Outcome of olecranon osteotomy in the trans-olecranon approach of intra-articular fractures of the distal humerus.

Background: The trans-olecranon approach has been suggested to improve the visualization of complex intra-articular distal humerus fractures. Significant osteotomy complications have prompted a search for alternative approaches. The purpose of this series was to study the outcome of the olecranon osteotomy in terms of union and complications and the ultimate outcome of the fracture.

External fixation followed by delayed interlocking intramedullary nailing in high velocity gunshot wounds of the femur.

Background: High velocity gunshot-related fracture is associated with massive soft tissue damage and severe comminution at the fracture site. This unique type of open fracture presents a serious challenge to the orthopedic traumatologist.

Methods: The study was conducted prospectively involving patients who presented to the Accident and Emergency Department of the Bone and Joint Surgery Hospital Srinagar (India), from January 2005 to March 2007, with a history of high velocity gunshot wounds to the femur.

Bridge plate osteosynthesis using dynamic condylar screw (DCS) or retrograde intramedullary supracondylar nail (RIMSN) in the treatment of distal femoral fractures: comparison of two methods in a prospective randomized study.

Background: The treatment of distal femoral fractures remains a significant surgical challenge. With the rigid fixation of the distal femoral fractures, bone grafting is frequently needed. Biological osteosynthesis using dynamic condylar screw (DCS) and retrograde intramedullary supracondylar nail (RIMSN) preserve the blood supply and limit the need for bone grafting.

Injuries from bear (Ursus thibetanus) attacks in Kashmir.

Background: Strict conservation of wildlife and encroachment into its habitat have led to an increase in the number of wild animal-inflicted injuries and fatalities in Kashmir. The aim of this study was to report injuries inflicted during bear attacks and discuss their management and sequelae.

Methods: A retrospective study was conducted in the Department of Orthopedics Government Medical College Srinagar, University of Kashmir, from January 2003 to June 2007.

Significance of radiological quality of surgical reduction on the clinical outcome of intra-articular fractures of the distal humerus.

Objective: To study the effect of radiological quality of surgical reduction on the clinical outcome of the intra-articular fractures of the distal humerus.

Material And Method: Ninety seven intra-articular fractures of distal humerus were treated at our department by open reduction and internal fixation, using a trans-olecranon approach. Patients were assessed as per the scoring system of Caja and Moorani et al.