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معالجة كسور النقائل العظمية
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تمت دراسة و متابعة ستين مريضاً كان لديهم كسور مرضية بسبب انتقالات ورمية و تمت معالجتهم في مشفى المواساة خلال الأعѧوام ١٩٩٤-١٩٩٥-١٩٩٦ و كان توضع الكسور كالتالي: ٥١ كسراً أعلى الفخذ ٣ كسور في النهاية العلوية للعضد كسرين في عظم اللوح كسرين في الساق كسرين في مناطق مختلفة تمت دراسة طريقة العلاج الجراحي و المضاعفات و عمر المرضى بعد العمل الجراحي.
We reviewed sixty patients, who had metastatic fractures, they were treated in Al Moassat Hospital during the years: 1994-1995-1996. The location of fractures were: 51 in upper third of the femur 3 in proximal humerus 2 in scapula 2 in tibia 2 in different positions We studied the methods of treatment, complications and postoperative survival.
References used
Coley GL, Pool JL (1940). Factors influencing the prognosis in Osteogenic sarcoma. Ann surg 112: 1114-1128
Griffiths, HG.: Rontgendiagnostik des Skelets. Gustav Fischer Verlag, Stutgart, 1983
Harrington KD. Sim FH. Enis JE. Etal: Methylmetacrylate as an adjunct in internal fixation of pathological fractures. Experiens with three hundred and seventy five cases. Bone Jt. Surg J. 58 (A) (1976) 1047-1054
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after the use of systemic chemotherapy pre- and post surgery
the management of malignant bone tumors have been changed and the rate
of survival has improved up to more than 65%, and in some studies more
than 75%.
The Limb Salvage Surgery is now t
he standard treatment of malignant bone
tumors, especially in the lower limb
In the last three decades, the use of prosthesis has sharply risen in the world
in order to have good functional results and better life
Aims: introducing the serious complications of tumor prosthesis by
analysing of 342 cases followed for 10 years.
Is the changing of biomechanics between the tooth and implant affected on the
homogeneity of bone surrounding the tooth and implant connected with fixed prosthesis. the aim of the
study is to study the connection of bone area in both sides (mesial&distal) of tooth & implant connected
with bridge(in the form of rigid or non-rigid connection) during one year of radial observation of
radiographic bone density.
Soft laser applications continue to improve local bone mineral density which is considered the most important factor in dental implant success.
This study aims to evaluate the Trabecular to Cortical bone ratio (TCr) index -as a simple easy measureme
nt index- that expresses the bone mineral density. This is to be able to predict the success of dental implants.
The study included 40 patients, who had a single implant in the lower molar region. The patients are divided into two groups: 20 patients had an implant with a soft laser application, i.e. GaAlAs laser (wavelength 830 nm), and 20 patients had an implant without a soft laser application.
Ordinary Analog periapical radiographs were used with calibration Stepwedge of pure aluminum, a medical Dijora program was used to measure radiographically local bone density in the periapical radiographs, and a panoramic Tomography was made to study TCr and two bone density indices (thickness ratio x density ratio) and (equivalent Aluminium thickness). All were measured during the period before implantation and 3, 6, and 9 months after the implantation.
The study found a strong linear correlation between the TCr and (thickness ratio x density ratio) 0.001>P, R2= 0.842 36(r = 0.8. and equivalent Aluminium thickness(
0.001> P, R2 = 0.656735, (r = 0.8).
The study shows that TCr index expresses both radiographic indices which reflect the local bone density, which means that the TCr is associated with such density. Therefore, it can be used as an easy way to predict the quality of bone, and prognosticate the success of dental implants.
Systemic mastocytosis (SM) is a rare malignant neoplasia,
which can create bone complications. The most frequent of those
is secondary osteoporosis, sometimes responsible for fractures,
especially of the rachis. We report the case of a 53 year-old
woman with 3 non-traumatic lombar fractures, leading to the
diagnosis of SM, after bone marrow trephine biopsy. We describe
the different types of bone involvement in MS, their
physiopathology, their diagnosis and treatment, with help of a
bibliographic review.
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.
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