Interlocking nailing and reaming for nonunion of the femoral shaft

Twenty-four consecutive patients with a diagnosis of nonunion of the femoral shaft from 1998 to 2004 were managed by intramedullary reaming and interlocking nailing Adequate follow-up study was obtained in all patients; all but three showed radiologic union at an average of 24 weeks following the procedure, with an overall union rate of 87.5%. The three patients whose fractures failed to consolidate with this treatment had reoperation with simultaneous dynamization and bone grafting. This resulted in healing in 2 of the 3 cases. We concluded that intramedullary nailing with reaming is the optimal treatment for the patient with aseptic nonunion of the femoral shaft If faced with failure to consolidate with this treatment, bone grafting in situ or closed reamed exchange nailing would be prefered instead of dynamization which might result in unacceptable shortening or hardware failure

Six-year follow-up of total Hip arthroplasty

We present the clinical and radiological outcome of sixty-five consecutive Total hip replacement in sixty-two patients done in the period between 1996 and 1999. The minimum follow-up period averaged five years, patients were followed clinically [.Harris -hip score] and radiologically [Hip society guidelines and Engh method]. The outcome was twenty excellent, thirty good, eight fair and four poor results

Festooned dome-shaped high tibial osteotomy for treatment of varus knee

Eighteen patients with medial compartmental osteoarthritis and varus knees were treated by a festooned dome-shaped high tibial osteotomy. The average age at presentation was 48 years, the average period for union was 3 months [range 2 - 5 months] with excellent functional outcome in most patients. The dome-shaped osteotomy allows for a wide range of correction both during and after surgery. The festooned edge of the osteotomy gives good stability without interfering with further correction

Total knee arthroplasty: Is continuous passive motion necessary?

We present our experience with total knee replacement without continuous passive motion [cpm] postoperatively, in comparison with earlier cases done with cpm two hourly per day combined with physiotherapy. The first group included 28 patients with 30 knees replaced with the closure technique called "drop and dangl" and without cpm postoperatively done in the period between 1999 and 2002. The other group of 20 patients done in the period between 1997 and 1999 had a postoperative regimen of two hours cpm per day with physiotherapy. The functional outcome and range of movement did not differ between the two groups at one year postoperatively and afterward

Treatment of pathological fractures of proximal femur with locking nail and bone cement

Twelve patients with pathological fracture of the proximal femur were treated with reconstruction nail and bone cement during the period from 2002 to 2004. They included seven females and five males; the average age at presentation was 47 years [range 36 to 60 years]. The pathology was known in eight patients and in four could not be detected. The use of reconstruction nail and bone cement allowed the patients to mobilize early and continue their therapy of their lesions, besides, the use of reconstruction nail minimized much the risk of fracture of neck of the femur, a frequent complication with the ordinary nailing

Endoscopic anterior cruciat ligament reconstruction with bone - patellar tendon - bone techuiqque

Twenty four patients with anterior cruciate ligament tear were treated by endoscopic reconstruction using the bone patellar trendon bone graft with modification of the technique of fenioral tunnel interference screw placement through the tibial tunnel with protection of the tendinous part of the graft all through the procedure