Occipitocervical fusion and dysphagia. The role of head neck alignment: A case report.

Dysphagia is a less reported but serious adverse outcome post occipitocervical fusion. Any patient suffering from dysphagia and or nasal regurgitation post fusion in flexion should be offered early revision. The right position for occipitocervical fusion is neutral alignment.

Manipulation under anesthesia for post traumatic stiff knee-pearls, pitfalls and risk factors for failure.

Background: Stiffness is common following fractures around knee. Manipulation under anesthesia (MUA) is the initial noninvasive procedure usually performed for such patients. Though MUA has been extensively evaluated for knee arthroplasty, there is paucity of literature regarding its benefits in trauma cases.

Manubriosternal dislocation with spinal fracture: A rare cause for delayed haemothorax.

Type 2 manubriosternal dislocations with concomitant spinal fracture are rare and may be associated with thoracic visceral injuries. The complication of delayed haemothorax has not been reported yet. We report a case of a young male who suffered manubriosternal dislocation with chance type thoracic spine fracture due to fall of a tree branch over his back.

Miniarthrotomy assisted percutaneous screw fixation for displaced medial malleolus fractures - A novel technique.

Aim: To describe here a technique of miniarthrotomy assisted percutaneous screw insertion for displaced Herscovici type B and C medial malleolar fractures.

Method: Incision was made centred over the superomedial angle of the ankle mortise, about half a cm medial to tibialis anterior. Arthrotomy was done and reduction obtained.

Spontaneous migration of bullet from arm to forearm and its ultrasound guided removal.

Spontaneous migration of a retained bullet is rare. We are presenting here a case of a 24-year-old male with spontaneous migration of bullet from arm to forearm. At the time of initial injury, bullet was left inside the arm as it was deep and patient had no complaints.

Well-leg compartment syndrome after fracture fixation in hemilithotomy position: case report of a preventable condition.

Objective: To report a case of subtrochanteric femur fracture that led to intraoperative compartment syndrome in the well leg.

Clinical Presentation And Intervention: A 28-year-old obese male who presented with a comminuted subtrochanteric fracture underwent a prolonged open reduction and internal fixation using dynamic condylar screw. In the postoperative period, after the effect of epidural analgesia had worn off, the patient complained of severe pain and swelling of the well leg.

Ochronotic black meniscus during knee arthroscopy.

Ochronotic arthropathy is a rare condition found in patients with alkaptonuria, which is a hereditary metabolic disease associated with deposition the of homogentisic acid derivatives in various connective tissues of the body. We present the case of a 30-year-old woman in whom arthroscopic examination of the left knee prior to meniscectomy for bucket handle tear of medial meniscus revealed brown-black discoloration of the articular cartilage and menisci leading to the diagnosis of alkaptonuria by further laboratory evaluation. After medical and surgical treatment, patient's complaints were alleviated and no further complaints were registered, during the next follow-up.

Bilateral anterior shoulder dislocation.

Shoulder dislocations are the most common major joint dislocations encountered in the emergency departments. Bilateral shoulder dislocations are rare and of these, bilateral posterior shoulder dislocations are more prevalent than bilateral anterior shoulder dislocations. Bilateral anterior shoulder dislocation is very rare.

Elbow dislocation with ipsilateral distal radius fracture.

Elbow dislocation associated with ipsilateral distal radius fracture is a rare pattern of injury, although it is common for elbow dislocation and forearm fractures to occur separately. We report a rare case of a 20-year-old male who had a posterior elbow dislocation and ipsilateral distal radius fracture. Elbow dislocation was first reduced in extension and distal radius fracture was then reduced in flexion.

Orthopaedic surgeon's nightmare: iatrogenic fractures of talus and medial malleolus following tibial nailing.

Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical practice. Despite adequate surgeon experience, tibial nailing is not without complications if proper techniques are not followed.

Pseudoaneurysm of the superior lateral genicular artery: case report of a rare complication after total knee arthroplasty.

Background: Pseudoaneurysm of superior lateral genicular artery following total knee arthroplasty is a rare complication and has been reported following lateral release performed for eversion of patella in a knee with tight lateral structures.

Case Presentation: This report describes a case of pseudo aneurysm of superior lateral geniculate artery that developed after primary Total knee arthroplasty for a stiff knee in a 68 year old patient. Patient presented with pain and rapidly increasing swelling in early post operative period.

Biological fixation of comminuted subtrochanteric fractures with proximal femur locking compression plate.

Introduction: Subtrochanteric fractures are difficult fractures associated with high incidence of complications and various implants, both intramedullary and extramedullary, are available for their fixation. Traditional extramedullary implants are associated with higher rate of implant failure and varus collapse while the biomechanically better intramedullary nails are technically demanding and are associated with higher re-operation rates. This study was done to evaluate the outcome following biological (indirect) fixation of unstable comminuted subtrochanteric fractures with proximal femur-locking compression plate (PF-LCP).

Nonunion of forearm fracture: a rare instance in a toddler.

When compared to adults, pediatric fractures unite readily and nonunion is quite rare. Nonunion is often associated with open fractures, operative interventions, infection, pediatric osteogenesis imperfecta and neurofibromatosis. There are only a few studies and reports mentioning nonunion following conservative ma- nagement of closed pediatric fractures.