An unusual cause of foot pain in a child: osteochondrosis of the intermediate cuneiform.

Unlabelled: Osteochondrosis of the intermediate cuneiform is a rare entity that may cause foot pain and limping in children. We report a case of osteochondrosis of the intermediate cuneiform in a child who underwent a spontaneous recovery after conservative treatment.

Level Of Clinical Evidence: 4.

Tenosynovial giant cell tumour of the posterior cruciate ligament and its arthroscopic treatment.

Tenosynovial giant cell tumours originate from synovial tissues of the joints, tendon sheaths, mucosal bursas or fibrous tissues adjacent to tendons. Tenosynovial giant cell tumours are rarely intra-articular. We report a giant cell tumour of the tendon sheath arising from the posterior cruciate ligament diagnosed by magnetic resonance imaging and resected arthroscopically in a 54-year-old woman.

Tibial pilon fracture repair using Ilizarov external fixation, capsuloligamentotaxis, and early rehabilitation of the ankle.

Open surgical treatment of comminuted tibial pilon fractures is associated with substantial complications in many patients. Indirect reduction and stabilization of fractures by means of distraction using a circular external fixator can be a useful method of achieving satisfactory joint restoration, and employs the principles of closed reduction to realign disrupted bones and joint structures. In this report, we describe the case of a patient with a comminuted tibial pilon fracture treated by means of closed reduction and stabilization using a circular external fixator.

Open reduction via posterior triceps sparing approach in comparison with closed treatment of posteromedial displaced Gartland type III supracondylar humerus fractures.

The results of closed and open reduction via posterior approach with percutaneous pinning of posteromedial displaced supracondylar humerus fractures in children were evaluated. Fifty-five consecutive patients with Gartland type III fractures were reviewed. The mean follow-up period was 22 months (12-48 months).

Lateral femoral condyle fracture and patella dislocation in below-the-knee amputation.

Treatment of a 42-year-old patient with below-the-knee amputation from 15 years ago who presented with lateral femoral condyle fracture and patella dislocation is described. In addition, the advantages of transtibial over transfemoral amputation are discussed.

Posterolateral elbow dislocation with ipsilateral radial and ulnar diaphyseal fractures: a case report.

Elbow dislocation associated with both ipsilateral radial and ulnar shaft fractures is a rare pattern of injury, although it is common for elbow dislocation and forearm fractures to occur separately. We report a case of an 80-year-old woman who had a posterolateral elbow dislocation and ipsilateral radial and ulnar shaft fractures and underwent closed reduction and plate fixation. She had an excellent outcome after 22 months of follow-up.

A different perspective for radiological evaluation of experimental osteomyelitis.

Introduction: Radiological scoring systems used in experimental osteomyelitis combine several factors into a single score. Because response of bone tissue to infection is a dynamic process, such systems have limited ability to differentiate between treatment groups. The analyzing of radiological criteria separately at different stages of the disease may be superior to a general score.

Alendronate enhances antibiotic-impregnated bone grafts in the treatment of osteomyelitis.

Bisphosphonates are systemic drugs. There is limited knowledge about their effects when applied locally and in osteomyelitis treatment. A prospective longitudinal randomised controlled study was designed in rat tibia to test the efficacy of local or systemically administered bisphosphonates for controlling the osteolytic reactions and possible effects on local infection control.

The evaluation of trauma patients in Turkish Red Crescent Field Hospital following the Pakistan earthquake in 2005.

To provide better emergency and outpatient services in well-equipped field hospitals, organisation and team and equipment selection are of utmost importance to meet the demands of the earthquake zone. In the planning stage, the evaluation of data collected after the earthquake is essential. On 14 October 2005, following the earthquake in the city of Muzafferabad of Kashmir, Pakistan on 8 October 2005, Turkish Red Crescent Field Hospital was established and equipped with health professionals.

Alternative reliable techniques in femoral torsion measurement.

The clinical and conventional bi-planar determinations of femoral torsion were compared with the tomographic technique, the reliability of which was confirmed. Femoral torsions were measured with the trochanteric prominence angle test, the sinus-wave bi-planar conventional radiographic technique, the modified Hermann bi-planar conventional radiographic technique and the limited three-dimensional volumetric tomography technique in 34 femora of 17 patients. There was a strong correlation between the modified Hermann and the limited tomography techniques for 14 intact and 20 fractured femora.

Reconstructive procedures on lower extremities using Mitkovic external fixation system.

The results of limb lengthening, correction of limb deformities and solving of bone loss, by the use of Mitkovic external fixation system and minimally invasive technique on the series of 96 operations in 89 patients are shown. Only lower extremities were included in this series. The advantages of this external fixation system in comparison to other systems are pointed out.

New biological method of internal fixation of the femur.

One of the main goals in fracture treatment is reservation of both intramedular and periosteal vascularisation. The aim of this paper is to show a new method of internal fixation which accomplishes these goals. The paper presents the results of clinical application of Mitkovic Internal Fixator, new self-dynamisable device, which provides fixation of the femur using minimally invasive technique.

New concept in external fixation.

A new concept in external skeletal fixation is presented. A 3D unilateral system developed by Mitkovic has widely been investigated biomechanically in AO institute in Davos (Switzerland). Consists of three components only providing extremely simple application and dynamic fixation of bones and different joints.

Comparison of plasma endothelin levels between osteoporotic, osteopenic and normal subjects.

Background: It has been demonstrated that endothelins (ET) have significant roles in bone remodeling, metabolism and physiopathology of several bone diseases. We aimed to investigate if there was any difference between the plasma ET levels of osteoporotic patients and normals.

Methods: 86 patients (70 women and 16 men) with a mean age of 62.

Which one is at risk in intraoperative fluoroscopy? Assistant surgeon or orthopaedic surgeon?

Background: Orthopaedic surgeons use intraoperative portable fluoroscopy and roentgenography. The present study was an attempt to find out if there is a difference between the occupational radiation exposure to the orthopaedic surgeon and assistant surgeon in the operating room while using intraoperative fluoroscopy or radiographic control and to measure it.

Methods: During a 3-month period, 107 consecutive operations were monitored for radiation exposure.

Effect of granulocyte-macrophage colony-stimulating factor on treatment of acute osteomyelitis. An experimental investigation in rats.

Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a cytokine that affects the various developmental steps of hematopoietic cells and enhances the phagocytic activity of these cells. The effect of GM-CSF on acute osteomyelitis, developed in rats, was investigated. For this purpose, osteomyelitis was firstly developed through the direct inoculation of Staphylococcus aureus into rat tibial metaphysis.

Limb reconstruction with the callus distraction method after bone tumor resection.

The callus distraction method was applied to nine patients who were referred to us because of a bone tumor. Their mean age was 17 years and 3 months (range 7-37 years). Three were female, and 6 were male.

Harmful effects of invasive animal monitoring on muscle flap microcirculation.

In this study, peripheral microcirculatory response to arterial and venous cannulation was studied. Eleven Sprague-Dawley rats were evaluated in two groups. Group I was the control group and received no cannulation (N = 6).