Background: Calcaneal fractures continue to be one of the most complicated injuries of the lower extremity. The aim of the present study was to evaluate the clinical and radiological results of minimal invasive fixation in management of sanders type II, III calcaneal fractures. Patients and methods: This study was carried out in Zagazig University Hospital and Damietta Specialized Hospital. Eighteen cases were included as a comprehensive sample with sander's type II, III closed fracture. Results:The mean age of the studied cases is 45.33 (SD 9.8) years; 83.3% are males, 83.3% are working and 50% are smokers. About 66.7% of the included cases have fracture due to fall from height, 16.7% road traffic accidents and 16.7% direct trauma. Of the studied cases, 66.7% have right side fracture. About 66.7% of the cases have joint depression by Essex classification, 33.3% Sanders classification III, and 66.7% Sanders classification II. Only 33.3% of the cases have positive subtalar arthritis. The mean range of movement is 85.83 (ranged from 70 to 100), and mean AOFOS score is 87.83 (ranged from 77 to 95). The American Orthopaedic Foot & Ankle Society (AOFAS) score shows statistically significant positive correlation with PIFA pre-treatment, PIFA post treatment and negative correlation with HT pre and post treatment. Conclusion: Treatment of calcaneal fractures using a minimally invasive internal fixation method with a thin plate and bone grafting can provide excellent or good clinical outcomes with few soft tissue complications.

Background: Diaphyseal fractures of the femur (DFF) are common long-bone injuries in children and adolescents. DFF represent 1.5% of fractures in childhood.Objective: This study aimed to evaluate the clinical, functional and radiological outcome of femoral shaft fractures, which are managed by elastic stable intramedullary nailing (ESIN) in pediatric age 6-10 years. Patients and Methods: A prospective clinical randomized trial study was conducted on18 children underwent elastic stable intramedullary nailing (ESIN) for treating femoral shaft fractures at Orthopedic department, Zagazig University Hospitals during the period from April to December 2020. Plain X-rays of the femur Antero-posterior (AP) & Lateral (Lat.) views (from hip to the knee joint) was taken. Results: The time to surgery was 1.39 ± 1.12 days ranging from 1 to 6 days, the time till full union was 9.4 ± 1.76 weeks ranging from 7 to 12 weeks, more than half of the studied group (55.5%) ranged from 7 to 9 weeks and the time of full weight bearing was 9.6 ± 1.7 weeks ranging from 7 to 12 weeks, half of the studied group (50.0%) ranged from 7 to 9 weeks. So, the final outcome was 83.3% had excellent functional outcome, 11.1% of them had satisfactory functional outcome and 5.6% had poor functional outcome. 88.8% didn't have any complications, 5.6% of them had irritation and 5.6% had superficial infection. Conclusion: ESIN is the choice treatment for transverse and short oblique shaft fractures in patients aging from 6 to 10 years old.

Background: For displaced proximal fractures of the forearm in the adult, open reduction and internal fixation with plating is usually considered as the best therapeutic option. Objective: Improving functional outcome of patients with proximal third both bones forearm fracture in adults. Patients and Methods: At Orthopedic Department of Zagazig University Hospital 12 patients with proximal third both bones of forearm fractures in adults were studied in prospective research. Open reduction and internal fixation through dynamic compression plate were done to all patients. Results: the average operation time among the studied group were (59.8±6.8) minutes ranged from 30 to 95 minutes. Only one case, which had infection, had delayed union (19 weeks), which was treated by antibiotics, otherwise the average union time for all cases was (13.7±2.5) weeks and there was no un-union. Most of the studied group (66.7%) had excellent Mayo elbow performance index followed by (16.7%) had good score then fair and poor (8.3%) for each. There was statistically significant higher AO classification among poor and fair outcome than excellent and good outcome as (100.0%) of poor and fair outcome were A2. Conclusion:Open reduction and internal fixation (ORIF) is appropriate treatment of both bones forearm fracture. Plate fixation was safe and effective treatment option for proximal both bones forearm fracture because it provided good function outcomes.