Syndesmotic Screw Removal in a Clinic Setting Is Safe and Cost-effective.

There is no consensus in the literature regarding the necessity of syndesmotic screw removal, but the majority of surgeons prefer screw removal in the operating room. Purpose. The aim of this study is to analyze the safety and cost-effectiveness of syndesmotic screw removal in the clinic.

Undetected iatrogenic lesions of the anterior femoral shaft during intramedullary nailing: a cadaveric study.

Background: The incidence of undetected radiographically iatrogenic longitudinal splitting in the anterior cortex during intramedullary nailing of the femur has not been well documented.

Methods: Cadaveric study using nine pairs of fresh-frozen femora from adult cadavers. The nine pairs of femora underwent a standardized antegrade intramedullary nailing and the detection of iatrogenic lesions, if any, was performed macroscopically and by radiographic control.

Piriform and trochanteric fossae. A drawing mismatch or a terminology error? A review.

The current literature indicates that the standard starting point for intramedullary nailing is the piriform fossa. The accuracy of the entry point for anterograde femoral intramedullary nailing between published texts and relevant illustrations was recorded. The piriform fossa is the site of insertion of the piriform tendon and represents a small, shallow depression located on the tip of the greater trochanter.

Gunshot femoral shaft fractures: is the current classification system reliable?

The reliability of the AO/Orthopaedic Trauma Association classification system has not been evaluated for diaphyseal fractures or fractures attributable to gunshot injuries. Therefore, the current authors assessed its reliability for diaphyseal femur fractures and investigated the effect of a gunshot mechanism of injury. Forty-seven diaphyseal femur fractures, 23 caused by gunshots and 24 caused by blunt trauma, were classified by four observers on two occasions.

The prevalence of soft tissue injuries in nonoperative tibial plateau fractures as determined by magnetic resonance imaging.

Objective: To determine the incidence of meniscus tears and complete ligament disruption in nondisplaced and minimally displaced tibial plateau fractures, which are otherwise amenable to nonoperative management.

Design: Prospective clinical study.

Setting: Level I urban trauma center.

Comparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes.

Background: Previous studies have demonstrated high complication rates after harvest of iliac crest bone grafts. This study was undertaken to compare the morbidity related to the harvest of anterior iliac crest bone graft with that related to the harvest of posterior iliac crest bone graft and to determine differences in functional outcome.

Methods: The medical records of eighty-eight consecutive patients who had undergone a total of 108 iliac crest bone-grafting procedures for the treatment of chronic osteomyelitis from 1991 to 1998 were retrospectively reviewed.