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Diaphyseal femoral fractures are common and can present as isolated injuries or as part of a polytrauma situation. Management of these fractures requires an understanding of the timing of definitive surgery in systemically unwell patients, as well as the physiologic effects of reaming and instrumentation of the femoral canal. An appreciation of biomechanics of femoral nails, along with other implants,...
Diaphyseal tibial fractures are the most common long bone fracture. There are a variety of treatment options, both operative and non-operative, and satisfactory outcomes are reliant on a thorough understanding of the strengths and weaknesses of the different treatment modalities and their appropriate application. Certain fracture patterns present particular difficulties and these must be recognized...
In orthopedic and sports medicine literature there is minimal information regarding accurate diagnosis and the treatment options for tenosynovitis of the distal semimembranosus tendon. After reviewing the literature, the authors question both the etiology and treatment of this condition. Previous descriptions have associated the condition primarily with the endurance athlete but we have noted multiple...
Open lower limb fractures are resource intensive injuries. Regardless of the financing model, the cost of treatment is an important consideration for any healthcare provider.Open lower limb fractures treated at our centre were identified over a six-month period. Isolated open femur or tibia fractures were included as well as cases with multiple fractures. Direct inpatient care costs were calculated...
Tuberculosis is one of the leading causes of death worldwide amongst curable diseases. It is estimated that one-third of the world's population has been diagnosed with tuberculosis infection [1]. The prevalence is on the rise with an estimated 9.4 million new cases per year worldwide [1]. Tuberculosis most commonly presents with pulmonary involvement. However, approximately 23–30% of patients found...
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