Changes in soft tissue profile associated with mandibular lip bumper

This study was carried out to identify the possible changes in the soft tissue profile after six months of mandibular lip bumper wear. The sample consisted of twenty subjects with class 11 division 1 malocclusion. Their age ranged from 8-12 years. The samples were divided into two equal groups. The first group received mandibular lip bumper for six months, and second group was used as a control group. It was found that in the lip bumper group the soft tissue submentale and the labrale inferius, moved significantly forward. On the other hand the soft tissue subspinale and the labrale superius moved significantly backward with a highly significant improvement in the mutual relationship of soft tissue subspinale and submentale. The soft tissue profile tended to become more convex

treatment of ununited fractures of the carpal scaphoid by styloidectomy and bone grafting

Many procedures were described for treatment of non-union of the scaphoid. Radial styloid-ectomy and grafting of the pseudarthrosis were used to treat 27 cases of scaphoid non-unions. 25 cases were available for the final evaluation. The technique and results are here presented. The procedure has led to union in 21 cases. The function of the wrist and hand has definitely improved. There has been marked relief of pain in most of the cases. The improvement in the grip strength has been moderate. The range of movements of the wrist has mildly increased

Double patella: case of duplication in the horizontal plane

A case of duplication of the patella in the horizontal plane is reported. Previously reported cases of double patella have shown frontal, horizontal or coronal duplication, and some have been associated with multiple epiphyseal dysplasia. In our case, the patient has suffered form patellofemoral joint pain for five years. Excision of smaller inferior patella has relieved the complaint

Unstable-colles fractures: a comparative study of four closed methods of immobilization

Eighty patients suffering from unstable Colles' fractures were treated by closed reduction and external immobilization with 4 different methods; either the traditional below elbow plaster of Paris, a ready made functional cast brace, a bipolar fixation using 2 Kirschner wines incorporated in a below elbow plaster of Paris cast or small Hoffman external fixator applying the principle of ligamentotaxis across the wrist. The functional results with bipolar fixation were the same as after using a functional cast brace, however both of them were superior than after using the external fixator and the ordinary below elbow plaster of Paris

Treatment of ununited femoral neck fractures by internal fixation and muscle-pedicle and free cancellous bone grafts

Fifty-eight patients under the age of 50 years suffering from nonunion of intracapsular fractures of the femoral neck with or without previous surgical intervention were treated by internal fixation combined with quadratus femoris muscle-pedicle and free cancellous bone grafts. Forty-four cases presented with varying degrees of femoral neck absorption and five with avascular necrosis of the femoral head. Satisfactory bony union occurred in 49 patients [84.5%] and failures in 9 [15.5%]. Failure were noticed mostly after gross absorption of femoral neck and avascular necrosis and cavitation of femoral head due to previous internal fixation. It was seen also after inadequate internal and external immobilization and premature weight bearing against advice. This method of treatment is suitable for patients under age of 50 years suffering from ununited fractures of the femoral neck with or without previous operative fixation provided that there is no gross absorption of femoral neck and no cavitation of femoral head

Operative treatment of intercondylar Y and T shaped fractures of the lower end of the humerus

Intercondylar Y and T shaped fractures of the lower end of the humerus are uncommon and difficult to treat. Surgical management is recommended to achieve a successful outcome. It is important to reconstruct accurately the capitellum and trochlea and to obtain rigid secure internal fixation so as to permit early controlled postoperative active range of motion. In this series, 23 patients with these fractures were treated by open reduction and internal fixation through a trans-olecranon approach. Approximately 70% good to excellent results were obtained

safer, new surgical approach for tibial plating

To avoid wound complications of incisions for tibial plating, a long incision curved lateraly overlying the lateral muscle compartment of the leg, has been used prospectively, in plating of sixty fractures of the tibial shaft. This is a report of the technique and definitely better results of such an approach which can be used in dealing with fresh as well as ununited fractures of the tibial shaft. The excellent results we obtained have permitted us to recommend this type of exposure to avoid the well-known, but not as well documented, complications of more classic ones