Buttress-condylar plating in treatment of intercondylar supracondylar fractures of distal femur

Fractures of the distal third of the femur are some of the most difficult fractures to treat. They present a considerable challenge in treatment as there is soft tissue damage, extension of the fracture into the knee joint with comminution which usually leads to unsatisfactory results in many cases.Is to evaluate the use of buttress condylar plate in treatment of comminuted supracondylar inter-condylar [type C] fractures of the distal femur. During the period from February 1999 until December 2003, twenty three cases of comminuted intercondylar supracondylar [type C] fractures of the distal femur were treated using the buttress- condylar plate and completed their follow up. Thirteen were males and ten were females. Age ranged between 28 and 76 years with an average of 48 years. Bone graft was needed in 7 cases. Follow up period ranged from [8] months to [66] months with an average of 32 months. Satisfactory results were obtained in [78.26%] and unsatisfactory results in [21.74%].When correctly inserted the condylar buttress plate provides excellent alignment and stability and is very helpful in reducing the comminuted intra-articular supracondylar [type C] fractures of the distal femur

Redistribution of muscle power around the shoulder to improve the daily activities for brachial plexus birth palsies

This study included 19 children had adduction internal rotation contracture with internal rotation deformity of the shoulder and disability in their daily activities following obstetric brachial plexus palsy that involved the fifth and sixth cervical roots. These children were treated by courses of physiotherapy for different durations before and after surgery. At operation tenotomy of the pectoralis major muscle was done through anterior axillary incision. The insertions of latissimus dorsi and teres major muscles were identified and released through a second posterior axillary incision, then tranplanted to the rotator cuff as high as possible. The mean age at operation was four years, eleven month. The deformity was fully corrected in 17 cases and partially corrected in two cases. At an average of follow up two years, two months the mean increase in active shoulder abduction was 54 degrees and the mean gain of active external rotation was 43 degrees. The postoperative use of the affected limb in all daily activites was achieved in 16 cases. No neurovascular injury or post operative infection occurred

Treatment of complete acromio-clavicular joint dislocation by modified Boswarth method

Acromioclavicular dislocation represents 3-5% of shoulder girdle injuries and about 40% of athletic injuries around the shoulder. Acromioclavicular dislocation may be incomplete [types II and I] or complete [types III, IV, V and VI]. Treatment of acromioclavicular dislocation remains controversial. Complete AC dislocation is better treated by operative method especially in young active persons. Modified Bosworth technique o f coracoclavicular lag screw fixation was used in treatment of 13 cases of complete AC dislocation. The results were very satisfactory in 92.31%. One complication occurred in a manual worker with bending of the screw one year postoperatively as he was lost for follow-up. The screw was removed with no effect on the final functional outcome