Retroperitoneal hematoma due to spontaneous lumbar artery rupture during fondaparinux treatment. Case report and review of the literature.

We present the case of a 78 year-old man who developed a spontaneous rupture of the lumbar artery leading to a retroperitoneal hematoma while receiving fondaparinux therapy after a total hip replacement. A selective angiographic embolization stopped the bleeding. Fondaparinux was discontinuated and the patient presented a complete resolution of his medical status.

Three years of experience with the clos nail for tibial shaft fractures.

The Clos tibial nail is a new interlocking dynamic compression nail. From September 1998 to September 2001 fifty-six patients who had tibial shaft fractures were treated. Depending on positioning of the blocking screw, the system can be mounted in four different configurations: static configuration (19 cases), dynamic configuration (30 cases), static-compression configuration (1 case), and dynamic-compression configuration (6 cases).

The CLOS MB intramedullary nail for the treatment of pathological femoral shaft lesions.

Advances in systemic and radiation therapy have led to considerable improvement in the prognosis of patients with metastatic disease. As a result, orthopedic surgeons are being asked with increasing frequency to evaluate and treat the manifestations of skeletal metastases. Intramedullary nailing is a valuable technique for stabilizing (impending) pathological femoral fractures or osteolytic lesions.

Healing of fresh tibial fractures with OP-1. A preliminary report.

Osteogenic proteins (OP) are elements of a class of natural growth factors called Bone Morphogenetic Proteins (BMP). A specific member of this class is OP-1, a human recombinant protein that has osteogenic properties. The osteoinductive and osteoconductive properties of OP-1, with its specific collagen matrix, promote the generation of new functionally active, biologically and biomechanically mature bone.