On a case of "Macrodystrophia lipomatosa".

Macrodistrophia Lipomatosa is a congenital malformation of rare finding and unknown pathogenic mechanism. The pathology is mainly characterized by the interest of lower extremities and peculiar macroscopic feature is the presence of hyperthrophic fibro-adipose tissue. In our experience the localization to the upper extremities and the presence of uncommon clinical signs show the importance of instrumental investigation: MRI and CT for an accurate examination and to exclude other types of localized gygantism.

[Bifocal fractures of the leg]. / Fratture bifocali di gamba.

The authors present the results obtained on 28 tibial bifocal fractures surgically treated with Kuntschers' intramedullary nailing and P.T.B. functional plastering. Among these cases, 21 occurred at the orthopaedic and traumatologic Clinic of Siena University, while the remaining 7 patients were treated at Chieti University. The authors point out the validity of this method comparing in with other different techniques (Grosse-Kempf method, intramedullary fixation obtained with Ender nails, both associated with functional treatment).