ABSTRACT
To show the good results of primary repair of flexor tendon injuries of the hand in children which very difficult in diagnosis and treatment for hand surgeon. This is a study of primary repair of flexor tendons injuries in 20 children under 10 years of age within two years in hand unit Al-razi hospital [Kuwait]. Repairs were carried within one week using modified Kessler technique. The final results were evaluated using criteria of adjusted Strickland; the final results were evaluated using criteria of adjusted Strickland, The maim follow-up was 6 months. Post operative immobilization using long splint for 4 weeks. They were good or excellent in 18 cases, one case had limited movement DIPJ and PIPJ but not bad and other case had no movement of DIPJ and PIPJ who need tenolysis after 8 months of repair. The zone of injury had no significant effect on the final results which very important in adult. primary repair of flexor tendon injuries of the hand in children gives the best results if early diagnosis and early repair done with good technique
ABSTRACT
Background: To present the experience of Al- Bairouni university hospital in Damascus in using vascularized and non vascularized fibula grafts after bore tumor's Resection.· Subjects and Methods: The Study was performed at 26 patients with malignant and benign tumor, the study lasted from january 2007 to may 2009. During this period 28 surgical operation were performed: 26 primar operation by vsing fibrla in reconstruction of bone defects after ablation of bone tumors and 2 secondary operation after comblication [fracture]. · Results: A free fibrla vascularized grafts was implanted with micro vascvlar arastomosis in two cases and seren cases with pedicle. In 19 nonvasculanzed fibrle was implanted. The healing was good in 9 cases and late im 14 cases. Five paatient died and fracture occurred in two cases. Absorption of the graft occurred in 6 cases. · Conclusion: The vascularizcd fibrla graft is considered a good choice in reconstruction of bone defects with active good stability and repid recovery to return of the frnction within several monthes and also avoids nonvascu larized grafts complications and amputation. · Keywords: Vascvlarized fibvla graft [free, pedicle, non vascvlarized].- Tumors [malignant, benign]