Closed treatment of canine nonunions by controlled compression and distraction using an Ilizarov fixator: a preliminary study.

The Ilizarov fixator was used for closed treatment of canine nonunions by controlled compression and distraction. The fibrous matrix and cartilage formed within the nonunion site transformed to osteoid and bone with increased vascularity. Healing was demonstrated by substantial bone bridging the nonunion at 6 weeks.

Closed flexible intramedullary nailing of adolescent femoral shaft fractures.

Twenty-five femoral shaft fractures in twenty-three patients aged 10-16 years with open epiphyses and treated with flexible intramedullary nailing were studied retrospectively. Clinical and roentgenographic follow-up averaged 28 months. Hospitalization, which included patients with multiple injuries, averaged 11.

The ring butterfly fragment in diaphyseal fractures: its importance in flexible intramedullary nailing.

Ring butterfly fragment was described after it was noted to pose problems during insertion of flexible intramedullary nails. This fragment contains the entire circumference of the medullary canal or a substantial part of it. Once recognized preoperatively the fragment is reduced, providing a stable fracture configuration for fixation with flexible intramedullary nails.

Ender nailing of acute fractures of the humerus. A study of closed fixation by intramedullary nails without reaming.

A prospective study of closed intramedullary fixation of fractures of the shaft of the humerus, using Ender nails, was performed over a six-year period. Eighty-nine fractures in eighty-eight patients were treated with no immobilization postoperatively. Three patients were lost to follow-up.

Locked flexible intramedullary nails in treatment of unstable femoral fractures.

Twenty patients with unstable femoral fractures were treated with distally locked flexible intramedullary nails. We present our surgical technique and our results. The method has the following advantages: it prevents rotational malalignment and shortening, it is a closed procedure, no reaming is necessary, there is no increase in c-arm time, and there is minimal increase in operative time.

Flexible intramedullary nailing of femoral shaft fractures.

Simple flexible intramedullary nailing is a suitable method of fixation of femoral shaft fractures with stable configurations. Complications are rare when nailing is properly executed, and patients are able to ambulate and bear weight within days of surgery. Problems arise when simple nailing is used to fix femoral shaft fractures with unstable configurations.

Pseudomonas aeruginosa bone and joint infection in drug abusers.

Thirty-nine sites of Pseudomonas aeruginosa bone and joint infection in thirty-five intravenous drug abusers were treated over a four-year period. Early diagnosis was based on a history of drug abuse and demonstration of the site of infection by a technetium bone scan. Most patients responded to long-term therapy with intravenous aminoglycoside and carbenicillin.

The isolated fracture of the ulnar shaft. Treatment without immobilization.

The isolated fracture of the ulnar shaft is notorious for prolonged healing time. Over a twenty-seven-month period, seventy-one such fractures were treated at our institution. The initial twelve fractures were immobilized with the standard axilla-to-palm plaster cast.

Flexible intramedullary nailing of tibial-shaft fractures.

Closed flexible intramedullary nailing was used in 38 fractures of the tibia shaft. Simple transverse, oblique, or spiral fractures were shown to be stable after nailing. Fractures with a large unicortical butterfly fragment, involving more than one-third of the cortex, had a tendency to angulate.

Tetanus in a patient with frostbite: a case report.

Tetanus occurs in all ages, it can be associated with puncture wounds, war injuries, burns, ear infections, umbilical stump and post partum infections, and heroin abuse.5 Recently, we treated a patient who developed tetanus following frostbite of both feet. The patient had been previously immunized against tetanus, and was receiving antibiotics when the disease became manifest.

Adjunctive fixation in flexible intramedullary nailing of femoral fractures: a study of twenty-six cases.

Flexible intramedullary nailing has been shown previously to be an effective method of fixation of simple transverse fractures and those with unicortical comminution. Long oblique fractures and those with bicortical comminution had a tendency to shorten after simple nailing, usually requiring additional measures to prevent it. Preliminary cerclage wiring of long oblique components, screw fixation of supracondylar fragments, and limited plating of very comminuted cortex were successfully performed in 22 cases, and external fixation was successful following nailing in four cases of highly comminuted fractures.

Development of maduromycosis (Madurella mycetomi) after nailing of a closed tibial fracture: a case report.

Maduromycosis is a rare fungal infection in the northern United States, most frequently caused by Allescheria boydii, usually in debilitated or immunosuppressed patients. An 18-year-old Mexican-American, in excellent health, developed multiple draining sinuses at the sites of insertion of Ender nails for a closed tibial fracture. Madurella mycetomi was cultured from black granules in a biopsy specimen.

Infected late false aneurysm of the deep femoral artery.

A false aneurysm may mimic an abscess, but concomitant existence of the two lesions seems not to have been previously described. In a 32-year-old man, a false aneurysm of the deep femoral artery was found to be in communication with an abscess cavity in the posterolateral thigh. The false aneurysm was found in the proximity of the protruding tip of a Steinmann pin which had eroded the arterial wall.

Popliteal artery trauma. 31 consecutive cases without amputation.

Injury to the popliteal artery is the most common cause of amputation in injured extremities. A six-year experience (1974-1979) at Cook County Hospital, Chicago, involved 31 popliteal artery injuries without amputation. Penetrating trauma was the most frequent cause of injury; however, a considerable number of blunt trauma injuries with fractures and dislocations were also present.

Mersilene strip suture in repair of disruptions of the quadriceps and patellar tendons.

Disruptions of the extensor mechanism of the knee most commonly involve fracture of the patella. Less frequently, patellar and quadriceps tendons are ruptured either spontaneously or by trauma. Surgical reconstruction of these tendon injuries is complicated by the difficulty in completely neutralizing tensional force across the repair.