Acetabular fractures are uncommon injuries with motor vehicle collision being the most common cause of injury. Posterior wall fracture was the most frequent pattern, and most of the patients were males. The incidence of post-traumatic sciatic nerve palsy and the proportion of injured women were lower than those reported in literature. Well-trained surgeons and specialized centres for treating these injuries are recommended.

Fragment specific fixation is a reasonable alternative for treating intra-articular distal radius fractures. At final follow up evaluations, results showed a better clinical, radiological and functional outcome. Stable fixation allowed starting active and passive motion of the wrist without compromising post-operative alignment.

Benign and malignant bone tumors around the knee can be encountered with concomitant orthopaedic disease. As such, it is important to recognize these oncologic processes that may impact or alter the routine treatment of more common orthopaedic processes. Frequently, these rare oncologic conditions are discovered only through the evaluation of acute injuries as in the setting of fractures or sports injuries. Other times, they are encountered when evaluating chronic entities, such as arthroplasty. This article aims to provide general guidelines and management strategies for benign bone tumors when they coincide with common orthopaedic conditions around the knee.

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Introduction: Calcaneus is one of the most commonly fractured tarsal bones. The use of computed tomography (CT) has enabled more accurate fracture configuration and classification of fractures. The outcomes of operative versus nonoperative treatment of these fractures have been extensively debated with variable results. Significant complications following intra-articular fractures have been reported in the literature despite management by experienced surgeons. This article will discuss the treatment of calcaneus fractures by open reduction and internal fixation in a prone position with a calcaneal traction pin, and assess the outcomes following this novel technique. Methods: Fifty-three patients with 58 acute displaced intra-articular calcaneal closed fractures (Sanders type II and III), presented to one tertiary center, were treated by open reduction and internal fixation in a distracted prone position through an extensile lateral approach by a single surgeon and assessed for postoperative wound and soft tissue complications. The primary outcome measure was postoperative wound complications. Secondary outcome measures were postoperative ankle and subtalar range of motion and return to work. Radiological assessment of anatomical reduction by measuring preoperative and postoperative Bohler’s angle, Gissane angle, and posterior facet joint depression was conducted. A comparison was made with paired sample t-test with a confidence interval of 95%. Results: Fifty-three patients with 58 calcaneus fractures were treated surgically. Three cases (5.6%) developed postoperative wound infection, of which only one needed surgical intervention. The reoperation rate was 5.6% in our study. Half of the patients (50%) were able to be followed up long-term, and the radiographs showed significant restoration of Bohler’s angle and posterior facet joint depression in 24 patients. Return to full duties was achieved in an average of 5.6 months for 16 of 22 patients, who were available for follow-up questions with regard to return-to-work status. Conclusion: Operative treatment of calcaneus fracture by open reduction and internal fixation in the novel distracted prone position technique has shown a low rate of the wound and soft tissue complications and can be considered as an alternative approach in treating these fractures.

Although olecranon fractures are not uncommon in the geriatric population, there has been a considerable difference of opinion between surgical and nonsurgical treatments. Surgical treatment is usually deferred in the elderly, even for displaced olecranon fractures, because of inherent risks associated with poor bone quality and soft tissues, which often necessitate further surgeries. However, nonoperative treatment frequently results in an inability to regain full extension strength of the elbow, which can be disabling in select older adults with higher functional demands. We present an active older adult with a displaced olecranon fracture, who achieved a satisfactory result after open reduction and internal fixation (ORIF) using a low-profile locking plate.

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Background: Study was conducted to determine whether operative treatment for intraarticular calcaneus fractures results in improvement of post-operative Bohler's angle (BA) and if the pre and postoperative measurements of BA can be used as prognostic factor for clinical outcome.Methods: This retrospective study was conducted at orthopedic department in Hamad General Hospital, Doha, Qatar. The fractures were classified according to BA (Class A: > 16°; Class B: 0 -15°; Class C: < 0°). The pre and immediate postoperative radiographs were assessed. Minimum follow up period for assessing clinical outcome was restricted to one year. Patients were telephonically followed up and assessed using the Foot Function Index and American Orthopedic Foot and Ankle Society Ankle Hind Foot Score by two independent observers.Result and Discussion: 131 intra-articular calcaneus fractures were operated from 117 patients during the study period. Of these, 100 fractures from 96 patients were followed up. Kappa value for inter-observer reliability was 0.6258 (preoperative) and 0.6478 (postoperative). The Cohen kappa coefficient for intra-observer reproducibility was 0.6141 (preoperative) versus 0.6672 (postoperative) measurement of BA. Quantitative analysis was done using the paired t-test. The mean improvement in BA was found to be 13.14 for class A, 20.24 for class B, and 44.75 in class C. The mean AOFAS score for class A, B and C was found to be 46.38, 40.98, and 26.23 respectively. Likewise, the mean FFI was 25.66, 31.42, and 57.63 for class A, B and C respectively. Conclusion:There was statistically significant improvement in BA among all classes. We conclude that surgical fixation is indicated if the preliminary angle is 0-25° and it results in good radiologic and functional outcome and grading system of BA can be predictably used as a prognostic indicator.