[The non-vascularised fibular transfer - indications and limits in infancy and adulthood].

Background: The non-vascularised fibular transfer is an established surgical procedure whose indication limits are verified and discussed.

Patients/material And Methods: 12 patients with an average age of 17.9 years have been treated with a non-vascularised fibula transfer.

[Benign subcutaneous emphysema after nail penetration. Case report and important differential diagnoses].

Crepitus under the skin after penetrating injuries: harmless benign subcutaneous emphysema or life-threatening infection with gas-producing bacteria (gas gangrene because of Clostridium perfringens, crepitating cellulitis because of anaerobic Streptococcus or other coliforme bacteria)? We report a case of a 74-year-old male who developed massive crepitation of the left upper extremity and the lateral thoracic wall and mediastinal emphysema after sustaining a laceration of the left thumb and forefinger from a nail. Because there was the suspicion of gas gangrene we performed generous skin incisions of the ventral and dorsal part of the hand, the forearm and upper arm and open wound treatment. A triple antibiotic therapy was initiated.

The migration of a BioScrew as a differential diagnosis of knee pain, locking after ACL reconstruction: a report of two cases.

Introduction: Problems with the initial fixation strength and widening of the femoral and tibial canal after ACL reconstruction using a triple or quadruple semitendinosus autograft have led to the introduction of the so-called Hybrid fixation with the additional use of interference screws. Pain and intraarticular migration have been reported with metal interference screws requiring implant removal (Am J Knee Surg 11:32-34, 2000, Arthroscopy 11:289-291, 1995) but not yet with bioabsorbable screws.

Materials And Methods: We report on two cases were the intraarticular position of a bioabsorbable interference screw possibly due to migration in the early postoperative period lead to symptoms, the need for further surgery, and implant removal.

Are bone bruises a possible cause of osteochondritis dissecans of the capitellum? A case report and review of the literature.

A 17-year old soccer-player sustained a fracture and dislocation of the ulnar epicondyle combined with a bone bruises at the radial head and the capitellum. An open reduction and internal fixation was performed using two K-wires. Initial recovery was uneventful.

[Value of ultrasound, CT, and MRI in the diagnosis of slipped capital femoral epiphysis (SCFE)].

Traditionally, radiographic assessment of the hip with anteroposterior and lateral views is the gold standard of diagnosis in SCFE. This paper evaluates the possible contributions of other methods of modern imaging to the early diagnosis and treatment. There is scientific evidence that ultrasound can diagnose the disease earlier than conventional radiography and also has the possibility to differentiate the classification between stable and unstable.