The Gamma Nail is the latest advance in the treatment of trochanteric fractures based on intramedullary nailing principles during closed procedures. Its design is based on Küntscher's Y-nail and locking intramedullary (IM) nails. This paper reports the results from the first-ever series of 121 patients operated between 1988 and 1990. They were followed until bone union was achieved. The mean pa...

Femoral neck fractures and intertrochanteric fractures often occur in elderly patients, but simultaneous ipsilateral intra- and extracapsular hip fractures are rare. Either osteosynthesis or femoral head prosthesis is performed, but careful rehabilitation is necessary because of the instability of the fracture, even postoperatively. This article describes a 76-year-old man who fell and sustaine...

[Purpose] To report an adolescent male basketball player with nonhealing stress fractures of the foot and discuss the probable factors. [Subject and Methods] A 13-year-old basketball player presented with right foot pain. He had been playing basketball for three years and practicing 5 days/week. He denied any increase in daily training intensity. Magnetic resonance imaging confirmed stress frac...

Weight-bearing exercise has been recognized widely to be beneficial for long-term bone health. However inherent differences in bone-loading characteristics and energy expenditure during participation in endurance sports place many endurance athletes at a relative disadvantage with regard to bone health compared with other athletes. Adolescents and adults who participate in endurance sports, suc...

In (lescribing certain fractures of the fibula, sustained without violence, the writer (Burro ,s’s I 940) expressed the hope that further cases would be published so that something COU1(l be learnt of these uncommon fractures. Additional cases have now been described. The writer has encountered five other personal cases, and scrutiny of the literature has revealed at least one pre ’i us case (D...

Fine-wire external fixation is accepted as a minimally invasive technique, which can provide better outcomes than traditional open methods in the management of complex fractures of the tibial plateau. Available fixators vary in their biomechanical stability, and we believe that a stable beam-loading system is essential for consistently good outcomes. We assessed, prospectively, the clinical, ra...

It is well known that in addition to bound water the reservoir, formation mainly exists form of edge and bottom water. Fractured buried hill metamorphic rock reservoirs are generally bottom-water reservoirs. In fractured reservoirs, blocks cut by fractures oil distributed fractures. Due low capillary pressure fractures, oil-water transition zone also small. same fault block, there relatively un...

OBJECTIVES This study aims to evaluate the possible effects of early weight-bearing on clinical and radiological outcomes of comminuted calcaneal fractures treated with locking plates. PATIENTS AND METHODS This retrospective study included 15 patients (12 males, 3 females; mean age 40.1 years; range 18 to 55 years) with comminuted calcaneal fractures between October 2010 and April 2012. Stand...

Flexible intramedullary nails are now routinely used for stabilization of pediatric femur fractures. Few data are available regarding patients' postoperative range of motion, weight-bearing status, activity levels, use of immobilization, and radiographic leg length discrepancy measured via routine scanograms. Patients who underwent placement of flexible intramedullary nails for a pediatric femu...

BACKGROUND To evaluate internal fixation by intramedullary Kirschner wires as a surgical technique in the treatment of femoral shaft fractures in children by a prospective study. METHODS 17 femoral shaft fractures at various levels in 16 children aged 2-15 years were treated by closed intramedullary Kirschner wiring under image intensifier control between May 2000 and October 2003. No externa...