Medicine and Health Sciences Commons^™

Role Of Free-Tissue Transfer In Diabetic Foot Salvage With Systematic Review, Tarek Mahmoud Youssef El-Banoby, Hazem Hussein Dahshan, Belal Ismail Hassan Zidan

Al-Azhar International Medical Journal

Background; Lower extremity wounds that don't heal are still a difficult problem for reconstructive surgery. Over 50% of all amputations are caused by diabetic foot and peripheral artery illness.

Aim and objectives: The goal of this research was to evaluation of free flap in diabetic foot as regard eradication of infection, coverage durability, and lower extremity function.

Patient and methods: The research was done at the AL-Azhar University Department of Plastic and Reconstructive Surgery. From patients hospitalized to the department of cosmetic and reconstructive surgery at AL-Azhar University, 20 diabetic patients with lower extremities defects had been chosen for a …

A Comparison Study Between Transosseous Pull Out And Anchors In Gamekeeper’S Injury, Mohamed Mohamed Bissar, Hassan Mahmoud Baraka, Amro Ahmed Fouaad, Ayman Shwky Morad

Al-Azhar International Medical Journal

Background: When the thumb's metacarpophalangeal (M.C.P.) joint has a ligamentous lesion, the joint becomes noticeably unstable, which is common. Aim: to assess the functional and clinical outcomes of two different reconstruction methods of the metacarpophalangeal joint (ulnar side) of the thumb (pullout suture & anchor) in unstable injuries. Subject and Methods: This was a prospective study of 30 cases admitted to Al-Azhar University Hospitals (El Hussein Hospital and Sayed Galal Hospital) with ligamentous injuries of the MCP joint (ulnar side) from August 2018 until February 2022. Results: Regarding outcome distribution among the studied patients, we found that 19 (63.3%) were …

Comparative Study Between Short And Long Proximal Femoral Nailing In Management Of Intertrochanteric Fracture In Elderly Patients, Ibrahim Ahmed Mostafa, Lotfy Mohamed Aly Shwitter, Mohamed Gomaa Ahmed Ali Abd Elaty

Al-Azhar International Medical Journal

Background: Elderly people frequently suffer from intertrochanteric fractures; to address the challenges associated with treating unstable fractures, trochanteric-entry intramedullary nails have been developed. Both of short and long PFN apparatuses are being used to cure the trochanteric hip fractures. Compared to long devices, short PFN have recently been shown to cause less blood loss and speed up operations. Other research, however, has revealed that a lengthy PFN may be linked to fewer ipsilateral femur fractures in the future. Objective: To compare the surgical time, estimated blood loss, hospital stay and intra-operative complications and the effectiveness of short and long proximal …

Clinical Effectiveness And Efficiency Of The Anatomical Distal Fibular Plate In Lateral Malleolus Fracture Fixation, Mohamed Abdelhamed Awad Abdallah, Mohammed Abd-Elmoneem Negm, Ahmed Saied Mohammed

Al-Azhar International Medical Journal

Background: Ankle fractures are among the most frequent injuries, and distal fibular fractures are the form of ankle fracture that is most often sustained by young, active people. In order to get the greatest results, the lateral malleolar fracture should be treated in a way that restores length, maintains fibula alignment, and keeps the lateral malleolus stable. Aim and objectives: to evaluate Clinical effectiveness and efficiency of the anatomical distal fibular plate in lateral malleolus fracture fixation. Patients and Methods: This prospective study includes twenty cases (8 males and 12 females) of lateral malleolus fractures. Treated by anatomical plates at …

Comparative Study Between Herbert Screws & Krishner Wires In Fixation Of Scaphoid Waist Fracture Nonunion, Mohamed Ashraf Gemeah, Mohamed Mohamed Bissar, Mohamed Amer Mohamed

Al-Azhar International Medical Journal

Background: Scaphoid nonunions are challenging to treat due to the bone's unique shape, the specifics of the fracture's orientation and kind, and the unique vascular arrangement of the scaphoid's blood supply. Aim and Objective: To evaluate the relative utility of Herbert screw versus Kischner wires in management of scaphoid waist fracture non-union using non vascularized bone graft regarding efficacy, functional outcome, operative time and complication. Patients and methods: This research was performed in the orthopedic surgery department at Al-Azhar University with scaphoid waist non-union fracture, throughout the time span of January 2022 - December 2022. A total of 20 cases …

Platelet Rich Plasma (Prp) Injection In The Treatment Of Supraspinatus Partial Tear, Ibrahim Hussien, Mohamed Gamal Kamel Abdelkader, Abdelrahman Mostafa Tawfik

Al-Azhar International Medical Journal

Background: Many people around the world suffer from rotator cuff (RC) lesions. RC tears are also extremely common complain, and their incidence rises with age. Both bursal-sided and articular-sided tears can occur as partial-thickness tears. Aim: We aimed to determine the role of therapeutic shoulder injection with platelet rich plasma (PRP) in the management of supraspinatus partial tears. Methods: This prospective research was performed on 20 patients at Al Azhar University Hospitals (El Hussein Hospital and Sayed Galal Hospital) from September 2021 to November 2022. We included twenty patients suffering from a partial-thickness tendon tear. We measured patient satisfaction after …

Distal Fibula Fracture Fixation: Comparison Between The One Third Tubular Plate And Anatomical Contoured Locking Plate, Ibrahim Ahmed Mostafa, Hassan Mahmoud Baraka, Mohammed Hamed Ali Atlam

Al-Azhar International Medical Journal

Background: Ankle fractures are very common fractures. There are several techniques and implants to treat fibular fractures, including Open Reduction and Internal Fixation (ORIF) of the lateral malleolus at the distal fibula. Aim: This study compare between anatomically locked distal fibular plate internal fixation and open reduction of lateral malleolus fractures outcomes. Patients and Methods: This study included 20 patients with lateral malleolar fracture according to Weber classification Weber A and Weber B, who presented at the Emergency of Al-Hussain hospital and Al Sahel teaching hospital. Results: The mean sagittal and hindfoot motion was satisfying in both groups. The mean …

Single Bone Intramedullary Fixation In Pediatric Both Bone Forearm Fractures, Ahmed Abd-Elhamid Shamma, Amro A. Fouaad, Mohamed Samir Mahmoud Mostafa

Al-Azhar International Medical Journal

Background: The forearm bones are frequently broken in children; forty percent of all childhood fractures occur there. Compression plating, intramedullary nailing, K-wires, and external fixation are only some of the therapeutic options that can be used to achieve reduction. Objective: To evaluate the functional outcome of single intramedullary bone fixation in fractured both bones of the forearm in kids (skeletally immature patients). Patients and methods: Twenty children with two-bone forearm fractures, all of whom were treated with a single bone fixation throughout a six-month period beginning in January 2022 and ending in June 2022. Results: 20% of cases were female, …

Assessment Of Walant (Wide Awake Local Anaesthesia With No Tourniquet) Technique In Treatment Of Simple Malleolar Fracture, Aly Mohammed El-Geoushy, Samir Ahmed Nematallah, Mohamed Hamdy Alqassas, Ragab Said Abd Elfatah

Al-Azhar International Medical Journal

Background: Supination-external rotation (Lauge-Hansen SER) One of the most frequent injuries is an ankle fracture of the Weber B type. Whether to operate or manage conservatively depends on how stable the ankle joint is. Objective: to assess the validity of using WALANT anesthetic approach in management of Ankle malleolar fracture in limited resources countries. Patients and methods: This cross-sectional trial include 50 patients admitted with ankle fracture that require surgical intervention for reduction and internal fixations who are presented to the emergency department of Al-Azhar University hospital. This study take time from MAY 2022 to April 2023. Results: Regarding type …

Open Release Of Superficial Medial Collateral Ligament For Arthroscopic Medial Meniscus Surgery In Patient With Tight Medial Compartment, Younis Mahmoud Akl, Mohamed I. Abulsoud, Hussam El-Deen Eid Haffour

Al-Azhar International Medical Journal

Background: Attachment of the posterior root is necessary for the medial meniscus to function and its tears are common. Arthroscopy must be able to see the medial meniscus' posterior horn to repair it. Even an arthroscopy specialist can damage the articular cartilage in tight knee joints with a tiny medial joint space, increasing the risk of knee osteoarthritis. Pie crusting technique needs multiple punctures to open joints. It raises medial joint structure iatrogenic injury risk. Aim of the Work:The purpose of the research was to look for residual laxity of knee following minimally invasive (Mini-Open) Superficial Medial Collateral Ligament (sMCL) …

Scapho-Capitate Fusion In Grade (Iii C) Keinbock I Disease (Short Time Follow Up), Bahaa A. Kornah, Amro A. Fouaad, Ahmed N. El-Zebidy

Al-Azhar International Medical Journal

Bachground - Kienböck’s disease is avscular-necrosis wrist condition in addition to osteo-necrosis, lunato-malacia or ischemic-necorotic of the lunate bone. According to Lichtman in 2010, determine the 3rd stage C (III C) of Kienböck’s disease which characterized by chronic-coronal-fracture of lunate bone. Aim - to study scaphocapitate with lunate excision fusion for symptomatic IIIC Kienböck’s disease with short-time follow-up. Patients and Methods - A retrospective study included 20 patients conducted in a 60 months duration, the period from January 2017 to January 2022 in orthopedic department of Al-Hussein Hospitals, Al-Azhar University with post-operative short-time 6 months follow-up. Results - Our findings …

Ultrasound-Guided Injection Of Platelet-Rich Plasma Versus Dextrose 5% In Chronic Achilles Tendinopathy: Comparitive Study, Adnan Abdelaleem Elsebaiy, Ahmed Mohamed Abdelghaffar Zidan, Gamal Attia El-Sawy, Adel Wagdi Abd-Elwahab

Al-Azhar International Medical Journal

Background: A persistent musculoskeletal condition called achilles tendinopathy in which frequently affects the tendon's insertion.

Aim and objectives: Comparing effectiveness and safety of high-resolution ultrasound-guided platelet-rich plasma injection versus 5% dextrose in the treatment of chronic Achilles tendinopathy.

Subjects and methods: Blinded randomized controlled trial, whereas 30 of diseased persons with chronic heel pain shared and equally distributed to double collections, each collection includes 15 of patients and Each of them is injected with dextrose 5% Or platelet rich plasma with evaluation of the pain.

Results: In group 1, the mean pain score after operation (VAS) (before) was 8.1 ± …

Retrospective Analysis Of Risk Factors And Management Of Infection After Lumbar Spine Implantation, Hussien Mohamed Mohamed, Hussein Abo El-Gheit, Mohamed Abulsoud

Al-Azhar International Medical Journal

Background: Wound infection still has a negative impact on patient outcomes after spine surgery, despite the discovery of preventative medicines as well as improvements in surgical approach and postoperative care. The risk of intraoperative/postoperative infection is increased by utilizing a posterior surgical approach, applying instrumentation, using an allograft, requiring a blood transfusion, and longer operations.

Aim of the study: To determine the prevalence and risk factors for post-operative instrumental lumbar spinal infection and evaluate functional outcomes after the management of the infections.

Patients and Methods: This study was conducted on diseased persons whom had an infection after lumbar spine instrumentation …

Posteromedial Approach For Fixation Of Medial And Posteromedial Tibial Plateau Fractures, Mohamed Mohamed Bissar, Mohamed Nasr Akl, Mohamed Elnagdy Shehata Ali

Al-Azhar International Medical Journal

Background: One of the crucial load-bearing parts of the human body is the proximal tibial articular surface. Axial loading and valgus or varus applied forces may combine to cause this region to fracture. Tibial plateau fracture has a significant impact on the knee's stability, mobility, and alignment of the lower limb. The fracture becomes more complicated the more force is given to the limb. Objective: To study the posteromedial approach for treating the medial and posteromedial tibial plateau fractures, and to evaluate efficacy of such approach in decreasing morbidity. Patients and Methods: This prospective investigation had 15 patients with medial …

A Systematic Review And Meta - Analysis Of Modified Cerclage Wires Vs Locked Patellar Plate For Fixation Of Comminuted Fracture Patella, Ibrahim Ahmed Mustafa, Mohamed Ibrahim Abulsoud, Mahmoud Abuelwafa Sharkawy

Al-Azhar International Medical Journal

Background: Patellar fractures are about 1% of adult fractures. A growing tendency is evident in the age-specific incidence distribution. 55% of all patellar fractures considered comminuted fractures and surgically repaired.

Aim of the study: was to synthesise the available data addressing the safety and efficacy of modified cerclage wiring(MCW) and locked patellar plate (LPP) for the fixation of comminuted fracture patella.

Methodology: MEDLINE via PubMed, CENTRAL, and Google scholar databases were searched using the relevant keywords to discover the eligible citations. Screening, data extraction, and quality assessment were performed independently. The Open Meta-analyst software was used to perform the single-arm …

Operative Versus Conservative Treatment Of Distal Forearm Fractures In Pediatric Age Group Between (6 To10) Years Old, Abd El Baqy Nazeeh Omar, Mohamed Mohamed Bissar, Mohamed Adel Abdelhamid

Al-Azhar International Medical Journal

Background: Children most often sustain forearm fractures, which make up 30% to 40% of all fractures. Due to the drawbacks of conservative treatments, such as mobility loss, compartment syndrome, residual deformation, and re-displacement, surgical intervention has gained popularity. Aim and objectives: The study's objective is to assess the clinical and radiological results between operative versus conservative management of distal forearm fractures in pediatric age group between 6 to 10 years old. Subjects and methods: This prospective research was done at Al-Azhar University Hospitals to 40 cases. Patients were randomly split into 2 groups based on the fracture care strategy; Group …

Comparative Study Between Percutaneous Elongation And Z- Lengthening Of Tight Achilles Tendon In Idiopathic Toe Walking Children, Eissa Ragheb Refaie, Mohamed Adel Abdelhamid Ibrahim, Mohamed Shawky Abdelsamie

Al-Azhar International Medical Journal

Background: Idiopathic toe-walking is a gait pattern in which the child walks on the balls of their feet or their toes without touch of the heel to the ground, in the absence of known medical conditions as neuromuscular problems.

Objective: To compare between the two surgical methods for lengthening of Achilles tendon in idiopathic toe walking children with tight heel cord, regarding technique of the operation, post-operative complication rates, functional results and advantages of one technique over the other. Materials and Methods: A prospective study was done in the Hospitals of Al-Azhar University (Bab El Shaerrya, and Al-Hussein Hospitals), between …