By Adam Greenspan M.D. FACR, Gernot Jundt MD, Wolfgang Remagen MD
This quantity offers either the radiologist's and the pathologist's method of differential prognosis of musculoskeletal tumors and tumor-like lesions and information the radiologic and histopathologic positive aspects priceless in confirming a prognosis. The booklet is illustrated with over 1,200 radiographs, CT and MR photos, full-color photomicrographs, and schematic drawings. Tables checklist vital diagnostic good points, and schematic drawings summarize either radiologic and pathologic differential diagnoses.
This variation comprises state of the art details on puppy, thin-section CT, three-D CT, MRI, enzyme histochemistry, immunohistochemistry, circulate cytometry, cytogenetics, and molecular cytogenetics. the hot co-author, Gernot Jundt, used to be instrumental in revising the WHO category of musculoskeletal lesions. Illustrations were up to date, and better captions commence with the diagnosis.
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The deformity with antecurvature is one of the difficulties in proximal tibia fractures Fig. 4. 5-mm increments. As for other areas, reaming in a comminuted area could be dangerous and is forbidden. With segmental fractures, the intact fragment of bone must sometimes be stabilized to avoid any rotation during the reaming process. In distal fractures, reaming must be done as distally as possible. If not, the introduction of the nail can create a gap in the fracture site (distraction by the nail penetrating in a dense bone area).
Taglang: Chapter 4 Proximal and Distal Tibial Fractures ence), full-weight bearing is possible in the first days after the procedure. In unstable situations such as comminuted fractures or fractures with a large third fragment, full weight-bearing is not allowed. Partial weight-bearing (30% of the body weight) is encouraged. Full weight-bearing is allowed after the sixth week. Fractures with Joint Involvement Fig. 6. The position of the AP screw is important in proximal fractures Locking Procedures For proximal fractures, the use of two proximal screws is mandatory.
There were 27 type IIIA fractures (Fig. 3). All united with no infection or malunion encountered and no bone grafting required. 7%. These figures remain comparable with other units specializing in the management of open tibial fractures. The other interesting facet of open fracture management noted by Court-Brown et al.  in 1991 was the relationship of bone loss to union time. The authors defined significant bone loss in relation to nailing as more than 2 cm and 50% of the bone circumference and demonstrated that open fractures associated with significant bone loss required open bone grafting whereas lesser amounts of bone loss usually did not.