Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Trauma 147 articles


Mortality After Distal Femur Fractures in Elderly Patients

Philipp N. Streubel MD, William M. Ricci MD, Ambrose Wong BS, Michael J. Gardner MD

Hip fractures in the elderly are associated with high 1-year mortality rates, but whether patients with other lower extremity fractures are exposed to a similar mortality risk is not clear.

Case Report: A Technique to Remove a Jammed Locking Screw from a Locking Plate

Gunasekaran Kumar MS Orth, FRCSGlasg (Tr&Orth), Colin Dunlop BSc Eng (Hons), MB ChB, FRCS (Tr&Orth)

Locking titanium plates revolutionized the treatment of osteoporotic and metaphyseal fractures of long bones. However as with any innovation, with time new complications are identified. One of the problems with titanium locking plates is removal of screws, often attributable to cold welding of screw heads into the locking screw holes. Several techniques have been described to overcome this problem. We describe a new easy technique to remove a jammed locking screw in a locking plate that is easily reproducible and suggest an algorithm to determine the method to remove screws from locking plates.

Insufficient Bone Regenerate after Intramedullary Femoral Lengthening: Risk Factors and Classification System

Mohamed Kenawey MSc, MRCS, Christian Krettek MD, FRACS, FRCSEd, Emmanouil Liodakis MD, Rupert Meller MD, Stefan Hankemeier MD

Control of distraction rate with an intramedullary skeletal kinetic distractor (ISKD) may be problematic and a high distraction rate may result in insufficient bone regenerate.