Background: An ilioinguinal nerve branches off the lumbar plexus' branches. Due to its anatomic variations, it can contribute to neuropathies accompanying lower abdominal procedures. Aim: The study's objective was to illustrate the double ilioinguinal nerve variation through the dissection of human cadavers. Material and methods: Following clearance from Alzaiem Alazhari University's ethics committee, a cross-sectional analysis of corpses conserved in formalin was conducted (January 2021-May 2022). Using the internal and external inguinal rings as well as established bone markers, the IINs were exposed and mapped on both sides during the cadaveric dissection from their lateral appearance on the anterior abdominal wall to their midline ending. SPSS edition 21.0 had being utilized to manage the gathered information. Results: In 77 cadavers, ilioinguinal nerves were recognized bilaterally. All IINs originated from L1 on the left side, while on the right 3 IINs abnormally originated from L3 or L1-3. The difference was not significant (P=0.22). Double ilioinguinal nerve was observed in 8.4%. This variability had been noticed on the left and right sides in 8 (5.2%) and 5 (3.2%) corpses, respectively (P=0.56). Conclusion: It is essential to be aware of the double ilioinguinal nerve variant to prevent its damage during lower abdominal procedures such as inguinal hernia and low transverse incisions for orthopedics, gynecology and anesthetic procedures.
Background: Tibial pilon fractures are generally challenging to manage. The pattern of trauma and skin status all contribute to greater management outcomes. Despite the existence of numerous treatment techniques, no one has yet evolved the perfect method. Due to extended immobility, casts are frequently increasing the probability of non-union, malunion and joint stiffness. Aim: The study intended to assess the function and quality outcomes as well as the prevalence of sequelae in those who underwent the two-staged procedure in adults. Methodology: The research employed 21 patients with pilon fractures consecutively. The whole patients who were included in the study were older than 18 years and were given two staged processes of treatments for their fracture through the period between April 2019 and March 2022 at King Saud Medical City. The AO-OTA Classification is used to categorize fractured sides. The patients were followed up at predetermined intervals of 1,2,3,4,12,18,24 and 36 months and functional outcomes were reviewed utilizing AOFAS. Results: With a mean follow-up of 24.7 months (range, 12-36), a total of 21 pilon fractures (2 type 43-A, 10 type 43-B and 9 type 43-C) were studied. The average AOFAS score was 86.91.Thirteen individuals (61.9%) showed early, late, temporary or permanent concerns. Conclusion: All varieties of Pilon fractures are best treated with a two-stage orthopedic surgery owing to the high perceived functional result and briefer length of hospitalization.
Background: The most common and serious diabetic complication involves foot ulcers. Such a complication is extremely burdensome for patients and for healthcare systems. Objective: To evaluate the understanding and practice of diabetic patients toward diabetic foot care. Methodology: Using a pretested online questionnaire data were collected prospectively from the general population descent from Hail region between November 2021 and April 2022 and analyzed by SPSS version 24.0. Results: A total of 423 diabetics participated in the study. More than three-quarters (76.8%) were from urban areas (P=0.03). Diabetic foot ulcer was found in 152 (35.9%) and it was lower most in the utmost educational groups (P=0.003) and highest in the older and those from urban areas, P=0.007 and P=0.013 respectively. A 79% knew that regular physical activity helps reduce blood sugar (P=0.001). Moreover, 70.4% were aware that before washing their feet, they should test the water's temperature (P =.001). Awareness was affected by the presence of diabetic foot ulcer and education (P=0.01, and P=0.001 respectively). Foot care practice was reported among 42.6% (P=0.313). It was affected by the presence of diabetic foot ulcer and co-morbidity (P=0.04, and P=0.002 respectively). Conclusion: A low percentage of populations are aware of and practicing diabetic foot care.Emphasis should be placed on intensifying the role of education in diabetic foot care.
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