RESUMEN
Gap non-union of tibia following traumatic bone loss or infection dramatically emphasizes the limitation of conventional reconstructive techniques. With presence of significant skin loss or poorly vascularised recepient bed, complications and failure rate increase and solution often lies in amputation. Vascularised ipsilateral fibular grafting offers a viable alternative to this. This is a series of 16 cases of gap non-union of tibia treated by tibialisation of fibula at KEM Hospital, Bombay. All the cases were secondary to osteomyelitis following compound fracture of tibia-fibula or hematogenous osteomyelitis with a large sequestrum. 15 cases had good results with good hypertrophy of bone after union. One case had poor result with fracture going into delayed union with no hypertrophy. We discuss the technique, complications and results of this procedure.
Asunto(s)
Adolescente , Adulto , Niño , Femenino , Peroné/trasplante , Estudios de Seguimiento , Curación de Fractura , Fracturas no Consolidadas/complicaciones , Humanos , Masculino , Osteomielitis/complicaciones , Fracturas de la Tibia/complicaciones , Resultado del TratamientoRESUMEN
Two cases of posttraumatic irreducible compound dislocation of the interphalangeal joint of the thumb are presented. This rare injury requires surgical intervention with anatomic repositioning of the structures responsible for the irreducibility viz. the long Flexor tendon and the volar plate.
Asunto(s)
Accidentes por Caídas , Adulto , Fenómenos Biomecánicos , Luxaciones Articulares/etiología , Humanos , Masculino , Manipulación Ortopédica , Pulgar/lesionesRESUMEN
The term ossifying lipoma is used to describe a rare case of lipoma when its mature adipose tissue shows foci of chondrification and ossification. We are presenting here, a case report of a large sized ossifying lipoma in the anteromedial compartment of the left thigh of a 55 year old farmer.