Publications by authors named "Bahaaeldin Ibrahim"
Article Synopsis
- * Most patients (69.2%) experienced pain due to infections or osteoarthritis, with various fracture types being treated through different surgical approaches, primarily the modified Stoppa.
- * Despite a mean follow-up of 11.3 months showing decreased pain levels (VAS score from 6 to 1), the procedure carried significant complication risks, with intraoperative (30.8%) and postoperative (38.5%) issues reported, highlighting the need for experienced surgical teams.
Purpose: Although Letournel classification is considered the corner stone for classifying acetabular fractures, however, it might not be perfectly inclusive. Unclassified fractures were reported by many authors. The aim of this case series is to report the incidence of unclassified acetabular fractures and description of these rare patterns and why they are considered unclassified acetabular fractures.
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- The study evaluates the effectiveness of the AO large femoral distractor in helping to manage acetabular fractures characterized by marginal impaction and incarcerated fragments.
- Eighteen patients undergoing surgery using the distractor were analyzed, focusing on their fracture types and the outcomes post-surgery as seen in CT scans.
- Results indicated that the distractor provided a reliable method for achieving anatomical fracture reduction in most cases and successfully cleared the hip joint of impacted fragments.
Acetabular fractures could be accompanied by articular impaction injuries, affecting the outcomes if missed or treated less than optimally. Marginal impaction detected either in preoperative or intraoperatively imaging studies should be anatomically reduced using the femoral head as a template and augmenting the defect with bone graft if needed. The impacted segment articular surface looks enface during surgery, which is the classic description of such injuries.
View Article and Find Full Text PDFBackground: Fractured stem of the hip prosthesis is well documented in the literature. Although it is rare, it is considered as a challenging problem. Many techniques have been described to solve this problem.
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