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Oper Neurosurg (Hagerstown) 2018 Dec 12. Epub 2018 Dec 12.

Department of Neurosurgery, Yeditepe University School of Medicine, Istanbul, Turkey.

Intramedullary tumors of the spinal cord are rare and account for 2% to 8.5% of all central nervous system tumors. In adults, ependymomas are the most common intramedullary tumors. Read More

J Orthop Trauma 2019 Jan;33 Suppl 1:S27-S32

*Institute for Biomechanics, BG Unfallklinik Murnau, Murnau, Germany; and †Institute for Biomechanics, Paracelsus Medical University Salzburg, Salzburg, Austria.

Fractures of the femoral neck can occur in young healthy individuals due to high loads occurring during motor vehicle accidents, impacts, or falls. Failure forces are lower if impacts occur sideways onto the greater trochanter as compared with vertical loading of the hip. Bone density, bone geometry, and thickness of cortical bone at the femoral neck contribute to its mechanical strength. Read More

J Pediatr Orthop 2019 Jan;39(1):e12-e17

Children's Healthcare of Atlanta.

Introduction: The insertion of 2 elastic stable intramedullary nails (ESINs) is a common treatment for pediatric femur fractures. However, the use of this technique in length-unstable or metadiaphyseal fractures has historically been associated with higher complication rates. To improve stability, the addition of a third ESIN has been assessed biomechanically and clinically, but the addition of a fourth nail has only been evaluated biomechanically. Read More

Sci China Life Sci 2018 Dec 6. Epub 2018 Dec 6.

Department of Neurosurgery, Peking University Third Hospital, Beijing, 100191, China.

Acta Radiol 2018 Dec 11:284185118809540. Epub 2018 Dec 11.

4 Department of Diagnostic Imaging, Institute of Mother and Child, Warsaw, Poland.

The development of magnetic resonance imaging (MRI) has led to an increasingly frequent detection of changes in the spinal cord. The most common intramedullary lesions are: demyelinating; vascular; inflammatory; infectious; and congenital, largely called tumor-like lesions. Spinal cord tumors are relatively rare, as compared with brain tumors. Read More

Eur Spine J 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurosurgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Purpose: Spinal angiography is the gold standard for evaluation or diagnosis of spinal arteriovenous malformations (AVMs). However, some feeding arteries might be overlooked when multiple feeders exist. This study aimed to retrospectively review cases of spinal intra-dural AVMs, which were identified by three-dimensional digital subtraction angiography (3D-DSA), and attempted to estimate the number of feeding arteries. Read More

Arthrosc Tech 2018 Nov 22;7(11):e1177-e1180. Epub 2018 Oct 22.

Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.

Distal biceps tendon ruptures are uncommon injuries responsible for only 3% of all injuries to the biceps tendon. For most of these cases, unless the patient is elderly or infirm, conservative management should be avoided and the injury should be treated with a surgical procedure to reattach the bicep tendon to the radial tuberosity. In this Technical Note and accompanying video, we describe an anatomic single-incision technique using 2 intramedullary soft anchors, which decreases the likelihood of complications associated with bicortical drilling and metal suspensory fixation. Read More

Neural Regen Res 2019 Feb;14(2):328-338

Department of Hand Surgery, the Second Hospital of Jilin University, Changchun, Jilin Province, China.

After nerve-root avulsion injury of the brachial plexus, oxidative damage, inflammatory reaction, and glial scar formation can affect nerve regeneration and functional recovery. Melatonin (MT) has been shown to have good anti-inflammatory, antioxidant, and neuroprotective effects. Chondroitin sulfate ABC (ChABC) has been shown to metabolize chondroitin sulfate proteoglycans and can reduce colloidal scar formation. Read More

J Pharmacol Exp Ther 2018 Dec 7. Epub 2018 Dec 7.

VCU Department of Pharmacology and Toxicology

The relationship between the endocannabinoid system in the renal medulla and the long-term regulation of blood pressure is not understood. To investigate the possible role of the endocannabinoid system in renomedullary interstitial cells, mouse medullary interstitial cells (MMICs) were obtained, cultured and characterized for their responses to treatment with a selective inhibitor of fatty acid amide hydrolase (FAAH), PF-3845. Treatment of MMICs with PF-3845 increased cytoplasmic lipid granules detected by Sudan Black B staining and multilamellar bodies identified by transmission electron microscopy. Read More

Injury 2018 Dec 3;49 Suppl 4:S9-S15. Epub 2018 Dec 3.

AOU Careggi, Firenze, Italy.

Proximal femoral fractures are a very common disease which affect elderly patients after low energy trauma, but can also affect the young population as a consequence of high energy trauma. Classification of sub trochanteric fractures has not yet been clearly defined representing a major issue in comparing different treatment techniques among the scientific literature.These fractures are well known by orthopaedic surgeons for intraoperative difficulties in reduction and post-operative high rate of non-unions and malunions. Read More

Injury 2018 Dec 3;49 Suppl 4:S58-S62. Epub 2018 Dec 3.

School of Medicine, University of Bari "Aldo Moro"- AOU Consorziale "Policlinico", Department of Basic Medical Sciences, Neuroscience and Sense Organs, Orthopaedic and Unit, Bari, Italy.

The treatment of open distal tibia fractures remains challenging, particularly when the fracture involves severe soft tissue damage and segmental bone loss. We present the case of a 33-year-old woman who sustained an open distal tibia fracture type 43-A3.3, with segmental bone loss, and a closed bifocal fibular fracture. Read More

Injury 2018 Dec 3;49 Suppl 4:S43-S47. Epub 2018 Dec 3.

Department of Orthopaedics and Traumatology, Di Venere Hospital, Bari, Italy.

Nonunion of the humeral shaft occurs in 2%-10% of nonsurgically treated fractures and in up to 15% of fractures treated by primary open reduction and internal fixation. Gunshot humerus shaft fractures are a frequent type of injury; the degree of comminution and bone loss, as well as soft tissue disruption may influence the healing process, causing major sequelae with loss of function. Here we describe a 30 years old midshaft nonunion of the humerus, that occurred in a young woman after a gunshot. Read More

Injury 2018 Dec 3;49 Suppl 4:S2-S8. Epub 2018 Dec 3.

Section of Orthopaedics and Trauma Surgery, Ospedali Riuniti, Ancona, Italy.

This case report describes the management and therapeutic solution for the treatment of subtrochanteric non-union in a patient with hip arthrodesis. Two techniques can be used in the treatment of these non-unions: a closed intramedullary nailing or an open technique with plate, preferably carried out together with cortical bone graft. The surgical technique varies depending on the fixation method used for the initial treatment of the fracture and on the characteristics of the non-union. Read More

J Int Med Res 2018 Dec 11:300060518816185. Epub 2018 Dec 11.

1 Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, PR China.

Objective: Unstable femoral neck fractures are typically high-angled shear fractures caused by high-energy trauma. Internal fixation of femoral neck fractures with placement of parallel cannulated screws in an inverted triangle configuration is commonly performed in the clinical setting. This study was performed to investigate the primary results of intramedullary nailing with cannulated screws for the treatment of unstable femoral neck fractures in young and middle-aged patients. Read More

Foot Ankle Int 2018 Dec 10:1071100718805076. Epub 2018 Dec 10.

1 Department of Orthopaedic Surgery & Rehabilitation, Loyola University Medical Center, Maywood, IL, USA.

Background:: Deformity associated with Charcot foot arthropathy leads to a poor quality of life in affected individuals. Deformity in the midfoot appears to be predictive of clinical outcomes following operative correction. The goal of this retrospective study was to determine if that same methodology could be applied to patients treated for Charcot foot arthropathy involving the ankle joint. Read More

Acta Ortop Mex 2018 May-Jun;32(3):163-166

Servicio de Cirugía Ortopédica y Traumatología, Hospital de Sabadell. Institut Universitari Parc Taulí Universitat Autònoma de Barcelona, España.

We present the case of an 81-year-old woman who was followed up by the Rheumatology Service for osteoporosis and treated with bisphosphonates for more than five years. She reported a fracture of the distal third of the contralateral femur by a low energy mechanism, treated with retrograde intramedullary nailing the previous year. She presented a clinic of cruralgia and left gonalgia, without previous trauma. Read More

Acta Ortop Mex 2018 May-Jun;32(3):126-130

Centro de Evaluación de Tecnologías, Universidad CES, Medellín, Colombia.

Introduction: Cephalomedullary nails are used for the treatment of hip fractures; however, there are few studies that allow identifying data on the complications of the use of these devices and the results in terms of restoration of the functionality of the patient.

Methods: A cross-sectional study of patients with femur fracture was conducted during the period from January 2008 to December 2012. Data on demographic and clinical variables were collected. Read More

Injury 2018 Dec 3;49 Suppl 4:S39-S42. Epub 2018 Dec 3.

Orthopaedic and Traumatology Division, Department of Medicine and Science of Aging, University of Study "G. d'Annunzio" Chieti-Pescara, Italy.

A fit 26 year-old-man presented to our Department with an open fracture of the left tibial shaft (AO 42-C3). The fracture was initially treated with an External Fixator, which was replaced by an intramedullary Grosse Kempf nail after 4 months. In the following year he developed an atrophic non-union and we witnessed the increasing bone resorption at the fracture site which led to the nail breakage. Read More

Injury 2018 Dec 3;49 Suppl 4:S29-S33. Epub 2018 Dec 3.

Orthopaedics and Trauma Unit, Emergency Department, Ospedale Policlinico San Martino, Largo R. Benzi 10-16132, Genoa, Italy.

Septic nonunion is one of the most serious complications after an open fracture because both the infection and the bone defect need to be dealt with. Treatment is always protracted and expensive, and the result is uncertain. In the 1980s, Masquelet first described the technique of the induced membrane and autologous bone grafting to manage critical size bone defects. Read More

Injury 2018 Dec 3;49 Suppl 4:S21-S24. Epub 2018 Dec 3.

Department of Traumatology, IRCCS Humanitas Research Hospital, Milano, Italy.

The large bone defect treatment is a challenge issue in modern orthopaedic trauma surgery. One of the most used technique is the Masquelet's technique. In this case report we used a modified Masquelet technique to fill a six centimeters bone gap in the proximal femur. Read More

BMC Vet Res 2018 Dec 5;14(1):386. Epub 2018 Dec 5.

Memphis Veterinary Specialists, 555 Trinity Creek Cove, Cordova, TN, 38018, USA.

Background: Internal plate fixation and, more recently, locking plate fixation are commonly used in the repair of fractures in small animal surgery. This retrospective study reviewed the use of the String of Pearls locking plate system in the fixation/repair of appendicular long bone skeleton fractures in 31 small animal veterinary patients (33 fractures).

Results: Major complications necessitating revision surgery occurred in 7/33 (21%), with implant failure as the inciting cause in all cases. Read More

Arch Orthop Trauma Surg 2018 Dec 3. Epub 2018 Dec 3.

Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168, Li Tang Road, Changping District, Beijing, 102218, China.

Objectives: Intramedullary (IM) nailing is the preferred method for treatment of femoral shaft fractures. However, for the surgical staff and the patients, exposure to large dose of X-rays is inevitable during the procedure. In this paper, a new technique based on ultrasound is proposed to guide the reduction of femoral fractures, reducing radiation exposure. Read More

Data Brief 2018 Dec 2;21:1642-1648. Epub 2018 Nov 2.

Department of Orthopedics, University Medical Center Utrecht, Utrecht, the Netherlands.

A model is needed to study the effectiveness of different anti-bacterial coatings on complex metal implants in a bone environment. This article shares data on the design of porous titanium implants for intramedullary implantation in the proximal rat tibia. The implant length, diameter and porosity were optimized after testing on cadaveric specimens. Read More

Ann Med Surg (Lond) 2018 Dec 8;36:191-198. Epub 2018 Nov 8.

Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Background: Osteopetrosis (OP) is a group of rare inheritable genetic disorders which show increased bone radiodensity on radiography. As no cure exists, careful symptomatic treatment is the mainstay in management due to brittle bone and frequent complications. We would like to present a case series of OP patients, their management, a review of literature about this rare disease and its genetic and inheritance patterns. Read More

Injury 2018 Nov 24. Epub 2018 Nov 24.

Servicio de Traumatologia y Cirugia Ortopedica, Complexo Hospitalario Universitario de Santiago de Compostela, Spain; Musculoskeletal Pathology Group, Institute IDIS, Lab 18, Spain.

Purpose: Antegrade intramedullary nailing is an alternative for humeral shaft fracture treatment. This surgical technique can be especially demanding in some fracture patterns, leading to problems like malunion and non-union. The purpose of our study is to demonstrate that the use of a nail with cerclage wires could be a safe procedure that facilitate reduction, specially in fractures with abduction of the proximal fragment. Read More

Clin Nucl Med 2018 Dec 3. Epub 2018 Dec 3.

From the Divisions of Nuclear Medicine, and.

We present a rare case of a 42-year-old man with a long history of von Hippel-Lindau disease that was scanned with Ga-DOTA-TOC PET/CT for suspicion of disease relapse. Ga-DOTA-TOC imaging demonstrated increased DOTA-TOC uptake in pancreas tail and intramedullary and extramedullary spinal hemangioblastomas, only some of which have already been highlighted at MRI examination. This case illustrates the significant role the Ga-labeled somatostatin receptor analogs PET/CT in the management of the von Hippel-Lindau disease. Read More

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):581-586

Department of Orthopaedics and Traumatology, Ümraniye Training and Research Hospital, İstanbul-Turkey.

Background: The purpose of this study was to determine the comparative effectiveness of the use of single fluoroscopy versus double fluoroscopy during intramedullary nailing in the oblique position for intertrochanteric femur fractures in terms of surgery and radiation time.

Methods: Fifty-two patients (20 men, 32 women; average age: 78.2 years; range: 69-88 years) were included in the study. Read More

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):575-580

Department of Orthopedics and Traumatology, Health Sciences University Ümraniye and Training and Research Hospital, İstanbul-Turkey.

Background: The aim of this study was to determine if the use of tranexamic acid (TXA) during intramedullary reaming treatment for tibial diaphyseal fractures was safe, reduced blood loss, or affected cost effectiveness.

Methods: A total of 70 patients with a tibia diaphysis fracture were randomized into 2 groups and prospectively followed for data on blood loss, thrombosis, and fracture healing. Preoperative TXA was administered intravenously to Group A, and Group B served as the control group. Read More

Int J Burns Trauma 2018 20;8(5):135-144. Epub 2018 Oct 20.

Department of Radiology, Hamad Medical Corporation Doha, Qatar.

Background: Fat embolism syndrome (FES) is a multi-organ dysfunction caused by the fat emboli. The diagnostic of FES remains a challenge for clinicians. The clinical criteria including those of Gurd's and Wilson's although universally used for its diagnosis are not specific. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13414

Department of Rehabilitation Medicine, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University.

Rationale: Spontaneous intramedullary spinal cord hemorrhage (hematomyelia) is a rare disease and most cases have specific etiologies such as cavernous malformations and tumor. Most reported cases are about surgical treatment of intramedullary spinal cord hemorrhage, but there are no reports of rehabilitation effectiveness reported. This case reports the first case with positive effect of rehabilitation on a patient with intramedullary spinal cord hemorrhage, who did not undergo surgery. Read More

SICOT J 2018 30;4:55. Epub 2016 Nov 30.

University of California San Francisco, Orthopaedic Trauma Institute, 2550 23rd Street Building 9, 2nd Floor, San Francisco, CA 94110, USA.

Background: As the population ages, the developing world industrializes, and more urban centers emerge, the burden of orthopedic trauma will steadily increase. SIGN Fracture Care International has developed a unique intramedullary device for fixation of hip fractures in low-resource settings lacking fluoroscopy. The purpose of this study is to report the safety profile and complication rate for a consecutive series of hip fracture patients managed using this implant. Read More

J Neurosurg Spine 2018 Nov 1:1-9. Epub 2018 Nov 1.

OBJECTIVEThe purpose of this study was to evaluate the technical feasibility, accuracy, and relevance on surgical outcome of D-wave monitoring combined with somatosensory evoked potentials (SSEPs) and motor evoked potentials (MEPs) during resection of intradural extramedullary (IDEM) spinal tumors.METHODSClinical and intraoperative neurophysiological monitoring (IONM) data obtained in 108 consecutive patients who underwent surgery for IDEM tumors at the Institute for Scientific and Care Research "ASMN" of Reggio Emilia, Italy, were prospectively entered into a database and retrospectively analyzed. The IONM included SSEPs, MEPs, and-whenever possible-D-waves. Read More

J Orthop Trauma 2018 Oct 8. Epub 2018 Oct 8.

Director of Orthopaedic Trauma Research, Level One Orthopaedics, Orlando Health Orthopaedic Institute, 1222 S Orange Avenue, MP 43, Orlando, Florida 32806, Orthopaedic Surgeon, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 33612 Associate Professor and Residency Director, Director of Orthopaedic Trauma Research, University of South Florida, 5 Tampa General Circle, Suite 710, Tampa, FL 33606.

Objectives: To report on the use of dynamic stress fluoroscopy (DSF) for detection of occult fractures of the femoral neck associated with femoral shaft fractures. To compare DSF with a fully static imaging protocol in detecting occult femoral neck fractures.

Design: Multicenter retrospective cohort study SETTING:: Two urban level I trauma centers PARTICIPANTS/INTERVENTION:: A consecutive series of 1273 femoral shaft fractures were included. Read More

J Orthop Trauma 2018 Oct 8. Epub 2018 Oct 8.

Department of Orthopaedic surgery, Ganga Hospital, 313, Mettupalayam road, Coimbatore, India.

Objectives: To assess radiation exposure (RE) to the surgical team and fluoroscopy time (FT) during closed nailing of long bone fractures performed under fluoroscopic guidance with regard to surgeons experience.

Design: Prospective observational study SETTING:: Level-1 Trauma Centre PARTICIPANTS:: Surgical team, comprising surgeon, surgical assistant and scrub nurse, for closed nailings done in 202 consecutive closed tibial and femoral diaphyseal fractures.

Intervention: Dosimeter provided to each member of surgical team; Surgeon experience-level (Trainee, Senior registrar, Consultant) MAIN OUTCOME MEASUREMENTS:: RE (microsieverts) to the surgical team and FT (minutes) were recorded from the dosimeter and fluoroscopic unit respectively and correlated with surgeons experience. Read More

J Surg Orthop Adv Fall 2018;27(3):203-208

Vanderbilt University Medical Center, Nashville, Tennessee; e-mail:

This study sought to evaluate the outcomes of patients with osseous defects exceeding 5 cm following open femur fractures. Size of the osseous defect, method of internal fixation (plate vs. intramedullary nail), patient demographics, medical comorbidities, and surgical complications were collected. Read More

Can J Neurol Sci 2018 Nov 29:1-3. Epub 2018 Nov 29.

3Department of Medical Imaging,The Ottawa Hospital,Ottawa,Ontario,Canada.

Int Orthop 2018 Nov 17. Epub 2018 Nov 17.

Orthopaedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari "Aldo Moro" - AOU Policlinico Consorziale, Bari, Italy.

Introduction: Femoral shaft fractures with third fragments have a high non-union rate, which may reach 14%. This study aims to assess the impact of the radiological features of the third fragment, evaluated on post-operative X-rays, on the outcome of femoral shaft fractures type 32-B managed with intramedullary nailing, in order to obtain an algorithm which could predict the fracture healing time.

Materials And Methods: We have retrospectively evaluated a series of 52 patients. Read More

Surg Neurol Int 2018 23;9:211. Epub 2018 Oct 23.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.

Background: Ependymomas represent 50-60% of all brain and central nervous system tumors. Previous lumbar spine surgery for resection of an ependymoma should not be considered a relative contraindication for the administration of epidural/subarachnoid anesthesia to patients in labor.

Case Description: A 34-year-old G1P0, who underwent resection of an L1-L3 intramedullary ependymoma 8 years previously, presented in active labor with residual left leg numbness and tingling. Read More

Rinsho Shinkeigaku 2018 Nov 29. Epub 2018 Nov 29.

Department of Neurology, Seirei Mikatahara General Hospital.

We present the unique case of a patient with lumbosacral radiculoplexus neuropathy (LRPN) and a small intramedullary lesion, probably an infarction, in the spinal cord. A previously healthy 58-year-old female developed acute severe pain involving the entire right lower limb, followed by weakness of the right lower limb a few hours later. The patient could not walk and was referred to our clinic. Read More

BMC Pediatr 2018 Nov 28;18(1):374. Epub 2018 Nov 28.

Department of Neurosurgery, Beijing Jishuitan Hospital, NO31, Xinjiekou East Street, Xicheng District, Beijing, 100035, China.

Background: Intramedullary schwannomas without neurofibromatosis are exceedingly rare. They are rarer in children with only 8 cases reported so far. The association of intramedullary schwannomas with syringomyelia is also rare. Read More

J Neurosurg Spine 2018 Oct 1:1-7. Epub 2018 Oct 1.

OBJECTIVEThe intraoperative differentiation of ependymomas from astrocytomas is important because neurosurgical strategies differ between these two tumor groups. Previous studies have reported that the diagnostic accuracy of intraoperative frozen sections of intracranial central nervous system (CNS) tumors is higher than 83%-97%, whereas that for spinal intramedullary tumors remains unknown. Herein, authors tested the hypothesis that intraoperative frozen-section diagnosis is the gold standard for a differential diagnosis of intramedullary spinal cord tumors. Read More

J Comp Eff Res 2018 Dec 28;7(12):1181-1193. Epub 2018 Nov 28.

Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, PR China.

Aim: A meta-analysis concentrated on the effect of intramedullary and extramedullary systems on total knee arthroplasty.

Method: Potential academic articles were identified from Cochrane Library, Medline, PubMed, Embase, ScienceDirect, CNKI, WanFang, VIP and other databases. The STATA version was used to analyze the pooled data. Read More

Neurocirugia (Astur) 2018 Oct 25. Epub 2018 Oct 25.

Servicio de Neurocirugía, Módulo de Columna, Hospital Regional 1° de Octubre, ISSSTE, Mexico City, Mexico.

Spinal cord teratomas are rare. There are few reports of teratomas affecting the cervical spine and their association with spondylotic radiculopathy has not been described. A 59-year-old woman with history of fecal incontinence attended with cervical radicular pain radiating to upper limbs. Read More

J Biomech 2018 Nov 20. Epub 2018 Nov 20.

Department of Mechanical Engineering and Mechanics, Lehigh University, Bethlehem, PA, USA.

Quantitative assessment of bone fracture healing remains a significant challenge in orthopaedic trauma research. Accordingly, we developed a new technique for assessing bone healing using virtual mechano-structural analysis of computed tomography (CT) scans. CT scans from 19 fractured human tibiae at 12 weeks after surgery were segmented and prepared for finite element analysis (FEA). Read More

World Neurosurg 2018 Nov 23. Epub 2018 Nov 23.

Department of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200000, China. Electronic address:

Background: Primary spinal intramedullary glioblastoma is an extremely rare entity; we report the first case of primary spinal intramedullary glioblastoma presenting with exophytic involvement. The prognosis of glioblastoma remains poor due to the aggressive nature of the disease and lack of effective treatment.

Case Description: A 27-year-old Asian female presented to our hospital with a one-month history of dysuria, incomplete bladder emptying, progressive numbness and weakness of both lower limbs, and a one-year history of back pain. Read More

Asian J Surg 2018 Nov 21. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Ajou University School of Medicine, South Korea. Electronic address:

Background/objective: We compared and analysed not only the clinical and radiological results of surgery but also the complications according to the definitive fixation method.

Methods: We retrospectively reviewed the medical records and radiographs of all segmental tibial fracture patients treated with either intramedullary nailing or minimally invasive plate osteosynthesis between 2010 and 2017. We enrolled 69 patients. Read More

Acta Orthop Belg 2018 Jun;84(2):132-140

Techniques for treating distal femoral aseptic nonunions associated with antegrade locked nail breakage are controversial. Each technique has unique advantages and disadvantages. Retrograde dynamic locked nailing was used in such treatment. Read More

Curr Opin Pediatr 2018 Nov 15. Epub 2018 Nov 15.

Pediatric Orthopaedic Surgery Service, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York, USA.

Purpose Of Review: To describe surgical treatment options for pediatric tibial shaft fractures which are the third most common pediatric long bone fracture. Management of these injuries is dictated by fracture location, fracture pattern, associated injuries, skeletal maturity, and other patient-specific factors. Although most pediatric tibial shaft fractures can be treated nonoperatively, this review provides an update on surgical treatment options when operative intervention is indicated. Read More

Asian J Neurosurg 2018 Oct-Dec;13(4):1282-1284

Department of Neurosurgery, University Hospital Center Zagreb, University of Zagreb, School of Medicine, Zagreb, Croatia.

Spinal cord lipomas are rare and benign tumors which may cause progressive neurological deficits due to their local expansion. We present the case of a 59-year-old male patient with severe lumbosacral pain and slowly progressive paresis of the right leg, misdiagnosed with degenerative spine disease. Repeated magnetic resonance (MR) T1-weighted images of the thoracic spine suggested a subacute intramedullary hematoma. Read More

Asian J Neurosurg 2018 Oct-Dec;13(4):1209-1212

Department of Radiology, Army Hospital Research and Referral, New Delhi, India.

Primary spinal glioblastoma multiforme (GBM) is very uncommon while an intramedullary spinal GBM with intracranial metastasis is rarely heard of. A 23-year-old male presented with bilateral paraplegia associated with bowel and bladder incontinence. Craniospinal radiograph showed an intramedullary spinal mass lesion, for which he underwent laminectomy and histopathology revealed GBM. Read More