IntroductionFor decades, acetabular fractures were treated conservatively. Judet et al. in 1960s established the operative treatment of these fractures by continuous improvement of pre-operative evaluation and classification of fractures. Several studies demonstrated that accurate fracture reduction decreases the incidence of post-traumatic arthritis and improves functional outcome.Case SeriesWe report 67 consecutive patients who underwent surgical treatment for acetabular fracture; 44 patients were available for follow-up. In 35 (79.5%) cases, congruent reductions were achieved. The final mean Harris hip score was 81.8 (53-95). Functional outcomes according to Harris score were excellent and good in 31 patients (70.5%).ConclusionsThe results of internal fixation of displaced acetabular fractures in our series were satisfactory.

BackgroundDistal radius fractures are among the most prevalent fractures predictive of probable occurrence of other osteoporotic fractures. They are treated via a variety of methods, but the best treatment has not been defined yet.ObjectivesThis study was performed to compare the results of open reduction and internal fixation with locking plates versus the pin and plaster method.Materials and MethodsIn this prospective study, 114 patients aged 40 to 60 years with Fernandez type III fracture referring to Imam-Reza and Mehr hospitals of Mashhad from 2009 to 2011, were selected randomly; after obtaining informed consent, they were treated with pin and plaster fixation (n = 57) or internal fixation with the volar locking plate (n = 57). They were compared at the one year follow up. Demographic features and standard radiographic indices were recorded and MAYO, DASH and SF - 36 tests were performed. Data was analyzed by SPSS software version 13, with descriptive indices, Mann-Whitney and Chi-square tests.ResultsSF-36 test demonstrated a better general health (P < 0.001), mental health (P = 0.006), physical functioning (P < 0.001), social functioning (P < 0.001) and energy/fatigue (P < 0.001) in LCP group. However, pain (P = 0.647) was not significantly different between the groups. Physical limitation (P < 0.001) and emotional limitation (P < 0.001) were greater in the pin and plaster group. Also, in the LCP group mean MAYO score (P < 0.001) was more than pin and plaster group. Mean DASH score was not different between the groups (P = 0.218). The rate of acceptable results of radiographic indices (P < 0.001), grip strength (P < 0.001) and range of motion in supination-pronation (P < 0.001) in LCP method were better than the pin and plaster method.ConclusionsIn treatment of intra-articular distal radius fractures in middle-aged patients internal fixation with locking plates may be prefered to pin and plaster as the treatment of choice.

Background: Genovarum is the most common knee deformity for which a variety of surgical techniques have been proposed. Objectives: We decided to share our experiences through a detailed presentation of a new and simple method called proximal tibia osteotomy using M-W method. Methods: In this study, 68 patients (128 knees) with proximal tibia osteotomy with an average age of 34 years, who had undergone W-M osteotomy surgery in a community hospital during 2001 and 2014, were studied using knee society score (KSS) and functional KSS questionnaires, and their clinical results were analyzed. Results: No significant difference was obtained between patients undergoing surgery by this method in KSS before (78.8) and after (89.6) the surgery. Although the mean score was improved, functional KSS improved significantly after surgery. None of the patients had peroneal nerve complication, infection, osteomyelitis, or postoperative nonunion. Moreover, no recurrence was detected in a mean of 2.7 years follow-up. Conclusions: Considering the advantages of this method, it is recommended that knee varus deformity be treated using this method, as its rate of complications is low. However, further studies should be conducted on the effectiveness of this method in the future.

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Although perilunate fracture-dislocation usually extremely alters the inter-carpal relationships, it is frequently misinterpreted during initial evaluations. In the current study, two 30-year-old males with a very rare transradial styloid perilunate fracture-dislocation were studied; they were treated by closed reduction and percutaneous K-wire fixation. They regained the range of motion (ROM) of their wrist and furthermore, the mid-term outcome turned out to be satisfactory.