Treatment of unstable distal radial fracture using locked plate

Fractures of the distal part of the radius are common. The treatment of these fractures can be challenging. The aim of treatment is to gain anatomical reduction and early mobilization. Twenty-five patients underwent openreduction and internal fixation ofan madequately reduced distal radial fracture with use of the volar locking plating system. Patients were enrolled in the present study three months after the fracture on the basis of strict entry criteria and were evaluated three, six and twelve months after surgery. Outcome measures included radiographic parameters, grip strength, lateral pinch strength, wrist range of motion, and the Michigan Hand Outcomes Questionnaire. The mean age at the time of the study was 49 years. According to the A.O classification there were 11 patients [type A fracture], 8 patients [type B fracture] and 6 patients [type C fracture]. Radiographic assessment showed that the plating system maintained anatomic reduction at the follow-up periods, at the time of the twelve-month follow-up. The volar locking plating system appears to provide effective fixation when used for the treatment of initially inadequately reduced distal radial fractures and allow early mobilization

Surgical treatment of complete acromioclavicular joint dislocation

Traumatic disruption of the acromioclavicular [AC] joint is associated with pain and instability after the injury. In this study we managed 22 patients with complete acute AC joint dislocation by open reduction and internal fixation of the AC joint using a malleolar screw passed from the clavicle to the coracoid process of the scapula augmented by cerclage wire. According to Rockwood and Masten classification[1], 13 patients [59.1%] had type III lesion, 7 patients [31.8%] had type IV lesion and two patients [9.1%] had type V lesion. Sixteen patients [72.7%] had excellent results, 5 patients [22.7%] had good results and one patient [4.5%] had poor result. Results were assessed postoperatively using the system of Constant and Murley[2]. We concluded that open reduction and internal fixation of the AC joint injury type III, IV, V has many advantages as it allows good function of the shoulder joint

Functional assessment of arthroscopic anterior cruciate ligament reconstruction using bone- patellar tendon-bone autograft

This study aims at analyzing the results of arthroscopic anterior cruriate ligament reconstruction using bone patellar tendon bone auto graft with accelerated postoperative rehabilitation program. Thirty knees in thirty patients, 29 males and one female, were included in this study after clinical, functional, radiological, and arthroscopic assessment and diagnosis of rupture of the anterior cruciate ligament. Lysholm score was utilized to evaluate the patient's symptoms and signs and clinical assessment both pre and postoperatively. The preoperative Lysholm score ranged between 46 and 76 points with an average of 60.6 six months after the operation, the score ranged between 77 and 91 points with an average of 84.8 after one year, the average was 88.6 while at the end of the follow up the average was 92.8 points. All patients showed significant improvement from the preoperative scores. At the end of the follow up, 24 patients [80%] scored excellent [< 90 points] and 6 patients [20%] scored good [77-90 points]. Anterior cruciate ligament reconstruction with bone-patellar tendon-bone auto graft with accelerated postoperative rehabilitation program in young adults, lead to reasonable stability and good overall function of the knee joint