Head injuries with or without fracture ofthe skull feed. Serious intracranial injury is extremely are the commonest cause ofdeath from battering, unlikely. but abdominal injury to the gut or solid organs The force entailed in physical abuse-for can mimic the signs ofhead injury and can lead to example, in swinging the child, in violent death if they are unrecognised. uncontrolled shaking, and i...

Anterior supine intermuscular total hip arthroplasty (THA) performed on a fracture table has been increasingly used for primary THA. Accurate cup placement, low incidence of dislocation, shorter hospital stay, and faster return of function are potential benefits of the technique. However, a high complication rate, particularly during a surgeon's learning curve, has been reported. A retrospectiv...

Many techniques have been employed to facilitate intramedullary nailing of femur fractures. Maintaining limb length during the operation can be difficult. The authors describe the use of distal femoral fine wire skeletal traction as a technique to maintain reduction while allowing intramedullary nailing of femur fractures. This technique is safe, is effective, and negates the need for a fractur...

CONTEXT The medial malleolus is considered a high-risk stress fracture and can be debilitating to the highly active or athletic populations. A range of treatment methods have been described with varying outcomes. Currently, there is no gold standard treatment option with optimal results described. OBJECTIVE A systematic search of the literature to determine treatment options and outcomes in m...

E10 J can chir, Vol. 52, N 1, février 2009 © 2009 Association médicale canadienne I ntra-articular fractures of the metacarpal head are rare, often requiring surgical fixation to maintain articular congruence. McElfresh and Dobyns presented a 10-group classification of 103 such fractures based on anatomic involvement and fracture pattern (Table 1). They identified only 4 with a horizontal fract...

STATEMENT OF THE PROBLEM An open fracture is defined as one in which the fracture fragments communicate with the environment through a break in the skin. The presence of an open fracture either isolated or as part of a multiple injury complex increases the risk of infection and soft tissue complications. In 1976, Gustilo and Anderson1 described a system to classify open fractures based on the s...

Characterisation of fractured rocks and evaluation of fracture connectivity are essential for the study of subsurface flow and transport in fractured rock aquifers. In this study, we use a new method to present fracture networks and analyse the connectivity of the fractures, based on the technique of randomly-generated realisations. The application of the method aims to provide more detailed in...