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Egyptian Journal of Orthopedic Research
Number of Followers: 1

This is an Open Access Journal

Open Access journal
ISSN (Print) 2682-4744 - ISSN (Online) 2314-6710
Published by Sohag University

[3 journals]

DUMBBELL-SHAPED EPIDURAL CAPILLARY HEMANGIOMA, CASE REPORT AND REVIEW OF
THE LITERATURE
- Abstract: Background: Hemangiomas are benign vascular hamartomas. Spinal epidural capillary hemangiomas(SECH) are rare and dumbbell-shaped SECH are even extremely rare. The complete surgical excision isthe treatment of choice, yet this represents a dilemma as the mass is usually discovered late in big size.Case Description: A 55years old woman presented with incomplete spastic paraplegia (ASIA type III) 3months ago. MRI showed a right-sided dumbbell-shaped mass against the 3rd to the 5th thoracic vertebrae. Themass was resected through a single stage posterior approach with hemilamenectomy and costotransversectomy. Histopathologic examination showed epidural capillary hemangioma. Conclusions: Dumbbellshaped SECH is extremely rare lesion but should be considered in the differential diagnosis of a mass inthis location. Single-stage posterior approach described in this report is a good surgical method forremoving dumbbell tumor with large intrathoracic component without necessitating thoracotomy
  PubDate: Mon, 31 Oct 2022 22:00:00 +010
VOLAR PERCUTANEOUS FIXATION BY HERBERT SCREW VERSUS CONSERVATIVE TREATMENT
FOR STABLE WAIST ...
- Abstract: Background: scaphoid waist fractures can be fixed percutaneously as opposed to being cast-immobilizedEvaluation of the results of patients with stable waist scaphoid fractures following percutaneous fixationwith a Herbert screw or cast immobilisation. Methods: A total of 30 patients, age from 19 to 60, wereincluded in this prospective study at the orthopaedic department's hand and microsurgery unit at SohagUniversity Hospital. The extent of mobility, the strength of the grasp, the ability to return to work, and theradiological assessment were checked. Results: Follow up were 12 months. Patients who received volarpercutaneous fixation experienced an earlier union than those who had conservative treatment with acast. Conclusion: An earlier time to union, a rapid return to daily activities, and an earlier wrist motionrecovery were all made possible by percutaneous treatment of acute stable waist scaphoid fractures.Compared to the operative group, the conservative group has a greater nonunion rate
  PubDate: Mon, 31 Oct 2022 22:00:00 +010
OUTCOMES OF EXTERNAL ROTATORS-SPARING APPROACH IN THE TREATMENT OF
POSTERIOR WALL ACETABULAR ...
- Abstract: Purpose: Posterior wall acetabular fractures are typically treated via a kocher-langenbeck approach.This approach can be associated with complications such as avascular necrosis of the femoral head,heterotopic ossification, sciatic neurapraxia and compromise of the hip muscle. In this study we assessedclinical and radiological outcomes of muscle-sparing posterior approach for the treatment of posteriorwall acetabular fractures. Methods: This retrospective case series study included 37 cases of surgicallytreated posterior wall acetabular fractures using muscle-sparing posterior approach. It depended onsuperior and inferior intermuscular windows for plate osteosynthesis. Cases were operated in the periodbetween March 2013 and January 2019 in orthopedic surgery department in the University Hospitals.Clinical and radiographic assessment were assessed with minimum 3-years follow up utilizing the Merled’ Aubigne and Matta scoring systems respectively. Results: The mean patients’ age was 38.8 ± 11.1years. Average operative time was 60.3 min. Average intra-operative blood loss was (123.9±10.5 ml).There were no cases of avascular necrosis of the femoral head. Anatomical reduction was achieved in 31hips (83.8%). At one-year follow-up, final Merle d’ Aubigne scores were excellent in 27 hips (73%),good in seven hips (18.9%). Cases with anatomical reduction revealed clinically excellent results in 27cases (87.1%), good in three cases (9.1%). Conclusion: External rotators-sparing approach may beconsidered as alternative to conventional Kocher-Langenbeck approach in posterior wall acetabularfractures treatment, with good results and few complications
  PubDate: Mon, 31 Oct 2022 22:00:00 +010
OPEN REDUCTION WITH CALCANEAL LOCKING PLATE FIXATION VS PERCUTANEOUS
CANNULATED SCREWS FOR THE ...
- Abstract: Background:-Minimally invasive surgery in treatment of DIACFs has become popular among theinternational orthopaedics community to overcome the soft tissue complications associated with thestandard ORIF through extensile lateral approach. Objective:-The current study's objective wasevaluation of the functional and radiographic outcomes of closed reduction and percutaneous cannulatedscrews fixation of DIACFs compared with the standard ORIF by calcaneal locked plate using an extensilelateral approach. Patients and methods:-35 patients with unilateral DIACFs from June 2019 to May2022 were retrospectively reviewed. The Percutaneous cannulated screws group included 17 patients,and the ORIF group included 18 patients. Radiographic assessment included calcaneal height, length,and width, Böhler’s angle, angle of Gissane, and posterior facet inclination angle. Clinical assessment bythe AOFAS ankle-hindfoot score and the visual analog pain score was done. Results:-No appreciabledifferences were noticed in the pre-operative and post-operative radiographic parameters measurements,and the final AOFAS ankle-hindfoot scores between the two groups. The pain scores were loweredsignificantly in the percutaneous cannulated screws group, (P = 0.0364). Conclusion:-Percutaneouscannulated screws had achieved radiographic and functional outcomes comparable to ORIF inmanagement of DIACFs with lower complication rates.
  PubDate: Mon, 31 Oct 2022 22:00:00 +010
IS POSTERIOR-ONLY RIGID FIXATION AN EFFICIENT OPTION FOR THE TREATMENT OF
UNSTABLE LATERAL ...
- Abstract: Background: Pediatric pelvic fractures (PPF) are rare injuries and usually resulted from high-energymechanisms. Unstable lateral compression fractures may leave permanent deformity with pelvic asymmetry.The purpose of this study was to evaluate the safety and efficacy of rigid posterior fixation for treatmentof unstable lateral compression pelvic fractures in children. Methods: A retrospective case series of 13patients with unstable lateral compression pelvic fractures. All cases were treated in a university hospitalbetween January 2013 and May 2020. Inclusion criteria were: all patients under 16 years old, hemodynamically stable and who were treated posteriorly using rigid posterior fixation with a minimum followup of 12 months. Assessment was done clinically utilizing Majeed score and radiologically utilizing Mattascore. Results: There were 8 boys and 5 girls with a mean age of 9.5 ± 4 years. There were 8 childrenwith an immature pelvis. The most common causes of injury were motor car accident (61.5%). The intervalfrom injury to surgery was 2-11 days with a mean of 6 ± 2 days. The mean intraoperative time was 81.9 ±18.3 minutes with a mean operative blood loss of 113.9 ± 48 ml. According to the Matta and Tornettascore; the reduction was rated excellent in 10 patients and good in 3 patients. According to the Majeedscore, the outcome was rated excellent in 11 patients and good in 2 patients. Conclusion: Posterior-onlyrigid fixation by interfragmentary intrailiac screws and plates is a safe and effective method for treatmentof unstable lateral compression fractures in children.
  PubDate: Mon, 31 Oct 2022 22:00:00 +010