INTRODUCTION Although periprosthetic fractures of the femur have been well documented, insufficiency fractures following total hip arthroplasty (THA) have been rarely described. We report a case of an insufficiency fracture in the distal tibia and fibula that occurred after THA. CASE REPORT A 54-year-old woman presented with severe pain in the bilateral hip joints and was diagnosed with end-s...

The purpose of this paper is to describe experience with four children who presented with bowing or pseudarthrosis of the fibula. These children demonstrate a gradation in the severity and significance of this condition. There may be : 1) fibular bowing without fibular pseudarthrosis (Case 1); 2) fibular pseudarthrosis without ankle deformity (Case 2); 3) fibular pseudarthrosis with ankle defor...

We report two cases of failed attempts at closed reduction of high-energy tibial fractures with an associated fibula fracture. The first case was a 39-year-old male involved in high-speed motorbike collision, while the second was a 14-year-old male who injured his leg following a fall of three metres. Emergency medical services at the scenes of the accidents reported a 90-degree valgus deformit...

BACKGROUND The vascularized free fibula epiphyseal transfer provides an option for the preservation of limb lengthening after resection of the proximal humerus in pediatric sarcoma patients. The purpose of this study was to provide a long-term follow-up of longitudinal growth patterns and outcomes after free fibula epiphyseal transfer in upper extremity reconstruction. METHODS A retrospective...

A traumatic limp is a common presentation in childhood, particularly in the under 5s. While the commonest diagnosis is irritable hip ascribed to a transient synovi-tis, there is a long list of other and more sinister diagnoses. Clinical algorithms have been suggested to allow diagnosis and management, while avoiding the need for extensive investigation in most children. 4 We present three cases...

background:  fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. the preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis  (mippo) procedure. however, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteo...