Do It Yourself (DIY) Radiolucent Drill Guide Using a 10 ml Syringe for Freehand Distal Interlocking in Intra-medullary Nailing: A Surgical Technique.

Distal interlocking during intramedullary femoral, tibial, and humeral nailing is frequently challenging. In the traditional image intensifier (II) 'bull's eye' technique, the implant's interlocking screw hole can be obscured by the radio-opaque chuck, necessitating multi-planar checks by tilting the drill bit before drilling. This manoeuvre can adversely alter the drill trajectory, compromise fixation, or damage the implant.

Minimally invasive osteosynthesis of distal tibial fractures using locking plates.

The management of distal tibia fractures can be challenging because of the scarcity of soft tissue, their subcutaneous nature, and poor vascularity. Classic open reduction and internal plate fixation require extensive soft tissue dissection and periosteal stripping, with high rates of complications. Minimally invasive plating techniques reduce iatrogenic soft tissue injury and damage to bone vascularity and preserve the osteogenic fracture hematoma.

[Southwick osteotomy in stable slipped capital femoral epiphysis: a long-term outcome study].

Objectives: Moderate to severe chronic stable slipped capital femoral epiphysis (SCFE) produce permanent irregularities in the femoral head and acetabulum. We report a single centre long-term outcome study of Southwick's procedure for the management of moderate or severe stable chronic SCFE with irregularity of the femoral head.

Methods: In the period from January 1978 to January 1990, 20 patients (16 girls, 4 boys; mean age 13 years; range 11 to 15 years) underwent 22 Southwick osteotomies for chronic stable SCFE with closure or partial closure of the growth plate and a slip between 30 degrees and 70 degrees .

Sports injuries in children.

Introduction: Sports injuries in children affect both growing bone and soft tissues, and can result in damage of growth mechanisms with subsequent lifelong, growth disturbance. This clinical review unfolds the incidence and distribution, physiology, injury characteristics and the prevention modalities.

Methods: A comprehensive in Medline literature search was performed, and the reference lists of sports injuries related journals and text books was consulted.

Traumatic quadriceps rupture in a patient with patellectomy: a case report.

Introduction: Acute traumatic, unilateral, quadriceps rupture after patellectomy is rare.

Case Presentation: We present a 42-year old male who experienced a unilateral left quadriceps tendon rupture following assault by four people. Twenty-seven years before this injury, the patient had suffered ipsilateral femur and comminuted patellar fractures, which were managed by intramedullary nailing and patellectomy respectively.