Management of Rolando fracture by modified dynamic external fixation: a new technique.

Rolando fracture is one of the most difficult fractures facing hand surgeons. It can be described as a Y- or T-shaped fracture line that runs longitudinally through the metaphyseal area, with an intra-articular fracture splitting the metacarpal base fragment into a volar and a dorsal fragment. In this study, we introduce our technique used in the management of 7 cases, which were treated by our dynamic external fixation.

Assessment of essential and toxic elements in some kinds of vegetables.

Vegetables provide the human body with the essential bioavailable trace elements, and a constant supply of these various elements is necessary and highly recommended for daily life. Minor elements such as Ca, Fe, K, Mg, and Na as well as trace elements such as Cd, Co, Cu, Mn, Ni, Pb, and Zn were determined using an atomic absorption spectrophotometer in 12 different species of vegetables from Saudi Arabia (the Al-Taif district). These vegetables were cucumber, vegetable marrow, tomato, potato, green pepper, eggplant, carrots, parsley, lettuce, spinach, salq, onion, leek, watercress, and cabbage.

Anterior versus posterior approach in reconstruction of infected nonunion of the tibia using the vascularized fibular graft: potentialities and limitations.

The potentialities, limitations, and technical pitfalls of the vascularized fibular grafting in infected nonunions of the tibia are outlined on the basis of 14 patients approached anteriorly or posteriorly. An infected nonunion of the tibia together with a large exposed area over the shin of the tibia is better approached anteriorly. The anastomosis is placed in an end-to-end or end-to-side fashion onto the anterior tibial vessels.

[Further experiences with transplantation of the head of the fibula].

We are presenting our experience with vascularized epiphyseal transplantation of the upper end of the fibula, based distally on the anterior tibial artery in two patients, one suffering from septic epiphysitis of the hip with complete loss of the head and neck of the femur, the other suffering from radial club hand following septic loss of the radius, excluding its proximal and distal articular segments. In the first patient, the fibular epiphysis bridged the bone defect and provided growth at the neck of the femur. This restored hip stability, reduced limb-length discrepancy, initiated some degree of acetabular development, and maintained a functional range of hip motion.

Reconstruction after resection of tumors around the knee: role of the free vascularized fibular graft.

We present our experience with reconstruction after resection of tumors around the knee, using free vascularized fibular grafting. The study included 23 patients. The lower femur was involved in 17 cases, the upper tibia in 6.