STUDY DESIGN .Prospective study OBJECTIVE The aim of this study was to evaluate the clinical and radiologic results of using free vascularized fibular graft (FVFG) for anterior reconstruction of the cervical spine following with varying levels of corpectomy. METHODS Ten patients underwent anterior cervical reconstruction using an FVFG after cervical corpectomy augmented with internal instrumentation. All patients were evaluated neurologically ... إقراء المزيد

BACKGROUND: Ankle arthrodesis is the most common procedure for the treatment of end-stage ankle arthritis. Several techniques are used to achieve solid fusion; however, Ilizarov external fixation is preferable in complex cases such as those involving bone loss, infection, or poor condition of the soft-tissue envelope. METHODS Between 2010 and 2013, 11 patients with end-stage posttraumatic ankle arthritis complicated by ... إقراء المزيد

Unstable pelvic injuries in young children with an immature pelvis have different modes of failure from those in adolescents and adults. We describe the pathoanatomy of unstable pelvic injuries in these children, and the incidence of associated avulsion of the iliac apophysis and fracture of the ipsilateral fifth lumbar transverse process (L5-TP). We retrospectively reviewed the medical records of 33 ... إقراء المزيد

Background: U-shaped sacral fractures or Jumper’s fractures are rare injuries in adults and are even rarer in the pediatric population. These fractures share a common pathoanatomy where the pelvis as a unit together with the bilateral alar parts and the lower part of the sacrum, loses its skeletal and soft tissue connections to the remaining axial skeleton and hence the ... إقراء المزيد

We reviewed 18 patients who had received double free muscle transfers and wrist arthrodesis to determine the effect of the stiff wrist on digital motion and function. METHODS The patients were 15 men and 3 women with a mean age of 24 years. We determined the total active motion of the metacarpophalangeal and interphalangeal joints just before performing the arthrodesis ... إقراء المزيد

Children with idiopathic nephrotic syndrome (INS) may be at risk for metabolic bone disease (MBD) because of biochemical derangements caused by the renal disease, as well as the corticosteroid effects on bone. We studied 70 children with INS for clinical, biochemical, and radiological evidence of MBD. These patients were divided into two groups: 55 frequent relapsers (FR; group I), and ... إقراء المزيد

options, free vascularized fibula and Ilizarov bone transport are well‐known and effective techniques. The differences between both techniques and the indications for each of them are not well studied in the literature. Between September 1995 and December 2004, Ilizarov bone transport and free vascularized fibula were used to treat 25 traumatic bone. Patients were divided into two groups, Ilizarov group ... إقراء المزيد

Background: The tendinous portion of the transferred muscle following double free gracilis muscle transfer for reconstruction of prehensile function in complete paralysis of the brachial plexus has a tendency to adhere to the surrounding bed and thus impede active finger motion despite powerful contraction of the muscle per se. The purpose of this study was to evaluate the effectiveness of ... إقراء المزيد

We reviewed 36 traumatic brachial plexus injury patients with C5 nerve root injury. We used the choline acetyltransferase (CAT) activity measurement as a gold standard indicator of repairability to assess the reliability of the conventional techniques (preoperative clinical, electrophysiologic, and radiologic examination and intraoperative clinical and electrophysiologic examinations). We proposed a repairability scoring system composed of the correlated conventional techniques ... إقراء المزيد

In Erb (C5YC6) type of palsy due to traumatic brachial plexus injury, function is dependent upon the ability of the arm to maneuver and stabilize the hand for action. Complete loss of power of elbow flexion after brachial plexus injuries is a severe disability. If there is control of the shoulder, elbow flexion is of major importance. Various types of ... إقراء المزيد