Distal femur segmental gap reconstruction using ipsilateral amputated tibia in trauma setting - A case report.

Background: A 32 year old patient who sustained an ipsilateral Gustilo Anderson 3C open fractures of the distal femur and tibia, following an MVA (Motor Vehicle Accident). The femoral shaft fracture had a 6 cm gap, which was spanned with a tibial diaphyseal autograft harvested from the amputated ipsilateral leg and stabilized with a retrograde intramedullary nail, thus enabling preservation of the knee joint and a functional weight bearing below knee prosthesis. Conclusion: Distal femur segmental gap reconstruction using ipsilateral amputated tibia in trauma setting was shown to be a feasible surgical technique.

[LUMBAR DISC HERNIATION: PROTRUSION, EXTRUSION OR BULGE? THE PROPER USE OF THE TERMS - HOW AND WHEN WILL IT BE DEFINED AS A DISEASE?]

INTRODUCTION: Lumbar disc herniation is a medical condition in which obscurity exists in the relation between the clinical and the radiological definition. The following paper was written by both surgeons and a radiologist, who are engaged in the field of spine surgery. The aim is to provide clear definitions as to the different pathologies involving disc herniation. The secondary goal of this article is to differentiate between the radiological picture and the clinical syndrome which are not necessarily connected. We hope this review will illuminate these issues and simplify the definitions and make it easier for all to use, primary care practitioners, general orthopedics and trauma care providers.