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  1. Article: An unusual cause of febrile knee pain in children: Septic arthritis of the proximal tibiofibular joint (a case report).

    Safouen, Ben Brahim / Mohamed, Jlidi / Ahmed, Ben Ammar / Walid, Bouaicha / Selim, Daas / Adel, Khorbi

    International journal of surgery case reports

    2024  Volume 119, Page(s) 109672

    Abstract: Introduction and importance: Septic arthritis (SA), an infection affecting joints, is primarily attributed to bacteria, viruses, or fungi, with the hip, knee, and ankle being common sites of involvement. However, SA of the proximal tibiofibular joint is ...

    Abstract Introduction and importance: Septic arthritis (SA), an infection affecting joints, is primarily attributed to bacteria, viruses, or fungi, with the hip, knee, and ankle being common sites of involvement. However, SA of the proximal tibiofibular joint is exceptionally rare. We report a highly uncommon case of lateral knee pain with fever in an 11-year-old boy caused by SA of the proximal tibiofibular joint.
    Case presentation: The case involves an 11-year-old male admitted with atraumatic knee pain, fever, and limping. Physical examinations revealed no pain or tenderness of the knee joint, but a painful swelling near the proximal tibiofibular region. The patient had a temperature of 38.6 °C and a petechiae-like rash. Initial bloodwork showed an inflammatory syndrome, and blood cultures were negative. Imaging, including X-rays, ultrasound, and MRI, revealed a fusiform collection near the fibula and a 40*10 mm mass. Surgery, performed through a posterolateral approach, identified purulence in the tibiofibular joint. Bacteriological samples confirmed methicillin-sensitive Staphylococcus aureus, with histopathological results confirming non-specific septic synovial involvement. The patient received a six-week course of dual empirical antibiotics and showed afebrile status postoperatively. At the two-year follow-up, the patient walked independently with no restrictions in joint mobility.
    Clinical discussion: SA of the tibiofibular joint is rare but should be considered in febrile knee pain, especially if lateralized.
    Conclusions: A favorable outcome require a prompt diagnosis and treatment, involving surgical debridement, appropriate antibiotics, and postoperative immobilization.
    Language English
    Publishing date 2024-04-20
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2024.109672
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Surgical management of tibia refracture with a bent intramedullary nail

    Walid Bouaicha / Mohamed Jlidi / Amine Sioud / Karim Mallek / Saffet Nouicer / Salma Jaziri / Abdennadher Achref / Selim Daas

    SAGE Open Medical Case Reports, Vol

    A case report and review of the literature

    2024  Volume 12

    Abstract: Intramedullary nailing is the gold standard for long bone fractures in the lower limbs. Fractures of the tibia with bending of the intramedullary nail is a very uncommon complication. Removing a bent nail is an unpredictable and challenging procedure for ...

    Abstract Intramedullary nailing is the gold standard for long bone fractures in the lower limbs. Fractures of the tibia with bending of the intramedullary nail is a very uncommon complication. Removing a bent nail is an unpredictable and challenging procedure for any trauma surgeon. We report the case of a 34-year-old man presenting a refractured tibia with a bent intramedullary nail following a motor vehicle accident. We describe the management of this patient as well as a substantial review of the literature to depict the peculiarities of this entity compared to its more commonly reported femoral counterpart. When approaching a deformed tibia nail, standard extraction techniques should be attempted and are more likely to be successful than in deformed femoral nails.
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2024-01-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Comparison of the results of the synthesis of Schatzker II and III tibial plateau fractures by screwing versus plate.

    Mohamed, Jlidi / Bouaicha, Walid / Lamouchi, Mouldi / Ammar, Ahmed Ben / Jaziri, Salma / Daas, Selim

    International orthopaedics

    2023  Volume 47, Issue 8, Page(s) 2073–2083

    Abstract: Purpose: Lateral tibial plateau fractures with depression are the most common. Their treatment is currently surgical. Many therapeutic procedures have been described. Our aim is to evaluate the results of open surgery and to compare the two internal ... ...

    Abstract Purpose: Lateral tibial plateau fractures with depression are the most common. Their treatment is currently surgical. Many therapeutic procedures have been described. Our aim is to evaluate the results of open surgery and to compare the two internal fixation methods used: lag screw versus plates.
    Materials and methods: This is a retrospective comparative study of two series of tibial plateau fractures Schatzker types II and III treated surgically over a period of ten years with two different methods: Group A: Internal fixation using screws for 86 patients. Group B: Internal fixation using plates for 71 patients. Functional and anatomical results were assessed according to Rasmussen's clinical and radiological scores.
    Results: The patients' average age was 44 years (range from 18 to 76). The male gender was predominant (104 males and 53 females). Road traffic accidents were the most common aetiology with over two thirds of the cases. The fractures were type Schatzker II in 61% of the cases. The mean follow-up was five years. Although the clinical and radiological Rasmussen scores were better in group A (internal fixation with lag screws), those differences were statistically insignificant (p = 0.6 and p = 0.8). Group A clinical and radiological scores were 26.06 and 16.57, respectively and those of group B were 25.72 and 16.45. We noticed more sepsis and skin complications and a longer operating time (95 min versus 70 min) in group B patients with a statistically significant difference. None of the patients of our series had bone grafting.
    Conclusion: For Schatzker II and III fractures, an internal fixation with lag screws would be preferable when possible especially in the case of a pure depression fracture. It yields satisfactory results with a shorter operating time and less complication rate.
    MeSH term(s) Female ; Humans ; Male ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Tibial Fractures/diagnostic imaging ; Tibial Fractures/surgery ; Tibial Fractures/complications ; Retrospective Studies ; Tibial Plateau Fractures ; Tibia ; Fracture Fixation, Internal/adverse effects ; Fracture Fixation, Internal/methods ; Bone Plates ; Treatment Outcome
    Language English
    Publishing date 2023-06-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80384-4
    ISSN 1432-5195 ; 0341-2695
    ISSN (online) 1432-5195
    ISSN 0341-2695
    DOI 10.1007/s00264-023-05849-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Comparative study of Iselin’s technique for the treatment of Bennett’s fracture with large and small fragments

    Walid Bouaicha / Mohamed Jlidi / Senda Bellila / Selim Daas / Ahmed Ben Ammar / Mohamed Ali Sbai / Adel Khorbi

    SAGE Open Medicine, Vol

    2022  Volume 10

    Abstract: Objective: The thumb is very exposed to trauma due to its position and function. Fractures of the base of the first metacarpal bone are very frequent in hand traumatology. Most Bennett’s fractures are treated surgically. However, the optimal surgical ... ...

    Abstract Objective: The thumb is very exposed to trauma due to its position and function. Fractures of the base of the first metacarpal bone are very frequent in hand traumatology. Most Bennett’s fractures are treated surgically. However, the optimal surgical approach is controversial. The aim of this study is to compare the results of closed reduction and percutaneous pinning in the treatment of Bennett’s fracture of the base of firsthand metacarpal in fractures with both small and large fragments. Methods: We studied retrospectively the data of 40 patients treated for a Bennett’s fracture in the department of orthopaedic and traumatologic surgery between January 2016 and December 2018. The purpose of this study was to compare the functional (pain, grip strength, first web space opening and thumb opposition) and radiological (quality of reduction and arthritic changes) results of the Iselin’s technique for the treatment of Bennett’s fractures in two groups of patients with large and small bone fragments according to the size of articular surface detached with the antero-medial fragment (superior or inferior to 25%). Results: The average age of the patients was 34 (range = 19–66) years. Males were by far the most affected (90%). We noted 24 cases of large fragment fractures (60%) and 16 cases of small fragment fracture (40%). An excellent overall functional result was found in 68.8% of cases of small fragment fractures versus 50% of cases of large fragment fractures. Radiological results were roughly similar. Conclusion: All surgical techniques aim to restore the articular congruence to the best, maintain the opening of the first web space and obtain a stable and painless trapezo-metacarpal joint. The Iselin’s technique is simple, inexpensive and easy to perform even by inexperienced surgeons. It yields satisfactory results in most cases of Bennett’s fracture regardless of the size of the fragment.
    Keywords Medicine (General) ; R5-920
    Subject code 616
    Language English
    Publishing date 2022-06-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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