Background: When dealing with anterior cruciate ligament (ACL) tears, anatomic single-bundle reconstruction with remnant-preserving method offers numerous advantages, including enhanced revascularization and graft ligamentization, prevention of synovial fluid bath to the tunnels, and enhanced bone tendon healing . Objective: assess the efficacy and outcome of anatomic single-bundle reconstruction with remnant-augmenting technique in patients with an ACL tear. Patients and Methods: At the Orthopedic Departments of Zagazig University hospital, 18 patients with complete ACL damage were studied in prospective cohort research. The study was carried out from 2-11/2021. All patients received an anatomic single-bundle reconstruction using a remnant-preserving approach, and all patients were periodically monitored clinically and radiographically for a week, then every 2, 4, 6, and 12 weeks after the index procedure. Results: 33.3% of studied patients were complicated; superficial Infection was in 27.8%, Failure was just in one case and stiffness 2 cases only there were no other complications. VAS was significantly higher among complicated cases at the post but Lysholm knee score was significantly lower at pre and post and regard IKDS was significantly lower at post only. Conclusion:Patients with ACL tears benefit more from anatomic single-bundle restoration using the remnantaugmenting method, which improves proprioceptive functions, stability, and healing of the graft.
Background: Fractures of the clavicle account for 44% of injuries around the shoulder girdle, several techniques of fixation have been described in literature, including the use of plates, Kirschner wires, Steinman pins, external fixators and even plaster constructs. Objective: The purpose of this prospective cohort study was to compare the outcomes of intra-medullary fixation and plating in the treatment of mid-shaft clavicle fractures. Patients and Methods: In this study, 24 patients ranging in age from 18 to 60 were enrolled. They were split into two groups and given intra-medullary nailing or plating as their treatment options. Comparison of the two groups' outcomes and complications was done. Results:The nail group's union time was markedly reduced. In terms of the functional outcome, as measured by the Quick DASH Score, there was no significant difference between groups. A higher rate of infection and nonunion was found in those who used plates, although there was no statistically significant difference between the groups. The nail group had much more skin irritation (hardware prominence) than the control group. When compared to the plate group, patient dissatisfaction was much higher due to scar development. Conclusion:It is possible to employ intra-medullary fixation in the treatment of mid-shaft clavicle fractures as a viable alternative to plate fixation since it is a minimally invasive procedure with fewer risks, faster healing, and better cosmetic and functional outcomes.
Background: All femoral or tibial fractures regardless of associated injuries, intramedullary nailing (IMN) has its more advantages in rapid rehabilitation, good effects on the child and his family and strong fixation. Objective: To assess the role of elastic stable IMN in union of diaphyseal fractures of long bones in children. Patients and Methods: A prospective and retrospective analytical study on ten children with isolated femoral or tibial fractures who were admitted to Orthopedic Department, Zagazig University Hospitals. They were divided equally into group I that included 5 patients with femoral shaft fracture managed with IMN and group II, which included 5 patients with tibial shaft fracture managed with IMN. Their mean age was 4.7 years old. Results: When the groups compared, the spica cast group was found to have a shorter duration of hospital stay compared to elastic nail group. The knee range of motion of the spica cast group was found to be better compared to the elastic nailing group. The elastic nailing group was found to have started walking earlier both with and without support. Patients with intramedullary nailing started to walk with aid after one month and independently after 2 weeks. Patients with spica cast started to walk with aid after 2 months and independently after 12 weeks. Conclusion: None of the available treatment tools to fix diaphyseal long bones fractures in preschool children is perfect because each method has its own set of complications. However, constitute the motive for developing new techniques or changing the design of currently available devices.
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