https://lam-journal.ly/index.php/jar/issue/feedمجلة البحوث الأكاديمية2025-08-13T11:23:45+00:00د.سليمان محمد قليوانeditorinchief@lam-journal.lyOpen Journal Systems<p><strong>مجلة البحوث الأكاديمية</strong> مجلة علمية محكمة نصف سنوية، لها معامل التأثير العربي 1.93 ،تأسست سنة 2014م، تصدر عن الأكاديمية الليبية فرع مصراتة، بواقع عددين في السنة ( يوليو ،ديسمبر)، وتُعنى بإتاحة الفرصة للباحثين في جميع بلدان العالم لنشر إنتاجهم العلمي الذي يتصف بالأصالة والابتكار، في مجالات العلوم الاساسية والهندسية والإنسانية والشرعية باللغتين العربية والانجليزية وتأخذ بأسباب النّهوض بالبحث العلميّ، وتسعى إلى ربط الأكاديمية بغيرها من المؤسسات العلمية الأخرى، عن طريق مدّ جسور من الثّقافة والمعرفة، وخلق نقاط التقاء للتعاون فيما بينها. تم إدراج المجلة في <strong> <a href="https://scholar.google.com/citations?hl=ar&view_op=list_works&authuser=7&gmla=AH8HC4x47eIL8IQVgG6rhRUPwLPodlPgSy0YB5eAOD5ukv4UYObD_RVaW3ilF5coxJeKYbRLy7TQ9wAqBQnnmc6tBTRLRppNXuKh2Davb5DOOEG3AueNJpTICYbHWCn1e_vgV1ifT_q6o5VquDbKuSV4&user=zFrK_WcAAAAJ" target="_blank" rel="noopener">Google Scholar</a></strong> مما يعزز من ظهورها وإتاحتها للباحثين في المجتمع الأكاديمي العالمي.</p> <p>تدفع للمجلة قيمة مالية مقابل النشر بالمجلة وقدرها ثلاثمائة دينار ليبي (300 د.ل) فقط عن كل بحث علمي واحد، بينما يسمح بتحميل بحوثها مجاناً من على موقعها على الانترنت، ويستثنى من دفع الرسوم أعضاء هيئة التدريس القارين بالأكاديمية الليبية للدراسات العليا فرع مصراتة.</p>https://lam-journal.ly/index.php/jar/article/view/1255The Effect of Calcar Screw Use in Fractures of the Proximal Humerus2025-08-13T10:39:48+00:00Mustafa Elsagierasd@yahoo.comMohamed Mahmoudasd@yahoo.com<p><strong>Background</strong>:<br>Proximal humerus fractures are common in elderly patients. Locking plates offer stable fixation, but loss of reduction and varus deformity still occur, especially with poor medial support.</p> <p><strong>Methods</strong>:<br>25 patients treated with PHILOS plates were studied. Calcar screws were used in some cases. Radiographs were assessed for neck-shaft angle and calcar screw position. Shoulder function was measured using the Oxford Shoulder Score.</p> <p><strong>Results</strong>:<br>91% of optimally placed calcar screws were associated with neck-shaft angles between 130°–150°. Malposition rate was 32%. Fixation failure occurred in 3 patients without calcar screws; none occurred in the calcar screw group.</p> <p><strong>Conclusion</strong>:<br>Use of calcar screws and achieving a neck-shaft angle between 130°–150° reduces fixation failure. Proper placement improves medial support and patient outcomes.</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Mustafa Elsagier، Mohamed Mahmoudhttps://lam-journal.ly/index.php/jar/article/view/1253Clinical and Histopathological Correlation in Acute Appendicitis in the Pediatric Age Group2025-08-13T10:10:32+00:00Esam Alsaghairesam.zwawe@gmail.comSalem Shnaishahasd@yahoo.comAhmed Abugarsaasd@yahoo.comWalid kaibahasd@yahoo.com<p><strong>Background:- </strong>: Acute appendicitis is the most common surgical emergency in the pediatric population. Accurate diagnosis is crucial to reduce negative appendectomy rates. This study evaluates the clinical presentation, imaging findings, and histopathological outcomes in children who underwent appendectomy.</p> <p><strong>Methods:- </strong>: A retrospective analysis of 131 pediatric appendectomy cases ages (2–16 years) was conducted. Data on demographics, clinical signs, imaging, and histopathology were collected and correlated.</p> <p><strong>Results:</strong> The male-to-female ratio was 2.2:1. The most frequent symptoms were right iliac fossa pain (86.3%), nausea (70.2%), vomiting (54.2%), anorexia (59.5%), and fever (45%). Ultrasound was performed in 89 cases and was positive in 83 (93.3%). CT scans were used in only 2 cases. Histopathology confirmed in 131 patients with a negative appendectomy rate of 23.6%.<br><strong>Conclusion:</strong> Strong clinical suspicion and imaging (ultrasound) showed high sensitivity. Histopathology remains the definitive diagnostic tool. Combining clinical and radiological findings can reduce unnecessary surgeries</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Esam Alsaghair، Salem Shnaishah، Ahmed Abugarsa، Walid kaibahhttps://lam-journal.ly/index.php/jar/article/view/1260Parathyroidectomy failures and causes evaluation2025-08-13T11:23:45+00:00 Mohamed Baayouasd@yahoo.comMohamed Bashaghaasd@yahoo.comMostafa Sgheirasd@yahoo.comEltaher Elshagmaniasd@yahoo.com<p><strong>Background:</strong> Persistent primary hyperparathyroidism (PHPT) after surgery is often due to missed ectopic or supernumerary glands. Reoperation is challenging and requires precise imaging, anatomical understanding, and surgical expertise.</p> <p><strong>Methods:</strong> A 34-year-old woman with classic PHPT symptoms and biochemical evidence (Ca: 12.75 mg/dL, PTH: 891 pg/mL) underwent two failed parathyroidectomies. Imaging was inconclusive; histology showed nodular hyperplasia in the first and absence of parathyroid tissue in the second. A third surgery, guided by high-resolution ultrasound and intraoperative endoscopy, located an ectopic retroesophageal adenoma, which was excised.</p> <p><strong>Results:</strong> Immediate postoperative laboratory confirmed cure (Ca: 7.2 mg/dL, PTH: <1.2). The patient developed transient hungry bone syndrome. No complications were noted.</p> <p><strong>Conclusion:</strong> Persistent PHPT requires high suspicion for ectopic or supernumerary glands. Third-time parathyroidectomy, when planned with expert imaging and surgical collaboration, can be safe and curative.</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Mohamed Baayou، Mohamed Bashagha، Mostafa Sgheir، Eltaher Elshagmanihttps://lam-journal.ly/index.php/jar/article/view/1258Glomus tumer management outcomes of the hand2025-08-13T11:04:51+00:00Mustafa Elsagierasd@yahoo.comMohamed Mahmoudasd@yahoo.comMoftah engamasd@yahoo.com<p><strong>Background</strong>: Glomus tumors are rare, benign, and painful vascular tumors arising from the glomus body, most found in the subungual region of the fingers. Despite their typical clinical presentation, diagnosis is often delayed for years.</p> <p><strong>Methods</strong>: A retrospective case series was conducted on 7 patients treated at Misurata Medical Centre between June 2020 and October 2023. Clinical presentation, imaging, surgical technique, and postoperative outcomes were analyzed. Pain relief was measured using the Visual Analog Scale (VAS), and patients were followed up for 6 months to assess recurrence and nail deformity.</p> <p><strong>Results</strong>: All patients (100%) reported pain and localized tenderness; 66% had cold sensitivity. The average delay in diagnosis was 73 months. Surgical excision using the transungual approach led to complete symptom relief in all patients. VAS scores improved from 9.3 preoperatively to 0.59 at 6 weeks. Nail regrowth was complete in all cases; minor deformities occurred in 2 patients. No recurrence was observed during follow-up.</p> <p><strong>Conclusion</strong>: Glomus tumors of the fingers can be effectively diagnosed clinically and treated with surgical excision. Early recognition and precise surgical technique result in excellent functional and cosmetic outcomes with minimal recurrence.</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Mustafa Elsagier، Mohamed Mahmoud، Moftah engamhttps://lam-journal.ly/index.php/jar/article/view/1256Results of spica cast in treatment of developmental dysplasia of the hip in children between 6-18 Months2025-08-13T10:46:01+00:00Alhadi Alsaghaierasd@yahoo.comMustafa Elsagierasd@yahoo.comNuraldeen Algasaierasd@yahoo.comMilad eltanashiasd@yahoo.com<p><strong>Background: </strong>Developmental dysplasia of the hip (DDH) includes a spectrum from mild dysplasia to complete dislocation. Early treatment improves outcomes and reduces complications.</p> <p><strong>Objective: </strong>To assess clinical and radiological outcomes of closed reduction and static long leg spica casting in children aged 6–18 months with DDH.</p> <p><strong>Methods: </strong>This retrospective study included 29 patients (38 hips) treated at Misurata Medical Center in 2018. All underwent adductor tenotomy, closed reduction, and hip spica casting. Outcomes were assessed using McKay’s criteria and Severin classification. AVN was evaluated by Salter’s criteria.</p> <p><strong>Results: </strong>70% of hips had good radiological outcomes; 89% showed good clinical outcomes. AVN occurred in 7.89% of cases. Mean casting duration was 90 days.</p> <p><strong>Conclusion: </strong>Closed reduction and spica casting is effective and safe for managing DDH in children 6–18 months, with high success rates and low complication risk when properly applied.</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Alhadi Alsaghaier، Mustafa Elsagier، Nuraldeen Algasaier، Milad eltanashihttps://lam-journal.ly/index.php/jar/article/view/1254Simultaneous removal of retained metal hardware during primary knee Arthroplasty2025-08-13T10:31:52+00:00Mustafa Elsagier asd@yahoo.comAbd algafor alsadiasd@yahoo.com<p><strong>Background</strong>:<br>Retained hardware is usually removed during TKR only if no infection is present. We follow clinical and lab criteria to rule out infection and proceed in one session.</p> <p><strong>Methods</strong>:<br>In 39 cases, hardware was removed during primary TKR. Most staplers were taken out through the main incision; blade plates needed separate lateral incisions. One tibial nail was partially removed: one DCS plate through lateral dissection.</p> <p><strong>Results</strong>:<br>No infections at 6 months. Dropout rate 5%. Over 10 years, no late complications, skin necrosis, or fractures were noted. No metallosis observed.</p> <p><strong>Conclusion</strong>:<br>Simultaneous hardware removal during TKR is safe and effective when infection is excluded, and proper planning is followed.</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Mustafa Elsagier ، Abd algafor alsadihttps://lam-journal.ly/index.php/jar/article/view/1259Proximal Humerus Fracture with Plating2025-08-13T11:15:32+00:00Mustafa Elsagierasd@yahoo.comMohamed Mahmoudasd@yahoo.comMohamed Sosiasd@yahoo.com<p><strong>Background</strong>:<br>Displaced proximal humerus fractures, especially in young adults or osteoporotic elderly patients, may require surgical fixation. The PHILOS locking plate provides angular stability and facilitates early mobilization.</p> <p><strong>Methods</strong>:<br>Thirty patients (age 18–60) with Neer type II–IV fractures were treated using the PHILOS plate between May 2020 and June 2024. A deltopectoral approach was used in all cases. Clinical and radiological follow-up averaged 24 months. Functional outcomes were assessed using the UCLA Shoulder Score.</p> <p><strong>Results</strong>:<br>Excellent or good outcomes were seen in 72% of cases. Mean UCLA score was 29.5. Average elevation reached 127°, with external rotation of 42°. Complications occurred in 28%, most commonly inadequate reduction (16%) and adhesive capsulitis (6%).</p> <p><strong>Conclusion</strong>:<br>PHILOS plate fixation is effective for displaced proximal humerus fractures, particularly when anatomic reduction is achieved. Outcomes are favorable, with a low complication rate when technical precision is maintained.</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Mustafa Elsagier، Mohamed Mahmoud، Mohamed Sosihttps://lam-journal.ly/index.php/jar/article/view/1257Systematic meta-analysis on risk factors for Postoperative complica-tion in brain tumor surgery2025-08-13T10:56:58+00:00Amina mohammed khdoraasd@yahoo.comEman mahmod kram mahammedasd@yahoo.comAhmed Omar Abushahmaasd@yahoo.com<p><strong>Background</strong>:<br>Brain tumor surgery represents a high-stakes and technically demanding area in neurosurgery. This study aims to systematically analyze the incidence and types of postoperative complications, using data from a tertiary care center, with emphasis on tumor type and surgical context.</p> <p><strong>Methods</strong>:<br>This meta-analysis is based on data collected between January 2022 and September 2023 from adult patients who underwent surgery for intracranial tumors. Adverse events (AEs) occurring within 30 days postoperatively were documented by attending neurosurgeons. Tumor histology, surgical approach, urgency, and complications were analyzed.</p> <p><strong>Results:<br></strong>Among 1,173 patients (mean age 57.4 ± 15.3 years), 93.4% underwent elective surgery. The most common tumors were meningiomas (31.1%) and gliomas (28.2%). The rate of surgery-related AEs was 12.7%, with dural leaks observed in 1.5% of cases. Postoperative hemorrhage was a significant issue, especially among glioma patients; 10 experienced bleeding and 8 required reoperations. The 30-day mortality rate was 0.8%, with causes including postoperative bleeding (n=1), pulmonary embolism (n=2), and tumor progression (n=2).</p> <p><strong>Conclusions</strong>:<br>Despite the inherent risks associated with brain tumor surgery, the overall mortality in this cohort was low. Comprehensive documentation and early intervention strategies play a crucial role in improving patient outcomes following neurosurgical procedures.</p>2025-08-10T00:00:00+00:00الحقوق الفكرية (c) 2025 Amina mohammed khdora، Eman mahmod kram mahammed، Ahmed Omar Abushahma