Background: Injuries to the shafts of radius and ulna are one of the most common reasons for children to receive orthopedic care. The purpose of this study was to evaluate the radiological and clinical outcome of fracture both bone forearm in children treated by elastic nail. Patients and methods: This clinical trial was conducted on 18 patients with fracture shaft of both bone forearm treated by elastic stable intramedullary nail (ESIN) in

Background: There is a wide debate about the necessity and timing for syndesmotic screw and removal. Objective: The aim of the current work was to assess the improvement in functional and radiological outcome after syndesmotic screw fixation and removal. Materials and Methods: This prospective cohort study included a total of 18 patients who underwent ankle fracture surgery with syndesmotic fixation, attending at Department of Orthopedic, Zagazig University Hospitals and Sharq El-Madina Hospital. Patients were divided into two groups: Group (I): included 9 patients who underwent ankle fracture ORIF with syndesmotic fixation followed by subsequent syndesmotic screw removal (SSR). Group (II): included 9 patients, who underwent ankle fracture ORIF with syndesmotic fixation without subsequent SSR. Result: Clinical and x-rays results were similar in both groups at follow-up. There were no significant differences between both groups regarding to clinical data, clinical outcomes, radiological outcomes, and complications. Conclusions: It could be concluded that syndesmotic screw removal is not necessary. Removal's timing of the device must guarantee the complete healing of the injured syndesmotic soft tissues.

Background: Treatment of periprosthetic femoral fractures (PPFF) is difficult. Careful pre-operative planning and meticulous intra-operative technique during hip arthroplasty is the most important aspect in the preventio n of periprosthetic fractures. Objective:The aim of the present study was to evaluate the results of surgical treatment of Vancouver C periprosthetic femoral fractures. Methods: The study included 18 patients presented to orthopedic department at Zagazig University Hospitals. ORIF with plate osteosynthesis was used in patients with type C PPF fractures. Time of follow up from six months to one year. Results: Seven patients responded good satisfaction (38.9%), five responded fair satisfaction (27.8%), three patients had excellent feedback (16.7%), and three patients had poor experience (16.7%). The final results were affected by the time lapse before the occurrence of fracture and the time lapse before union and wasn't affected by the age, sex or the timing of occurrence of the fracture. Functional outcome after healing of the fracture was less than the preinjury stage. Conclusion: ORIF with plate osteosynthesis was satisfactory methods for treatment of Vancouver C Periprosthetic Femoral Fractures.

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