pre-bend rush nail in treatment of forearm fractures: preliminary report on 22 cases

22 patients with forearm fractures was treated by a pre bend Rush nail fixation. 12 of them, the Rush nail was inserted by close method and in 10 patients, Rush nail was inserted through a localized approach. Posterior plaster slab immobilization was used for 6 weeks post- operatively. 18 of the patients sustained their fractures in a high velocity injury of motor car accidents, with associated other skeletal injuries in 5 patients, head injury in 7, abdominal or chest injuries were encountered in 5 patients. The procedure for a pre bend Rush, nailing was described in details. The patients were followed for a period sufficient for bone union. Fracture union was achieved in 20 patients, [91%]. Delayed union was wet in ulnar fracture after upward migration of Rush nail and non-union was developed in one radial fracture. According to the criteria of Anderson et al. the functional result was excellent in 14 patients, satisfactory in 6, unsatisfactory in one and failure was met in one patient with compound comminuted fracture of upper 2/3 radius. On conclusion, a pre bend Rush nail is a less invasive surgical procedure providing rotational stability with high excellent functional results, and no need for second extensive surgery for removal of the metal. It is a safe and rapid surgical procedures particularly in multiple injuried patients

Surgical correction of lower limb deformities in osteogenesis imperfecta

Sixteen children with osteogenesis imperfecta [OI] were evaluated clinically and radiologically. All were not able to walk preoperatively except 3 children. 53 operations of Sofield-Miliar's multiple osteotomies and intramedullary rodding were performed, starting at ages 11 months to 12 years. Indications, technical tricks, as well as outcomes are outlined. Follow up period ranged from 3 months to 11 years. The results up to the time of writing this paper are satisfactory. We hoped, by studying and delineating our personal experience to be able to present a more thorough portrayal of the spectrum of the disease and of its management

Radial shortening for Kienbock's disease

Seven patients with Kienbocks disease were treated with radial shortening procedure to remove compressive stress from the damaged lunate. After an average of one year follow-up, relief of pain was satisfactory and the postoperative motion of the wrist were moderately improved. No non-union at the site of the radial osteotomy. The procedure appears to help to maintain carpal height, prevent further collpase of the lunate, encourage consolidation of the - fragmented lunate and increase grip strength. It appears as preferable method for the treatment of kienbocks' disease with zero or positive variance