Extruded osteoarticular distal tibia: success at 18-month follow-up with reimplantation.

Extruded bone is a rare complication of open fractures associated with high energy. We describe a case of bony extrusion involving an osteoarticular segment of distal tibial treated with reimplantation and internal fixation with 18-month follow-up.

Intramedullary nailing of proximal and distal one-third tibial shaft fractures with intraoperative two-pin external fixation.

Background: Fractures of the proximal and distal one thirds of the tibial shaft have historically higher malunion rates than those of the midshaft. This retrospective case series evaluates the postoperative radiographic outcome of intramedullary nailing of proximal and distal one-third tibial shaft fractures using intraoperative two-pin external fixation, often referred to as traveling traction.

Materials And Methods: Between 2000 and 2005, 15 consecutive patients with proximal third and 27 consecutive patients with distal third displaced extra-articular fractures of the tibia were treated with statically locked intramedullary nailing and supplementary intraoperative two-pin rectangular frame external fixation.

Arthroscopically assisted minimally invasive intraarticular bullet extraction: technique, indications, and results.

Background: We describe a new arthroscopically assisted, minimally invasive approach to intraarticular bullet extraction limited in its surgical dissection to the bullet tract itself. This procedure accomplishes intraarticular irrigation and removal of the retained missile without the need for a formal open approach. Additionally, we report on a novel extension of this technique to include bullet removal from the sacroiliac joint.