To present our technique and early results using the Masquelet technique.Retrospective cohort study.Thirteen patients with 14 open fractures of femur tibia were included between November 2013 December 2014.A was used to manage fractures.Infection union rate.The mean follow-up 17 months. The bone defect 56.6 mm. Eight (57.1%) progressed at an average 42.1 weeks. Infection developed in 3 (21.4%). Overall, induced membrane abandoned 5 (35.7%) cases.The showed a substantial rate failure acute...

Fracture related infections (FRI) are debilitating and costly complications of musculoskeletal trauma surgery that can result in permanent functional loss or amputation. Surgical treatment be unsuccessful, it is necessary to determine the predictive variables associated with FRI failure, allowing one optimise them prior identify patients at higher risk. The clinical database a major centre was retrospectively reviewed between January 2015 2021. failure defined by infection recurrence A...

Septic arthritis (SA) is a dangerous condition that requires emergency treatment. Managed by culture-specific antibiotics, irrigation, and debridement (I&D), some patients require repeat surgical The objectives were to determine the risk factors for SA arthroscopic I&D in patients. We hypothesized variables which directly or indirectly contributed larger infection burden would be associated with development of need I&D.All ≥ 18 years old presenting department, orthopaedic rheumatology...

Despite the low incidence of pilon fractures amongst lower limb injuries, their high impact nature presents difficulties in surgical management and recovery. The complication rate long recovery times a challenge for surgeons patients. Current literature is varied, with no universal treatment algorithm. We aim to highlight differences outcomes complications between open closed fractures, patients treated by reduction internal fixation (ORIF) or fine wire fixator (FWF) fracture subgroups.This...

Abstract Introduction Open diaphyseal tibial fractures are the most common long-bone and require a rapid approach to prevent devastating complications. Current literature reports outcomes of open fractures. However, there is no robust, up-to-date research on predictive indicators infection severity in large fracture patient cohort. This study investigated factors superficial infections osteomyelitis Materials methods A retrospective analysis database was carried out from 2014 2020. Criteria...

Femoral non-unions, especially those with transverse non-union lines, pose considerable challenges in orthopaedic practice and often require multiple revision surgeries to achieve union. We describe the management of an infected proximal femoral shaft a patient who initially underwent fixation antegrade nail. The removal nail led additional iatrogenic fracture. fracture were stabilised plate cerclage wires. failed seven weeks later. patient, 50-year-old female, had comorbidities was...

Introduction: Understanding the epidemiology and incidence of fractures can help inform policymakers clinicians about needs population highlight trends over time, allowing for tailoring healthcare delivery to population. This study reports on lower limb treated at a major trauma centre seven-year period. Methods: We collected data fracture locations, age, gender, BMI, hospital admission length, treatment options all level I from January 2015 December 2021. included femur, tibia, fibula,...

We hypothesised that the use of a polyaxial locking plate design offers same clinical benefits as monoaxial system following distal femoral osteoporotic/periprosthetic fracture fixation. A multicentre prospective randomised pilot trial was conducted. Inclusion criteria were patients over 60 years with displaced osteoporotic or periprosthetic fracture. Details documented included time to union, complications, reinterventions and functional outcomes according Oxford knee score EuroQol EQ-5D....

Compared to other techniques, poller screws with intramedullary nailing are technically simple, practical, and reproducible for the fixation of metaphyseal fractures. In addition, do not require special instruments or hardware minimally invasive. This review takes a historical perspective evaluate holistically. A non-systematic search on PubMed was performed using ‘Poller screw’ ‘Blocking find early use blocking screws. Relevant references from these primary studies were then followed up....

Introduction There has been recent interest in the use of negative pressure wound therapy (NWPT) as an adjunct to parenteral antibiotics treatment infection orthopaedic patients with metalwork situ. To address some limitations standard NPWT this situation, senior author developed a modified method for infected (excluding arthroplasty) that includes irrigation and skin closure over dressing. Methods This retrospective study examined outcome case series 16 trauma deep involving whom form was...