In this retrospective study, using the prospectively collected database of the AO-Documentation Centre, we analysed the outcome of 57 malunited fractures of the ankle treated by reconstructive osteotomy. In all cases the position of the malunited fibula had been corrected, in several cases it was combined with other osteotomies and the fixation of any non-united fragments. Patients were seen on...

Secondary deformities of orbitozygomatic region present a formidable challenge to surgeon in terms of restoration of form and function. Often times the reasons sited in literature for these deformities are inadequate management or misdiagnosis at the time of initial presentation. However all the patients in our series presented late to us on account of diffi cult terrain and poor means of trans...

. There are many good things in this volume, but there 's one maxim which we wish could be posted up in every hospital and dispensary. It is "Treat fractures at once with as much respect and rapidity as the acutely inflamed appendix." It would save much suffering and the not uncommon reproach of a malunited fracture. The opening chapter deals with general principles in the treatment of fracture...

Stress fracture of the tibia secondary to sports-related activities is relatively common, but rarely occurs secondary to osteoarthritis of the knee. Such fractures usually involve the proximal tibia. We report a 61-year-old woman with osteoarthritis and severe varus deformity of the knee who had a stress fracture of the distal tibial shaft. The patient had declined total knee replacement for se...

A Malaysian family with congenital insensitivity to pain with anhydrosis was diagnosed based on clinical symptoms of chronic ulcers, joint deformities, malunited fractures, anhydrosis, and learning disabilities. We detected a compound heterozygous mutation in exon 16: V709L from the mother and G718S from the father. Two novel mutations were identified: at amino acid 709, a change of G to C at n...