Print ISSN: 2790-0207

Online ISSN: 2790-0215

Keywords : joint

Unstable Proximal Phalangeal Fracture of the Hand Case Report and a Technical Note

Adnan Abdilmajeed Faraj

Kirkuk Journal of Medical Sciences, 2020, Volume 8, Issue 1, Pages 32-35
DOI: 10.32894/kjms.2020.169350

The current technique using K wires for the fixation of unstable proximal phalangeal fracture of the hand provides a stable construct without compromising joint mobility and soft tissue. These features are otherwise very difficult to fix. The technique involved ante grade introduction of K-wires from the proximal part aiming to the condyles and crossing the wires with the wire from the other condyle beyond the fracture plane to avoid distraction. The wires will then be pulled until the proximal end is buried in the condyles. The exit of the wires is proximal to the proximal interphalangeal joint.

Management of Missile Injuries of the Knee

Adnan Abdulmajeed Faraj

Kirkuk Journal of Medical Sciences, 2013, Volume 1, Issue 2, Pages 61-67
DOI: 10.32894/kjms.2021.169480

Background and Objectives: Iraq continues to be a troublesome area, missile injuries around the large joints of the extremity remains to be a challenging injury to the under resourced and poorly equipped unsafe hospitals. The aim of this study is to report our experience in the management of such injuries. patients and methods: Thirteen patients (14 knees) with grade III Gustillo open fractures of the knee caused by war injury including bullets, shells of blast and missiles were treated by wound debridement, washout, repair of arterial injury after external or internal fixation of the fracture. Five patients (38%) required Dacron arterial graft for associated vascular injury, there was a case of permanent nerve damage (7%). Results: The outcome was satisfactory in 6 patients (46%), fair in five (38%) and poor in the remaining (16%). One limb remained was ischemic; one case of infection required amputation. These patients underwent wound debridement, skeletal fixation and vascular and or plastic reconstruction. Conclusion: There is high association of open war injuries of the knee with neurovascular injuries. Awareness of the associated vascular injury and team approach, is vital in the management of these injuries. Skeletal stabilization using any method deem to be appropriate is associated with good outcome provided appropriate early wound debridement is performed.