Surgical treatment of tibial plateau fractures

40 patients with tibial plateau fractures were presented in this work. All these fractures were treated by open reduction and internal fixation. The cases were followed up for an average period of one year and the results were assessed using a numerical score system. Excellent results were obtained in 27 cases [67.5%] of this series, good results in 9 cases [22.5%], fair in 2 cases [5%], and poor results in 2 cases [5%] of this series. Open reduction and internal fixation can be an ideal solve for tibial plateau fractures. Accurate anatomical reduction, stable internal fixation and early knee mobilization are achieved

Operative treatment of traumatic pubic symphysis diastases

This work reported the results of operative treatment of 8 patients with diastasis of the pubic symphysis. 6 patients were rotationally unstable but vertically stable and 2 were both rotatory and vertically unstable. All cases were males. The average age of the patients was 28 years. All patients underwent operation according to a definite protocol for internal and/or external fixation. The average follow up was 19 months. There was no mortality. Complications included 2-pin tract discharge and one superficial wound infection. It can be concluded, that operative treatment of patients with traumatic pubic symphysis diastasis is safe, more suitably tolerated by the patients, and that early and late results are much better than those treated by nonoperative means

Fractures of the neck of the talus

In this work the results of treatment of 12 cases with fractures of the neck of the talus were presented. 10 cases were males and 2 cases were females. The age average was 24 years [range 18 to 42 years]. 7 cases developed their fracture as a result of fall from height and 5 cases due to motor vehicle accident. In this series the classification proposed by Hawkins in 1970 was followed. There were 4 cases of the type I fractures, 7 cases of type II fractures and only one case of type III fractures. All cases with type I fractures were treated by closed method, while open reduction and rigid internal fixation was done for all cases with type II fractures, talectomy and tibiocalcaneal fusion was done to the single case of the type III fractures due to extensive infection and sequestration. All cases were followed up for an average period of 24.5 months [range 16 to 36 months]. Union of the fracture occurred in all cases of this series. Two cases of type II fractures developed of type I fracture. It is believed that type I talar neck fractures could be successfully treated with closed means, while open reduction and rigid internal fixation can give better results with type II and type III talar neck fractures