Background: Kid's body has major ability for remodeling and correcting all of
displacement that could happened on fractures.There is many ways for treatment of these
fracture,we can put them in tow guidelines:
Surgical treatment, conservative trea
tment.
Aim: Comparison between conservative treatment result and result of surgical
treatment via ESIN in treatment of midshaft forearm fractures in children, and chose the
best method that achieve healing in fast time and with less complications.
Methods: the study included 40 kids ,that have been chosen in random way from
children that came to the ER and clinics in Alassad and Tishreen university hospitals in
time between 2012 and 2017,with age of 9 to 14 years.
Results: The results were similar between conservative treatment and surgical
treatment via esin according to healing ,time at hospital ,and costs .time to return to daily
life is shorter in surgical treatment. complications were found in two methods but there
were no effect on the extremity or the child.
The study of fracture in Kadmous and Safita showed several
fracturing directions, originally related to the tectonic structure of
the studied zone, especially faults. A group of dominant principal
fractures, with a direction of NW-SE, a group of less importance
with direction of NE-SW, and a secondary group of N-S direction,
have been determined.
Study of the general characteristics of Fractures in the central part of
the AL-Kabir AL- Shimali river basin showed the presence of
several main groups of Fractures with directions NE-SW _ NNESSW,
NW-SE , E-W.and showed increased fracture rate in
the
northern and southern parts of the study area, and that the spacing
between the Fractures close to the medium convergence (5-34) cm ,
also show a aperture ranged between (0.1-5.1) cm, where aperture
width was increased in southwest of Lake 16 October near Lattakia-
Kless fault .
Closed reduction and percutaneous pin fixation is considered
standard management for displaced supracondylar fractures of the
humerus in children. However, controversy exists regarding whether
to use pins from the lateral side or medial and latera
l side of the
elbow for fixation .
We performed this research to know the results of two ways of
treatment and to compare : 1- the risk of iatrogenic ulnar nerve
injury caused by pin fixation . 2- quality of fracture reduction in
terms of radiographic outcomes . 3- compare function of the elbow
and other surgical complications caused by pin fixation between two
ways.
The purpose of this study was to evaluate the reliability of a single malleable noncommpression
titanium miniplate in fixation and stability of fractures of the mandibular
angle using two approaches(.transbuccal and intra-oral approach, or intra-or
ally alone) .
The research sample included 20 patients from patients who attended AL Assad
University Hospital with Unilateral or bilateralun-comminuted mandibular angle fractures
in the period between September 2011 and October 2013.
The research sample was divided into two groups depending on the two approaches
that have been used . Adequacy of the reduction and stability of fixation were evaluated
through Radiographic examinations immediately after surgery. Postoperative assessment
was based on clinical examination after 1 month, 6 monthes and a year to evaluate:
Occlusion, Masticatory efficiency, Maximum mouth opening range, and Other
complications(infection –mini-plate exposure).
The results of the present study showed that there were statistical difference between
the two approaches(transbuccal and intra-oral approach, or intra-orally alone) regarding
Occlusion, Masticatory efficiency and Other complications after 1 and 6 months while
there was no statistical difference between the approaches after 1 year .
we Concluded that using the combined transbuccal/oral approach was the best
regarding(infection and mini-plate exposure) and compared with intra-oral approach .
The aim of this study to assesment the effect of using titanium mesh to repair isolated monolateral blow- out orbital fractures. The research sample comprised 15cases reported to the Department of ophthalmology and department of oral and maxillofacia
l surgery at Alassad University Hospital Latakia-Syria , the time between trauma and procedure of surgery was taken into account. The clinical observation contained studying of eye movement , vertical localization of eyeball, diplopia through15 day, month, and 3month after the surgery . The enophthalmos was monitored also through: 3 months ans 6 months after the surgery Results showed that there is statistical difference before and after the surgery operation. Eye movement returned completely normal after 3 months, the localization of injured side of eyeball returned natural when compared to the localization of intact side, and diplopia was corrected through the catamnesis Using Titanium mesh in repairing blow- out fractures led to improve the functional side of eyeball, so this important part of face was returned functionally and esthetically.
Management of tibiodiaphysial fractures in the age group of 5-15 years is
controversial ,there has been a resurgence world wide for operative fixation in general and
TENS(titanium elastic nailing system) in particular. We performed a retrospective
review
of pediatric tibial fractures treated by TENS. The data was collected from cases operated
between 2010 and 2014 at Al Assad university hospital ,Lattakia. We had treated 34
children (boys and girls) with TENS for tibial shaft fractures. Average load of age was 11
years(range 5-15 years).All fractures were radiographically united at a mean of 7,5 weeks
(range 5-10) weeks.The nails were removed mean of 22 weeks (range 6-31 weeks)
postoperatively. At follow up we had found leg length discrepancy of 1 cm in one child
and 10 degrees of internal rotational deformity in another. No angular deformity had
occured.Titanium elastic nailing seems to be a safe and effective method for treatment of
tibial shaft fractures in childreen between 5 and 15 years of age.
Background& Objective: The acetabular bone deficiency secondary to acetabular fractures presents a
complex clinical problem and a big challenge to the orthopedic surgeons due to the technical difficulties
related to this deficiency, considering tha
t significant number of patients treated either surgically or
without surgery will require T.H.A in the future.
The purpose of our study was to determine the outcome of T.H.R performed in patients with a history of
acetabular fracture.
Materials & Methods: We performed T.H.R in 21 patients with previous acetabular fractures in Al-Assad
Hospital between2004-2009prespectively, these cases were divided into 3 groups:
-first group formed of 7 patients were treated conservatively. Second group formed of 9 patients did an
open reduction and internal fixation by screws and plates.
-Third group formed of 5 elderly patients with fresh acetabular fractures and were treated primarily by a
total prosthesis with use a reinforcement Muller ring .
For the clinical evaluation of our cases we used the modified Harris Hip Score Scale and for the
radiological evaluation we used the Delee and Charnley scale system .
Results: Our overage Harris Hip Score was 83.(80 for the first group, 86 for the second group, and 83 for
the third group).
-No complications were encountered intraoperative, in the early postoperative period one case developed
superficial wound infection and treated by repeated dressing and antibiotic, there was one case of D.V.T
on the 4th day treated by rest and anticoagulant, and one case developed loosening of acetabular
component 8 months after T.H.A and underwent to revision.
Conclusion: T.H.R in acetabular fractures despite the difficulties faced during the procedure is a safe and
effective way to salvage the hip when secondary osteoarthritis develops, open reduction and internal
fixation of acetabular fractures may have benefits even if it fails to prevent posttraumatic arthritis
.Furthermore the clinical results of T.H.R after surgical treatment of acetabular fractures are better than
it after conservative treatment of these fractures.
Reinforcement ring is an ideal solution when the decision of T.H.R is taken as a primary treatment of
acetabular fractures depending on the indications described by Joly.
IMF serves as a cornerstone during surgeries related to reconstruction orthognathic and facial trauma surgery. Successful treatment of mandibular fractures depends on reduction and restoration of normal occlusion and immobilization.
So this study
attempts to evaluate dental root damage through intermaxillary fixation with pre-drilled bone screws in the management of non-displacement or mini-displacement mandibular fractures. Complications were observed clinically and radiologically to evaluate the damage and loss vital to the adjacent tooth root. Data were subjected to statistical analysis using Chi Square Test. P-Value<0.05 was considered significant .This study found out that the intermaxillary fixation screws proved to be a safe technique to the intermaxillary fixation; however, it is not without complications or potential consequences which the surgeon must be aware of in order to provide safe and effective treatment.
To identefi the Bacterials agents in Meningitis resulting from basal skull
Fractures, The antibiotics sensitivity, and The benefit of pneumo 23 vaccine to prevent the occurrence of
meningitis in these cases.
