Pelvic ring fractures are serious injuries which have been functionally determined by reduction quality; the objective of this research is to assess the effect of percutaneous fixation of the screw in the treatment of sacred fractures and sacroiliac joint damage. The research included 20 patients with sacral fractures and sacroilia joint injuries, with an average age of 32. Every single xray anteroposterior (AP), inlet and outlet views in the pelvis were radiologically evaluated for all patients. At the conclusion of the follow-up period, the outcomes were evaluated both clinically and radiologically. Overall Majeed outcomes were (clinically) judged to be acceptable among 16 (80%) patients; eight (40%) were excellent and eight (40%) were good and only 4 (20%) were unsatisfactory; 3 (15%) were fair and 1 (5%) were bad; Percutaneous sacroiliac pelvic fracture fixation has less damage, less bleeding, fast recovery, safe and effective minimally invasive operation technique. Percutaneous iliosacral vibrators are very demanding methods of placing highly scalable malpositions that are potentially associated with the risk of neurological damage or inadequate stability.
The current study's goal was to determine the effectiveness of a percutaneous approach for evaluating the effects of surgical trigger finger release. During flexion or extension, hypertrophy at the junction of the tendon with the tendon pulley hinders normal forward and backward movement of the tendon beneath the pulley. This results in an abrupt locking of the finger. Many trigger and locking events throughout the day, if accompanied with carpal tunnel release; many trigger fingers in the same or both hands; and, if percutaneous release was persuaded in the patient on the first appointment. After at least one prior corticosteroid injection, the research comprised twenty patients at Benha University Hospital and Zifta general hospital with a total of 23 trigger fingers with chronic symptoms. The trigger fingers of three individuals were found to be on both hands. According to Tanaka et al., the overall outcomes at the conclusion of the trial were outstanding in 17 patients (85%), good in 2 patients (10%), and bad in 1 patient (5%). (5 percent ). (95 percent) of the 19 individuals had good outcomes; just one patient had a negative outcome (5 percent ). The percutaneous release of trigger finger is a safe, straightforward, and effective alternative to open surgical release, with outcomes that are comparable.
To analyze thin and thick plates, the paper presents two rectangular finite elements with high accuracy. In these elements, the proposed formulations of the displacement field utilize the Bergan-Wang approach, which depends only on one variable: the plate lateral deflection. This approach ensures that shear-locking problem will not happen as thickness decreases. The degrees of freedom of the proposed elements are twenty-four for the first element and it is named BWRE24, while the second one has thirty-six degrees of freedom and is named BWRE36. To evidence the efficiency of the two elements, a series of numerical examples for an isotropic plate subjected to various loadings and with different boundary conditions have been analyzed. Very good results are obtained suffering no numerical difficulties in case of very thin plates.
Bergan-Wang approach has led to a formulation of the strain energy of a plate bending deflection as function of only the transversal deflection of the plate. In this paper, two rectangular plate bending finite elements are introduced, using new degrees of freedom based on Bergan-Wang approach for analysis of thin, moderately thick plates, in terms of this unique variable. The first element has four nodes with 24 DOF while the second has 36 DOF. These two elements are conforming in case of thin plates. Adopting the usual 3 boundary conditions of Reissner-Mindlin theory, variety of examples have been analysed for thin and moderately thick plate bending problems with plurality of finite element meshes and a variety of thickness to plate length ratios with different boundary conditions on sides. As typical characteristics of Bergan-Wang approach, there is no locking as the thickness decreases and convergence to the classical thin plate solution is achieved. Comparison with Reissner-Mindlin and 3D solutions supports the study.
It is the goal of this study to highlight the minimally invasive sacroiliac screw fixation for posterior pelvic instability, as well as to examine its accuracy; safety; efficacy; and early outcomes; and to explain the possible pitfalls and problems. There were 20 patients with an unstable posterior pelvic ring at Banha University Hospital who were given minimally invasive sacroiliac screws and would be monitored for 12 months. The mean age of the analysed cases was 49.20 ( 11.25SD) with a range of (25.0 -65.0), and two of the studied cases were less than 30 years of age. 14 (seventy percent) of the cases examined included men, whereas 6 (thirty percent) were women. There were 6 (30% of the cases examined) that were deemed unsatisfactory, 14 (70%) that were found to be satisfactory, 2 (10%) that were deemed poor (55), 4 (20%) that were deemed fair (between 55 and 69), and 7(35%) that were deemed satisfactory (between 70 and 84%) and 7(35%) that were deemed excellent (above 85%). Majeed's mean was 74.30 ( 14.68 SD). More over a third of the unsatisfactory students had a diagnosis of RTA or FPH. Six of the Satisfactory students were RTAs, and eight were FFHs (40 percent). Statistics showed that there was a substantial difference in trauma mode across the groups investigated. A posterior pelvic ring fracture may be successfully treated with either minimally invasive plate and screw internal fixation or sacroiliac joint screw fixation. Improve surgical outcomes and minimise complications will be achieved by increasing the number of participants in future trials, extending the follow-up period, and enlarging the population that will be studied.
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