No abstract
Introduction: Complicated Intra articular fractures of fingers are prone to stiffness, chronic pain, deformities and post traumatic arthritis with conservative treatment. Attempts for fixation also result in a high incidence of joint stiffness, pain and secondary arthritis. Ideal treatment should avoid the above complications and provide an early mobilization of a stable and congruent joint. The purpose of this study was to investigate the results of complicated intra-articular fracture of the fingers treated with total joint replacement. Methods and Materials: From January 2012 to December 2013 a total of eighteen joints (seventeen patients) with complicated intra-articular fracture of the fingers (PIP and MCP joints) were treated by total joint replacement using silicone implants. Of the 18 cases, 8 involved metacarpophalangeal joint, and 10 involved proximal interphalangeal joint. All patients were followed up for mean of 62 months and the results were assessed using total active motion (TAM) of fingers. Results: Subjective, objective and radiographic results were evaluated. There was phalangeal shortening (4mm) in 1 case and rotation (> 15 degrees) in 1 case. Based on Total Active Motion Score (TAM), the overall rate of joint motion function was 87.1%. Conclusion: Total joint replacement can be a reliable and effective option for treatment of complicated intra-articular fracture of the fingers.
Background: Fractures of both radius and ulna are one of the most common fractures in adults in upper extremity .It is essential to regain length, apposition, axial alignment and normal rotational alignment while treating diaphyseal fractures of the radius and the ulna to gain good range of pronation and supination. Mal-union and nonunion occur more frequently because of the difculty in reducing and maintaining the reduction of two parallel bones in the presence of the pronating and supinating muscles that have angulating and rotational inuences). There lies a controversy with respect to choice of treatment as per chances of infection, duration of healing and the surgeon preferences. The present study is thus undertaken to compare functional outcome and radiological union using two different surgical modalities i.e. Dynamic Compression Plating and Intramedullary nailing. All adult patients(>12years) with Materials And Methods: diaphyseal fractures of both bones of forearm presenting to A&E department, requiring operative intervention were selected and were included in an interventional and comparative prospective cohort study.A total of 48 subjects fullling eligibility criteria were randomly divided into four groups A, B, C and D (12 each) using random number table. Most cases with Results: excellent to good functional outcome was seen in both bones plating group (100%) followed by hybrid techniques. Incidence of mal-union was seen in 2 cases each of both bone nailing and ulnar plating and radius nailing and in 1 case of radius plating and ulnar nailing. Among the four different xation methods for treating both bone diaphyseal forea Conclusion: rm fractures in adults, the method with both bone i.e. ulna and radius plate xation showed good stability in biomechanics, the lowest complication rate and best functional recovery outcomes
Myths are the ideas which many people commonly believe but are false with respect to the available scientific evidence of that time. In every popular medical culture, there are beliefs and practices that do not have scientific evidence but are still used widely. Most of them may be harmless, but with time, they have a propensity to get recognized as a "fact" and thereby obscure the real facts. Myths do their work at the emotional level and can, therefore, be more powerful than logic with which it is juxtaposed. Just like any other branch of medicine, orthopedics too has its share of misconceptions. This article aims to create awareness about these myths using a few examples and to critically evaluate even the most ingrained and widespread practices, which are based on tradition and the assertive weight of authority but lack the scientific backing of available evidence.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.