Objective: The objective of the study was to evaluate the results of operative management of distal humerus fracture fixation by two-locked plates. Materials and method: This was a retrospective study involving 72 patients with distal humeral fractures who were managed surgically by fixation with two-locked parallel plates at Al- Gamhoria Teaching Hospital, and two private hospitals, in Aden, Yemen, between January 2018 and December 2020. The data was entered into a computer and analyzed using SPSS program version 17. For variables difference, chi-square tests, and P values were calculated. A p- value of < 0.05 was considered statistically significant. Results: The total study patients were 72 and they were (79.2%) males and (20.8%) with a ratio of male to female of 3.8:1. The mean age of the patients was 37.8 ± 15.3 years and the age ranged between 11 and 75 years. Most of the patients (69.4%) were of age 40 years, while more than 40 years old represented (30.6%). Causes of fractures were gunshots (56.9%) followed by road traffic accidents (37.5%). Left side was predominant with (62.5%). Type of injuries were open with (73.6%) and closed with (26.4%). Partially articular fractures were in (86.1%) of cases and complete articular fractures were in (13.9%) cases. Transpositions of ulnar nerve were found in (65.3%) cases. Ulnar nerve neuropraxia was found in (5.6%) cases and the Range of Motion (ROM) was limited (pron. – sup 30-45/flex – exten 30 – 130) in (29.2%) cases and no range of motion in (9.7%) cases. Non-union was found in (4.2%) cases while superficial infection was in (5.6%) cases. Stiffness was found in (9.7%) cases. Conclusion: This study revealed that managing the distal humeral fractures by internal fixation of two Parallel-Plates gives satisfactory results. Key words: distal humerus, fracture, internal fixation, locking plate, outcome
Background: Developmental dysplasia of hip is a common condition presenting to a pediatric orthopedic surgeon. Objective: To evaluate the outcome of surgical treatment of developmental dysplasia of the hip. Materials and Method: This retrospective study conducted at the Department of Orthopedic Surgery in Alnaqeeb private hospital in Aden. The study children were 52 who were operated in the period from January 2016 to December 2018. Patient charts were reviewed and the collected data were sex, age, side, avascular necrosis, stiffness, re-dislocations, persistent acetabular dysplasia, and infection. The operations were open reduction and Pemberton's osteotomy plus minus femoral osteotomy without rotation. Statistical analyses were performed using SPSS version 22. We expressed distribution of variables using means and standard deviation (SD). Fisher test was used and p-value ≤ 0.05 was considered as statistically significant. Results: The majority of study children were females (80.8%). The age of the children ranged between 18 – 72 months. The mean age of children at surgery was 37 ± 17.5 months. The mean age of females was 37.2 ± 18.9 months while the mean age of males was 37.5 ± 10.7 months. The most common side was in the left side (51.9%). The mean time of follow-up was 34.7 ± 6.4 (range 24-48) months. Avascular necrosis found in (5.8%) children and stiffness found in (3.8%) children. Re-dysplasia of the hip were found in (5.8%) children. Persistent acetabular dysplasia was found in (3.8%) children. Additionally, we found superficial infection in (5.8%) children. Conclusion: The open reduction approach produces a better clinical outcome. The outcome of treatment in our study was comparable to published studies. Keywords: Developmental Dysplasia, hip, surgical treatment, outcome.
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