Injury
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This paper describes our experience of 340 cases of open fracture treated at the Al- Rasheed Military Hospital with a simple external fixation device.
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Displaced supracondylar fractures of the humerus in children treated by overhead olecranon traction.
A simple method is described of treating severely displaced, supracondylar fractures of the humerus in children, and the results are reviewed. Treatment involves the use of overhead traction via an olecranon screw and a traction clip. Of 12 children treated in this way, 11 had excellent results with preservation of the normal carrying angle, and no significant loss of movement in any plane. There were no complications of the treatment and no cases of cubitus varus.
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A retrospective review was carried out of 100 consecutive patients with penetrating stab injuries of the chest and/or abdomen, requiring admission to hospital. Laparotomies were performed in 44 patients, while a further 7 were subjected to thoracotomy. Only 1 patient died, and this was a case of combined thoraco-abdominal injury. There was an annual increase in the numbers of such injuries, which were particularly prevalent in young, unemployed persons, often under the influence of alcohol.
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Ninety cases of bilateral dislocation of the shoulders, including seven previously unreported cases are discussed. Forty-nine per cent were due to convulsive seizures or electrocution, 23 per cent were traumatic and 36 per cent were atraumatic. This paper indicates that many attributed to trauma were probably due to unrecognized seizure, and neurological examination is indicated in all cases. Dislocations as a result of seizures or electrocution were often diagnosed late.
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Case Reports
Ipsilateral fracture of the head and neck of femur with partial fusion to the acetabulum.
A fracture of the head and neck of the right femur in a 50-year-old man was complicated by fusion of a large portion of one head fragment to the acetabulum as a result of prolonged walking on the fractured hip. This unexpected complication made management difficult as facilities for a total hip replacement were not immediately available.