Transverse Incision for the Management of Infected Non-Unions of Tibia

Abstract

We are describing a transverse incision that we have found very useful in performing surgical procedures where the fractured site needs freshening, excision of the necrotic bones or shortening. Operative procedures using this technique has been extensively used by us since 1980 and we have registered 1187 cases with average follow up of 10 years. The incision is transverse and can be performed in any part of leg and extends from 1 cm lateral to anterior border of the tibia and runs medially till 1 cm medial to medial border of tibia. The incision allows adequate visualization of the interested area, less of periosteal stripping, ease of closure, no post operative wound dehiscence and cosmetically very much acceptable.

Implementing Islamic law to protect the environment: insights from Singapore, Malaysia, and Indonesia

“…70 From a social control perspective, this inculcates 'shared sentiments and the feelings of unity by the faithful during the [congregational] prayer: it is a renewal of the worshippers' commitment to their shared sets of moral and religious values'. 71 Therefore, by being 'an important source of the community's morality and moral judgements', pronouncing on the 'rules' of the community and the consequences of rule violation in this world and the hereafter, 72 the mosque functions as an agent of social control through khutbahs.…”