Transposition of latissimus dorsi to the elbow inorder to elbow make extention and homeros coverage

Because of some reasons local flaps are not suitable in the cases with upper extremity injuries, lattismus dorsi flaps are recommended in these cases. We present a twenty eight years old male with upper extremity trauma with type 3C left homerus fracture and destruction of triceps. Reconstruction made using lattismus dorsi flap and in a two month follow up we find a 30° Extention lag comparing to the right elbow while the patient had cosmetically satisfaction

[Ponseti method for treatment of club foot a 8 years follow up study]

Background and Objectives: Club foot is a congenital skeletal problem. Its incidence rate is one in 1000 of live births. Various surgical methods treatments have been developed for its treatment. Ponsti method is one of the reknown manipulation and serial casting methods. The purpose of this study was to evaluate the long-term results of this method

Material and Methods: In a descriptive study 63 patients with Clubfoot who was treated with Ponsti method were followed in an 8 years period. The success rate and recurrence of the condition was studied in the follow up period

Results: 63 infants, including 42 boys and 21 girls were studied.61 patients were typical type and other were syndromic. Mean of Pirrani score was 3.9. Success rate after a year was 90.4%. Recurrence rates based on equinos varus 36.5%

Conclusions: The ponseti method treatment is an effective and high successful method and it is the recommended method for all typical and syndromic cases