Treatment of slipped capital femoral epiphysis by fixation with a single cannulated screw

In this study, 14 children, who had a slipped capital femoral epiphyses, were managed by in situ pinning with a single cannulated screw. The cases were followed for an average of 18.8 months [range 13-40 months]. There were three acute slips and twelve chronic slips. The degree of slip was calculated according to the method described by Southwick and the results graded according to the criteria of Heyman and Herndon. Thirteen hips were graded as either excellent or good. Avascular necrosis was developed in two hips, but chondrolysis did not occur in any patient. There was no increase in the degree of slippage of the capital femoral epiphysis

Management of tibial non - unions using autologous marrow injection as a substitute for operative grafiting

Autologous marrow injection was used to stimulate healing in fourteen ununited tibial fractures in the period from January 1999 to March 2001. 15-20 ml. Of bone marrow aspirated from the posterior iliac crest was injected at the fracture site twice with an interval of three weeks. The technique was employed in conjunction with cast immobilization in nine cases and intramedullary nail fixation in five cases. Marrow stimulated callus formation sufficient to unite eight of the nine non-unions immobilized with cast and all the five fractures immobilized by intramedullary nails. Bone marrow injection was as effective as open autogenous grafting but with considerably less complications. Thus, the technique provides a reliable source of osteogenic stem cells with numerous advantages compared with standard open grafting techniques

Retrograde intramedullary stabilization of humeral fractures by flexible nails

Twenty patients with humeral fractures were treated by internal fixation by flexible intramedullary nails. Retrograde nailing was done for all cases using two or three flexible nails [Gliding or Nancy type of nails] through posterior approach in distal humerus, using triceps splitting approach. This technique was adopted in poly-trauma cases, moderately comminuted humeral fractures, segmental fractures and in cases in which maintenance of reduction by non-operative means is difficult. The results obtained were excellent as regards the rate of union [95%] and convenience to the patients with minimal accepted complications. The study recommended flexible nailing in treatment of selected humeral fractures because it is safe, easy, time saving and less costly