abstract   background: pseudoarthrosis of the tibia poses one of the most challenging treatment problems in all of orthopedics. the goal of the study was to assess the clinical outcome of intramedullary rod fixation in its treatment.   methods: the results of the management for nine patients with pseudoarthrosis of the tibia with im rod fixation were reviewed retrospectively between 1986 - 2006...

This paper describes the design, development and early surgical experience with a stereotactic device to allow closed retrieval and interchange of intramedullary rods in children with osteogenesis imperfecta. This relatively atraumatic procedure may allow more frequent rod interchange than with other techniques, lessening the likelihood of deformity and fracture in the unsupported skeleton when...

There are several theoretic advantages of using intramedullary rod fixation for tibial osteotomy fixation. We performed a retrospective review of patients who were treated with a mid-diaphyseal osteotomy of the tibia fixed with an intramedullary rod for isolated, symptomatic tibial torsion. Forty patients (59 tibias) were included in the study and were followed for a minimum of 12 months or unt...

This article introduces a novel technique to vent the femur and potentially decrease the embolic load created by reaming during intramedullary rod fixation of impending pathologic femur fractures. We used readily available operating room equipment to create a distal femoral vent hole without interfering with standard intramedullary instrumentation and with minimal increase in surgical time. Thi...

We used computerized simulations with 3-dimensional models of 20 cadaver femora, calculated from computed tomographic scans, and a model of a rod measuring 200 x 5 mm to study femoral alignment accuracy for unicompartmental knee arthroplasty via minimally invasive reconstruction. The anatomical axis and insertion site were identified on each femur. A simulation of all feasible flexion-extension...

BACKGROUND Achieving stable fixation when performing tibiotalocalcaneal arthrodesis can be challenging, especially in osteopenic bone. The purpose of the current investigation was to compare the stiffness and fatigue endurance of blade-plate-and-screw fixation with intramedullary rod fixation in a cadaveric model. METHODS In ten matched pairs of fresh-frozen cadaveric legs, a tibiotalocalcane...

PURPOSE The purpose of this investigation is to present our institutional experience with fractures of the pediatric forearm with in situ intramedullary nails. METHODS Six patients treated at our institution for forearm fracture with in situ intramedullary implants between 2004 and 2013 were reviewed. Patient demographics, injury and radiographic characteristics, method of treatment, time to ...

BACKGROUND The treatment of an infected intramedullary nail is a challenging and serious complication. Normally, treatment involves the removal of metalwork, followed by washout and debridement of the infected bone. This can leave the bone and any fracture unsupported. We promote using a threaded Ilizarov rod encased with antibiotic impregnated Palacos® cement (Heraeus, Wehrheim, Germany) to ac...

Multiple total knee arthroplasty (TKA) failure resulting from a recurrent infection is a challenging problem. Knee arthrodesis is one treatment option that normally involves the application of an external fixator, plate fixation, and intramedullary nailing. However, these approaches are not always successful, and a reinfection is a risk, particularly in older, medically compromised patients. Th...

OBJECTIVES The purpose of this study was to compare the results and complications of tibial lengthening over an intramedullary nail with treatment using the traditional Ilizarov method. METHODS In this matched case study, 16 adult patients underwent 19 tibial lengthening over nails (LON) procedures. For the matched case group, 17 patients who underwent 19 Ilizarov tibial lengthenings were ret...