Hackethal bundle nailing with intramedullary elastic nails in the treatment of two- and three-part fractures of the proximal humerus: initial experience at Al Razi Hospital, Kuwait.

Objective: To present the clinical and radiological results of a minimally invasive technique, the fixation of two- and three-part fractures of the proximal humerus according to the Neer Classification System, using the intramedullary bundle-wiring Hackethal technique.

Subjects And Methods: The operations were performed with the Hackethal technique (use of elastic titanium nails, Synthes) on 17 patients (8 males and 9 females) with two- and three-part fractures of the proximal humerus. In cases of two-part fracture only, intramedullary titanium nails were used while for three-part fractures, percutaneous cannulated screws were used to fix the greater tuberosity, followed by intramedullary insertion of titanium elastic nails.

Periprosthetic fractures of the femur after hip and knee replacement. Analysis of treatment results in Al Razi Hospital.

Objective: To present the clinical and radiological results of treatment of periprosthetic fractures of the femur after hip and knee replacements.

Subjects And Methods: Thirty-four patients (8 males and 26 females) with 34 fractures of the femur complicating hip and knee replacements are the subjects of this report. In 21 cases, the fracture affected the femur after hip replacement, and in 13 cases after knee replacement.

Cemented and cementless total hip replacement. Critical analysis and comparison of clinical and radiological results of 182 cases operated in Al Razi Hospital, Kuwait.

Objective: In this study we present the results of a series of cemented Exeter and cementless Zweymuller implants.

Subject And Methods: Eighty-seven cemented and 95 cementless hip replacements for different hip pathologies were followed for an average period of 36 months for cementless and 60 months for cemented cases. Clinical results were calculated using the Merle d'Aubigne score.

Total hip arthroplasty in acetabular deficiency: experience in Al Razi Hospital, Kuwait.

Objective: To report clinical and radiological outcomes of cemented and cementless total hip arthroplasty for primary and secondary osteoarthritis with a deficiency of acetabular bone stock.

Subject And Methods: Thirty-seven patients (16 male and 21 female) having 41 hips affected by primary and secondary acetabular bone stock defect that were operated using cemented (n = 25) and cementless (n = 16) hip replacement were followed for an average period of 37 (range 12-100) months. Bone defect was classified according to American Academy of Orthopedic Surgery criteria.

Percutaneous fixation of comminuted fractures of the humerus: initial experience at Al Razi hospital, Kuwait.

Objective: To present initial experience of 12 cases of percutaneous plating of the comminuted fractures of the humerus using minimal access surgery and standard low-contact dynamic compression plate.

Patients And Methods: Twelve patients (11 males and 1 female) with an average age of 29.8 years (range 17-46 years) with comminuted diaphyseal fractures of the humerus were treated by minimal access surgery using standard AO/ASIF implants.

Cementless Zweymüller hip replacement: a short-term follow-up in Al Razi Hospital, Kuwait.

Objective: To present initial experience of the first 71 cases of cementless total hip replacement in Al Razi Hospital.

Subject And Methods: Between 1996 and 2004, total hip replacement was performed in 71 patients (40 male, 31 female, average age 40.7 years, range 17-74) using Zweymüller cementless prosthesis.

Radioanatomical measurements of the medullary cavity of the humerus in Kuwait: ethnic differences and clinical implications for fracture fixation.

Objective: To compare the difference in diameter of the medullary cavity of the humerus in Arab and South Asian patients in Kuwait.

Subjects And Methods: In 46 patients (29 Arab, 17 South Asian) treated at Al-Razi Hospital, Kuwait, for diaphyseal fracture of the humerus, the medullary cavity of the humerus on the radiographs of the uninjured (contralateral side) was examined. Bone density was also measured.

Percutaneous fixation of comminuted fractures of the femur and tibia. Preliminary study.

Objective: To present initial experience of treating patients with comminuted fractures of the diaphyseal and metaphyseal areas of the femur and tibia.

Subjects And Methods: Sixteen patients were involved in the study. All the 16 patients (11 males and 5 females, average age 34 years) with closed, comminuted fractures of femur (n = 9) and tibia (n = 7) were operated on using the principle of minimal access surgery and biological fixation that maximally preserved the soft tissues and fracture hematoma.

Incidence of hip fracture in Kuwait.

Background: Hip fracture as a consequence of osteoporosis is an important cause of morbidity and mortality among the elderly. Due to improving life expectancy, the number of elderly individuals is increasing more rapidly in the developing countries of Asia, the Middle East, Africa, and South America. Incidence of hip fracture, which rises exponentially with age, varies substantially between countries and according to the age, sex, and ethnic distribution of the population.

[A synovial chondromatosis with polyarticular involvement].

A rare case of polyarticular involvement in synovial chondromatosis in a 62-year old woman is described. The extensive clinical and radiological changes were predominant on the right side of the body.

X-ray evaluation of supraacetabular sclerotic zone in the long-term results of total hip replacement.

The present study has been undertaken to analyse variability in the supra-acetabular sclerotic zone during a follow-up of 2-10 years after a total hip replacement. The material comprises 124 cases of Mc Kee Farrar and Weller total hip prosthesis. The criteria of clinical and radiological evaluation were based on literature data.

Radiological and computed tomographic studies of the width of the normal hip joint in men aged 30-60 years.

We made an attempt to evaluate the width of the joint space of the normal hip joint in men aged 30-60 years. We analysed 164 roentgenograms and 68 CT scans of the pelvis measuring the width of the right and left hip joint in four segments of the frontal plane (roentgenograms) and in three segments of the horizontal plane (CT scans). In each segment we determined the mean width of the joint space and mutual relation between the measurements by an analysis of variance and correlation coefficient.