Giant Cell Tumor After Distal Radius Open Reduction and Internal Fixation in a Pregnant Woman: A Case Report.

CASE: A 32-year-old pregnant woman presented with new wrist pain after a fall. She had undergone surgical repair to the same wrist 6 years previously for a distal radius fracture. At that time, there was no evidence of a bone lesion. Current radiographs revealed a radiolucent lesion in the metaepiphyseal region. Intraoperative frozen section confirmed a giant cell tumor (GCT). Definitive management consisted of intralesional curettage, burring, and cementation of the distal radius with reapplication of distal radius plate. CONCLUSION: Currently, there is no known link between GCT and fracture or pregnancy.

Tibial Intramedullary Nail From a Suprapatellar Approach in a Semi-Extended Position.

An intramedullary nail is a common and reliable treatment option for diaphyseal tibial fractures. One such approach for this technique is suprapatellar. This video shows the surgical technique of a tibial nail through a suprapatellar approach in a semi-extended position in a 22-year-old man with a distal third tibial shaft fracture.

The Production of Antibiotic Cement Beads.

The use of antibiotic beads in open fracture cases can lead to decreased rates of infection and surgeon production is associated with significant time and cost savings. This video demonstrates production of antibiotic impregnated polymethylmethacrylate beads used in the setting of a grade IIIB open tibial shaft fracture.

Radial Head Replacement Through a Kocher Approach.

PURPOSE: Radial head fractures are some of the most common elbow fractures. Fractures with 3 or more fracture fragments have been shown to have worse outcomes when treated with open reduction and internal fixation (ORIF). Radial head replacement offers an alternative treatment for those more comminuted radial head fractures. METHODS: Three-part radial head fractures make anatomical reduction more difficult to obtain with ORIF. Radial head fractures requiring replacement have shown good clinical outcomes. As a result, radial head arthroplasty offers a good treatment option for 3-or-more-part radial head fractures. RESULTS: This video presents a case of a radial head arthroplasty for a 3-part radial head fracture in a 23-year-old man. The radial head implant provides a smooth and concentric surface for articulation with the capitellum while providing stability to the elbow. CONCLUSIONS: Radial head replacement provides a good alternative to ORIF, producing similar elbow range of motion and providing good stability compared with the contralateral elbow.

Posterior Approach for a Cemented Hemiarthroplasty.

PURPOSE: Femoral neck fractures are common injuries with over 1 million occurring yearly. This video demonstrates a case of a displaced femoral neck fracture treated with a cemented hemiarthroplasty through a posterior approach. METHODS: Multiple approaches to the hip for arthroplasty have been described, each with advantages and disadvantages. Careful technique is critical to success. RESULTS: This presents a case of a displaced femoral neck fracture treated with a cemented hemiarthroplasty through a posterior approach. CONCLUSIONS: Displaced femoral neck fractures are common fractures. The posterior approach for cemented hemiarthroplasty is a safe, reproducible technique.