Femoral neck fractures and pertrochanteric fractures are of approximately equal incidence and together make up over 90% of the proximal femur fractures and the remaining 5-10% is subtrochanteric. The femoral neck fractures are only 2% in patients with age under 50 years. After 50 years, the incidence is doubled for each subsequent decade and it is 2 to 3 times higher in women than in men. The overall annual age-standardized rates of femoral neck fractures are higher among white women than among black women. A prospective study was conducted on patients with acute fracture neck of femur aged above 60 years treated with THA in the Department of Orthopedics. Clearance from the institutional ethics committee was obtained before the study was started. An informed, written and bilingual consent was obtained before the study was started. About 40% of study subjects presented to the hospital at 2 -5 days, 35% presented on 1 st day, 17.5% presented on 6 -10 days and 7.5% presented after 10 days of fracture.
A basic understanding of the mechanism of fracture production has always aided in the treatment of specific fractures. Tibial plateau fractures are usually caused by high velocity trauma causing valgus or rarely varus force with or without axial loading as in road traffic accidents (Bumper fracture) or fall from a height. Valgus loading in the range of 2250 to 3750-inch pounds produce "mixed" fracture with large variation in the amount and the degree of joint and condylar disruption. This study of surgical management of proximal tibial fractures was conducted in the Department of orthopaedics and during study period, 30 patients were treated for proximal tibial fractures were treated by open reduction and internal fixation with buttress plate and LCP. Out of which 4 cases lost for follow up. All the required data was collected from the patients during their stay in the hospital, during follow up at regular intervals and from the medical records. 30 cases of fractures of the proximal tibia were treated with plate osteosynthesis. The follow up ranged from 6-24 months. Males were predominant. Majority of fractures were due to Road Traffic Accidents. The average age of the affected patients was 40 years. Most of the fractures were closed.
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