Background. Distal humeral fractures are notorious injuries, and they require surgical fixation. The reliability of reconstruction devices has been a subject of debate. Our primary outcome was to detect differences, if any, between two different groups of patients using the patient-reported outcomes measurement information system (PROMIS) Global-10 form and to compare it with the Mayo elbow performance score (MEPS) results. Other secondary outcomes included the difference in union time between patients who received a reconstruction plate vs those who received a pre-contoured anatomical plate. Material and methods. It is a prospective randomised study which included a total of 30 cases equally distributed into two groups. Results. The mean PROMIS and MEPS scores for group A were 31.5 SD 6.6 and 77.7, respectively, compared to 33.7 SD 6.66 and 73, respectively, for the other group. Time to union was 13.4 weeks for group A and 12.6 weeks for the other group. There was no statistically significant difference between the groups regarding union and function. However, reconstruction plates were more cost effective. The correlation between the MEPS and PROMIS G scores in both groups was statistically significant. Conclusion. No superiority of one method of fixation versus the other was demonstrated in terms of patient-related outcomes. Reconstruction plates are a cost-effective alternative in simple fracture patterns.

Introduction: Unicompartmental knee arthroplasty (UKA) is performed with yearly rate of 9% in UK, and <8% in USA. It has been shown to be a successful and less invasive alternative to complete knee arthroplasty in certain patients total knee arthroplasty (TKA). Fracture of the femoral component after (UKA) has never been reported in the literature. Consequently, to investigate the major causes and mechanisms of (UKA) failure, we present a case of femoral component failure following (UKA). Case Report: A 62-year-old patient with 2 years following an UKA presented with a right pain, stiffness, and gait abnormalities. After taking full history and careful examination and obtaining a new radiograph, a fracture of the femoral component was revealed. A revision surgery with TKA has been done, and the outcome was assessed regularly, and good results were achieved. Conclusion: The exact reason for a femoral component fracture following UKA is yet unknown. To make an early diagnosis and avoid the need for complex knee revision surgeries, long-term follow-up is crucial for early detection of the clinical signs and symptoms of implant failure.

Background: About 18% of all fractures are ankle fractures. Injury of the ankle with syndesmotic ligaments usually causes instability and may require specific intervention beyond the fixation of the fracture. The syndesmotic injuries, that are isolated without displacement, are not treated surgically. But those with concomitant fractures should be treated surgically. Aim of the study: To assess the outcomes of dynamic fixation by tightrope and static fixation by conventional 3.5 mm cortical screw in patients with acute syndesmosis injuries. Patients and methods: this is a clinical trial conducted on 40 patients with acute syndesmosis injuries recruited from January 2018 to September 2020. Patients were divided into two groups according to the type of treatment. The first group were treated with a conventional 3.5 mm conventional cortical screw (Group A) and the other group were treated by ORIF using an Arthrex tightrope (group B). Results: The average age of the included patients was 26.8±4.67 in Group A and 28.2±6.3 in Group B. The overall AOFAS score was significantly higher in patients in Group B than patients in Group A after 3 months of follow-up (64.75±10.9 versus 58.5±12.9, respectively) P=0.05 and at 24 weeks follow-up (94.15±5.35 versus 86.95±11.45, respectively) P=0.005.