Patients with lower-limb amputations can have various musculoskeletal problems, such as osteoporosis in the amputated limb, and osteoarthritis in either ipsilateral or contralateral limb. Total hip arthroplasty (THA) in below-knee amputees (BKA) have been described previously. In lower limb amputee patients undergoing THA, there may be important preand intraoperative considerations and patients...

OBJECTIVES The purpose of this study was to determine the extent to which the Mangled Extremity Severity Score (MESS) predicted outcomes for soldiers sustaining combat-related Gustilo-Anderson type III open tibia fractures. DESIGN Retrospective cohort study. SETTING Tertiary trauma center. PATIENTS Service Members with combat-related type III open tibia fractures occurring between 2003 an...

Proximal femoral fractures, especially in elderly persons with osteoporosis, present a challenge for the traumatologist. While the dynamic hip screw (DHS) became the implant of choice for the treatment of stable fractures, the ideal implant for the treatment of unstable fractures remains an issue. In our experience, Proximal Femoral Nail Antirotation (PFNA) is an excellent device for osteosynth...

Introduction (1.88 %), Dachshund (1.25%), Dalmatian (1.04 %) and others (2 %). The highest incidence of the pelvic limb Fracture of the long bone is a commonly fracture in non-descript dogs observed in the present encountered orthopaedic problem in canine practice. study might be due to their free roaming habit which Understanding the different types of fracture and their make them more vulnera...

Although it is widely accepted that grade IIIB open tibial fractures require combined specialised orthopaedic and plastic surgery, the majority of patients in the UK initially present to local hospitals without access to specialised trauma facilities. The aim of this study was to compare the outcome of patients presenting directly to a specialist centre (primary group) with that of patients ini...

Fractures of the proximal and diaphyseal femur are frequently internally fixed using a fracture table with fracture reduction obtained by traction and adequate rotation exerted on the slightly abducted extremity. Although rare, these fractures may occur on an amputated limb. If so, standard use of a fracture table is not possible. To address this situation, the authors describe a simple novel t...

The current trend in the non-operative treatment of femoral shaft fractures is away from prolonged traction and towards early ambulation. The cast brace treatment involves external support to the limb in such a way that maximal use can occur during healing. Early ambulation, while a fracture is healing, provides an environment for complete bone healing as well as allowing joint movement so that...

The scaphoid is the most common of the carpal bones to fracture; upper limb fractures are associated in 5-10% of cases, and around 2% of the concomitant fractures are of the distal radius. One case of bilateral carpal scaphoid fractures associated with bilateral distal radius fractures is presented. Radiographs showed displaced Salter-Harris Type II radius fracture and nondisplaced transverse m...