Management of Open Tibial Diaphyseal Fractures by Limb Reconstruction System As Primary and Definitive Treatment: A Prospective Cohort Study.

Background One of the most frequent long bone fractures that most orthopaedic surgeons see is a tibial diaphyseal fracture. The tibia has more open fractures than any other major long bone because it is covered by skin for the majority of its length. The best course of therapy is still up for debate due to the high occurrence of comorbidities linked to these fractures. Materials and methods In this prospective study, 30 patients who met the inclusion criteria were admitted to the Department of Orthopaedics of Shri B. M. Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India. The period of study was from January 2021 to May 2022. The patients were followed up for a period of six months. Longer follow-up was required for some patients. Results In our study, there were 26 (86.7%) male and four (13.3%) female patients. The mode of injury was road traffic accidents in all cases. The functional outcomes obtained using the modified Anderson and Hutchinson's criteria were good results in 22 (73.3%), moderate results in five (16.7%), and poor results in three (10%) of the study population. Pin tract infections (six cases; 20%) and shortening (eight cases; 26.7%) were the most frequent complications Conclusion Because of the ease of use, good fracture stability, adjustable geometry, light weight, reasonable price, and patient friendliness, the limb reconstruction system (LRS) provides an excellent alternative treatment option for treating compound fractures of the tibia.

Isolated coronoid fracture in a 9-year old child - A Case Report.

Introduction: Isolated coronoid fractures in the pediatric age group are uncommon and ill-defined in literature; here, we are studying the characteristics of the fracture and surgical management to gain good functional outcomes in such cases. Case Report: A case of 9-year-old boy who presented with isolated right elbow coronoid displaced fracture Type IIIA of Regan and Morrey Classification, underwent open reduction internal fixation with headless screws and was followed up for 1-year postoperatively. A satisfactory functional outcome with full range of movement achieved with no complications at the final follow-up. Conclusion: Headless screw fixation for Type IIIA coronoid fractures in pediatric elbow gives good functional outcome and range of movements with low rates of complications.

Case Series - Osteochondromas at Rare Locations.

Introduction: Osteochondromas are very common. They are typically seen in long bones and rarely seen in smaller bones. Some of the rare presentations include flat bones, the body of pelvis, scapula, skull, and small bones of the hand and foot. Their presentation also varies according to the site of presentation. Case Report: We have included five cases of osteochondromas occurring at rare locations with variable presentations and their management. We have included one case of metacarpal, one case of skull exostosis, two cases of scapula exostosis, and one case of fibula exostosis. Conclusion: Osteochondromas can rarely occur at unusual locations. It is important to thoroughly evaluate all patients presenting with swelling and pain over bony regions to accurately diagnose osteochondromas and manage accordingly.

Occurrence of Osteochondroma at Unusual Location (Metacarpal): A Rare Case Report.

Introduction: Osteochondroma usually occurs in long bones, whereas smaller bones are less commonly involved. Common locations include metaphysis of the proximal tibia, distal femur, distal tibia, distal fibula, proximal femur, and proximal humerus. Metacarpals are rarely affected. Case Report: A case report of a 20-year- old male presenting with swelling for 5 years, which is gradually increasing in size over the hand and reached 4 cm ×x 3 cm ×x 2 cm; following clinical and radiological examination, the patient was diagnosed with osteochondroma of a fifth metacarpal head of the right hand. We did magnetic resonance imaging scan for confirmation and reported it as osteochondroma which was treated surgically with excision of swelling in total, and specimen sent for histopathology and osteochondroma was confirmed. Conclusion: Osteochondromas can rarely occur at unusual sites such as small bones of the hand and foot. Therefore, osteochondroma should be considered a differential diagnosis alongside other common tumours of the hand and foot, such as enchondroma (Olliers diseases).