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European Orthopaedics and Traumatology
Number of Followers: 8  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1867-4577 - ISSN (Online) 1867-4569
Published by Springer-Verlag Homepage  [2626 journals]
  • Editorial
    • Authors: W. Puhl
      Pages: 303 - 304
      PubDate: 2015-12-04
      DOI: 10.1007/s12570-015-0338-7
      Issue No: Vol. 6, No. 4 (2015)
       
  • A modified minimally invasive technique for treatment of intra-articular
           
    • Authors: Mohamed A. Gomaa; Ahmed El Naggar; Ashraf Anbar
      Pages: 305 - 313
      Abstract: Background The goal of therapy for calcaneal fractures is elimination of pain and restoration of normal foot shape and walking ability. The occurrence of wound complications is a serious concern in treating calcaneal fractures. Purpose The purpose of the present study was to describe and evaluate the mid-term results of a modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus. Materials and methods Fifty-two patients with 61 closed, intra-articular fractures of the calcaneus were enrolled in a prospective cohort study. They were treated with a minimally invasive technique combining a limited lateral approach and percutaneous screws. Clinical and radiographic data were analyzed. The minimum follow-up period was 2 years. Results Combining the anatomical and functional results, an overall rating of good, fair, and poor was assigned to each fracture. The results were good in 51 feet (83.6 %), fair in 6 feet, and poor in 4 feet. Conclusion The results of the current study were comparable to the results achieved using other minimally invasive techniques while avoiding the serious soft tissue complications encountered with open surgery. Thus, the described technique seems to be an effective and safe alternative for intra-articular calcaneal fracture fixation.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0321-3
      Issue No: Vol. 6, No. 4 (2015)
       
  • Transfer of the posterior tibial tendon to a rerouted anterior tibial
           tendon and transfer of the flexor digitorum longus to the extensor
           hallucis longus through four limited incisions in cases of drop foot
    • Authors: Mohamed Mokhtar Abd-Ella; Ahmed Naeem Atiyya
      Pages: 315 - 321
      Abstract: Purpose The purpose of this study was to evaluate a technique of transfer of the posterior tibial tendon (PTT) to a rerouted anterior tibial tendon (ATT) and transfer of the flexor digitorum longus (FDL) to the extensor hallucis longus (EHL) through four limited incisions in cases of drop foot. Methods This is a prospective case series study in which the new technique was done on ten patients with drop foot. Preoperative and postoperative functional evaluation was performed according to Stanmore grading system, and the muscle power of dorsiflexion was assessed using the Medical Research Council grading system but modified using Seddon’s method. Results After a mean follow up of 29.4 months (range 24–42 months), the results were excellent in five patients (50 %), good in one patient (10 %), and fair in four patients (40 %). The average Stanmore grading system score in the last follow-up was 77 (range from 62 to 90) compared to an average preoperative score of 22.8 (range from 18 to 24). The power of the transferred PTT was graded 4 in six patients (60 %) and 3 in four patients (40 %). Conclusion The technique is an option for treating cases of drop foot. It avoids the problems of insufficient tendon length and uses limited incisions. The anterior transfer of the FDL to the EHL prevents drop big toe and adds to the dorsiflexion power of the PTT. However, further studies are needed to compare the technique to the conventional PTT transfer techniques.
      PubDate: 2015-09-21
      DOI: 10.1007/s12570-015-0329-8
      Issue No: Vol. 6, No. 4 (2015)
       
  • Fracture dislocation of the elbow with concomitant fractures of the
           lateral condyle and medial epicondyle—a case report
    • Authors: Rohit Gangadharan; Saadallah George Haidar; Simon W. Richards
      Pages: 331 - 336
      Abstract: Abstract Fractures in combination with elbow dislocations are a common occurrence in the paediatric age group, but concomitant medial and lateral injuries are rare. We have described a fracture dislocation of elbow in a 13 year old with associated medial epicondyle and lateral condyle fractures. The elbow was unstable after closed reduction. Open reduction and internal fixation of both the medial and lateral fractures was required. The patient had made good progress when reviewed at 12 weeks post operatively.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0310-6
      Issue No: Vol. 6, No. 4 (2015)
       
  • Minimally invasive open reduction and fixation of avulsed tibial insertion
           of posterior cruciate ligament
    • Authors: Mohamed Salah Singer; Abdelsamie M. Halawa
      Pages: 357 - 361
      Abstract: Background Surgical treatment of bony avulsions of the posterior cruciate ligament (PCL) through a classic posterior approach carries a high risk of neurovascular compromise, and arthroscopic techniques are demanding. The purpose of this study is to report results of safe, minimal invasive surgical approach using pull-out suture fixation technique. Materials and methods This is a prospective study of 16 cases with avulsion of the posterior tibial spine, managed through minimally invasive posterior approach and fixed by pull out suture. All patients were males, of mean age 34.5 ± 5.5 years. Average follow-up period was 18 ± 4 months. Results The average operative time was 32 ± 3.75 min. X-rays showed satisfactory reduction and good bone healing in all cases at 3 months. Functional results were excellent in 13 patients, and near normal International Knee Documentation Committee (IKDC) score in the remaining 3 patients. Average Lysholm score was 95.2 ± 2.3, with no complications related to approach or fixation technique. Conclusions The presented minimally invasive posterior knee approach is easy and safe with adequate exposure of PCL avulsion fracture. Fixation technique by pull-out sutures is a reliable method of fixation of this kind of fractures that avoids the complications of metal hardware and subsequent need for removal.
      PubDate: 2015-10-24
      DOI: 10.1007/s12570-015-0332-0
      Issue No: Vol. 6, No. 4 (2015)
       
  • Clinical outcome after implant-free ACL reconstruction with hamstring
           tendon graft
    • Authors: Hazem Farouk; Ahmed Rizk; Mahmoud Abdel Karim; Ayman Taha; Walid R. Awadallah; Abdel Aziz Singergy
      Pages: 363 - 371
      Abstract: Introduction To assess the outcome of arthroscopic anterior cruciate ligament (ACL) reconstruction with quadruple hamstring tendon graft using all press-fit technique with bone plugs near the native insertion of the ACL. Patients and methods This prospective study included 50 consecutive active patients. There were 47 males and 3 females. The mean age was 30 years (range 17–44). The mean follow-up was 24 months (range 12–48). Patients were evaluated using subjective as well as objective International Knee Documentation Committee (IKDC) assessment forms, Tegner Lysholm knee score. Instrumental testing included digital rolimeter as well as the KT-1000 testing. Results Assessment using IKDC scoring revealed that 95 % of the patients had normal or nearly normal knee (IKDC score of A/B). Postoperative level of activity was excellent in 82 % of patients. The mean side-to-side difference using the digital rolimeter measurements was 1.3 mm (range 0.1–5.5 mm). The mean side-to-side difference using the KT 1000 measurements was 1.4 mm (range 0–5 mm). On pivot shift test, we have 97 % of our patients with either equal pivot shift tests on both sides or just a glide. The mean preoperative Tegner Lysholm score was 52 (41–90) while the mean postoperative score was 92 (range 67–100). We found no graft displacement on follow-up radiographs. Conclusion This study showed that arthroscopic ACL reconstruction with quadruple hamstring tendon graft using all press-fit technique with bone plugs is a reliable, cost-effective technique with fast bone-to-bone healing, and ease for revision surgery.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0324-0
      Issue No: Vol. 6, No. 4 (2015)
       
  • Therapeutic subclassification of type IV capitellum fracture: a new
           approach
    • Authors: Nagesh P. Naik; Shreyansh J. Parakh; Shrikant B. Deshpande
      Pages: 373 - 379
      Abstract: Background This fracture is rare and is often missed in emergency if good lateral radiographs are not available. This paper presents the diagnosis and management of type 4 capitellar fractures (Mckee) with 4-mm cancellous screws after subclassification of fracture and different surgical modalities for each subtype Material and methods Five cases were treated from 2012 to 2014 for type IV capitellar fracture of the right side. There were three males and two females, all adult with an average age of 31 years. Double arc sign was seen in lateral view in three patients. No patient underwent CT scan. Under tourniquet, using extended lateral approach, open reduction and internal fixation was done using 4-mm partially threaded cannulated cancellous screws under vision from posterior to anterior direction from the posterior aspect of lateral condyle of the humerus avoiding articular penetration (except one screw). If the fracture was found to involve medial flange of the trochlea, then one cancellous screw was passed through posteromedial incision (type B). Results All the fractures united uneventfully. At the end of 1 year follow-up, all had excellent elbow function with no signs of AVN or arthritis. Conclusion Double arc sign on lateral X-rays of the elbow is important for diagnosis and analysis of type IV capitellar fracture. Fixation with cannulated ordinary screws using extended Kocher’s lateral approach has given good results. Subclassification with medial screw for type B helped to anatomically reduce and stabilize type B fracture. Thus, the subclassification has a therapeutic value.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0319-x
      Issue No: Vol. 6, No. 4 (2015)
       
  • Internal fixation of intertrochanteric fractures using the percutaneous
           compression plate: the event of cutting out and its prediction by the
           tip-apex-distance
    • Authors: B. Schmidt-Rohlfing; M. Hofman; N. Heussen
      Pages: 393 - 397
      Abstract: Introduction In a recent study, the analyzed percutaneous compression plate (PCCP) data identified the tip-apex-distance (TAD) as the most valuable risk factor for the reoperation rate and in particular for the event of cutting out of the cephalic screws after internal fixation of intertrochanteric fractures. However, it is unknown which potential distance between the tip of the screws and the apex of the femoral head is most valuable in predicting the event of cutting out. As the PCCP device has two cephalic screws, there are at least three different distances which can be measured, including the distance between the tip of the lower screw and the apex of the femoral head, the distance between the center of the line between the two cephalic screws and the apex, and finally between the tip of the upper screw and the apex. Our study was motivated by the question which measurement can provide the best results for the prediction of the event of cutting out of the cephalic screws. Patients and methods The digitalized postoperative X-ray films of 174 patients with 174 PCCP implants were analyzed, and we obtained three different measurements for every patient. The primary outcome was the proportion of those patients with a cutting out of the screws. A univariate logistic regression was performed to assess the impact of the TAD on the event of cutting out. To describe the degree of consistency among measurements, we calculated an intra-class correlation coefficient (ICC) and the corresponding 95 % confidence limits. For each of the different measurements, we performed a receiver operating characteristic (ROC) curve analysis and calculated the area under the curve (AUC) and the corresponding 95 % confidence limits. In order to identify the most valuable distance measure, we added pairwise comparisons of the AUCs. Results Out of 174 patients, six patients (3.4 %) were reoperated due to cutting out of the cephalic screws. In the univariate logistic regression model, the p value was 0.0012 (OR 0.874; 95 % CI 0.806 to 0.948). The ROC curve analysis showed similar results for the different measurements; however, the highest AUC value was obtained for the center position. Conclusions In conclusion, all three measurements provide similar results and are suitable to predict the risk of cutting out of the cephalic screws.
      PubDate: 2015-09-14
      DOI: 10.1007/s12570-015-0327-x
      Issue No: Vol. 6, No. 4 (2015)
       
  • Persistent pain and depression after hip fracture strongly correlate with
           poor outcomes
    • Authors: G. Pidemunt; D. Pérez-Prieto; A. Ginés-Cespedosa; J. Suils-Ramon; L. Puig-Verdié; E. Cáceres; G. Vilà-Canet
      Pages: 399 - 404
      Abstract: Background For some time, depressive symptoms have been correlated with worse outcomes in the elderly after hip fractures. However, the relationship between pain and functional outcomes has been less studied. Material and Methods The Short Form 36 (SF-36), the Harris Hip Score (HHS), the Geriatric Depression Scale (GDS), and the Barthel Index (BI) were analyzed. A total of 126 correlative patients with a hip fracture were included. After exclusion criteria and missing people, 100 patients were thoroughly evaluated at baseline, 3-month, and 1-year follow-up. Results The patients generally did not return to enjoy their previous quality of life, functioning, and autonomy after the fracture. Their GDS worsens from 4.39 points to 5.49 (p < 0.001) at 1-year follow-up. Bodily pain decreases throughout the follow-up from 67.33 points to 54.29 points. The remaining items studied started improving from the third month. Pain has a significant (p < 0.001) correlation with both the GDS (ρ = −0.58) and the Mental Composite Scale (MCS) of the SF-36 (ρ = 0.58) at 1 year follow-up. Conclusion The presence of pain and depressive symptoms is associated with worsened quality of life and functional outcomes. Multimodal pain and depression treatment might be a promising tool to mitigate it.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0333-z
      Issue No: Vol. 6, No. 4 (2015)
       
  • Anticoagulation and injurious falls in the elderly: a review
    • Authors: Oludolapo Sotade
      Pages: 405 - 408
      Abstract: Abstract The proportion of elderly people in the Western population is projected to reach 25 % by 2040. Trauma is the fifth most common cause of mortality in this patient population, predominantly due to traumatic brain injury (TBI). This paper will review the current knowledge relating to fall-related mortality as a result of TBI in elderly patients on oral anticoagulation (OAC). The literature suggests that age is an independent significant determinant of mortality risk, and the use of warfarin is also associated with increased relative risk of TBI-related mortality. However, some studies have reported that anticoagulant use does not adversely affect the outcomes of severe head injuries after a fall in elderly patients.
      PubDate: 2015-10-23
      DOI: 10.1007/s12570-015-0331-1
      Issue No: Vol. 6, No. 4 (2015)
       
  • Failure of a properly positioned tantalum rod for treatment of early
           femoral head necrosis and conversion to total hip arthroplasty
    • Authors: Wael Samir Osman; Ayman A. Bassiony; Mohamed K. Asal; Sherif A. El Ghazaly; Ahmed Otb
      Pages: 409 - 415
      Abstract: Background Conventional core decompression (CD) is a well-known procedure for treatment of avascular necrosis of the femoral head. Weight bearing is usually restricted in the early postoperative weeks to avoid the risk of fracture. Theoretically, a properly positioned implantation of the new tantalum rod after reaming of the necrotic area has the advantages of decompression, supports the remaining bone to avoid collapse, lowers the risk of subtrochanteric fracture, and allows for early weight bearing. The objective of this study was to evaluate the role of the tantalum rod in the management of early avascular necrosis. Patients and methods Twenty patients with a mean age of 30.4 years were treated with CD and implantation of a tantalum rod. The cases were evaluated radiologically by x-rays, CT, and MRI. Sixteen cases were idiopathic while four patients were corticosteroid induced. Using the Steinberg classification system, Fifteen hips were stage II and five hips stage III. Postoperative CT was done in all cases to ensure proper position of the cases. Results Clinical and radiographic evaluation was carried out preoperatively then at 3, 12, and 24 months postoperatively. The average preoperative Harris Hip Score (HHS) was 42.5 and improved to 80.7 at 3 months with two cases of persistent pain and unsatisfactory results with conversion to total hip arthroplasty (THA) in the first 6 months. At 1 year, the average HHS was deteriorated to 76.1 of the remaining 18 cases. At 2 years endpoint follow-up, five cases already converted to THA, another seven cases had a deterioration of the HHS score, and only 40 % of the cases had satisfactory results. Conclusion Implantation of a porous tantalum metal rod for early-stage osteonecrosis of the femoral head did not add a significant advantage to core decompression alone even with the proper position in relation to the necrotic area. We had to convert to total hip arthroplasty in 60 % of the cases.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0317-z
      Issue No: Vol. 6, No. 4 (2015)
       
  • Extraction of well-fixed extended porous-coated cementless stems using a
           femoral longitudinal split procedure
    • Authors: Satoshi Nagoya; Mikito Sasaki; Mitsunori Kaya; Shunichiro Okazaki; Kenji Tateda; Toshihiko Yamashita
      Pages: 417 - 421
      Abstract: Abstract We present a technique of posterior femoral longitudinal split (FLS) osteotomy. This technique allows the expansion of the metaphyseal–diaphyseal region of the proximal femur facilitating extraction of well-fixed extended porous-coated stems. The extractions were performed using extended transfemoral osteotomy (ETO) and FLS osteotomy between June 2002 and March 2014. The study group, which comprised patients with well-fixed extended porous-coated stems, consisted of two men and ten women with an average age of 63.2 years. The stem was successfully removed using the FLS procedure in 8 of the 10 hips. Reimplantation surgery was performed in 6 of the 12 hips with ARMD, periprosthetic infection, or metallosis. This FLS technique may allow the easy removal of well-fixed extended porous-coated stems and become an alternative method for the removal of all stems.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0322-2
      Issue No: Vol. 6, No. 4 (2015)
       
  • Are traumatic hip dislocations of the young and the elderly comparable:
           review of the literature from a recent case
    • Authors: Thibault Gérosa; Jean-Charles Aurégan; Thomas Letellier; Nasser Mebtouche; Stéphane Levante; Thierry Bégué
      Pages: 423 - 426
      Abstract: Abstract Traumatic hip dislocation is a condition mostly encountered among young patients. However, clinical series reported regularly cases among elderly. From those, it seems that traumatic hip dislocation in young and elderly patients have a different profile. We present the case of a traumatic hip dislocation in a patient of 81 years secondary to a fall from his height. No fracture occurred. The dislocation was reduced by external maneuvers 3 h after the trauma. At last follow-up of 1 year, the patient developed a secondary hip osteoarthritis despite any articular incongruence. From a review of the literature, we found that epidemiology, pathophysiology, and prognosis of traumatic dislocation of the hip in the elderly may be different than those in young subjects. Hence, we suggest that the two conditions should be separated. Level of evidence: V. Expert opinion.
      PubDate: 2015-11-19
      DOI: 10.1007/s12570-015-0335-x
      Issue No: Vol. 6, No. 4 (2015)
       
  • Dual mobility cup for prevention of early total hip arthroplasty
           dislocation in patients with neurological disorders
    • Authors: Haytham Abdelazim; Fady Michael
      Pages: 427 - 432
      Abstract: Purpose Patients with neurologic disorders are at a higher risk for hip arthroplasty dislocation. This can be attributed to hip muscle weakness, especially the abductor group. We inquired into the use of dual mobility acetabular component for the prevention of early hip dislocation in these patients. Patients and methods Thirty patients with documented neurological disorders and muscle weakness affecting the operated side underwent dual mobility total hip arthroplasty in the period between December 2012 and January 2014. The neurological disorders were cerebrovascular stroke, weakness due to brain tumors, Parkinsonism, old poliomyelitis, and multiple sclerosis. Twelve cases underwent primary dual mobility cup total hip arthroplasty as a treatment for proximal femoral fractures. Eighteen patients were revision to dual mobility total hip arthroplasty either due to failure of proximal femoral fracture fixation or failure of previous arthroplasty. All patients were ambulant (assisted walking) before the primary incident (either surgery or trauma). All patients were operated upon through the lateral approach. All the cups used were cemented. Results The mean age group of the patients was 64.6 years old. No definite postoperative infection occurred. The mean follow-up period was 13.2 months. One case died 6 months postoperative due to another cerebrovascular stroke. Functionally, all our patients could ambulate (assisted walking) postoperatively. No dislocation was recorded during the follow-up period. Conclusion The dual mobility cup is effective in the prevention of early dislocation in patients with muscle weakness due to neurological disorders. Long-term follow-up is needed for the assessment of late dislocation, as well as the rate of loosening in this group of patients.
      PubDate: 2015-11-21
      DOI: 10.1007/s12570-015-0336-9
      Issue No: Vol. 6, No. 4 (2015)
       
  • The effect of tibial component alignment on periprosthetic bone remodeling
           after total knee arthroplasty
    • Authors: Haytham Abdelazim; Aya Yassin
      Pages: 433 - 437
      Abstract: Introduction Total knee arthroplasty (TKA) implantation alters mechanical loading of both femur and tibia and leads to local bone loss which can compromise the prosthesis survival and present problems at revision arthroplasty. The aim of this study is to assess the effect of tibial component alignment on periprosthetic bone remodeling after TKA. Patients and methods A prospective study was conducted involving 60 patients (90 knees) who underwent primary cemented posterior stabilized fixed platform TKA. Tibial component alignment was measured in the immediate postoperative X-ray, and patients were divided into three groups: group I with less than 10° of malalignment, group II with 10–15° of varus malalignment, and group III with more than 15°. Dual-energy X-ray absorptiometry (DEXA) was done within 1 week postoperatively and repeated after 12 and 24 months. Three regions of interest (ROIs) were measured: ROI 1 for the lateral tibial plateau, ROI 2 for the medial tibial plateau, and ROI 3 just distal to the tip of the prosthesis. Results The results of DEXA showed statistically insignificant difference in bone remodeling between group I and group II and statistically significant difference in group III compared to group I and II, with increased bone loss in ROI 1 in group III and increased bone loss in ROI 2 in groups I and II. Conclusion Marked tibial component malalignment more than 15° significantly alters periprosthetic bone remodeling after total knee arthroplasty; however, the effect of this abnormal remodeling on prosthetic survival needs longer follow-up.
      PubDate: 2015-09-11
      DOI: 10.1007/s12570-015-0328-9
      Issue No: Vol. 6, No. 4 (2015)
       
  • Can Khan’s new method using MRI integrable to detect tibial plateau
           slope and depth as risk factors for anterior cruciate tear'
    • Authors: Tarek Mohamed Ghandour; Amr Ahmed Abdelrahman; Alaa Talaat; Ahmad Mohammad Gahndour; Hesham Youssef El Gazzar
      Pages: 439 - 444
      Abstract: Context ACL injury continues to be the largest single problem in orthopedic sports medicine. MRI has become the prime diagnostic tool of the various knee pathological and anatomical variability conditions. Aim To test the integrity of the new combined method for assessment of tibial plateau anatomic variables using conventional MRI. Settings and design Retrospective control study. Methods We evaluated the medial tibial plateau slope (MTPS), lateral tibial plateau slope (LTPS), and medial tibial plateau depth (MTPD) in ACL-injured group of patients (156) and non-ACL-injured control group (93) using MRI scan. Inclusion criteria for ACL-injured group—as surgically confirmed—were isolated ACL injury, while inclusion criteria for non-ACL-injured group were minor trauma, bruises, etc. Statistical analysis used Student’s t test and ICC were used. A p value of <0.05 was assigned as significant. Results Both male and female patients in the ACL-injured group showed increased LTPS in comparison to control group (p = 0.0197), whereas no significant difference in MTPS and MTPD was detected (p = 0.75 and 0.9, respectively). Steeper LTPS was detected in males of the patient group than in control group (p = 0.0001). Control group males had less steep MTPS (p = 0.002) and LTPS (p = 0.035) and deeper MTPD (p = 0.004) than control group females. Conclusion We conclude that the combined method conducted by Khan et al. (Int Orthop (SICOT) 2011 35(8):1251–1256) using conventional MRI for measurement of MTPS, LTPS, and MTPD as risk factors for ACL injury is solid and reproducible. Level of evidence: III. Diagnostic study
      PubDate: 2015-12-02
      DOI: 10.1007/s12570-015-0337-8
      Issue No: Vol. 6, No. 4 (2015)
       
  • Bone regenerate complications during lengthening: incidence, predisposing
           factors, and treatment
    • Authors: Mohamed El-Sayed; Johannes Correll; Gamal A. Hosny; Mohamed Hegazy; Nasef Mohamed Nasef Abdelatif; Ihab Badawy; Ahmed Shams; Wael Azzam; Mohamed A. ElGebeily
      Pages: 445 - 449
      Abstract: Objectives The Ilizarov Frame is considered as one of the most successful measures for the management of bone defects. This study was proposed to detect regenerate site complications if any. Furthermore, can infection take place at the regenerate (corticotomy) site' Design This is a retrospective study (with level III evidence) performed at an academically supervised University Trauma Center. The number of subjects included in this study was 90 patients with tibial defects (3–10 cm), of different etiologies. Bifocal segment transport was used in 62 cases, and trifocal technique was applied in 28 cases. Paley’s classification was used to differentiate encountered problems during lengthening. Solid union was defined as union of three of four cortices on AP and lateral radiographs, in both corticotomy and docking sites. A minimum postoperative follow-up period of 2 years was an inclusion criterion in this study. Results Corticotomy or regenerate site complications took place in 28 cases. Infection of the regenerate site took place in this study in four cases, and according to our knowledge, this was never recorded in the literature. This was treated using the Ilizarov technique till solid union took place. Conclusions Infection of the regenerate site could be anticipated and do take place in cases with severe infection and chronic osteomyelitis that led to bone resorption and bone defects. This could be simultaneously and adequately managed using the Ilizarov frame. Level of evidence: level III (retrospective study).
      PubDate: 2015-10-02
      DOI: 10.1007/s12570-015-0330-2
      Issue No: Vol. 6, No. 4 (2015)
       
  • Simultaneous posterior fracture-dislocation of the shoulder and bilateral
           hip fracture secondary to hypocalcemic seizure: case report and literature
           review
    • Authors: Anis Tebourbi; Aslam Louati; Khaled Hadhri; Zied Belcadhi; Aymen Ben Maatoug; Ramzi Bouzidi; Kooli Mondher
      Pages: 467 - 470
      PubDate: 2015-11-18
      DOI: 10.1007/s12570-015-0334-y
      Issue No: Vol. 6, No. 4 (2015)
       
  • Anatomic healing of a humeral shaft fracture despite failure of plate
           fixation—locking plates are a good idea
    • Authors: Adrian Andronic; Axel Weusten; John Harrison
      Pages: 471 - 473
      Abstract: Abstract Fractures of the humeral shaft are a serious and fairly common problem with an incidence expected to triple in the next three decades partly due to an ageing population. These injuries often occur in a bimodal distribution with peaks primarily in young male patients and a larger peak in older females from 60–80 years of age. We present a case of an elderly female patient that describes a rare outcome of bone union in a failed fixation done for a humeral shaft fracture, a situation rarely reported in literature to the best of our knowledge.
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0290-6
      Issue No: Vol. 6, No. 4 (2015)
       
  • Simultaneous meningitis, sepsis and prosthetic hip infection caused by
           group B Streptococcus
    • Authors: Anu Maksimow; Matti Seppänen; Mikko Karvonen; Keijo T. Mäkelä
      Pages: 475 - 477
      PubDate: 2015-12-01
      DOI: 10.1007/s12570-015-0288-0
      Issue No: Vol. 6, No. 4 (2015)
       
 
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