Abstract: Background: Intra-articular fractures of the proximal tibia can often be troublesome because of the early and late arthritic complications of damage of the articular surface, and intra-articular lesions. There are some potential benefits of arthroscopy in solving some of the pitfalls of these fractures. The purpose of this work is to study these benefits of arthroscopy in treatment of those patients, and the benefits of adding an anti-glide screw. Patients and methods: Fifty patients with tibial plateau fractures were treated in Assiut University Hospitals. Of these patients only 16 were included in this study. Fourteen were men and 2 women. The age ranged between 27 and 60 years (mean 43 years). The inclusion criteria were patients with split, split depression, or local depression uni-condylar fractures according to Schatzker classification. The mean follow up was 15 months (6-24 months). The postoperative clinical evaluation depended up on Rasmussen scoring system. The radiological evaluation was according to Honkonen and Jarvinen. Results: Complete anatomical reduction of the fragments was achieved in 14 knees (87.5%). Up to 2 mm displacement or step off was accepted in two knees (12.5%). Clinical assessment according to Rasmussen classification was: 10 knees (62.5%) excellent, 4 knees (25%) good, 2 knees (12.5%) fair, and none was poor. Radiological results were: 13 (81.25%) grade one, 2 knees (12.5%) grade two, and one knee (6.25%) grade three. None of the cases were grade four at the final follow up radiographs. Conclusions: The use of arthroscopy allowed precise anatomic reduction of the articular surface of the knee joint. It is particularly helpful in type two and three injuries with central articular depression which are often difficult to assess on preoperative imaging studies. It is also helpful in assessing other intra-articular injuries and their management if possible. The anti-glide screw may help in prevention of loss of reduction.

Abstract: Background: Intra-articular fractures of the proximal tibia can often be troublesome because of the early and late arthritic complications of damage of the articular surface, and intra-articular lesions. There are some potential benefits of arthroscopy in solving some of the pitfalls of these fractures. The purpose of this work is to study these benefits of arthroscopy in treatment of those patients, and the benefits of adding an anti-glide screw. Patients and methods: Fifty patients with tibial plateau fractures were treated in Assiut University Hospitals. Of these patients only 16 were included in this study. Fourteen were men and 2 women. The age ranged between 27 and 60 years (mean 43 years). The inclusion criteria were patients with split, split depression, or local depression uni-condylar fractures according to Schatzker classification. The mean follow up was 15 months (6-24 months). The postoperative clinical evaluation depended up on Rasmussen scoring system. The radiological evaluation was according to Honkonen and Jarvinen. Results: Complete anatomical reduction of the fragments was achieved in 14 knees (87.5%). Up to 2 mm displacement or step off was accepted in two knees (12.5%). Clinical assessment according to Rasmussen classification was: 10 knees (62.5%) excellent, 4 knees (25%) good, 2 knees (12.5%) fair, and none was poor. Radiological results were: 13 (81.25%) grade one, 2 knees (12.5%) grade two, and one knee (6.25%) grade three. None of the cases were grade four at the final follow up radiographs. Conclusions: The use of arthroscopy allowed precise anatomic reduction of the articular surface of the knee joint. It is particularly helpful in type two and three injuries with central articular depression which are often difficult to assess on preoperative imaging studies. It is also helpful in assessing other intra-articular injuries and their management if possible. The anti-glide screw may help in prevention of loss of reduction.

Abstract: Objective: This is a prospective case series study, which was designed to evaluate the clinical outcome of posterior percutaneous plating of the humerus. Materials and methods: From the year 2010 to 2011, 37 patients with middle and distal third humeral fractures who met the inclusion criteria were surgically treated by minimally invasive plate osteosynthesis through posterior approach. Their age ranged from 19 to 43 with an average of 27.8 years. Type of fractures varied from B to C, and all of them were traumatic. Results: Patients were followed up for a period varied from 12 to 24 months with an average of 18. There were no cases of intraoperative complications, infection or metal failure. Union was achieved in all of them within 16–21 weeks with an average of 18. Iatrogenic postoperative temporary neuropraxia of the radial nerve palsy was observed in two patients. All patients achieved normal range of shoulder and elbow motion within 3 months after surgery. The average Quick DASH score at 12-month follow-up was 30. According to patient’s satisfaction, all of them returned to the usual pre-injury activity level within 6 months. Conclusions: This study suggests that the principles of minimally invasive plate osteosynthesis can be applied safely through posterior approach of the humerus to treat middle and distal third humeral fractures. This approach has the advantage of preserving the triceps anatomy and function facilitating rapid postoperative rehabilitation.

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Abstract: Charcot osteoarthropathy of the foot is a chronic and progressive disease of bone and joint associated with a risk of amputation. The main problems encountered in this process are osteopenia, fragmentation of the bones of the foot and ankle, joint subluxation or even dislocation, ulceration of the skin and the development of deep sepsis. We report our experience of a series of 20 patients with Charcot osteoarthropathy of the foot and ankle treated with an Ilizarov external fixator. The mean age of the group was 30 years (21 to 50). Diabetes mellitus was the underlying cause in 18 patients. Five had chronic ulcers involving the foot and ankle. Each patient had an open lengthening of the tendo Achillis with excision of all necrotic and loose bone from the ankle, subtalar and midtarsal joints when needed. The resulting defect was packed with corticocancellous bone graft harvested from the iliac crest and an Ilizarov external fixator was applied. Arthrodesis was achieved after a mean of 18 weeks (15 to 20), with healing of the skin ulcers. Pin track infection was not uncommon, but no frame had to be removed before the arthrodesis was sound. Every patient was able to resume wearing regular shoes after a mean of 26.5 weeks

Abstract: Charcot osteoarthropathy of the foot is a chronic and progressive disease of bone and joint associated with a risk of amputation. The main problems encountered in this process are osteopenia, fragmentation of the bones of the foot and ankle, joint subluxation or even dislocation, ulceration of the skin and the development of deep sepsis. We report our experience of a series of 20 patients with Charcot osteoarthropathy of the foot and ankle treated with an Ilizarov external fixator. The mean age of the group was 30 years (21 to 50). Diabetes mellitus was the underlying cause in 18 patients. Five had chronic ulcers involving the foot and ankle. Each patient had an open lengthening of the tendo Achillis with excision of all necrotic and loose bone from the ankle, subtalar and midtarsal joints when needed. The resulting defect was packed with corticocancellous bone graft harvested from the iliac crest and an Ilizarov external fixator was applied. Arthrodesis was achieved after a mean of 18 weeks (15 to 20), with healing of the skin ulcers. Pin track infection was not uncommon, but no frame had to be removed before the arthrodesis was sound. Every patient was able to resume wearing regular shoes after a mean of 26.5 weeks

Abstract: Charcot osteoarthropathy of the foot is a chronic and progressive disease of bone and joint associated with a risk of amputation. The main problems encountered in this process are osteopenia, fragmentation of the bones of the foot and ankle, joint subluxation or even dislocation, ulceration of the skin and the development of deep sepsis. We report our experience of a series of 20 patients with Charcot osteoarthropathy of the foot and ankle treated with an Ilizarov external fixator. The mean age of the group was 30 years (21 to 50). Diabetes mellitus was the underlying cause in 18 patients. Five had chronic ulcers involving the foot and ankle. Each patient had an open lengthening of the tendo Achillis with excision of all necrotic and loose bone from the ankle, subtalar and midtarsal joints when needed. The resulting defect was packed with corticocancellous bone graft harvested from the iliac crest and an Ilizarov external fixator was applied. Arthrodesis was achieved after a mean of 18 weeks (15 to 20), with healing of the skin ulcers. Pin track infection was not uncommon, but no frame had to be removed before the arthrodesis was sound. Every patient was able to resume wearing regular shoes after a mean of 26.5 weeks