*Fractures situated in lateral part of midshaft *Segmental type B3 fractures *Soft-tissue interposition *Failure of maintenance of reduction during engagement of distal fragment of fracture *Excessive time elapse since injury to surgery *Inadequate straightening of tip of the flexible nail *Ill-defined medullary cavity
A long-stem prosthesis allows the distal medullary cavity
to bear weight, and bridges the holes for internal fixation.8 Dislocation of greater and lesser trochanter due to fracture is reduced and fixed with steel wire or cable to restore the muscle attachments.
Diameter of the medullary cavity
of left femur was measured with linear micrometer in all groups.
The compact tissue close to medullary cavity
is smoother compared with the previous age.
On day 75, we observed the unified medullary cavity
and continuous cortex along the bone circumference at the fracture level (Figure 2(e)).
A thin flexible conductor, introduced into the medullary cavity
of both fragments, was applied to install the cannulated nails.
Prostate and breast metastasis develops most often within the medullary cavity
of bone whereas metastasis secondary to kidney lung and thyroid neoplasms may cause pronounced swellings or lesions infiltrating into soft tissue mimicking the usual appearance of a primary bone tumor.
X-ray of right hand showed destructive changes, with ill-defined sclerosis and lucencies and overlying soft tissue swelling at the proximal phalanx of little finger while x-ray of left hand revealed sclerosis with cortical thickening and infiltration of medullary cavity
of third metacarpal and overlying soft tissue swelling.
Radiographs revealed an increased bone density and an abnormal narrow medullary cavity
in all examined bones.
The medullary canal also widens naturally: as young people age, the osteoclasts in the endosteum break down bone on the internal bone surface, around the medullary cavity
In the case of osteitis, one or two drill holes should be made in the metaphysis to drain the medullary cavity
. Wounds should be closed over suction drains, and the limb immobilised in a cast or by traction.
The fibrous tissue replaces the spongiosa and fills in the medullary cavity
with poorly calcified trabeculae.
There is some minor crushing along the margin external to the arc of curvature, probably resulting from weakness caused by the internal medullary cavity
Resorption also occurs in cortical bone with enlargement of the medullary cavity
and thinning of the cortical region.
Clindamycin (50 mg/kg PO q12h) was added into the regimen to enhance spectrum of coverage and due to the poor condition of the bone, the necrotic debris removed from the medullary cavity
, and observed gross contamination of the wound.