Online ISSN: 2515-8260

Keywords : Plating

Treatment of Extra Articular Distal Tibial Fractures Using Plating and Intramedullary Nailing

Abde lrahim Elmabrouk Muftah Salem; Elsayed Abdelmoty Mohammed , Mohamed Elsadik Attia, Sameh Mohamed Holyl

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3009-3022

Background:Distal tibial fractures are the most common long bone fractures. An incidence of 17 per 100 000 person-years, although more recent data indicate that the incidence may be declining.The tibia is the second largest bone in the body. There are two concave condyles at the proximal aspect of the tibia. The medial condyle is larger, deeper, and narrower than the lateral condyle. An elevated process, the tibial tubercle, located between the two condyles is the site of attachment of the patellar tendon. The shaft of the tibia is prismoid, with a broad proximal extent that decreases in size until the distal third, where it gradually increases in size. The tibial crest is prominent medially from the tibial tubercle to the tibial plafond and is subcutaneous without any overlying muscles.The slightly expanded distal end of the tibia has anterior, medial, posterior, lateral and distal surfaces. The distal end of the tibia, when compared to the proximal end, is laterally rotated (tibial torsion). The torsion begins to develop in utero and progresses throughout childhood and adolescence till skeletal maturity is attained.minimal invasive plate fixation (MIPO) is recommended to limit this complication and given more stability. The basic principles of this technique include in direct closed reduction, extra periosteal dissection, anatomic alignment. Plate length and screw density are key factors for the stability of fixation.Comminuted fibular fractures fixed with MIPO technique using a long bridging plate, or intramedullary fixation of the fibula with a small diameter flexible nail

Plating Versus Conservative Treatment in Mid Shaft Fracture of Clavicle

Yousuf Mohamed Khira,Mohamed Abdel Fattah Mohamed , Hossam FathiMahmooud, Rabe Ali Nasar Altomi

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3046-3056

Background: A Clavicle fracture is a common traumatic injury as it positions
directly under the skin. Both conservative and operative methods are used for the
treatment of this fracture. But there is no uniform agreement on the best choice of
treatment. So, this study aims to assess the outcome of the conservative treatment
and operative treatment by using plate and screw of midshaft fracture of clavicle
and comparing the two treatment methods. Patients and methods: This study was
done at the Department of Orthopedic Surgery of Zagazig University Hospital from
April 2020 to December 2020 on 18 patients are involved then these patients were
subdivided into two groups, Group A (9 patients) for conservative treatment and
Group B (9 patients) for operative treatment by using a plate and screw fixation.
Assessment of the outcome using the constant shoulder score. Results: The time of
union was 5.33±0.70 months in the conservative group and 4.66±0.86 months in the
operative group. Constant shoulder score was in Conservative group 4 patients had
excellent score (44.4%), 2 patients had good score (22.2%), 3 patients had poor
score (33.3%) While in Operative group 6 patients had excellent score (66.6%), 1
patient had good score (11.1%), 2 patients had poor score (22.2%). Conclusion: The
non-surgical methods still the best treatment of simple nondisplaced mid-shaft
clavicular fractures. The operative methods donate a good result in active athlete's
patient with displaced or comminuted fracture.

Distal Femoral Fracture Fixation with Retrograde Nailing versus Plating: Femoral Alignment Outcome

Tarek AbdElsamad ElHewala, Alaa Ahmed Elngehy,Mohamed Khaled Engim , Osam Mohamed Metwally

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3180-3188

Background:Distal femur fractures occur following high-energy impact in young
patients or low-energy injury in elderly patients with osteopenic or osteoporotic
bone.This study is aimed to compare the results of retrograde Nailing versus plating
technique in distal femoral fractures regarding both clinical and radiological
alignment. Patients and methods:This study was conducted on 18 patients with
distal femoral fractureswho divided into two groups; Group A treated by retrograde
femoral nail (RGN) and group B treated by Plating technique. All patients were
subjected to clinical and radiological measurements to assess the outcomes after
surgery. Results:Clinical measurements in normal limb was 4.66±1.32 in
retrograde nail group while it was 4.88±1.58 in plating group, the MAD in
fractured limp clinically was 5.38±1.89 in retrograde nail group while it was
6.48±2.31 in plating group. The radiological MAD showed significant difference
between the normal and operated side. Mechanical Lateral Distal Femoral Angle
(mLFDA) in fractured limb was 88.66±2.54 in retrograde nail group while it was
89.33±3.67 in plating group (P=0.663). Medial Proximal Tibial Angle (MPTA) in
fractured limb was 87.77±1.85 in retrograde nail group while it was 87.88±3.48 in
plating group. In spite of the excellent results in RGN group compared with group
(B), the overall results showed no significant difference statistically between the two
groups. Conclusions: Retrograde nailing is a good fixation system for fractures of
distal femur with better outcome in terms of range of movements, less infection rate
and early mobilization.