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Background; The purpose of this study was to evaluate the clinical, functional and radiological outcome of calcaneal lengthening osteotomy for the treatment of symptomatic flatfoot deformity in children. Methods; A prospective multicentre study on 29 feet of 23 patients who underwent lateral calcaneal lengthening for symptomatic flatfoot in children in the period between October 2015 and June 2017. Inclusion criteria were symptomatic flexible flatfoot in children with failed non operative treatment. During the study period, 29 feet of 23 patients with symptomatic flatfoot underwent calcaneal lengthening osteotomy. All patients met the inclusion criteria and were available for clinical and radiological follow-up. The percentage male were (62%)-female were (38%), The mean age at time of surgery was 10.4 years old (7-17 years old) and their mean follow up period was 26.2months.The mean functional American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score had improved from 43.45 (31-55) preoperatively to 85.52 (68-92) postoperatively at last follow up (P value < 0.001) using paired t-test as a significance test for evaluation of pre and post-operative AOFAS score Conclusions; The results of this study support the combination of lateral column lengthening and soft tissue reconstruction for treatment of Plano-valgus foot deformity, The adopted technique revealed satisfactory result both in children and adolescents.

This study presents our experience of internal fixation of the acetabular fractures and pelvic fractures using a newly modified Stoppa approach, which provides closer visualization to the entire anterior column, quadrilateral surface and the pelvic brim portion of the posterior column, and permits stable internal fixation for the acetabular fracture patterns with main anterior displacement and the anterior and lateral parts of the pelvis. The present study was a prospective clinical study including 10 patients with acetabular fractures who were treated operatively using modified Stoppa approach . The classification of acetabular fractures described by Letournel and Judet. All operative data was recorded Patients were followed-up for 12 months after the operation. The maximum displacement of the bony fragment was measured in the unit of mm by using PACS, Marosis mview ver. 5.4 Our result shows the incidence of perioperative complication. Two patients developed DVT and two patients developed obturator nerve palsy. Our result shows the radiological outcomes of the included patients. The mean CT gap was 1.685 ±0.27mm. Eighty percent of the patients had anatomical Matta class. Our result shows the Merle D"Aubigne-Postel score of the included patients. Eighty percent of the patients had excellent score. The incidence of MVO after PPCI may be lowered by the addition of manual TA (6,24). The results of the present study show that the additional intracoronary administration of a high dose of adenosine may further improve STR up to 70%. Future larger studies with clinical endpoints are warranted to confirm the benefit of intracoronary administration of a high dose of adenosine in addition to glycoprotein IIb/ IIIa antagonist administration and TA in the setting of PPCI or rescue PCI.

Background: Since there is not a definite cause for Kienböck's diseases despite appropriate knowledge of lunate bone blood supply, so there is a great debate about the ideal treatment protocol for treatment of Kienböck's diseases. Objective: The aim of this study is to assess outcome of combining distal capitate shortening and fusion to the base of the third metacarpal bone for treatment of Kienböck's disease (Lichtman stage II or stage IIIA) with neutral ulna variance. Methods: Twenty patients with 20 consecutive Kienböck's disease, their age mean was 26.1(SD 5.6) y. Patients were evaluated radiologically and clinically including pre-and postoperatively for pain, (ROM) and grip strength. Functional evaluation was carried out using (MMWS). Results: The final postoperative (MMWS) showed increasing from 17 (SD 2.5) to 88.5 (SD7.3). Conclusion: The technique of distal capitate shortening with capito-metacarpal fusion yielded satisfactory results especially for treatment of stage II, than in stage IIIA.

The main purpose of the research is to study role of PRP intra-articular injection in treatment of knee osteoarthritis, and PRP effect on knee osteoarthritis symptoms specially pain, also different methods of preparations