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1.  Use of intramedullary fibular strut graft: a novel adjunct to plating in the treatment of osteoporotic humeral shaft nonunion 
International Orthopaedics  2008;33(4):1009-1014.
Humeral shaft fractures respond well to conservative treatment and unite without much problem. Since it is uncommon, there is not much discussion regarding the management of nonunion in the literature, and hence this is a challenge to the treating orthopaedic surgeon. Osteoporosis of the fractured bone and stiffness of the surrounding joints compounds the situation further. The Ilizarov fixator, locking compression plate, and vascularised fibular graft are viable options in this scenario but are technically demanding. We used a fibular strut graft for bridging the fracture site in order to enhance the pull-out strength of the screws of the dynamic compression plate. Six patients in the study had successful uneventful union of the fracture at the last follow-up. The fibula is easy to harvest and produces less graft site morbidity. None of the study patients needed additional iliac crest bone grafting. This is the largest reported series of patients with osteoporotic atrophic nonunion of humerus successfully treated solely using the combination of an intramedullary fibular strut graft and dynamic compression plate.
PMCID: PMC2898981  PMID: 18563410
2.  Secondary Aneurysmal Bone Cyst of the Patella: A Case Report 
The Iowa Orthopaedic Journal  2006;26:144-146.
A 20-year-old man presented to our clinic with pain and swelling in the right knee of one year's duration. Biopsy of the patella revealed an aneurysmal bone cyst secondary to a giant cell tumor. He was treated by curettage and bone cement to fill the defect. The rarity of this lesion in the patella and its treatment modalities are discussed.
PMCID: PMC1888593  PMID: 16789466
3.  Multifocal Skeletal Tuberculosis: A Report of Three Cases 
The Iowa Orthopaedic Journal  2006;26:151-153.
Tuberculosis of the bone is a well-recognized clinical condition that can be diagnosed and managed by physicians and orthopaedic surgeons, often with an excellent outcome. However, the occurrence of multifocal skeletal involvement in immunocompetent patients is rare, even in countries where tuberculosis is endemic. Patients with multifocal skeletal tuberculosis may present with multiple vague somatic symptoms. We report three cases of multifocal skeletal tuberculosis in non-immunocompromised patients. All three patients were effectively treated with antituberculous drugs.
PMCID: PMC1888584  PMID: 16789468

Results 1-3 (3)