Comparative study of M.R.I. and arthroscopic findings of the injured knee joint

The knee problems are very common disorders specially menescal tears Osteoathritis, and ligamentous injurye the M.R.I and arthroscope are the most accurate recent diagnostic tools. We examined 26 patients, 18 males and 8 females with age ranged from 20-60 years. all patients are carefully examined clinically, routine laboratory investigation and plain x-rays of the knee were done M.R.I was performed to all patients before; performing diagnostic arthroscopy diagnostic arthroscopy was done in the theatere under general or spinal anesthesia through the lateral approach of the knee with the leg free at the edge of the table in 90 flexion the patients usually discharged from the hospital in the same or in the 2nd day surgery. The aim of this work is to evaluate the diagnostic value of the M.R.I of the knee joint with correlation of the arthroscopic findings and the results of the M.R.I. Our study reveal that: M.R.I can detect complete ACL and PCL tears with high sensitivity [100%] but this sensitivity decrease very much for partial ACL tear and can't detect ACL laxity and the sensitivity to diagnose meniscal injury is about 80%. The arthroscope is can't diagnose collateral ligaments injury because these structures are extra articular

Ender nailing in femoral sheft fractures in children

Twenty-three patients with diaphyseal femoral shaft fracture were treated by internal fixation by ender nails. Retrograde nailing was done for all cases using 3 or 4 mm ender nails through medial and lateral approaches by an incision proximal to the distal femoral physis by 2 cm, then, insertion of two ender nails, one on each side, to provide more rotational stability. The aims of this work were to evaluate the results of ender nailing in femoral shaft fracture in children with head injury, poly-trauma or open fractures and to assess the results with the known results of conservative methods. The results obtained were excellent as regards the rate of union [100%], convenience to the patients, satisfaction of the family and minimal accepted complications. The study emphasized on ender nailing in selected diaphyseal fractures in children because it is safe and easy, allows rapid mobilization, early weight bearing, with less disruption of family life and shorter hospitalization