What to do in infected tibial nonunion when distraction osteogenesis, Mascale or vascularized bone graft is not possible?

Not all science is randomized trials. Some conditions are really rare and in those you can mostly rely on clinical experience. This was exactly the case my colleague had. He had a patient who had undergone a bicondylar plating of severely comminuted proximal tibia fracture. Deep infection resulted to a massive bone loss which lead […]

Silver bullet for fracture healing?

Platelet-rich plasma (PRP) is one of those innovations in orthopaedics which has always had huge potential. It is widely used for variety of different acute and chronic conditions, but unfortunately the evidence of efficacy is still very weak. Fracture healing has been suggested as potential target for PRP. Recent review in the Injury journal quite […]

Treatment outcomes and shared decision making

Key points Clinical equipoise will become more common in orthopaedics When treatment outcomes are subjective and have large heterogeneity, shared decision making should be used Clinical equipoise means a situation when there is no objective superiority between two choices. The lack of superiority may be due to complete lack of data or evidence about certain […]