Osteosynthese International 2013 – Poster Sessions / Injury, Int. J. Care Injured 44S2 (2013) S37–S46 S45 was filled with metal chamber that contains bone allograft. Patient was followed-up for 4 mounts. Callus formation started around the chamber at defect area but not enough. She has no complication. Conclusion: In pseudoarthrosis of femur shaft which is very short after repeated revision surgeries, OsteoBridge™ spacer system as a salvage procedure may be considered. PS14 Large lumbosacral Morel–Lavall ´ ee lesion required repeated surgical treatment in a patient after pelvic trauma: a case report C. Yildiz 1 , K. Koca 1 , D. Bek 1 , T. Ege 1 , H. Özkan 1 . 1 Gulhane Military Medical Academy, Ankara, Turkey Introduction: A Morel–Lavall ´ ee lesion is a closed degloving injury associated with severe trauma which presents as a heamolymphatic mass. The aim of the study was to present patient with large pelvic Morel–Lavall ´ ee lesion required repeated surgical treatment. Materials and Methods: A forty-year-old man with pelvic ring fracture after aircraft accident admitted to our institute with a large Morel–Lavall ´ ee lesion at the lumbosacral lesion. The diagnosis was confirmed with MRi and USG. He was underwent surgery on 4th day. Pelvic ring fracture was stabilized with plate osteosynthesis either on symphisis pubis and sacroiliac joint. During the surgery two suction drainage tubes were placed to the hematoma site at the lumbosacral region. After two days suction drainage tubes were removed and compressive bandage applied to the lesion. However the lesion repeated 2 days after taken down the suction drainages. Results: After then patient was re operated on post operative 7th day. Approximately 3000 cc serohemorrhagic fluid with necrotic fat tissue was drained off and again two suction drainage tubes were placed to the lesion and continued 7 days. After removal of the drainage tubes the lesion was completely resolved. Conclusion: Early treatment is important in Morel–Lavall ´ ee lesion. In addition, repeated surgical procedure may be required. PS15 Traumatic femoral shaft fracture with an unusual ipsilateral posterior knee ligamentous injury: a case report S. Inal 1 , F. Taspinar 2 , C. Inal 3 , B. Taspinar 4 . 1 Dumlupinar University, School of Medicine, Department of Orthopaedic Surgery, Kutahya, Turkey; 2 Dumlupinar University, Kutahya Graduate School of Health, Department of Physiotherapy and Rehabilitation, Kutahya, Turkey; 3 Dumlupinar University, Kutahya Evliya Celebi Education and Research Hospital, Department of Anesthesiology and Reanimation, Kutahya, Turkey; 4 Dumlupinar University, Kutahya Graduate School of Health, Department of Physiotherapy and Rehabilitation, Kutahya, Turkey Introduction: The anterior cruciate ligament rupture (50%) is the most often injury followed by the medial collateral ligament (31%), lateral collateral ligament (13%), and posterior cruciate ligament (6%). Femoral shaft fracture together with ipsilateral rupture of posterior ligaments is rarely occurs. Materials and Methods: We are reporting a 24 year-old male patient who had a femoral shaft fracture with a posterior ligamentous lesion. Posterior drawer test was found positive in the initial examination. The patient is treated with intramedullary fixation for the femoral fracture and a rehabilitation programme is performed for the posterior ligamentous injury after the first day of surgery. Results: The patient with femoral shaft fracture and posterior cruciate ligament lesion was treated with intramedullary fixation and rehabilitation procedures. As a result, the subject began full weight bearing and increased amount of knee range of motion and muscle strength obtained after the early period of surgery. Conclusion: The patient with femoral shaft fracture and posterior ligamentous lesion can be treated with intramedullary fixation and rehabilitation procedures with a very satisfying clinical result at the early period of the surgery. Keywords: ligamentous, rehabilitation, intramedullary, fixation. PS16 A new grafting technique in surgical treatment of proximal humerus valgus impacted fracture O. Poyanli 1 , I. T¨ urkmen 1 , K. Unay 1 , K. Akan 1 , F. T¨ urkmensoy 1 . 1 Istanbul Medeniyet University Goztepe Training and Research Hospital Department of Orthopaedics and Traumatology, Turkey Introduction: Proximal humerus fractures are not rare in middle aged and older patients. Materials and Methods: Among older individuals valgus impacted type fractures are frequently seen. Surgical treatment of proximal humerus fractures are controversial. Results: After open reduction and internal fixation of proximal humerus valgus impacted fractures with use of locked anatomical plates avascular necrosis, nonunion, failure of fixation and malalignment can be observed. To avoid these complications various graft options were used. Conclusion:In this study we describe a new surgical technique that provide easy reduction and more stability via using a new step cut tricortical iliac crest autograft with proximal humerus locking plate. We also give the surgical result of a case which we use our technique. PS17 Causes of open fractures: orthopaedic injuries related to home-made agricultural vehicles F. Say 1 , K. Yener 1 , E. Inkaya 1 , D. G ¨ urler 1 , M. B ¨ ulb ¨ ul 2 . 1 Samsun OMU Department of Orthopaedics and Traumatology, 2 Istanbul Medipol University, Istanbul, Turkey Introduction: Hoeing machines, which have been made by changing outboard motors for use in agriculture and may be added to trailers, are in widespread use in Anatolia. Although the use of these vehicles, which are known as ‘pat pat’, is forbidden in traffic, they may be involved in traffic accidents or their use for agricultural hoeing purposes may result in accidents. This study aimed to evaluate the orthopaedic injuries related to these home-made agricultural machines. Materials and Methods: Patients hospitalised in our clinic between 2010 and 2012 were scanned using ICD codes. Patients with head trauma, thoracic or abdominal trauma were excluded from the study. Results: 27 patients (25 male, 2 female) with a mean age of 34.4 years (range, 16–63 years) were evaluated. 5 patients had been involved in traffic accidents and the injuries of the remaining 25 were related to hoeing. Of 31 orthopaedic injuries, 5 were related to upper extremities and 26 to lower extremities. Open fractures were determined in 26 patients. According to the Gustilo–Anderson classification, 3 patients had Type 1, 15 patients had Type 2 and 8 patients had Type 3 open fractures. Amputation was necessary in 3 of the Type 3 open fracture patients. The duration of hospital stay was determined as mean 16.6 days (range, 4–56 days). Conclusion: As most of the orthopaedic injuries related to home- made agricultural machines are open fractures, it is important to guard against these types of injuries. We recommend that these machines are not used in traffic and that regulations should be applied for safer use in agriculture. PS18 Percutaneous closed fixation of scaphoid fractures R. Soydan 1 , T. Aksu 2 , B. Abay 1 , C. Kopuz 1 , A.N. Kara 3 , N. Aksu 1 . 1 Istanbul Bilim University Orthopaedics and Traumatology Department, 2 Bahcesehir University Orthopaedics and Traumatology Department, 3 Istanbul Bilim University Orthopaedics and Traumatology Department, Istanbul, Turkey Introduction: Early fixation of scaphoid fractures leads to rapid functional healing. Yet open reduction and internal fixation may distort vascularisation of radiocarpal ligament, scaphotrapezial joint and the scaphoid itself. We analysed the results of percutaneous