Online ISSN: 2515-8260

Keywords : Internal Fixation

Open Reduction and Internal Fixation of Ipsilateral Fracture of Acetabulum and Fracture Femur through One Approach

Fadhlullah Ali Mansour, Yousuf Mohamed Khira, Waleed Mohammed Nafea, Ahmed Mashhour Gaber

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3361-3368

Background: Major and unstable pelvic fractures as ipsilateral fractures of the
femur and acetabulum are likely to cause severe pain and shock. Poly trauma
management proceeds in line with ATLS protocol and Patients may require
lifesaving surgeries. The study aimed to assess outcome of open reduction and
internal fixation of psilateral fracture of acetabulum and fracture femur through
one approach as the effect way of treatment. Patients and methods: A prospective
study included 18 patients were presented with posterior wall acetabular fracture
with ipsilateral femoral fracture. Patients admitted Orthopedic surgery Department
of Zagazig University hospitals for fracture surgical fixations. Full history, clinical
examination and radiological assessment and Majeed Score were performed for all
patients. Follow up X rays were done in the 1st day postoperative, after two weeks,
3months , 6 months. Results: the healing time of femoral fracture ranged from 14
weeks up to 33 weeks with mean of 21.78 ± 5.9 and healing time of acetabular
fracture was 17.22 ± 4.1 weeks. 55.6% of studied group gave excellent Majeed score
of hip function, while only 16.7% were fair. Conclusion: Ipsilateral fractures of the
femur and acetabulum treated simultaneousness using Kocher-Langenbeck
approach did not demonstrate an increased risk of wound complications, and not
contraindicated to antegrade femoral nailing.

Open Reduction and Internal Fixation of Capitellar Fracture through Anterolateral Approach with Headless Double Threaded Compression Screws

Ahmed Mohammed Ali Almazouq, Mohammed Othman Mohammed, Adel Abd- Elzim Ahmed Salem , Ahmed El-Sayed El-Malt

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4097-4105

Background: Injuries to the humeral capitellum are usually a result of axial
loading of the capitellum by forces transmitted through the radial head, the lateral
trochlear ridge and the lateral half of the trochlea due to falling on an outstretched
hand or flexed elbow. The aim of this study to evaluate the results of patients
suffering from capitellar fracture treated by open reduction and internal fixation
through anterolateral approach with headless double threaded compression screws.
Patients and Methods: This study included 12 capitellar fractures; the radiological
x-ray was done for planning the fixation technique. All fractures were treated with
headless double threaded compression screws using anterolateral approach, over
the period from March 2020 to February 2021 at Zagazig university hospital, with
the mean follow up period 8 months ± 1.95 ranged from six to 11 months. Results:
The present study showed the pain score was 45 points. At end of the follow up
period 9 patient had no pain (75 %) and 3 patient had mild pain (25 %). Eight
patients had active flexion above 100º (66.7 %) and 4 patients had active flexion
from 50º to 100º (33.3 %). Eight cases were excellent score with (66.7 %), three
cases good score (25%), and only one was satisfactory score with (8.3%).
Conclusion: Headless double threaded compression screws has a good clinical
result in Capitellar fracture because these screws have the advantage of excellent
compression at the small fracture fragments, stable fixation, and non-prominence
of the implants intraarticular.