Preliminary effect and feasibility of physiotherapy with strength training and protein-rich nutritional supplement in combination with anabolic steroids in cross-continuum rehabilitation of patients with hip fracture: protocol for a blinded randomized controlled pilot trial (HIP-SAP1 trial).

Background: A 2014 Cochrane review evaluating the effect of anabolic steroids after hip fracture concluded that the quality of the studies was insufficient to draw conclusions on the effects and recommended further high-quality trials in the field. Therefore, the aim of this pilot trial is to determine the preliminary effect and feasibility of a 12-week multimodal intervention consisting of physiotherapy (with strength training), protein-rich nutritional supplement and anabolic steroid on knee-extension muscle strength and function 14 weeks after hip fracture surgery.

Methods: We plan to conduct a randomized, placebo-controlled pilot trial with 48 patients operated for acute hip fracture.

Knee pain and associated complications after intramedullary nailing of tibial shaft fracture.

Introduction: The treatment of choice for unstable diaphyseal fractures in the tibia is reamed insertion of an intramedullary nail (IMN). The most common complication to this treatment is chronic knee pain with reported rates ranging from 10% to 87% with a mean of 47.4% in meta-analyses.

[Atrial myxom is a rare cause of peripheral embolus].

Two case stories of seemingly healthy individuals, a 45 year-old male and a 54 year-old woman, with acute lower extremity ischemia caused by cardiac myxomas. Both patients had a lower extremity amputated and a removal of myxomas by surgery. In patients presenting with acute ischemia of the lower extremity surgeons need to consider this rare, but important diagnosis; especially in middle-aged, otherwise healthy patients.