<p><strong>Background</strong>: After femoral and tibia bone fractures, the humerus fracture is the third long bone fracture. The purpose of this study was to clinically evaluate the outcomes of treating humerus fractures with an KN-5H humerus nailing system. The fixation of humerus fracture especially shaft fractures from intramedullay humeral nail the clinical outcomes obtained from the retrospective study of humerus nailing system on humeral fracture is controversial feature in surgical technical research, follow-up factors, and implants.</p><p><strong>Methods: </strong>In this retrospective study of KN-5H humerus nailing system (KN-5H intramedullary cannulated humerus nail, KN-5H reconstruction nail, cannulated and KN-5H reconstruction cannulated intramedullary humerus nail) manufactured by the Kaulmed Pvt. Ltd. is used. The total 26 patients from which 11 males and 15 females between the age group of 18-70 years with humerus fracture were taken. Patients didn't received conservative management. The fractures were categorized based on AO classification and Neer type. Th post-operative clinical effectiveness was evaluated using the Radiological evaluation, VAS score and Functional ROM results.</p><p><strong>Results: </strong>The mean follow-up period was 15 months (range 13 to 24 months). The mean time of union was 14 weeks (range 10 to 18 weeks) in 26 patients. No non-union occurred in any patients. Functional end results of shoulder and elbow were excellent in 92.3% patients, moderate 5.75% patients and poor in 1.95% patients. Postoperative complications included one superficial infection, 3 patients had nail impingement complain, one patient has shoulder stiffness and had pain in adduction. No implant related complication was reported.</p><p><strong>Conclusions: </strong>The treatment of proximal and diaphysis humerus fracture is highly recommended using intramedullary humeral nailing due to lower post-operative complication with high union rate. <strong></strong></p>
<p><strong>Background:</strong> Femoral fractures are a common type of fracture brought on by large force impaction. This study's objective was to clinically assess the results of using an intramedullary femoral nailing system to treat femoral fractures.</p><p><strong>Methods:</strong> 32 patients with femoral fractures are included in this retrospective clinical trial. They are all treated with an intramedullary femoral nailing system made by Kaulmed private limited in Sonipat, Haryana, India. This system includes KN-1 advance nails (PFNA), KN-6 femur nails (retrograde Nails), KN-3 nails type II (gamma nails), KN-2F femur nails (expert femoral nails), and KN-5F universal intramedullary cannulated femoral nails. There were 32 patients, with 15 from one hospital and 17 from the other. The first hospital group consisted of 8 men and 7 women, with an average age of 32 years and the second hospital group consisted of 9 male and 8 female with mean age of 40.5 years. The fractures were categorized based on AO classification and pre-operative fitness was assessed using American society of anaesthesiologist (ASA Grade). The clinical effectiveness was evaluated using the VAS score and anatomical results.</p><p><strong>Results:</strong> Surgery was performed on 32 patients with at-least three post-operative follow-up visits in 180 days. No patient in any group complained after the final follow up about complications or hardware problems, and every patient's bone union was achieved successfully. Radiological outcomes also showed proper union at 6 months. </p><p><strong>Conclusions:</strong> In femoral fractures, the intramedullary femoral nail provides better results with a high rate of union and postoperative composure.</p>
<p><strong>Background:</strong> Tibial fractures, which account for 2.2% of all intra-articular fractures, are frequent. These fractures are prevalent in two age groups: younger patients experience higher-energy fractures, whereas elderly patients experience lower-energy fractures as a result of osteopenia. These injuries are linked to a higher frequency of complications such as non-union, infection, mobility limitation, and post-traumatic arthritis in the younger population. The study's primary objective was to assess the results of proximal tibial fracture treated with a locking plate.</p><p><strong>Methods:</strong> Thirty patients with proximal tibia fractures are included in this retrospective clinical study. They are all treated with a tibia plate system made by Kaulmed private limited in Sonipat, Haryana, India. Thirty patients consisting of 18 males and 12 females, with average age of 42 years. Fractures categorized based on AO classification and type of soft tissue injury. Patients assessed clinically, radiologically, functionally using VAS, post-op radiographs and ROM.</p><p><strong>Results:</strong> All 30 cases that were chosen were monitored for 6 months. The average time for fracture union was 21 weeks, with a range of 18 to 24 weeks. No delayed union and non-union was observed. Infection, valgus, Knee stiffness were the complication that was observed. Two patients complained about the mild pain on the post-operative visit. Acceptable knee ROM of angle >120° was achieved and all patients were satisfied at their last visit based on parameters of pain, ADLs, aesthetics and full weight bearing.</p><p><strong>Conclusions:</strong> Excellent results were achieved in the surgical treatment of proximal tibia fractures by MIPO (minimal invasive plate osteosynthesis) and ORIF (Open reduction and internal fixation) using proximal tibia plate technique. Optimum knee function is achieved with reduction, rigid fixation to restore articular fragments, and early mobility. preventing osteoarthritis following trauma.</p>
<p class="abstract"><strong>Background:</strong> The aim of the study was to investigate the performance of the intramedullary tibia nail in the treatment of tibia fractures, mostly shaft fractures. The objective of this study was to assess the post-operative complication due to the treatment involving tibia nails.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective study to study the results obtained after tibia nail surgery. A total of 32 patients were selected based on inclusion and exclusion criteria (25 males and 7 females; average age- 37 years). The fracture was classified according to AO classification, the nailing device is intended for 41-A1/A2, 42 and 43-A1/A2/A3 types of fractures. The patients with at least three visits within 180 days were selected for data collection.<strong></strong></p><p class="abstract"><strong>Results:</strong> The clinical outcomes include pain scale assessment from the baseline/enrolment to the last follow up which shows no pain (93.7%) and mild pain (6.7%) after 180 days. No implant-related problems like implant loosening.</p><p class="abstract"><strong>Conclusions:</strong> For the treatment of tibia shaft fracture which can either be closed or open, intramedullary tibia nailing devices like KN-2T and KN-5T have been concluded to be the good approach.</p>
<p class="abstract"><strong>Background:</strong> Distal radius fractures that are unstable are challenging to treat. The locking distal radius plate screws is a superior alternative to the other forms of treatment (external fixator and K pin). The purpose of this study was to provide the radiographic and functional clinical outcomes of patients who had locking distal radius plate screws treatment. This study's objective was to clinically assess the results of using a locking distal radius plate system to treat radius fractures.</p><p class="abstract"><strong>Methods:</strong> 31 patients with radius fractures are included in this retrospective clinical trial. They are all treated with a locking distal radius system made by Kaulmed Private Limited in Sonipat, Haryana, India. The patients were treated with variable angle locking distal radius plates that includes 2.4 mm KL-8 variable angle two column volar distal radius plates and 2.4 mm KL-8 variable angle volar rim distal radius plates. There were 31 patients consisting of 24 male and 07 female, with an average age of 44 years. The fractures were categorized based on AO classification and pre-operative fitness was assessed using American society of anaesthesiologist (ASA grade). The patients were assessed clinically, radiologically and functionally using visual analogue scale (VAS), post-operative radiographs and measuring grip strength and weight bearing respectively.<strong></strong></p><p class="abstract"><strong>Results:</strong> Surgery was performed on 31 patients with at-least three post-operative follow-up visits in 180 days. No patient in any group complained after the final follow up about any major complications or hardware problems, and every patient's bone union was achieved successfully. Radiological outcomes also showed proper union in 6-7 weeks.</p><p class="abstract"><strong>Conclusions:</strong> Distal radius volar locking plates provide effective results in correcting distal radius anatomy.</p>
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