Twenty-Year Experience with Rigid Intramedullary Nailing of Femoral Shaft Fractures in Skeletally Immature Patients.

Background: Debate exists over the safety of rigid intramedullary nailing of femoral shaft fractures in skeletally immature patients. The goal of this study was to describe functional outcomes and complication rates of rigid intramedullary nailing in pediatric patients.

Methods: A retrospective review was performed of femoral shaft fractures in skeletally immature patients treated with trochanteric rigid intramedullary nailing from 1987 to 2009.

Closed suction irrigation for the treatment of postoperative wound infections following posterior spinal fusion and instrumentation.

Study Design: Retrospective review of clinical cases.

Objective: This study describes the success rate of closed suction irrigation system (CSIS) in the treatment of post operative spinal infections.

Summary Of Background Data: Given the widening use of spinal instrumentation, the management of related postoperative deep wound infections has become increasingly important.

Salter-Harris I and II fractures of the distal tibia: does mechanism of injury relate to premature physeal closure?

Introduction: The distal tibial physis is the second most commonly injured physis in long bones. Recent reports demonstrate a high rate of premature physeal closure (PPC) in Salter-Harris (SH) type I or II fractures of the distal tibia.

Methods: At our institution, 137 distal tibial SH type I or II fractures were treated from 1994 to 2002.

The reverse sural neurocutaneous flap for hindfoot and ankle coverage: experience and review of the literature.

Soft-tissue defects about the ankle are common in orthopedic surgery. The wounds usually involve exposed bone or hardware, making skin grafting a poor option. Free tissue transfer remains a mainstay of treatment.

A simple, accurate method to confirm placement of intra-articular knee injection.

Background: Intra-articular knee injections are routinely performed in clinical practice without documenting intra-articular placement.

Hypothesis: A small amount of air to an intra-articular knee injection produces an audible "squishing" sound with range of motion.

Study Design: Prospective nonrandomized clinical trial.

Evaluation of calcium sulfate paste for augmentation of lumbar pedicle screw pullout strength.

Background Context: Many authors have evaluated the components responsible for ultimate pullout strength of pedicle screws. In these studies, one important variable has been the screw fixation. Because pedicle screw fixation has increased in popularity over recent years, so has the need for augmentation in difficult situations.