We retrospectively reviewed 56 fingers with a type 1 flexor digitorum profundus avulsion (jersey finger) injury. Nineteen fingers were treated with a four-strand pull-out suture technique that did not include the distal palmar plate, and 37 were treated with a six-strand pull-out suture technique that included the distal palmar plate. An early active mobilization regimen was used. At follow-up (mean 13 and 14 months, respectively), total active interphalangeal joint motion was significantly better in the six-strand/palmar plate group, as were the results assessed with the Strickland–Glogovac grading system and patient satisfaction according to the Stark criteria. No repair ruptures occurred in this group versus two ruptures in the four-strand/no-palmar-plate group. We consider that the better results can be attributed to a stronger repair, which facilitated early active mobilization. Level of evidence: III

The management of displaced distal tibial fractures is still controversial. The different internal fixation techniques are often burdened by relatively high complication rates. Minimally invasive techniques with ring fixators have been introduced as an alternative allowing immediate reduction and stabilization, avoiding a staged protocol. The aim of this prospective study was to analyze the clinical and radiographic outcome the Ilizarov technique in patients with distal tibial fractures. Twelve patients with distal tibial fractures treated with the Ilizarov technique, the mean follow up period was 12 months (ranged from 6 to 24 months). Depending on the type of fracture, 3 or 4 rings were used. Unrestricted weight-bearing was allowed in all cases at 6 weeks. Pre-and post operatively conventional radiographs, post-operative pain assessment and complications were evaluated. Clinical outcomes were evaluated according to the ankle-hindfoot score devised by the American Orthopaedic Foot and Ankle Society (AOFAS). No patient developed compartment syndrome or deep venous thrombosis. Pin infections were frequent, but they were mostly superficial and were treated with antibiotics and local antiseptics. 2 cases of malunion occurred, one of them required ankle fusion, the fixator was removed after a mean of 20 weeks (range 12-28). The clinical outcome according to AOFAS score was excellent in 6 patients, good in 3, fair in 2 and poor in 1.

Introduction: For a couple of decades particularly, both the increase in average age throughout the world and the developments in diagnostic technologies have gradually increased the importance of lumbar degenerative diseases in the practice of neurosurgery. Aim of the Work: The aim of this work is to evaluate the role of transforaminal lumbar interbody fusion with a single oblique cage and unilateral pedicular fixation in the treatment of degenerative lumbar disc disease . The results were recorded, tabulated & finally analyzed. Patients & Methods: This prospective study included thirty patients with degenerative lumbar disc diseases treated by lumbar interbody fusion using unilateral pedicular fixation.