1.Primary Fixation of AO Type-C Fracture of the Distal Radius with Volar Locking Plates. A Cross-Sectional Study of Patient Rated Outcomes at Hospital Tengku Ampuan Afzan
Mohd Sallehuddin H ; Zamzuri Z ; Ariff MS ; Mohd Shukrimi A ; Mohamed Azril MA ; Nazri MY
The International Medical Journal Malaysia 2014;13(2):3-6
This is a cross-sectional study of 37 patients with AO type C (complete intra-articular) fractures
of the distal radius, evaluating the functional, anatomical, and patient rated outcomes one year after primary
fixation with a volar locking plate. Methods: Functional outcomes were assessed based on the grip strength, and
the range of motion of forearm and wrist. Anatomical outcomes were assessed based on the radial inclination,
radial height, volar tilt, and articular step or gap. Patient rated outcome was measured with a Disability of
arm, shoulder and hand (DASH) questionnaire. Results: One year after surgery, 24 (64%) patients achieved good
and excellent anatomical results, and DASH scores were acceptable in 73% of patients. Most of the patients
had achieved 80% of their grip strength. The mean DASH score of 12.3 was comparable with other studies. Grip
strength, radial inclination and volar tilt had a significant correlation with the DASH score. Conclusion: Volar
locking plates can be used to achieve optimal reduction in all three parameters in the treatment of AO type C
fractures of the distal radius. Versatile fracture fragment reduction and angular stability enable rehabilitation
hence obtaining good functional outcomes.
2.Chronic Tibial Osteomyelitis in Children. A Case Review at Hospital Tengku Ampuan Afzan, Kuantan
Mohd Shukrimi Awang ; Mohd Ariff Sharifudin ; Zamzuri Zakaria ; Mai Nurul Ashikin Taib
The Medical Journal of Malaysia 2015;70(1):48-51
Osteomyelitis in children has various clinical manifestations
causing diagnostic and therapeutic difficulties.
Inappropriate treatment of acute osteomyelitis may lead to
chronic, serious and complicated condition. Chronic
osteomyelitis continues to be a major cause of morbidity
and disability in children living in developing countries. We
present three cases of tibial osteomyelitis that have different
presentations and sequalae. Our intention is to alert our
colleagues, particularly primary physicians, regarding the
variety of presentation and the important of early diagnosis
and treatment to reduce the risk of morbidity following
osteomyelitis.
Osteomyelitis
3.Injectable Self-Hardened Synthetic Bone Cement (Osteopaste) As A Filler For Bone Defects: A Histological Result From Experimental Study In New Zealand White Rabbits’ Tibia
Che Seman CNZ ; Zamzuri Z ; Zunariah B ; Mohd Shukrimi A ; Nazri MY ; Ahmad Hafiz Z ; Aminudin CA
Malaysian Orthopaedic Journal 2018;12(Supplement A):4-