Pronation injuries of the ankle in children a prospective study of forty-four cases

Pronation injuries of the ankle in children with open growth plate constitute a minority of ankle injuries encountered by the orthopedic surgeon. The clinical and radiographic assessment is essential before a decision is made regarding the method of treatment. 24 cases of such injuries seen during the period from March 1985 to June 1990 were presented. 20 cases were males and 4 cases were females. The average age was 11.5 years [range 5 to 18 years]. 12 cases were treated conservatively and 12 cases were treated surgically. The average period of follow up was 2.7 years [range 9 to 48 months]. The methods of clinical and radiographic assessment, the type of classification followed, the indications for the chosen line of treatment, as well as the outcome of different lines of treatment were mentioned

Treatment of trochantric fractures using the dynamic hip screw

Forty three patients with trochanteric fractures were surgically treated using the dynamic hip screw. Their mean age was sixty four. Two patients died during the postoperative hospital stay, three patients died during the first three months postoperatively of medical causes unrelated to the surgery and two patients were lost for follow up. The other thirty-six patients could be regularly followed up for an average period of seven months. Seventy five per cent of these patients could regain their prefracture level of activity. Two failures occurred, one due to improper implant choice and the other due to an operative technical error