Treatment of distal radial fractures with grafting and K-wiring.

We present a series of 10 distal radius fractures treated with either bone substitute or xenograft, and Kapandji's technique (intra-focal threaded Kirschner wires which lever on the graft before penetrating the opposite diaphyseal cortex). The Kirschner wires are buried. Long-term follow-up (one to five years, mean 2.

Delayed biodegradation of a meniscal screw.

A biodegradable polylactide meniscal screw was removed 32 months after the original meniscal repair. It was then subjected to gel permeation chromatography and was found to have retained 64.7% of its original molecular weight.

Survival with an arterial pH of 6.57 following major trauma with exsanguinating haemorrhage associated with traumatic amputation.

We report the survival of a multiply injured patient with exanguinating haemorrhage and an arterial pH of 6.5, following a road vehicle crash. The previously healthy 38 years old male driver veered off the motorway and collided with a tree.