which occurred at the site of a previously united tibial fracture. Both patients were treated with a locked intramedullary nail. The patients presented with metastases at the site of their initial fracture approximately 16 and 13 months after injury respectively. We discuss this unusual presentation and review the relevant literature. We are unawar...