Aim: To determine the union rate in subtrochanteric femoral fractures fixed with dynamic condylar screw system. Study Design: Descriptive study Place and duration of study: This study was conducted in the Department of Orthopaedic Surgery, Shaikh Zayed Hospital, Lahore from June 2019 to December 2021. Methodology: This study included 100 patients with subtrochanteric femoral fractures. Sampling was done with the consecutive sampling technique. Male and female patients were included in this study. The A.O classification was used to classify all the fractures. After 8 weeks, the fracture union was evaluated, and the results (in terms of yes/no) were documented on a pre-designed proforma. Results: This study included 100 patients with subtrochanteric femoral fractures. The patients' average age was 39.56±15.125 years, and the average duration of fracture was 4.10±1.973 days. There were fifty nine female patients (59%), and forty one male patients (41%). Type A fractures were reported in 19(19%) patients, type B in 48 (48%) patients, and type C in 33 (33%). Fracture union was reported in 79 (79%) of the 100 cases. Dynamic condylar screw is regarded as a very good implant for subtrochanteric fractures due to numerous advantages such as ease of availability, stable fixation, increased strength, resistance to stress failure and reduced surgical time. However, the union rate in our local population was not known prior to our research. Therefore, the purpose of this study is to find the union rates in subtrochanteric femoral fractures fixed with dynamic condylar screw. Conclusion: The results of this study revealed an increased union rate in patients with subtrochanteric femoral fractures fixed with DCS (dynamic condylar screw system). There was a significant relationship between patient age, fracture duration, and fracture type. Keywords: Subtrochanteric Femoral Fractures, Internal Fixation, Dynamic Condylar Screw.
Aim: To determine and compare differences in the results following arthroscopic anterior cruciate ligament reconstruction using patellar-tendon-bone (PTB) auto-grafts and hamstrings tendon auto-grafts. Study design: Randomized controlled trial. Place and duration: Department of Orthopedic Surgery, Shaikh Zayed Hospital Lahore from July 2019 to July 2021. Methodology: This prospective study included 72 of total patients with clinical diagnosis of having anterior cruciate ligament (ACL) tear who did not have activities like a healthy person and wished to maintain a level of activity as it was before injury. Institutional ethical committee granted approval and a written informed consent was taken. Two groups of study population (patellar tendon and hamstring tendon) were formed. Lottery method was used for randomization of patients. Arthroscopic ACL reconstruction was done according to their respective groups. Patients of patellar tendon group (n=36) and hamstring tendon group (n=36) were under examination for 4 to 5 days and to grant 0 to 900 movement, knee brace was locked. Patients were questioned about their activities on follow up visits. Results: No significant difference amongst patients of two groups was noted.14 patients (38.9%) with PTB graft were unable to kneel on their knee as compared to 12 patients (33%) with hamstrings graft. Patients with BTB graft had similar difficulty in bending their knee as compared to the patients of the other group. Conclusion: Patients from PTB graft group showed comparable results as compared to the hamstrings group in terms of strenuous activity, highest level of activity, rising from a chair and kneeling and squatting on functional outcomes. Keywords: Anterior Cruciate Ligament, Patellar Auto-graft, Hamstring Auto-graft, Bone Graft
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