Medicine and Health Sciences Commons^™

Treatment Of Transverse Patellar Fractures By Tension Band Wiring Versus Tension Band Using Cannulated Screws, Ahmed Abdel-Monem Dewidar

Menoufia Medical Journal

Objectives: To compare the results of fixation of patellar fractures by tension band fixation using Kirschner wires versus figure of eight wiring through cannulated screws. Background: Patellar fractures are relatively uncommon injuries which need to be fixed if displacement occurs more than 2 mm. Methods: This was a prospective study compared the results of treatment of 30 patients with transverse patellar fractures by two methods; Group I: including 15 patients treated with tension band wiring by the kirshner wires. Group II: including 15 patients treated by tension band wiring with cannulated screws. The final results were evaluated after 6 months …

Evaluation Of Results Of Percutaneous Acetabular Columns Fixation, Emad E. El Agroudy

Menoufia Medical Journal

Objective: Is to evaluate results of percutaneous screw fixation of acetabular column fractures. Design: This study included 18 patients with acetabular column fractures. They were fixed under fluoroscopy guidance by percutaneous column screws. Background: Acetabular geometry makes percutaneous screw insertion a challenging procedure. An anatomical reduction of acetabular fractures is a good predictor of functional outcome and reduced risk of posttraumatic osteoarthritis. The percutaneous technique allows for earlier return to activity and better pain control when compared with nonsurgical management. Percutaneous technique has been described in the literature as an adjuvant to open reduction and internal fixation. Results: According to …

Combined Knee Arthroscopy With Medial Open Wedge High Tibial Osteotomy In Management Of Medial Knee Joint Disorder Of Adults Varus Knee, Emad Eid Elagroudy

Menoufia Medical Journal

Objectives: To elucidate the outcome of medial opening wedge high tibial osteotomy accompanied with arthroscopic management of medial knee joint mechanical disorders in adult patients with varus knee. Background: Medial open wedge high tibial osteotomy improves alignment and weight distribution in patients with varus knee deformity with intraoperative ability to adjust correction through one bone cut, without disruption of proximal tibio-fibular joint or lateral compartment invasion. Methods: The study included adult patients with symptomizing varus knees. A medial opening wedge was stabilized with osteotomy plate combined with arthroscopic intra articular management of medial knee disorders. Results: The study was conducted …

Lateral Extra-Articular Tenodesis Combined With Intra-Articular Acl Reconstruction In Management Of Anterolateral Knee Instability, Emad E. El Agroudy

Menoufia Medical Journal

Objectives: Was to evaluate the clinical and functional outcomes of combining lateral extra-articular tenodesis with arthroscopic anterior cruciate ligament reconstruction in treatment of high grade anterolateral rotational knee instability. Background: Lateral extra-articular tenodesis with arthroscopic anterior cruciate ligament reconstruction in treatment of high grade anterolateral rotational knee instability grants equivalent isokinetic muscle recovery as does stand-alone anterior cruciate ligament in knees with no rotational instability. Methods: This study was conducted on twenty patients with anterolateral knee instability. Lateral extra articular tenodesis using iliotibial band distally attached and fixed to lateral femoral epicondyle with intra articular arthroscopic anterior cruciate ligament reconstruction …

Corrective Osteotomy Of Dorsal Malunited Fractures Of The Distal End Radius Using Volar Locking Plate And Bone Block Graft Substitute, Mohamed Samy

Menoufia Medical Journal

Objective

To evaluate the results of corrective osteotomy of dorsal malunited fracture lower end radius using volar locking plates and bone block graft substitutes.

Background

Malunion of the distal radius usually occurs following conservative treatment. The indication for corrective osteotomy is symptomatic, rather than radiological malunion.

Patients and methods

All the patients had dorsally malunited (dorsal tilt) extra-articular distal radius fracture following conservative management. The mean time of postfracture intervention was 4 months (range, 3–5 months). All the patients underwent open wedge corrective osteotomy through the volar approach and fixation with volar locking plates and filling the osteotomy gap with …

Early Outcome Of Video Assisted Thoracoscopic Surgery Management Of Chronic Empyema, Hesham Hassan Ahmed, Mohammed Hamdi, Heshama Greda, Amr Allama, Mohammed G Abdellatif

Menoufia Medical Journal

Objectives: To evaluate the use of Video-assisted thoracoscopic surgery (VATS) for chronic empyema regarding its effectiveness, duration of surgery, postoperative pain, and possible complications. Background: Empyema thoracis is a common disease which may be complicated with multiloculated chronic empyema. Different surgical techniques are used in treatment of empyema like thoracoscopic debridement and open thoracotomy decortication to provide lung re-expansion and restore the good respiratory function. Methods: Prospective observational study conducted from September 2015 to August 2017 including 29 patients diagnosed to have chronic empyema indicated for elective thoracoscopic debridement. Visual analogue score was used to assess postoperative pain. Results: Our …

Distal Tibial-Fracture Management Using Expert Tibial-Nailing Technique, Ahmed Zayda, Ahmed R Abuzeed Ragab, Emad Badawy, Mahmoud Hadhoud

Menoufia Medical Journal

Objective In this series, we will assess the expert tibial nails (ETN) in treating distal tibial metaphyseal fractures and their effectiveness as an implant in these fractures. Background Therapy of distal tibial fractures in adults without articular extension is difficult due to its anatomical features of their minimal soft-tissue covering, poor supply of blood, and closeness to the ankle joint. Internal fixation and open reduction result in revascularized fracture fragments with soft tissue and skin complications. Conventional nails have limited interlocking options. ETN offers an alternative for these fractures with multilocking options and higher stability. The aim of this research …

Comparative Study Between Threaded Kirschner Wires And Herbert Screw In Fixation Of Scaphoid Nonunion Fractures Using Iliac Crest Bone Graft, Ahmed Shams, Ahmed H. E. A. Hamad, Rasha Saleh, Samy Sakr

Menoufia Medical Journal

Objectives To compare the results of threaded Kirschner wire (K-wires) and Herbert screw in the treatment of nonunion scaphoid using iliac graft. Background Scaphoid nonunion is challenging to manage because of its geometry, the direction and type of fracture, and the vascular supply to it. Patients and methods This prospective study included 30 patients with nonunion scaphoid fracture in the Orthopedic Department of Menoufia University and El-Qabary Hospital from 2019 to 2021. Patients were divided into two equal groups according to the fixation method (group A by threaded K-wires, and group B by Herbert screw) with open reduction and iliac …

Knee Chondral Lesions: A Cohort Study Of Microfracture With Or Without Bone Marrow Aspirate Concentrate, Ali F. Ali, Amr S. El-Sayed, Amr A. Kandel, El-Sayed M. Zaki

Menoufia Medical Journal

Objective To evaluate the clinical and radiological outcomes of microfracture alone versus with augmentation by bone marrow aspirate concentrate (BMAC) in the management of knee chondral lesions. Background Bone marrow aspirate is a cost-effective method in delivering mesenchymal stem cells to aid in the repair of cartilage defects. Patients and methods Patients were mutually allocated into two groups at a ratio of 1: 1: in group A 15 patients were managed by microfracture and in group B 15 patients were managed by BMAC augmented microfracture. All patients had grade III or IV chondral lesion at the weight-bearing surface of femoral …

Evaluation Of The Result Of Triple Arthrodesis In The Treatment Of Adolescent Rigid Flatfoot, Ahmed Shams, Ahmed M.A Aboalkhair Gaber, Rasha Saleh, Samy Sakr

Menoufia Medical Journal

Objective The aim of this work was to evaluate triple arthrodesis in the treatment of adolescent rigid flatfoot regarding clinical outcomes, radiological findings, and complications. Background Rigid flatfoot is a common foot complaint in the adolescent age group. Moreover, some severe, rigid flatfoot deformities are associated with tarsal coalitions. The results of the triple arthrodesis procedure were evaluated in severe, symptomatic rigid flatfoot in adolescents. Patients and methods A prospective study was conducted on 16 adolescent patients who underwent triple arthrodesis procedure for symptomatic rigid flatfoot between July 2019 and October 2020 with a minimum follow-up period of 6 months. …

Highlighting Multidetector Computed Tomography Capabilities In Assessing Trauma To The Retroperitoneal Region: A Cross-Sectional Study, Mohamed R. Elkholy, Nashwa R. A. Elwahash, Shaimaa A. H. Hassanein

Menoufia Medical Journal

Objectives The main objective of this study was to evaluate the different injury types of retroperitoneal trauma regarding their multidetector computed tomography (MDCT) findings. Background Traumatic injuries of the abdomen are one of the most common causes of morbidities and mortalities worldwide. Retroperitoneal traumatic injuries occur in a minority of abdominal trauma; however, they cause higher mortality rates compared with other types of abdominal trauma. Patients and methods We conducted a cross-sectional observational diagnostic study on patients admitted for emergent radiological examination following abdominal trauma. History, clinical examination, laboratory investigations, and MDCT were done to detect retroperitoneal injuries and assess …

Prevalence Of Ipsilateral Knee Ligament Injuries Associated With Femoral Shaft Fractures In Menoufia University Hospitals, Bahaa Z. Hasan, Emad B. Badawy, Khaled Abdel-Mageed Abdel-Sattar Shreef, Taher Abdel-Sattar Eid

Menoufia Medical Journal

Objective This study was designed to estimate the prevalence of ipsilateral knee ligament injuries associated with fracture shaft femur in Menoufia University Hospitals. Background Ipsilateral knee ligament injuries associated with femoral shaft fractures are a common finding but can be easily missed during early management of initial trauma. Patients and methods After femoral fixation with intramedullary rod placement, external fixation, or plate fixation, all patients underwent a thorough physical examination of the involved limb including varus and valgus stress tests, Lachman test, anterior drawer test, and posterior drawer test, under anesthesia. Clinical assessments were performed and compared with the contralateral …

Assessment Of Fusion Rate With Transforaminal Lumbar Interbody Fusion In Degenerative Lumbar Spine Diseases, Mahmoud M. Hadhoud, Mohamed A. Faik, Nasser M. Abdel-Wahed, Osama A. M. Shireef

Menoufia Medical Journal

Objectives The aim of the study was to assess the fusion rate with transforaminal lumbar interbody fusion (TLIF) in degenerative lumbar spine diseases regarding its advantages, complications, and clinical outcomes. Background TLIF should offer the same benefits of circumferential fusion with higher safety than other interbody fusion methods because it avoids the direct traction to dura and nerve roots. Participants and methods This study included 30 patients suffering from continuous low-back pain due to degenerative lumbar spine diseases, which were treated by TLIF using PEEK banana cage supplemented by pedicle screw fixation in the Orthopedic Department of Menoufia University Hospital …

Evaluation Of Platelet-Rich Plasma Vs Steroid In The Treatment Of Sacroiliitis By Ultrasound-Guided Injection In Patients With Seronegative Axial Spondyloarthropathies, Alaa A. Labeeb, Eman A. Abd Allah, Eman A. Galbat, Mohammed K. Abd El Mageed, Samar G. Soliman

Menoufia Medical Journal

Objective The aim was to evaluate the efficacy of ultrasound-guided (USG) sacroiliac injection of platelet-rich plasma (PRP) for sacroiliitis in seronegative axial spondyloarthropathies (SPAs) vs triamcinolone acetonide injection. Background Sacroiliitis is considered a hallmark for the diagnosis of seronegative SPA. Sacroiliac joint steroid injection is a commonly used technique. A novel promising injective treatment is PRP. Patients and methods This interventional study included 70 patients with seronegative axial SPA, from 2017 to 2019. The patients were divided into two groups: group I received USG injection of triamcinolone acetonide, and group II received USG injection of PRP. Patients were evaluated for …

Prognostic Factors In Management Of Postoperative Spondylodiscitis, Adel M. Hanafy, Hisham M. A. Rahma, Mohamed M. Al Mashad, Tarek M. Rageh, Yasser I. Mahgoub

Menoufia Medical Journal

Background Spinal infection is an uncommon disease, which may result in serious complications with potentially high morbidity and mortality. Objective The aim was to evaluate the outcome of patients with postoperative spondylodiscitis after management in relation to age, sex, general condition, symptoms, signs, radiological findings, type, and time of intervention. Patients and methods A prospective study was conducted on 20 patients having postoperative spinal infection managed in the period between June 2017 to June 2019 in the Neurosurgery Department at Menoufia University Hospitals and Al Haram Hospital. Patients with postoperative spinal infection were evaluated neurologically by American Spinal Injury Association …

Relation Of Serum Tumor Necrosis Factor-Α Level With Disease Severity In Spastic Cerebral Palsy, Alaa A. Labeeb, Eman A. Abd Allah, Heba A. Esaily, Jehan D. Fayed, Safa I. Tayel, Samar G. Soliman, Sameh A. Abd El-Naby

Menoufia Medical Journal

Objective To detect the relation between serum tumor necrosis factor-α (sTNF-α) level and disease severity in children with lower limb spastic cerebral palsy (CP). Background Glial cells are activated following a primary insult to the immature brain, secreting chemical mediators such as tumor necrosis factor-α, leading to secondary white matter injury, causing CP. Patients and methods A randomized controlled clinical trial was conducted, including 80 ambulatory children with lower limb spastic CP and 80 healthy age-matched and sex-matched children as control group. At baseline, patients with CP were assessed using Modified Modified Ashworth Scale, bilateral adductor tone score, passive range …

Hypothenar Island Flap: A Safe And Excellent Choice For Little Finger Defects, Ahmed M. Harfoush, Sherief M. El Kashty, Tarek F. Keshk

Menoufia Medical Journal

Objective The aim was to evaluate the functional and cosmetic results of hypothenar island flap for the reconstruction of little finger defects and to assess them by follow-up. Background Reconstruction of soft-tissue defects of little finger of the hand needs a single-stage procedure that can provide well-vascularized coverage at the earliest stage to give the best functional result. Patients and methods This follow-up study that included 19 patients (13 men and six women) was carried out in the Plastic and Reconstructive Surgery Departments of Menoufia University and Helmia Military Hospital from October 2017 to October 2019, with assessment by a …

Mucocutaneous Findings In Down Syndrome, Menan S. A.. Alghobashy, Mohamed A. Gaber

Menoufia Medical Journal

Objective To study and evaluate the dermatological signs found in patients with Down syndrome (DS). Background The dermatological signs found in patients with DS have been less clear and infrequently studied and must be completely elucidated. Patients and methods This cross-sectional study included 50 patients with DS confirmed clinically. The sample comprised 28 boys and 22 girls. Their ages ranged between 1 and 40 years. We separated the sample into five age groups: 0–5 years, 14 patients; 6–10 years, 22 patients; 11–15 years, eight patients; and older than 16 years, 6 patients. Results Seborrheic dermatitis was the most frequent sign …

Comparative Study Between Early Mobilizations Vs Late Mobilization After Flexor Tendon Repair In The Hand, Dalia M. Elsakka, Magdi A. Lolah, Medhat A. Samy, Mostafa G. Hanot

Menoufia Medical Journal

Objective The aim was to study the different types of mobilization after flexor tendon repair and their effect on the prognosis of healing and rehabilitation. Background Tendon injuries are the second most common hand injury type. Most tendon injuries require surgical repair and rehabilitation to restore hand function. Postsurgical rehabilitation improves the functions and outcomes and is an essential step in managing repaired tendons. Patients and methods The study included 60 patients after repair of flexor tendons in the hand, who were divided into early, intermediate, and late groups as A, B, and C, respectively (randomized controlled clinical trial). To …

Platelet Rich Plasma Injection Versus Extracorporeal Shock-Wave Therapy In Treatment Of Plantar Fasciitis, Alaa A. Labeeb, El Zahraa A. Abd-El Hady Hammad, Eman A. Abd Allah, Samar G. Soliman, Tarek F. Abd-Ella

Menoufia Medical Journal

Objective The aim of this study was to determine the efficacy of local platelet-rich plasma (PRP) injection compared with extracorporeal shock-wave therapy (ESWT) for treatment of plantar fasciitis. Background Plantar fasciitis is an important cause of heel pain. ESWT and PRP have emerged as new management options, alternative for surgery. Patients and methods This comparative study included 60 patients, comprising 48 female and 12 male patients with plantar fasciitis diagnosed clinically and by ultrasound. The patients were divided into two groups: 30 patients received single local PRP injection and 30 patients received three sessions of ESWT weekly. All patients were …

The Use Of Twin-Ring Ilizarov In The Treatment Of Periarticular Or Intra-Articular Fractures Of The Tibia, Amr Se Omar, Hesham F. Ghoneem, Mohammed Mm Mohammed

Menoufia Medical Journal

Objective The aim of the present study was to report the results of using the twin-ring (TR) module in treatments of juxta-articular fractures of the tibia and the merits of this technique in Menoufia University Hospitals and El-Obour Insurance Hospital over 3 years. Background In juxta-articular fractures of the tibia, the presence of short metaphyseal bone fragments may make the application of an Ilizarov external fixator (IEF) challenging. It may be necessary to bridge the adjacent joint to ensure stable fixation. The TR module is proposed as an alternative method that avoids joint bridging, without compromising the stability of fixation. …

Results Of Flexor Tendon Grafting With Early Active Mobilization, Hassan A. Neanaa, Hesham M. El-Mowafy, Mohamed A. Ahmed

Menoufia Medical Journal

Objective The aim was to evaluate the results of early active motion regimen after hand flexor tendon grafting. Background The application of proper postoperative rehabilitation program is an integral part to achieve good results after hand flexor tendon grafting. The aim of application of early, active mobilization rehabilitation program is to limit adhesion formation which limits active motion. Patients and methods Twenty-three fingers were managed by flexor tendon grafting and assessed from February 2015 till August 2016 at Menoufia University Hospital. In all, 17 fingers had two stages tendon grafting and six fingers had single-stage tendon grafting. Early active mobilization …

Magnesium Sulfate Versus Dexmedetomidine As Adjuvants To Bupivacaine In Postoperative Epidural Analgesia After Total Knee Replacement, Abd-Elrahman A. Ahmad, Amany A. Sultan, Ashraf M. Eskandar, Esam Ae Esmaeil, Magda F. Yehia

Menoufia Medical Journal

Objective The purpose of this study was to evaluate magnesium sulfate (MgSO4) or dexmedetomidine combined with bupivacaine versus bupivacaine for postoperative epidural analgesia in patients undergoing total knee replacement (TKR). Background Epidural analgesia after TKR is an effective widely used technique. Plain bupivacaine is one of the commonly used drugs. Several adjuvants are emerging to enhance its analgesic properties and decrease possible side effects. MgSO₄ and dexmedetomidine are promising. Patients and methods This prospective randomized controlled study included 60 patients undergoing TKR who were randomized into three groups for postoperative epidural analgesia: group B bupivacaine, group BM bupivacaine plus …

Bouquet Technique In The Treatment Of Metacarpal Fractures, Abdelatai M. Hassan, Adel I. Elsaedy, Hisham M. Elmowafy

Menoufia Medical Journal

Objectives The aim of this study was to evaluate the results of bouquet technique in fixation of metacarpal subcapital, neck, or shaft fractures regarding fixation stability and functional and radiological outcomes. Background Metacarpal subcapital, neck, or shaft fractures can be managed conservatively or operatively depending on fracture pattern and stability. Patients and methods A follow-up study in Boulak Eldakror Allgemein Hospital from July 2014 to February 2016 was conducted. Thirty cases of unstable metacarpal fractures were managed by antegrade intramedullary K-wires fixation and were documented and evaluated radiographically and functionally with follow-up for 6 months. Result Thirty cases were enrolled …

Results Of Management Of Tibial Plateau Fractures Schatzker Types V And Vi Using Ilizarov Fixator, Ahmed I. Zayda, Ahmed E. Shahein, Hesham F. Ghoneem, Mohamed M. M El-Deeb

Menoufia Medical Journal

Background Management of comminuted bicondylar tibial plateau fractures remains a challenge to orthopedic surgeons. Studies on long-term outcomes of treatment of the tibial plateau have included a mixture of fracture types, including low-energy split and split-depressed fractures. Thus, the middle-to-long-term results of management of high-energy fractures are still lacking. Objective The aim of this study was to evaluate the knee function and development of arthrosis after a minimum of 3 years in high-energy tibial plateau fractures treated with the Ilizarov external fixator. Patients and methods There were 30 patients in this study and they were followed up for a minimum …

Arthritis In Type 2 Diabetes Mellitus, Ahmed A. Shoaib, Eman E. Hassan, Khaled M. El-Zorkany, Reda M. Badr

Menoufia Medical Journal

Objectives The objective of this study was to estimate the correlation between diabetes mellitus (DM) and arthritis through some laboratory changes in patients with type 2 DM complaining of arthropathy. Patients were recruited from outpatient clinics of Internal Medicine Department at Menoufia University Hospital. Background DM has become one of the main threats to human health in recent decades. Uncontrolled diabetes is strongly correlated to causing long-term microvascular and macrovascular complications. Rheumatological diseases are now common, which have an increased prevalence in the diabetic population. Patients and methods The study included 90 patients. Patients were divided into three groups: group …

Functional And Cosmetic Outcomes Of Posterior Interosseous Artery Flap In Reconstructing Hand Defects, Alaa A. Labeb, Fouad M. Ghareeb, Hesham K. H Abd El Kader, Mohamed A. Megahed, Sherif M. El Kashty

Menoufia Medical Journal

Objective The objective of this study was to evaluate the fu ncti onal and cosmetic results of reversed-flow posterior interosseous artery (PIA) flap for reconstruction of hand defects and to assess them by follow-up and physiotherapy. Background Reconstruction of soft-tissue defects in the hand needs a single-stage procedure that can provide well-vascularized graft coverage at the earliest to give the best functional result. Patients and methods This follow-up study that included 20 patients (16 male and four female) was carried out in Menoufia University, Plastic and Reconstructive Surgery Department, from March 2015 to January 2017, with assessment by a follow-up …

The Effect Of Metabolic Syndrome On Patients With Knee Osteoarthritis, Abd El Samad I Al Hewala, Dina R. El Sharaqi, Samar G. Soliman, Wafaa A. Fadel

Menoufia Medical Journal

Objective The aim was to study the effect of metabolic syndrome (MS) on the severity of knee osteoarthritis (OA), as well as its association with generalized OA. Background Knee OA is a major cause of disability. Studies suggested that metabolic factors may have a negative effect on cartilage and may play a role in the pathogenesis of OA. Patients and methods A total of 60 patients with primary knee OA were divided into two groups: group I included patients with knee OA and MS and group II included patients with knee OA and without MS. Both groups were matched regarding …

Clinical Evaluation Of Intra-Articular Platelet-Rich Plasma Injection For The Treatment Of Knee Osteoarthritis, Mohamed Y. Abuzeid, Osama G. Ahmed, Taher A. Eid

Menoufia Medical Journal

Objective The aim of this study was to evaluate results of intra-articular injection of plasma sample rich in platelets for the treatment of knee osteoarthritis (OA). Background OA is a progressive, chronic condition leading to pain and loss of function that reduce patients' quality of life. Materials and methods The study was performed on 30 knees of 30 patients with age 30–65 years. All of the patients presented with knee OA grade I, II, and III and were treated with two intra-articular platelet-rich plasma (PRP) injections with three weeks interval. Preparation was done by centrifugation of 50 ml blood in …

Supportive Aids For Children With Cerebral Palsy, Fatma L. Abdallah Farag, Naglaa F. Barseem, Soheir S. Abou El-Ella

Menoufia Medical Journal

Objective The objectives of this study were to support families of children with cerebral palsy (CP), to improve their lifestyle, and decrease complications through effective interventions. Background CP is the most common physical disability of childhood with variable manifestations and comorbidities; many interventions are pursued to help children with CP. Patients and methods This study was conducted on 75 children with CP (37 males and 38 females), aged 2–15 years, with variable types, degrees, and severity of CP. They were selected randomly from an outpatient pediatric clinic of Menoufia University Hospitals. In the first 4 months, parents of these children …