Abdulrahim Aljayar | University of Benghazi (original) (raw)

Papers by Abdulrahim Aljayar

Science Journal of Clinical Medicine, 2023

Despite all efforts made by healthcare systems around the world to prevent medical errors from oc... more Despite all efforts made by healthcare systems around the world to prevent medical errors from occurring, their incidence rates are still increasing, prompting the World Health Organization (WHO) to describe it as an epidemic problem. Realizing it is a thorny, sensitive subject, difficult to reach a consensus on, and despite the scarcity of sources related to hand surgery in particular, as well as the reluctance of some individuals and official institutions to provide information about it, we decide to tackle the issue because of its importance, especially since most of these errors are preventable and avoidable, by analyzing 245 cases detected or referred to the hand clinic in Benghazi between January 2020 and December 2021, who were suffering iatrogenic adverse effects related to previous surgical interventions. After excluding the non-surgical errors, we found that the percentage of intraoperative technical errors in hand surgery was 39.1%, with inadequate procedures being the most common at a rate of 65.6% and the lack of appropriately efficient equipment being the reason for 32.4% of these errors. To conclude, practical special training in hand surgery and the discovery of the root causes of these errors are the best ways to reduce them to a minimum.

ASIAN JOURNAL OF SCIENCE AND TECHNOLOGY, 2019

The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at

BENGHAZI U NIVERS ITY M EDICAL JOU RNAL, 2018

Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::p... more Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::plications of malunion, delayed u nion, nonunion and the avascular necrosis, wit h their disabr ." sequelae.The aim of this study is to assess prospectively the clinical and radiological results u ir.g the modified Matti-Russe technique , for the treatment of scaphoid nonu nion with and wit hoquestionable via bility of the proximal fragment.With our experience of the numerous proced ure and techniques proposed for the treat ment of this complex problem, we are reporting our results •. 23 cases, 8 of which were associated with avascu lar necrosis of their proxima l fragments.A lthoug the data were limited for cases of nonunion scaphoid fracture, with proxima l pole avascular necrosis, we noticed that increased bone density is a reliable sign of avascularity. Our success rate • cases without avascular necrosis was (93%) , while it was (75%) in the presence of avascular necrosis. Hence the conclusion was:The modified free bone grafting technique of Mat ti-Russe, which wa originally recommended for the treatment of scaphoid nonu nion, is yet effective even in presen ce of avascu lar necrosis; and with this technique fixation seems u nnecessary.

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies.Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Intraoperative Technical Errors in Hand Surgery: Prevalence and Potential Root Causes, 2023

Despite all efforts made by healthcare systems around the world to prevent medical errors from oc... more Despite all efforts made by healthcare systems around the world to prevent medical errors from occurring, their incidence rates are still increasing, prompting the World Health Organization (WHO) to describe it as an epidemic problem. Realizing it is a thorny, sensitive subject, difficult to reach a consensus on, and despite the scarcity of sources related to hand surgery in particular, as well as the reluctance of some individuals and official institutions to provide information about it, we decide to tackle the issue because of its importance, especially since most of these errors are preventable and avoidable, by analyzing 245 cases detected or referred to the hand clinic in Benghazi between January 2020 and December 2021, who were suffering iatrogenic adverse effects related to previous surgical interventions. After excluding the non-surgical errors, we found that the percentage of intraoperative technical errors in hand surgery was 39.1%, with inadequate procedures being the most common at a rate of 65.6% and the lack of appropriately efficient equipment being the reason for 32.4% of these errors. To conclude, practical special training in hand surgery and the discovery of the root causes of these errors are the best ways to reduce them to a minimum.

Abdulrahim Aljayar, 2018

Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::p... more Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::plications of malunion, delayed u nion, nonunion and the avascular necrosis, wit h their disabr ." sequelae.The aim of this study is to assess prospectively the clinical and radiological results u ir.g the modified Matti-Russe technique , for the treatment of scaphoid nonu nion with and wit hoquestionable via bility of the proximal fragment.With our experience of the numerous proced ure and techniques proposed for the treat ment of this complex problem, we are reporting our results •. 23 cases, 8 of which were associated with avascu lar necrosis of their proxima l fragments.A lthoug the data were limited for cases of nonunion scaphoid fracture, with proxima l pole avascular necrosis, we noticed that increased bone density is a reliable sign of avascularity. Our success rate • cases without avascular necrosis was (93%) , while it was (75%) in the presence of avascular necrosis. Hence the conclusion was:The modified free bone grafting technique of Mat ti-Russe, which wa originally recommended for the treatment of scaphoid nonu nion, is yet effective even in presen ce of avascu lar necrosis; and with this technique fixation seems u nnecessary.

Abdulrahim Aljayar, 2021

This work is done to study different aspects of the topic; in any case, during our assortment and... more This work is done to study different aspects of the topic; in any case, during our assortment and investigation of the information, we observed the presence of other shocking issues sharing largely the road traffic accident's increasing frequency and heavy impacts that need collective efforts of everyone, individuals and authority. In spite of the fact that street car crashes stay a significant issue compromising lives and assets in Benghazi, we are additionally encircled by other upsetting awful mishaps generally sharing the recurrence, genuine effect and expanding occurrence of street auto collisions. Therefore, our enthusiasm against RTA should not overshadow such painful, dangerous events including AFD and VT.

Abdulrahim Aljayar, 2019

Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstru... more Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstruction, in providing adequate stable cover with similar skin qua sensibility, functional lengths, and acceptable cosmetic appearance. out of total 94 operated cases, at Aljala teaching trauma hospital and Ebn to report techniques in reconstruction of significant digital soft tissue loss, after an average follow up period of 1 year.

Abdulrahim Aljayar, 2019

The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at

Abdulrahim Aljayar, 2021

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies.Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Journal of Orthopaedic Science and Research, 2022

Background: Adipose tissue has achieved a great relevance as possible fount of mesenchymal stem c... more Background: Adipose tissue has achieved a great relevance as possible fount of mesenchymal stem cells for the healing of different articular pathologies including Knee Osteoarthritis (KOA). Stem cells derived from the Adipose Tissue (ADSCs) have a possibility to differentiate into chondrocyte, can reduce the immune response and can stimulate a local tissue repair, improving also the intra-articular Methods and Findings: Intra-articular injections of ADSCs with other conservative or surgical treatments can lead to an improving of all clinical and functional postoperative outcomes evaluated in middle-aged patients with KOA or chondral lesions. Moreover, some scores based on Magnetic Resonance Imaging (MRI) demonstrated an incremented quality of repaired cartilage in comparison with the pre-treatment. We observed no serious advent events. Conclusion: The use of ADSCs appeared to be out of danger, effective and it can be supposed an alternative procedure for the healing of chondral lesions and degenerative OA suitable for middle-aged athlete but no specific studies have been focus on this population and no long term follow-up data are available.

Abdulrahim Aljayar, 2019

Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstru... more Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstruction, in providing adequate stable cover with similar skin qua sensibility, functional lengths, and acceptable cosmetic appearance. out of total 94 operated cases, at Aljala teaching trauma hospital and Ebn to report techniques in reconstruction of significant digital soft tissue loss, after an average follow up period of 1 year.

This work is done to study different aspects of the topic; in any case, during our assortment and... more This work is done to study different aspects of the topic; in any case, during our assortment and investigation of the information, we observed the presence of other shocking issues sharing largely the road traffic accident’s increasing frequency and heavy impacts that need collective efforts of everyone, individuals and authority. In spite of the fact that street car crashes stay a significant issue compromising lives and assets in Benghazi, we are additionally encircled by other upsetting awful mishaps generally sharing the recurrence, genuine effect and expanding occurrence of street auto collisions. Therefore, our enthusiasm against RTA should not overshadow such painful, dangerous events including AFD and VT.

Journal of Orthopaedic Science and Research, 2022

Introduction: Accurate placement of implants is important to prevent a variety of complications i... more Introduction: Accurate placement of implants is important to prevent a variety of complications including dislocation, decreased range of motion, and premature polyethylene wear in Total Hip Arthroplasty (THA). In addition, the difference in leg length after THA affects postoperative gait and low back pain, and the femoral offset is related to gait and abductor muscle function.

The purpose of this study is to investigate whether implant placement, leg length difference, and hip offset are improved in supine THA using a 9-inch fluoroscopic HipGrid Drone.

Materials and Methods: We retrospectively reviewed consecutive 80 patients who underwent primary unilateral primary THA through direct anterior approach at supine position: 40 THAs with the use of fluoroscopy and 9-inch Drone, and 40 THAs with the use of fluoroscopy alone. We compared the accuracy of component positioning, leg length discrepancy, and hip offset with or without Drone.

Results: There was no significant difference in the inclination angle of the cup between the Drone group 37.9 degrees and the control group 39.0 degrees (p=0.175), but the variation from the target angle was more less in the Drone group compared with the control group (2.37 vs 3.82 degrees, p=0.013). With the use of the Drone, significantly more THAs had restoration of leg length compared with the control group (3.55 vs 4.95 mm, p=0.011). Hip offset restoration was also significantly improved in the Drone group compared with the control group (4.42 mm vs 5.56 mm, p=0.048). Surgical time was decreased in the Drone group (92.6 vs 97.8 minutes, p=0.043).

Conclusions: Using the easily adjustable grid system, we have demonstrated an efficient method for consistent and accurate cup positioning and restoration of hip offset for anterior supine THA. We recommend the use of this simple and effective device to anterior supine THA.

ABSTRAC Early detection and proper adequate treatment of scaphoid fractures are essential to avoi... more ABSTRAC Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::plications of malunion, delayed union, nonunion and the avascular necrosis, wit h their disabr ." sequelae.The aim of this study is to assess prospectively the clinical and radiological results u ir.g the modified MattiRusse technique , for the treatment of scaphoid nonu nion with and wit ho questionable via bility of the proximal fragment.With our experience of the numerous proced ure and techniques proposed for the treat ment of this complex problem, we are reporting our results · . 23 cases, 8 of which were associated with avascu lar necrosis of their proxima l fragments.A lthoug the data were limited for cases of nonunion scaphoid fracture, with proxima l pole avascular necrosis, we noticed that increased bone density is a reliable sign of avascularity. Our success rate · cases without avascular necrosis was (93%) , while it was (75%) in the presence of avascular necrosis...

Journal of Orthopaedic Science and Research

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies. Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Van Lohuizen Syndrome, A Late-Diagnosed Case in an 18 Years-Old Female Case Report, 2021

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies. Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Journal of Orthopaedic Science and Research, 2021

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies. Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

ASIAN JOURNAL OF SCIENCE AND TECHNOLOGY , 2019

The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at

The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at

Science Journal of Clinical Medicine, 2023

Despite all efforts made by healthcare systems around the world to prevent medical errors from oc... more Despite all efforts made by healthcare systems around the world to prevent medical errors from occurring, their incidence rates are still increasing, prompting the World Health Organization (WHO) to describe it as an epidemic problem. Realizing it is a thorny, sensitive subject, difficult to reach a consensus on, and despite the scarcity of sources related to hand surgery in particular, as well as the reluctance of some individuals and official institutions to provide information about it, we decide to tackle the issue because of its importance, especially since most of these errors are preventable and avoidable, by analyzing 245 cases detected or referred to the hand clinic in Benghazi between January 2020 and December 2021, who were suffering iatrogenic adverse effects related to previous surgical interventions. After excluding the non-surgical errors, we found that the percentage of intraoperative technical errors in hand surgery was 39.1%, with inadequate procedures being the most common at a rate of 65.6% and the lack of appropriately efficient equipment being the reason for 32.4% of these errors. To conclude, practical special training in hand surgery and the discovery of the root causes of these errors are the best ways to reduce them to a minimum.

ASIAN JOURNAL OF SCIENCE AND TECHNOLOGY, 2019

The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at

BENGHAZI U NIVERS ITY M EDICAL JOU RNAL, 2018

Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::p... more Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::plications of malunion, delayed u nion, nonunion and the avascular necrosis, wit h their disabr ." sequelae.The aim of this study is to assess prospectively the clinical and radiological results u ir.g the modified Matti-Russe technique , for the treatment of scaphoid nonu nion with and wit hoquestionable via bility of the proximal fragment.With our experience of the numerous proced ure and techniques proposed for the treat ment of this complex problem, we are reporting our results •. 23 cases, 8 of which were associated with avascu lar necrosis of their proxima l fragments.A lthoug the data were limited for cases of nonunion scaphoid fracture, with proxima l pole avascular necrosis, we noticed that increased bone density is a reliable sign of avascularity. Our success rate • cases without avascular necrosis was (93%) , while it was (75%) in the presence of avascular necrosis. Hence the conclusion was:The modified free bone grafting technique of Mat ti-Russe, which wa originally recommended for the treatment of scaphoid nonu nion, is yet effective even in presen ce of avascu lar necrosis; and with this technique fixation seems u nnecessary.

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies.Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Intraoperative Technical Errors in Hand Surgery: Prevalence and Potential Root Causes, 2023

Despite all efforts made by healthcare systems around the world to prevent medical errors from oc... more Despite all efforts made by healthcare systems around the world to prevent medical errors from occurring, their incidence rates are still increasing, prompting the World Health Organization (WHO) to describe it as an epidemic problem. Realizing it is a thorny, sensitive subject, difficult to reach a consensus on, and despite the scarcity of sources related to hand surgery in particular, as well as the reluctance of some individuals and official institutions to provide information about it, we decide to tackle the issue because of its importance, especially since most of these errors are preventable and avoidable, by analyzing 245 cases detected or referred to the hand clinic in Benghazi between January 2020 and December 2021, who were suffering iatrogenic adverse effects related to previous surgical interventions. After excluding the non-surgical errors, we found that the percentage of intraoperative technical errors in hand surgery was 39.1%, with inadequate procedures being the most common at a rate of 65.6% and the lack of appropriately efficient equipment being the reason for 32.4% of these errors. To conclude, practical special training in hand surgery and the discovery of the root causes of these errors are the best ways to reduce them to a minimum.

Abdulrahim Aljayar, 2018

Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::p... more Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::plications of malunion, delayed u nion, nonunion and the avascular necrosis, wit h their disabr ." sequelae.The aim of this study is to assess prospectively the clinical and radiological results u ir.g the modified Matti-Russe technique , for the treatment of scaphoid nonu nion with and wit hoquestionable via bility of the proximal fragment.With our experience of the numerous proced ure and techniques proposed for the treat ment of this complex problem, we are reporting our results •. 23 cases, 8 of which were associated with avascu lar necrosis of their proxima l fragments.A lthoug the data were limited for cases of nonunion scaphoid fracture, with proxima l pole avascular necrosis, we noticed that increased bone density is a reliable sign of avascularity. Our success rate • cases without avascular necrosis was (93%) , while it was (75%) in the presence of avascular necrosis. Hence the conclusion was:The modified free bone grafting technique of Mat ti-Russe, which wa originally recommended for the treatment of scaphoid nonu nion, is yet effective even in presen ce of avascu lar necrosis; and with this technique fixation seems u nnecessary.

Abdulrahim Aljayar, 2021

This work is done to study different aspects of the topic; in any case, during our assortment and... more This work is done to study different aspects of the topic; in any case, during our assortment and investigation of the information, we observed the presence of other shocking issues sharing largely the road traffic accident's increasing frequency and heavy impacts that need collective efforts of everyone, individuals and authority. In spite of the fact that street car crashes stay a significant issue compromising lives and assets in Benghazi, we are additionally encircled by other upsetting awful mishaps generally sharing the recurrence, genuine effect and expanding occurrence of street auto collisions. Therefore, our enthusiasm against RTA should not overshadow such painful, dangerous events including AFD and VT.

Abdulrahim Aljayar, 2019

Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstru... more Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstruction, in providing adequate stable cover with similar skin qua sensibility, functional lengths, and acceptable cosmetic appearance. out of total 94 operated cases, at Aljala teaching trauma hospital and Ebn to report techniques in reconstruction of significant digital soft tissue loss, after an average follow up period of 1 year.

Abdulrahim Aljayar, 2019

The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunions-refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at

Abdulrahim Aljayar, 2021

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies.Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Journal of Orthopaedic Science and Research, 2022

Background: Adipose tissue has achieved a great relevance as possible fount of mesenchymal stem c... more Background: Adipose tissue has achieved a great relevance as possible fount of mesenchymal stem cells for the healing of different articular pathologies including Knee Osteoarthritis (KOA). Stem cells derived from the Adipose Tissue (ADSCs) have a possibility to differentiate into chondrocyte, can reduce the immune response and can stimulate a local tissue repair, improving also the intra-articular Methods and Findings: Intra-articular injections of ADSCs with other conservative or surgical treatments can lead to an improving of all clinical and functional postoperative outcomes evaluated in middle-aged patients with KOA or chondral lesions. Moreover, some scores based on Magnetic Resonance Imaging (MRI) demonstrated an incremented quality of repaired cartilage in comparison with the pre-treatment. We observed no serious advent events. Conclusion: The use of ADSCs appeared to be out of danger, effective and it can be supposed an alternative procedure for the healing of chondral lesions and degenerative OA suitable for middle-aged athlete but no specific studies have been focus on this population and no long term follow-up data are available.

Abdulrahim Aljayar, 2019

Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstru... more Local skin flaps are the best covers for digital soft tissue loss, meeting the goals of reconstruction, in providing adequate stable cover with similar skin qua sensibility, functional lengths, and acceptable cosmetic appearance. out of total 94 operated cases, at Aljala teaching trauma hospital and Ebn to report techniques in reconstruction of significant digital soft tissue loss, after an average follow up period of 1 year.

This work is done to study different aspects of the topic; in any case, during our assortment and... more This work is done to study different aspects of the topic; in any case, during our assortment and investigation of the information, we observed the presence of other shocking issues sharing largely the road traffic accident’s increasing frequency and heavy impacts that need collective efforts of everyone, individuals and authority. In spite of the fact that street car crashes stay a significant issue compromising lives and assets in Benghazi, we are additionally encircled by other upsetting awful mishaps generally sharing the recurrence, genuine effect and expanding occurrence of street auto collisions. Therefore, our enthusiasm against RTA should not overshadow such painful, dangerous events including AFD and VT.

Journal of Orthopaedic Science and Research, 2022

Introduction: Accurate placement of implants is important to prevent a variety of complications i... more Introduction: Accurate placement of implants is important to prevent a variety of complications including dislocation, decreased range of motion, and premature polyethylene wear in Total Hip Arthroplasty (THA). In addition, the difference in leg length after THA affects postoperative gait and low back pain, and the femoral offset is related to gait and abductor muscle function.

The purpose of this study is to investigate whether implant placement, leg length difference, and hip offset are improved in supine THA using a 9-inch fluoroscopic HipGrid Drone.

Materials and Methods: We retrospectively reviewed consecutive 80 patients who underwent primary unilateral primary THA through direct anterior approach at supine position: 40 THAs with the use of fluoroscopy and 9-inch Drone, and 40 THAs with the use of fluoroscopy alone. We compared the accuracy of component positioning, leg length discrepancy, and hip offset with or without Drone.

Results: There was no significant difference in the inclination angle of the cup between the Drone group 37.9 degrees and the control group 39.0 degrees (p=0.175), but the variation from the target angle was more less in the Drone group compared with the control group (2.37 vs 3.82 degrees, p=0.013). With the use of the Drone, significantly more THAs had restoration of leg length compared with the control group (3.55 vs 4.95 mm, p=0.011). Hip offset restoration was also significantly improved in the Drone group compared with the control group (4.42 mm vs 5.56 mm, p=0.048). Surgical time was decreased in the Drone group (92.6 vs 97.8 minutes, p=0.043).

Conclusions: Using the easily adjustable grid system, we have demonstrated an efficient method for consistent and accurate cup positioning and restoration of hip offset for anterior supine THA. We recommend the use of this simple and effective device to anterior supine THA.

ABSTRAC Early detection and proper adequate treatment of scaphoid fractures are essential to avoi... more ABSTRAC Early detection and proper adequate treatment of scaphoid fractures are essential to avoid co:::plications of malunion, delayed union, nonunion and the avascular necrosis, wit h their disabr ." sequelae.The aim of this study is to assess prospectively the clinical and radiological results u ir.g the modified MattiRusse technique , for the treatment of scaphoid nonu nion with and wit ho questionable via bility of the proximal fragment.With our experience of the numerous proced ure and techniques proposed for the treat ment of this complex problem, we are reporting our results · . 23 cases, 8 of which were associated with avascu lar necrosis of their proxima l fragments.A lthoug the data were limited for cases of nonunion scaphoid fracture, with proxima l pole avascular necrosis, we noticed that increased bone density is a reliable sign of avascularity. Our success rate · cases without avascular necrosis was (93%) , while it was (75%) in the presence of avascular necrosis...

Journal of Orthopaedic Science and Research

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies. Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Van Lohuizen Syndrome, A Late-Diagnosed Case in an 18 Years-Old Female Case Report, 2021

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies. Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

Journal of Orthopaedic Science and Research, 2021

Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood v... more Cutis Marmorata Telangiectatica Congenita is a very rare birth defect involving cutaneous blood vessels. Of unknown cause, uncertain pathophysiology, unclear epidemiology. Described as a localized, or generalized marbled skin appearance (cutis marmarota), in addition to the skin, it may involve any other body organs, with, or without a wide variety of associated congenital anomalies. Kato van Lohuizen described the first case in 1922. Since then, there have been less than 300 cases reported worldwide to date. We are adding one more case, and the first reported in Libya.

ASIAN JOURNAL OF SCIENCE AND TECHNOLOGY , 2019

The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at

The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinica... more The plantations of Acacia Malunion, refers to fracture healing in less optimal alignment. Clinically presented as twisting, bending, or shortening deformity, solitarily or in combination. That may happens in almost any fractured bone, when fractures untreated, improperly reduced, or inadequately immobilized. Exceptionally, the less protected hand long bones are more susceptible, because of the excessive deforming force tensions exerted on the smaller bony fragments, of the already small skeletal hand chain. Though its causes are known, the risk factors are a multi factorial dilemma including injury and patient factors, as well as our main concern, the iatrogenic risk factors. Here we are investigating retrospectively, the possible iatrogenic risk factors resulting in such defected healing process, In 68 malunited hand fractures, in 59 hands of 58 patients with significant skeletal deformities. following primary management of their original fractures by the emergency orthopaedic teams, at