pre-bent rush nail in treatment of forearm fractures late functional results

This study aimed to evaluate late functional results after treatment of forearm bone fracture in 26 patients treated at Assir Central Hospital, Abha, KSA. In 14 of the patients, the nailing procedure was by closed technique, while open nailing was in 12 patients. After the mean period of 190 weeks of follow up, the late functional results according to the criteria of Anderson et al. revealed that nineteen of the patients were of excellent results, six had satisfactory results and one had failure results. A pre-bent rush nail is a less invasive surgical fixation in forearm fracture restoring the radial bow and providing rotational stability with high rate of excellent function results. Also, there is no need for second extensive surgery in removal of the metals

Osteosynthesis of fresh humeral shaft fractures, indications and results

Seventeen patients with humeral shaft fractures were operated upon by open reduction and internal fixation using the standard A.O. plating techniques. The indications for open reduction and internal fixation [ORIF] had been discussed. The approach for plating technique in different level of humeral shaft fracture had been described. Narrow D. C.P. was mostly used which was combined with bone grafting whenever needed. The patients followed up until fracture union. The overall result was excellent in 10 patients, good in 4, fair in 2, and poor in one patient who had an associated brachial artery injury. There was no delayed or nonunion, however, there was one case of deep infection which passed uneventual

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

One-stage procedure for treatment of neglected congenital dislocation of the HIP

14 patients with 18 neglected congenital dislocation of the hips were treated by one stage operation. The average age was 5-years and 2 months. In the majority of these cases, open reduction, Salter Osteotomy and femoral shortening were carried out. Post operatively the hip was immobilized in plaster one and one-half spica for 6 weeks then in Broom stick abduction splint for further 6 weeks.Post cast removal, the patients were put on intensive physiotherapy program for mobilization of the hips. The surgical procedure was mentioned. Despite the short term follow up, the initial results were very encouraging

study of subtalar joint arthrodesis by batchelor method

Batchelor subtalar arthrodesis was carried out on 30 feet in 24 children with paralytic plano-values and plano-varus feet deformity after poliomyelitis. Tendon transplantion was performed in 28 feet. Clinical, radiological and functional assessments were used for evaluation. The over all results were satisfactory in 28 feet and unsatisfactory in two

Electromyography [EMG] as an aid in the diagnosis of lumbar disc lesions

72 consecutive patients presenting with sensory motor disturbances consistent with a clinical diagnosis of L4-5 and L5-S1 radioculopathy were studied. All had conventional clinical-neurological examinations, lumbosacral myelogrphy, EMG studies and surgical procedures. The results of surgical explorations of the lumbosacral discs were correlated with the preoperative clinical, myelographic and EMG findings. The overall accuracy of clinical diagnosis was 66.66%, that for myelography was 86.1% and that for EMG was 98,61% whereas, the correct anatomical localization of clinical diagnosis was 36.1%, that for myelography was 83.5% and that for EMG was 88.88%. It is concluded that the diagnostic use of EMG studies were more accurate in predicting the presence of lumbosacral radiculopathy than the clinical and myelographic studies. However, the findings of these investigations are not comparable but complementary. Therefore, there is a greatly reduced chance of error when the three methods are used in combination for assessing diagnosis of this difficult problem

Treatment of colles' fracture in supination

Plaster cast fixation in supination was applied for treatment of 26 patients with Colles' fracture. In the first week of the treatment, the plaster was above elbow cast, then changed by a below elbow one for further 3 weeks. The patients were followed-up periodically until their fractures had united. The mean period of follow up was 6.5 months. The anatomical end result according to Lidstrom classification [195.9] showed Grade I in 18 patients, Grade II in 7 patients and only one patient of Grade III. The functional end result revealed that 80.76 of the cases had excellent result 7.7% good result and 11.54% had fair result

Open tibial fractures treated by anterior unilateral external fixation

20 tibial fractures have been managed with a unilateral external fixator due to severe tissue problems. Indications, technique of stabilization and follow-up of the fractures are presented. Eleven fractures healed with external stabilization alone. In seven cases the bone healing had achieved by the help of bone graft. Two fractures fixed with an intramedullary nail. This study proves that the unilateral external fixator is a helpful and harmless device which allows quick primary stable fixation for open tibial fractures without compromising further treatment of bone as well as soft tissue. It is therefore recommended mainly for initial treatment of polytraumatized patients with difficult lower leg fractures

Tension band fixation for difficult upper humeral fractures

The Study included 12 cases of fracture of the proximal part of the humerus: Pathological fracture with a gap following chronic osteomyelitis 2 children, nonunion after gunshort injury 3, old displaced fracture of the neck of the humerus 7. Their age was 6 - 45 years, mean 25.4 years. They were all treated using the tension band principle with wiring and intramedullary nail or Kirschner wires. Using Neer's functional criteria the results were excellent in 6, satisfactory in 4, and unsatisfactory in 2. Solid union took place in 11 cases; the 12th had weak union and avascular necrosis of the humeral head. Non-infected cases united in 4 - 6 weeks, and infected cases of osteomyelitis and gunshot injuries in 6 - 8 months