Haydar A. J. Al Hussainy

MBChB, FRCSEd
Senior Trauma & Orthopaedic Speciality Surgeon
Barnsley Hospital NHS Foundati... · Trauma & Orthopaedics

Publications

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    ABSTRACT: We present a rare case of acute anterior compartment syndrome of the thigh in a rugby player with no history of trauma during the game. Decompressive fasciotomy with subsequent closure of the wound resulted in good outcome. Acute compartment syndrome of the thigh should be suspected following vigorous exercise and fasciotomy is to be performed on urgent basis.
    European Journal of Trauma and Emergency Surgery 01/2007; 33(4):430-433. · 0.26 Impact Factor
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    Haydar A J Al Hussainy, Smeeta Wong
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    ABSTRACT: Overexposed radiographs can hinder the diagnostic performance of the examining physician. We describe a new, simple technique to aid eliminating light scatter in overexposed radiographs and examine its effect objectively. The new technique is simply manufacturing a monocular device out of another rolled up XR sheet and examining the object radiograph through it to mask the light scatter. Controlled environments were created to examine five different radiographs and register the light scatter reduction using a digital high resolution camera. The light scatter reduction was noted to be statistically significant by using the new technique. (P < 0.001). This technique is simple, readily available and avoids the need to repeat radiographs with the associated increased cost, chronological delays and potential radiological harm.
    Annals of The Royal College of Surgeons of England 03/2006; 88(2):136-9. · 1.33 Impact Factor
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    ABSTRACT: We undertook a prospective review of 24 children with spastic diplegia treated by distal hamstring fractional lengthening at the Sheffield Children's Hospital. In 14 children (24 limbs) the correction achieved (popliteal angle) was inadequate and in these patients in the operating room a further correction was attained by dividing a tight band palpated in the substance of the semimembranosus muscle. Under general anaesthetic (preoperatively) the popliteal angle (a degrees ) was measured using a goniometer, then again (b degrees ) following distal hamstring fractional lengthening and finally (c degrees ) after surgically dividing the tight band. The mean preoperative popliteal angle (a degrees ) in all 24 limbs was 65 degrees (52-90). Following the standard hamstring fractional lengthening it (b degrees ) measured 37 degrees (35-50) and after division of the tight band it (c degrees ) measured 15 degrees (10-20). The reduction in popliteal angle following release of the tight band (proximal aponeurosis) was statistically significant (P<0.05). We undertook a cadaveric examination of 22 lower limbs and confirmed in all the cases that this band was the proximal aponeurosis of the semimembranosus muscle. The proximal aponeurosis is a well defined band located at the anterior aspect of the semimembranosus muscle where it arises from the tendon of the proximal attachment. It is separate from the distal aponeurosis. Division of the proximal aponeurosis during fractional lengthening of the distal hamstring in patients with cerebral palsy results in a significant reduction in the flexion deformity.
    Journal of Pediatric Orthopaedics B 03/2006; 15(2):104-8. · 0.53 Impact Factor
  • Haydar A. J. Al Hussainy, Asem Deeb, Awani K. Choudhary, Charles R. Merrill
    European Journal of Orthopaedic Surgery and Traumatology - EUR J ORTHOP SURG TRAUMATOL. 01/2006; 16(1):24-29.
  • Haydar A. J. Al Hussainy, Asem Deeb, Awani K. Choudhary
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    ABSTRACT: Forty-four consecutive diaphyseal extra-articular tibial fractures (43 patients) were treated with intramedullary interlocking nail. There were 35 men and eight women with a mean age of 38 years. Average follow-up was 25 months. Cases were divided into two groups: anterior-knee-pain group, 20 knees; and no-pain group, 24 knees. The lateral projection radiographs of their tibiae were scrutinised for precise bony portal point. The distance between articular surface and tibial tubercle was divided into three equal zones. In the superior zone, six had pain and six did not. In the central zone, eight had pain and 15 did not. In the inferior zone, six had pain and three did not. There was no significant difference between anterior knee pain and the three zones of the bony entry, age, gender, mechanism of injury, dynamisation, nail protrusion, approach and union time. We conclude that bony entry point in the sagittal plane is not a significant prognostic indicator for anterior knee pain following intramedullary tibial nailing.44 fractures diaphysaires tibiales extra-articulaires (43 patients) ont t traites par enclouage centro-mdullaire verrouill. Il sagissait de 35 hommes et de 8 femmes avec un ge moyen de 38 ans. Le recul moyen tait de 25 mois. Les cas ont t diviss en 2 groupes : le groupe 1 comporte les 20 patients qui ont prsent une douleur de genou de localisation antrieure, et le groupe 2 les 24 patients qui nont pas prsent de douleurs. Les radiographies de profil de leurs tibias ont t contrles pour dfinir avec prcision le point dentre du clou. La distance entre la surface articulaire et le tubercule tibial a t divise en trois zones gales. Dans la zone suprieure, six patients ont eu des douleurs et six non. Dans la zone centrale, huit ont eu des douleurs et 15 non. Dans la zone infrieure, six ont eu des douleurs et trois non. Il ny avait aucune diffrence significative entre lexistence de douleurs antrieures de genou et les trois zones de pntration osseuse, lge, le genre, le mcanisme des dommages, la dynamisation, la saillie du clou, lapproche, et le dlai de consolidation. Nous concluons que le point dentre osseux dans le plan sagittal na pas de valeur pronostique significative quant lexistence dune douleur antrieure du genou aprs enclouage centro-mdullaire du tibia.
    European Journal of Orthopaedic Surgery & Traumatology 04/2005; 15(2):113-117. · 0.18 Impact Factor
  • Haydar A. J. Al Hussainy
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    ABSTRACT: Placement of the guide wire in the dynamic hip screw operation can be a challenging task to the trauma surgeon. Complications can arise related to incorrect guide wire entry point, making multiple wrong tracks or even accepting an unsatisfactory lag screw placement. Insisting to optimise the guide wire position can lead to increase in operation time and radiation exposure time. A new, non-invasive technique is described to assist precision placement of the guide wire in the dynamic hip screw fixation of femoral neck fractures using no more than a size A4 plain folded paper and a non-permanent marker pen. The new, non-invasive, no-high-tech method can help trauma surgeons shorten the operation time and reduce the radiation exposure time needed to place the guide wire in the dynamic hip screw fixation of femoral neck fractures.Le placement de la broche guide lors du vissage dynamique du col du fmur peut constituer un dfi pour le chirurgien traumatologue. Des complications peuvent survenir par rapport au point dentre incorrect de la broche guide, donnant lieu de multiples fausses routes, ou mme entranant un positionnement non satisfaisant de la vis. La recherche dun positionnement optimal peut dautre part allonger le temps opratoire ainsi que la dose dirradiation. Une nouvelle technique non invasive est dcrite pour aider au placement de prcision de la broche guide lors du vissage dynamique du col fmoral par utilisation dune simple feuille de papier A4 plie et dun crayon. Cette nouvelle mthode non invasive non high tech peut aider les chirurgiens traumatologues raccourcir le temps opratoire et rduire le temps dexposition radiologique lors du vissage du col fmoral.
    European Journal of Orthopaedic Surgery & Traumatology 02/2005; 15(1):11-14. · 0.18 Impact Factor
  • Haydar A. J. Al Hussainy
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    ABSTRACT: The closed body-exhaust ventilated system plays an important role in reducing infection rate in total hip arthroplasty. This demands a secure body-exhaust air hose. The current method of securing the air hose by tying the necklace hose ribbons around the waist often fails to hold the hose in place. This will inevitably undermine the effectiveness of the body-exhaust system. A new and simple method is described to stop the body-exhaust hose from slipping and migrating up the surgeons body. The surgeons own buttocks are used to anchor the hose ribbons in place. The new method can improve the effectiveness of the body-exhaust system and raise its potential to the maximum without causing any discomfort to the surgeon or jeopardising the sterility of the surgeons clothing.Lhabit chirurgical compltement ferm et ventil joue un rle important dans la rduction du taux dinfection en arthroplastie totale de hanche. Ceci exige des tuyaux aspirant la totalit de lair expir par le chirurgien. La mthode habituelle de fixation des tuyaux dair en attachant les rubans des tuyaux autour de la taille du chirurgien nest pas entirement fiable. Ceci minera invitablement lefficacit du systme daspiration. Une nouvelle et simple mthode est dcrite pour empcher le tuyau de glisser vers le haut du corps du chirurgien. Les propres fesses du chirurgien sont utilises pour ancrer les rubans de tuyau en place. La nouvelle mthode peut amliorer lefficacit du systme daspiration et optimiser son efficacit sans causer la moindre gne au chirurgien ou compromettre la strilit des vtements des chirurgiens.
    European Journal of Orthopaedic Surgery & Traumatology 02/2005; 15(1):15-18. · 0.18 Impact Factor
  • H. Al Hussainy, Waleed Hekal, M. J. Farhan
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    ABSTRACT: Twelve consecutive patients were reviewed after having Outerbridge-Kashiwagi procedure of the elbow to ascertain the effect of the site and number of loose bodies on the outcome. Patients were assessed using the Mayo Elbow Performance Score (MEPS) and the Derby Elbow Osteoarthritis Radiography Score (DEORS). Ten men and two women with a mean age of 47 years were followed up for a mean of 3.6 years. Seven patients had two or less loose bodies, and five had more than two loose bodies. Seven had anterior loose bodies alone and five had both anterior and posterior loose bodies. MEPS improved from a mean of 51 to 85 points. Visual analogue pain score improved from a mean of 7.4 to 2.6. DEORS improved from a preoperative mean of 6.5 to 5.3. Number of loose bodies had no significance on the functional outcome; neither had the site. We concluded that the number and site of loose bodies have no prognostic value in predicting the outcome.Douze patients conscutifs ont t contrls selon le procd dOuterbridge-Kashiwagi du coude pour vrifier leffet de lemplacement et du nombre de corps trangers articulaires sur les rsultats, et valus en utilisant le score de coude de la Mayo Clinic, et le score radiographique darthrose de coude de Derby. 10 hommes et 2 femmes avec un ge moyen de 47 ans ont t contrls avec un recul moyen de 3.6 ans. 7 patients avaient 2 ou moins de corps trangers, et 5 en avaient plus de 2. 7 en avaient un corps tranger antrieur unique et 5 en avaient des antrieurs et postrieurs. Les scores de coude de Mayo se sont amliors en moyenne de 51 85 points. Les scores de lvaluation visuelle analogique de la douleur se sont amliors en moyenne de 7.4 2.6. Les score darthrose de coude de Derby se sont amliors en moyenne de 6.5 5.3. Le nombre de corps trangers et lemplacement nont eu aucune influence significative sur les rsultats fonctionnels. Nous avons conclu que le nombre et lemplacement de corps trangers nont aucune valeur prdictive quant aux rsultats.
    European Journal of Orthopaedic Surgery & Traumatology 01/2005; 15(2):129-134. · 0.18 Impact Factor
  • Haydar A. J. Hussainy, Asem Deeb, Awani K. Choudhary
    European Journal of Orthopaedic Surgery and Traumatology - EUR J ORTHOP SURG TRAUMATOL. 01/2005; 15(2):113-117.
  • Haydar A. J. Al Hussainy
    European Journal of Orthopaedic Surgery and Traumatology - EUR J ORTHOP SURG TRAUMATOL. 01/2005; 15(1):15-18.
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    ABSTRACT: Comprehensive documentation of surgical procedures is an essential component of good medical practice, but the standard of operation notes in orthopaedic and trauma surgery has been notoriously poor. The value of proformas in the production of high standard operation notes has been demonstrated in various surgical specialities. We have compared the standard of documentation of operation notes before and after the introduction of a proforma and report a significant improvement (P < 0.001) with the proforma. In addition, the results from a neighbouring hospital where a similar proforma was in use show a sustained standard of documentation 5 years after it was first used.
    Injury 12/2004; 35(11):1102-6. · 1.93 Impact Factor
  • H. A. J. Al Hussainy, S. Jones, F. Ali, A. G. Davies
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    ABSTRACT: Correction of limb length inequality can be achieved by stimulation of growth of the short limb. Circumferential periosteal sleeve resection has been reported as a safe and reliable method of stimulating longitudinal bone growth. We report the complication of growth tethers to the distal tibial physes in two patients following circumferential periosteal sleeve resection to the distal femur, tibia and fibula. This was done under direct vision. This complication may have arisen due to damage to the perichondrial ring as a result of raising the periosteum too close to the distal tibial physes. A limited response may be seen in young patients following this procedure as a result of this complication. Circumferential periosteal sleeve resection for limb length inequality is a treatment option that is not without complication.La correction dune ingalit de longueur des membres infrieurs peut tre traite par stimulation de la croissance du membre le plus court. La rsection circonfrentielle dune manchette prioste a t dcrite comme tant une mthode efficace pour stimuler la croissance osseuse longitudinale. Nous rapportons la complication de la croissance osseuse du cartilage tibial distal sous forme de brides osseuses chez deux patients aprs rsection de manchette prioste de lextrmit infrieure du fmur, du tibia et de la fibula, ralises sous contrle de la vue. Cette complication semble tre en rapport avec une lsion du cercle prichondral trop prs du cartilage de conjugaison tibial distal. La rsection dune manchette prioste pour traiter une ingalit de longueur est une mthode non dnue de risque.
    European Journal of Orthopaedic Surgery & Traumatology 08/2004; 14(3):195-198. · 0.18 Impact Factor
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    S Jones, H A Al Hussainy, F Ali, R P Betts, M J Flowers
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    ABSTRACT: We prospectively reviewed 24 patients (35 feet) who had been treated by a Scarf osteotomy and Akin closing-wedge osteotomy for hallux valgus between June 2000 and June 2002. There were three men and 21 women with a mean age of 46 years at the time of surgery. The mean follow-up time was 20 months. Our results showed that 50% of the patients were very satisfied, 42% were satisfied, and 8% were not satisfied. The mean American Orthopaedic Foot and Ankle Society score improved significantly from 52 points pre-operatively to 89 at follow-up (p < 0.001). The intermetatarsal and hallux valgus angles improved from the mean pre-operative values of 15 degrees and 33 degrees to 9 degrees and 14 degrees, respectively. These improvements were significant (p < 0.0001). The change in the distal metatarsal articular angle was not significant (p = 0.18). There was no significant change in the mean pedobarographic measurements of the first and second metatarsals after surgery (p = 0.2). The mean pedobarographic measurements of the first and second metatarsals at more than one year after surgery were within the normal range. Two patients had wound infections which settled after the administration of antibiotics. One patient had an intra-operative fracture of the first metatarsal and one required further surgery to remove a long distal screw which was irritating the medial sesamoids. We conclude that the Scarf osteotomy combined with the Akin closing-wedge osteotomy is safe and effective for the treatment of hallux valgus.
    Journal of Bone and Joint Surgery - British Volume 08/2004; 86(6):830-6. · 2.69 Impact Factor
  • H. A. J. Al Hussainy, S. Jones, F. Ali, A. G. Davies
    European Journal of Orthopaedic Surgery and Traumatology - EUR J ORTHOP SURG TRAUMATOL. 01/2004; 14(3).
  • S. Jones, H. A. Al Hussainy, F. Ali, R. P. Betts, M. J. Flowers
    Journal of Bone and Joint Surgery-british Volume - J BONE JOINT SURG-BRIT VOL. 01/2004; 86(6):830-836.
  • Haydar Al Hussainy, Thomas Goesling, Dipak Datta, Michael Saleh
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    ABSTRACT: Osteomyoplasty is a little-known surgical method for achieving end-bearing stumps in transtibial amputees. The tibia and fibula are connected by a bony bridge. The authors used the technique successfully in a patient with a 16-year history of congenital pseudarthrosis of the tibia. Prosthetic assessment and functional outcome at 13 years of follow-up indicated that a successful end bearing was achieved, despite initial poor quality bone. In young amputees a strong stump allowing full end bearing seems to be desirable. During the last 50 years, surgical techniques have evolved in an effort to improve prosthetic fitting and off-load body weight from the end of the stump. 1 Although the current trend is to fit transtibial amputees with a total surface bearing prosthesis, many amputees in our experience have difficulty in tolerating weight bearing on the distal end of the stump because of pain or discomfort. The ability to tolerate good load or end bearing on the distal stump end is biomechanically sound for the prosthesis socket. This provides good proprioception transmitted through the remnants of the tibia and the fibula, thus allowing improved balance and feedback for the amputee. Because of good results, surgical attempts to create end bearing have emerged. We present a case of congenital pseudarthrosis of the tibia (CPT) that required transtibial amputation. Based on the pathology, we decided to use the osteomyoplastic technique, which has been reported rarely in the literature.
    JPO Journal of Prosthetics and Orthotics 12/2003; 16(1):2-5.
  • Haydar A. J. Al Hussainy, Asem Deeb, Awani K. Choudhary, Charles R. Merrill
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    ABSTRACT: The objective of this invitro study is to test and describe a new method of obtaining accurate sagittal plane bony entry point after tibial nailing using lateral projection radiograph without having to standardise the radiographic technique. Radiopaque markers were fixed to the anterior oblique facet of the proximal tibial metaphysis of ten synthetic tibiae between the articular surface and the tibial tubercle to simulate the intramedullary nailing bony entry point. Controlled standardised lateral radiographs were obtained in three different axial rotations. The 30 resultant radiographs were scrutinised for precise bony entry points: ‘C’ which represents the percentage of ratio of the distance between articular surface and the radio opaque marker ‘A’, to the distance between the articular surface and the tibial tubercle ‘B’. The Mean deviation in ‘C’ values from the true lateral was −0.4% in 15° internal rotation, −0.6% in 15° external rotation. None was statistically significant. Axial rotation has no significant effect on accuracy of sagittal plane bony entry point measurement in lateral radiographs. Precise bony entry point can be obtained using the method described without having to standardise lateral projection radiographs. Le but de ce travail in vitro est de tester et de décrire une nouvelle méthode pour obtenir la visualisation de profil du point d’entrée d’un clou tibial. Des repères radioopaques ont été placés sur 10 os synthétiques entre la surface articulaire et la tubérosité tibiale antérieure pour simuler le point d’entrée du clou. Les radiographies de profil ont été réalisées dans 3 rotations différentes. A partir des 30 radiographies ont été obtenues les valeurs de A (distance entre la surface articulaire et le point d’entrée), de B (distance entre la surface articulaire et la tubérosité tibiale antérieure) et C (rapport A/B en%). Par rapport à la valeur du profil strict, la valeur de C sur les clichés en rotation interne est de −0,4% et sur les clichés en rotation externe de −0,6%. Ces différences ne sont pas statistiquement significatives. Les auteurs concluent que la rotation n’a pas d’effet sur le repérage du point d’entrée de profil et qu’il n’est donc pas nécessaire de recourir à une technique radiologique standardisée.
    European Journal of Orthopaedic Surgery & Traumatology 16(1):24-29. · 0.18 Impact Factor

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