Bone Surgery

A district hospital amputation tray usually runs to somewhere between 22 and 35 pieces. The number varies less than you would expect between a trauma unit in Europe and a rural surgical centre in West Africa, because the operation itself has not changed: control the vessels, divide the muscle at the level you intend to […]

What actually moves the fragment? It is worth asking, because the answer is rarely the plate, the screw, or the clamp. Those hold a reduction that has already been achieved. The instruments that achieve it — that physically drag a displaced fragment back into position and hold it there long enough for a clamp to

Straight or angled? It is the only real decision when ordering this instrument, and most catalogues answer it with a shrug — both are listed, no guidance given. The choice is not preference. It is determined by how deep the bone sits and which direction the cut has to travel. What the Instrument Is Liston

The capsule is open, the femoral neck is exposed, and the assistant has to hold anterior soft tissue clear of the acetabular rim for the next twenty minutes without the tip skidding off bone. That single requirement — a tip that engages cortex and stays engaged — is the whole reason this instrument exists. The

In 1978 Michelet and Champy published something that changed facial fracture surgery more than any implant since: the observation that the mandible does not need to be rigidly locked to heal. It needs to be stabilised along specific lines where functional tension concentrates. Fix along those lines with a small monocortical plate, and the bone