Biological plate fixation for comminuted subtrochanteric femoral fractures

Twenty patients with comminuted subtrochanteric femoral fractures were treated with indirect reduction and bridge plating in the period from 1997-1999 in Kasr El Eini Hospitals. The average age was 44.4 years. Using Seinsheimer classification fourteen cases were type V [70%] three cases were type IV [15%] and three cases were type IIIB [15%]. Associated injuries were present in ten patients [50%] and the delay before operation was average 4.7 days. The technique adopted was by indirect reduction by traction, insertion of DCS or DHS screw and plate through two incisions proximal and distal with the plate slided under the vastus lateralis, the fracture site was never exposed. Union was obtained in eighteen patients [90%] uneventfully in an average 13.7 weeks and with average shortening 0.3 cm and all these patients returned to their previouss jobs or activities. One insulin dependant patient developed deep infection that forced the removal of the implant at 3 months. Another patient 78 years old developed nonunion and metal failure and required another operation for bone grafting and revision of fixation

Fracturas luxaciones glenohumerales: tratamiento con hemiartroplastía del hombro / Gleno-humeral fracture-dislocation: treatment by hemi-arthroplasty of the shoulder

Se presenta una serie de 22 pacientes con márgenes de edad de 31 a 89 años con promedio de 58, con luxación y fractura conminuta del extremo proximal del húmero, en cuando menos 4 fragmentos. Todos fueron tratados con prótesis parcial del hombro para substituir la cabeza humeral. Se obtuvieron buenos resultados en 3 casos, buenos en 13, regulares en 4 y malos en 2,000