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Article
REFASHIONING OF AMPUTATION STUMP

Author: Omer Ali Rafiq Barawi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 Year: 2005 Volume: 11 Issue: 1 Pages: 116-123
Publisher: Basrah University جامعة البصرة

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Abstract

This is a prospective study was done on one hundred patients with late complications of the amputated stump between may 2001-2004 in Vincent Orthopedic center in Sulaimanya. There were eighty men and twenty women, their age range from seventeen to sixty years. Fifty patients with infected stump range from abscess formation in fifteen cases, infected epidermoid cysts in five cases to fissuring and ulceration of stump in thirty cases. Fifteen patients with painful neuromas attached to the scar tissue. Ten patients with below knee amputation had knee flexion deformity. Nine patients with below knee amputation with prominent bones compressing the skin of the stumps the fibula were long and the anterior edge of the tibia compressing the skin. Fifteen patients with loose cushion of muscles. One patient with recurrent infected above ankle amputation stump superadded by squamous cell carcinoma. All patients were treated by refashioning of the amputation stump, except one with squamous cell carcinoma.

Keywords

AMPUTATION --- STUMP


Article
Bone Transport of Tibia by Performing Z-Osteotomy Using Convenvtional External Fixator

Author: Omer Ali Rafiq Barawi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2014 Volume: 13 Issue: 4 Pages: 446-453
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:This is a descriptive study to evaluate the outcome of forty patients with bone loss in tibia using conventional (mostly monoaxial) external fixation device, based on principles of distractive osteogenesis.OBJECTIVE: To prove the effectiveness of conventional external fixation device in distraction osteogenesis in tibia successfully and simply.PATIENTS AND METHODS: Forty patients with bone loss of 4 to 10.5 centimeters in tibia between March 2003 and March 2011 were treated, ages (15-65years), 6:34 female to male ratio .In 30 patients site of bone loss was in the lower third of tibia while in 4 patients was in the middle third of tibia and in the remaining 6 patients it was the upper third of tibia. The cause of defects in tibia was fracture due to road traffic accident (20cases), bullet injury to leg (8cases), gap nonunion (8) and infected non unions (4 cases) respectively. Conventional external fixation device were used in all cases using the principles of z-osteotomy and results were evaluated according to Association for Study and Application of Ilizarov Method (A.S.A.M.I.) scoring system.RESULTS: According to ASAMI scoring system, functional results were achieved as excellent in 20 patients (50%), good in 10 (25%), fair in 8 (20%) and poor as 2 (5%) without failure. while bone results achieved excellent 18 (45%), good 14(35%), fair 6 (15%), poor 2(5%) without failure and bone loss in upper tibia has more chance and excellent result than in lower part.CONCLUSION: Conventional external fixation devices can be used to achieve distraction ontogenesis in tibia bone defects successfully, as it is cheap, safe and simple assembly.

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