Radioanatomical measurements of the medullary cavity of the humerus in Kuwait: ethnic differences and clinical implications for fracture fixation

To compare the difference in diameter of the medullary cavity of the humerus in Arab and South Asian patients in Kuwait. Subjects and In 46 patients [29 Arab, 17 South Asian] treated at Al-Razi Hospital, Kuwait, for diaphyseal fracture of the humerus, the medullary cavity of the humerus on the radiographs of the uninjured [contralateral side] was examined. Bone density was also measured. Statistical significance was calculated by parametric and nonparametric test using SPSS package. South Asians had a significantly narrower medullary cavity [p < 0.05] and higher cortical indices [p < 0.05] than Arabs, and also a narrower external diameter of the humerus at levels 5 and 6 [p < 0.05]. In cases of fracture of the humerus, radiographic measurements of the diameter of the medullary cavity of the uninjured side were essential in selecting the appropriate fixation device

Percutaneous fixation of comminuted fractures of the femur and tibia preliminary study

To present initial experience of treating patients with comminuted fractures of the diaphyseal and metaphyseal areas of the femur and tibia. Subjects and Sixteen patients were involved in the study. All the16 patients [11 males and 5 females, average age 34 years] with closed, comminuted fractures of femur [n = 9] and tibia [n = 7] were operated on using the principle of minimal access surgery and biological fixation that maximally preserved the soft tissues and fracture hematoma. All the fractures united, operated limbs had good function, and no complications occurred. Our findings indicate that minimal access surgery is a useful fixation method in the treatment of comminuted diaphyseal and metaphyseal fractures of the femur and tibia