Hip arthrodesis in young adults using a trochanteric osteotomy, osteosynthesis and bone graft

Seventeen consecutive patients, mean age 26.65, SEM +/- 1.86 [range 16-40 years] underwent hip arthrodesis with osteosynthesis and bone graft. The exposure to the hip joint and the acetabular side was facilitated by the trochanteric osteotomy. The greater trochanter was reattached to the Cobra plate so that hip abduction could be restored should the fusion ever be converted to an arthroplasty. Alignment of the lower limb at 25 degree flexion, neutral abduction and neutral rotation was assisted and maintained during the operation. Chiari's osteotomy was done in two cases and was not necessary in the other fifteen cases because the femoral head was already medialized by the original disease. No postoperative immobilization was required. All patients had radiographic evidence of union by eight months. AT a mean follow up interval of one year, all patients had significant improvement in pain, function and gait

Supra condylar osteotomy of the humerus for correction of cubitus varus

Cubitus varus is the most common complication of supracondylar fracture of the humerus in children. Although function of the elbo is not greatly impaired, the deformity is unsightly. It usually results from malunion, since growth disturbance of the humerus after this fracture is uncommon. The normal carrying angle can be restored by supracondylar osteotomy. This operation was done in 15 patients over a three years by using the technique of supracondylar closing wedge osteotomy. The results are reviewed in the light of previous reports. This method proved safe, simple and satisfactory

Open tibial fractures treated by anterior unilateral external fixation

20 tibial fractures have been managed with a unilateral external fixator due to severe tissue problems. Indications, technique of stabilization and follow-up of the fractures are presented. Eleven fractures healed with external stabilization alone. In seven cases the bone healing had achieved by the help of bone graft. Two fractures fixed with an intramedullary nail. This study proves that the unilateral external fixator is a helpful and harmless device which allows quick primary stable fixation for open tibial fractures without compromising further treatment of bone as well as soft tissue. It is therefore recommended mainly for initial treatment of polytraumatized patients with difficult lower leg fractures