Late laceration of the superficial femoral artery by an intertrochanteric fracture fragment.

Injury to the femoral vessels is a rare complication after intertrochanteric fractures, and usually involves the profunda femoris artery. We report the case of a 79-year-old male with an intertrochanteric fracture, treated by closed antegrade intramedullary nailing, which was complicated by late injury to the superficial femoral artery 5 weeks after surgery. The injury was caused by a spike of bone from the anteriorly displaced lesser trochanter fragment.

[Intra-operative myelography in treatment of fractures of thoracolumbar spine].

Purpose Of The Study: The aim of this retrospective study was to evaluate the results of intra-operative myelography as the method used to assess the reduction of bone fragments from the posterior margin of the vertebral body.

Material And Methods: Forty patients with 42 comminuted fractures of the thoracolumbar spine were included in the study. The pre-operative spinal stenosis caused by bone fragments from the posterior margin of the vertebral body, as detected by CT scanning, ranged from 25 % to 85 %.

[Pediatric "floating elbow"--case reports].

Floating elbow is an injury that is characterized by simultaneous fracture of humerus and forearm of the same extremity. The injury is caused by high energy (falls, car accidents) and is often associated with extensive soft tissue contusion of affected limb and there may be present lesion of neurocircular bundle. Operative treatment (minimally invasive percutaneous pinning) should be performed as soon as possible after patient's admission and this treatment should be preferred before circular casting, which may cause compartment syndrome.