ACL injuries are very frequent in sports medicine. This research set out to comprehensively evaluate the existing research on late outcomes in the wake of ACL repair. From the beginning until April 2020, all Medline searches have been conducted using PubMed, SCOPUS, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar. 2089 distinct records were found during the search. We were left with 57 possibly suitable records, of which we did full-text searching on all of them. The final count was twelve studies. After ACLR, the long-term rate of Lachman Grade 0-1 was estimated to be 97.8 percent (95 percent confidence interval: 196-99.5 percent). This figure shows that, although on the one hand, the long-term average of Pivot Grade 0-1 after ACLR was 97.8 percent (95 percent CI 96-99.5 percent), the effect estimates indicate that the long-term average rate of Pivot Grade 0-1 after ACLR was only 95.3 percent (95 percent CI 95.2-95.5 percent). IKDC score A rate was 55.4% (95% CI 42.7-68.2%). The Lysholm mean score was 84.4 (95% CI: 84.4 to 84.4). The failure rate in the current research varied between 0 and 10%, whereas the complication rate ranged between 8 and 11%. Meniscal operations, notchplasty, irrigation, and debridement were most frequent complications. A total of 12 investigations revealed that Lachman Grade 0-1 (most severe) after ACLR results in a 97.8 percent success rate, and Pivot Grade 0-1 (most severe) after ACLR results in a 97.8 percent success rate. Prior to surgery, the Lysholm score had been at an insufficient level.

Supracondylar fractures of the humerus are the most common type of elbow fracture in children, accounting more than 80% of all fractures. Posterior Displacement suggests a hyper extension injury , normally fall on out extended hand. While foremost removal, uncommon sort, as a rule because of direct viciousness with the joint in flexion. Assessment of the procedure of 3 horizontal pins obsession as a line of treatment of the supracondylar humeral cracks in 20 patients with uncommon spotlight on resultant steadiness, results and entanglements experienced during the investigation time frame. an imminent, randomized controlled clinical preliminary from September 2018 to December 2019. The convention was endorsed by the moral council of the staff of medication, Benha University. Educated assent was taken, from guardians, all things considered, that the information of the examination will be distributed. 13 patients were female and 7 were male.13 were correct sided and 7 were left sided.The mean age of the patients was 6.05 with range from 3 to 11. Patients were followed up for a very long time normal, and were evaluated by Flynn's models for reviewing and the endproduct were: 15 patients had amazing outcomes (75%) and 5 had great outcomes (25%).As for expected intricacies ,we noticed no iatrogenic ulnar nerve injury. mean of usable time was 50.25 with range from 35 to 60; mean of chunk length was 3.40 with range from 3 to about a month So, employable time is huge here as it required some investment than exemplary obsession either with 2 sidelong pins or 2 parallel pins with 1 average on account of the higher specialized requests of this example of obsession , likewise it required some investment to accomplish strength of fracture.Slab span and expulsion of pins here are critical, as we can eliminate section and pins in normal 3.40 weeks which is quicker than some other example of obsession of SCHF in youngsters . treatment of the supracondylar humeral breaks in kids by shut decrease and interior obsession with 3 sidelong k wires whenever set with propped procedure is steady and viable strategy for obsession with completley ulnar nerve insurance so it gives great practical and cosmotic result .

Hand fractures are very common fractures in orthopedics injuries, and even one of the most common fractures in the upper extremity fractures.there are many different methods of fixation that can be used in the treatment, .Among these methods is fixation of fractures with a Herbert screw, which are suitable for transverse fractures and oblique fractures, which is the subject of this study This study aimed to analyze the clinical and functional results from patients with a diagnosis of unstable reducible extra-articular fracturing of the phalanx with displacement, who underwent surgical treatment by means of a minimally invasive percutaneous osteosynthesis technique using an Herbert screw in order to avoid interfering with the extensor tendon of this finger. Twenty patients, 15 males and 5 females with a mean age of was 36.25 years, (range, 23-57 years). Direct trauma was predominant cause of injury accounting 65 % followed by RTA and trivial trauma 35 %. Sixteen patients had transverse fracture (80%) and four had oblique fracture (20%). the small finger was the most commonly affected digit (12 patients) and other finger (4 middle, 3 index and 1 ring). the mean radiological union time was 7.7 weeks (range 6-10 weeks). Final QuickDASH score was 4.5.The mean TAF was 249° (range, 245°-270°).The mean TAM was 246.25° (rang, 235°-270°).All the patients follow-up visits were scheduled in the outpatient clinic at 2 weeks, 4 weeks, 6 weeks, 8weeks, 3 months and 6 months .Herbert screw intramedullary fixation is an effective technique for the treatment of transverse and short oblique proximal and middle phalangeal fractures. We found that it can be applied successfully even in peri-articular fractures of the proximal third of the phalanx, and it a safe method for almost of these fracture types giving a higher ROM and less complication.

Percutaneous coronary intervention (PCI) of chronic total occlusions (CTO) is considered one of the most challenging procedures I interventional cardiology & may lead to multiple complications. Multiple factors may adversely influence the success rate of the procedure however the benefits of the revascularization usually outweigh the risks of the procedure. Is to assess the clinical and angiographic predictors of successful PCI in CTO of native coronary artery. 100 patients who have referred to Damanhur teaching hospital for elective PCI of CTO, mean age was 53.9 ± 8.49, were assessed clinically & angiographically with reporting the procedure outcome among them. The overall success rate was 83% mostly in LAD (82%) leas in the LCX (75%), there was no significant affection of the clinical & demographic factors on the success rate of the PCI however angiographic characteristics including stump shape, calcifications, presence of bridging collaterals, side branch at occlusion point, vessel tortuosity, site of the lesion, length of the lesion and vessel diameter were strong predictors for success in the study. The duration of occlusion, length of the lesion, vessel diameter, stump shape, presence of bridging collaterals, side branch at occlusion point, calcifications, vessel tortuosity and lesion location were independent predictors of successful CTO revascularization, whereas patient's characteristics and clinical risk factors are not.