modification of the AO condylar plate guide

The A.O. Seating chisel guide does not lie flat against the femur allowing for errors in the required parallelism between its flap and the long axis of the bone. On the other hand, the condylar plate guide fits well in position. Both instruments were combined in one formed of a condylar blade guide with a slot on its upper edge corresponding to the body of the original seating chisel guide. Forty three fractures were fixed using the condylar plate. In an earlier experience, surgeons were unable to properly introduce screws through the lowermost two holes in four cases. Since utilizing this modified guide, no such problems were encountered

Boytchev procedure for recurrent anterior dislocation of the shoulder

In the Boytchev procedure, the three muscles attached to the coracoid process are re-routed deep to the subscapularis muscle. This operation was utilized in 20 patients who were followed-up for an average post-operative period of two and a half years. The dislocation did not recur in any of the cases. All cases were graded excellent or good both objectively and subjectively, except for two patients who were considered fair on subjective assessment