Intramedullary nailing (IM) has been a reliable treatment for a wide variety of long bone fractures in orthopedic trauma since Küntscher’s first operation in 1940. Using the IM for treatment of long bone fracture sounds superior than the bone plate in many aspects, however, there are few key points have been discussed from time to time, such as ream or unream the medullar cavity when nail impla...

The authors report the case of a 28-year old male who presented with a compound diaphyseal fracture of the tibia, which was treated with intramedullary nailing. Postoperatively he required an extensive fasciotomy for an acute compartment syndrome. The fracture evolved towards post-traumatic osteomyelitis, growing methicillin-resistant Staphylococcus aureus (MRSA), combined with a large overlyin...

Fibrous dysplasia represents about 5% of benign bone lesions; however, the true incidence is unknown, as many patients are asymptomatic. Monostotic fibrous dysplasia accounts for 75-80% of the cases. It is caused by gene mutation [1,2]. Fibrous dysplasia is a slowly growing lesion that usually appears during periods of bone growth and is thus seen in those in early teen and adolescent years. Po...

Background: Tibial fractures are the most common long bone fractures, while distal tibial even more complicated due to their proximity ankle and close relationship with thin,Objectives: To assess compare fractures' functional outcomes in Group A versus B. efficacy, advantages, disadvantages of treatment modalities complications. Materials Methods: This is a comparative study done from October 2...

We report the results of using a combination of fixator-assisted nailing with lengthening over an intramedullary nail in patients with tibial deformity and shortening. Between 1997 and 2007, 13 tibiae in nine patients with a mean age of 25.4 years (17 to 34) were treated with a unilateral external fixator for acute correction of deformity, followed by lengthening over an intramedullary nail wit...

The main complications of open tibiotalocalcaneal arthrodesis are wound healing disorders and nonunion. Our hypothesis was that arthroscopy and interlocking intramedullary nailing decrease these complications. We retrospectively reviewed six patients (mean age: 58 years; mean preoperative Kitaoka score: 51/100) having undergone arthroscopic tibiotalocalcaneal arthrodesis with retrograde intrame...