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1.
Pan Arab Journal of Orthopaedic and Trauma [The]. 2007; 11 (1): 72-77
in English | IMEMR | ID: emr-84854

ABSTRACT

The incidence of clavicular injuries in adults appears to be increasing as a result of several factors, including the high-velocity vehicular injuries, and the increased popularity of contact sports for adults. The classic conservative treatment rarely obtained anatomic reduction. It involves immobilization -Which is always relative- with bandages and uncomfortable postures that are not well accepted. Although it is the role for this fracture to heal with voluminous calluses, their subcutaneous location may make them unsightly. Delayed unions in adults in not unusual with non-union rate ranged from 0.9% to 4%. Was to evaluate indications and results of plate fixation of the fracture clavicle. From August 2001 till February 2004, nine clavicular fractures needed to be fixed internally. They were [2] females and [7] males., [6] were right and [3] were left sided. All patients were right handed. Indications for internal fixation for them were as follows: one was non-union, five were marked displacement of the fragments, two of them were associated with tenting of the skin, two because of associated ipsilateral chest wall injuries and one with neurological manifestation. Internal fixation device were; six one-third tubular plates and three reconstruction plates. All fractures were united with healing time ranging from [6] to [14] weeks postoperatively with an average of [10] weeks. Using Constant and Murley scoring system for evaluation, 3 cases [33.33%] were rated excellent, and 5 [55.56%] good with satisfactory results 8 cases [88.89%] and one case [11.11%] rated fair and was unsatisfactory. One case was complicated by superficial infection, 2 cases with painful scar and one case showed delayed union [united after 14 weeks]. Internal fixation of clavicular fractures by plates in cases of non-union, marked displacement, Ipsilateral fracture ribs and neurological compression is a reliable method with satisfactory results in 88.89% of cases


Subject(s)
Humans , Male , Female , Fractures, Bone/surgery , Fracture Fixation, Internal , Follow-Up Studies , Postoperative Complications , Treatment Outcome , Risk Factors
2.
Pan Arab Journal of Orthopaedic and Trauma [The]. 2005; 9 (2): 159-166
in English | IMEMR | ID: emr-74288

ABSTRACT

Twenty- six patients with 29 closed displaced intra-articular calcaneal fractures were treated by open reduction and internal fixation at Tanta University Hospital in the period from July 2001 till October 2003. Sixteen patients were males and ten were females. The age ranged from 20 to 45 years with an average of 33 year. The fractures were classified according to Sanders' classification into type II in 7 fractures, type III in 13 fractures, and type IV in 9 fractures. Internal fixation was performed using interfragmentary screws and specific plates for calcaneal fractures. The follow up period ranged from 7 to 20 months with an average of 10 months. The functional outcome was satisfactory in 20 fractures and unsatisfactory in 9 fractures. The complications met with were sural nerve injury in two cases, delayed wound healing in one case, broadening of the heel in one case, mal-reduction with residual varus deformity in two cases, peroneal tendinitis in four eases, deep infection in one case and sudek's atrophy in two cases. The advantages of this surgical interference were restoration of the congruity and height of the nearby joints, in addition to decompression of the lateral structures to prevent the development of impingement syndrome. Also if arthrodesis will be needed later on, it would be done on a near anatomical position


Subject(s)
Humans , Male , Female , Fractures, Bone/surgery , Fracture Fixation, Internal/methods , Tomography, X-Ray Computed , Postoperative Complications , Follow-Up Studies , Treatment Outcome
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