Background: Most ruptures of the Achilles tendon occur at the watershed area which is about 2 to 6 cm proximal to insertion of the tendon. There are many techniques of repair like using tendon transfer, autograft or synthetic ligament. Bosworth has described a technique of sural triceps aponeurosis turndown. The study was conducted with the objective to describe the effectiveness and functional outcome after Bosworth procedure in chronic ruptures in zone II in cases where end-to-end repair can’t be done. Material and Methods: The study consisted of a total 20 patients. Positive Thompson test was elicited in all patients. Bosworth technique was used in for repair in all patients. The functional outcome was assessed at 1 month, 6-month and 1-year follow-up visits using the clinical scoring method described by Leppilahti et al. Results: All patients resumed work at 6 months postoperatively. Almost all patients had normal walking and stair climbing. The range of ankle motion showed significant improvement postoperatively. Conclusion: Bosworth repair for chronic neglected Achilles tendon ruture is still a good method for achieving better functional outcomes for ankle for ruptures of Achilles tendon in zone 2, where more than 2 cm distal stump is available.
The aim of this study is to evaluate the functional outcomes of olecranon fractures treated with tension band wiring and factors affecting it. Materials and methods: this study consisted of 30 patients with olecranon fractures aged between 18-48 years. Minimum follow up of 1 year was done. Results were assessed radiologically and clinically using mayo elbow performance score. Also some factors that affected the outcome were also noted. Result: mean postoperative range of motion after tension band wiring was 108 0 (range 80 0 -140 0 ). Functional outcome was excellent in 18, good in 8, fair in 2 and poor in 2 according to the Mayo elbow performance score (MEPS). The average time taken for union was 7 weeks (range 4-12 weeks). Young men with non comminuted, transverse facture, with small proximal fragment of olecranon and those compliant to early physiotherapy showed better outcomes Conclusion: Tension band wiring is effective method of fixation in terms of union and elbow movements. Factors like age sex compliance to physiotherapy and type of fracture surely affect the final functional outcomes.
<p class="abstract"><strong>Background:</strong> Treatment of patellar fractures depends on its type, integrity of extensor mechanism and fragments size. Operative measures are tension band wiring and partial or total patellectomy. Early weight bearing and then gradual mobilization and finally quadriceps strengthening remains the crux of physiotherapy. Aim of this study was to see for the effect of intraoperative mobilisation of knee on functional outcome of tension band wiring in patella fractures.</p><p class="abstract"><strong>Methods:</strong> 30 patients were included in this study from January 2016 to February 2018. Tension band wiring was performed in all the patients. Intraoperative mobilisation of knee as allowed was done when patient was under effect of anesthesia. Final functional outcome was assessed as per the modified knee-rating scale of the Hospital for Special Surgery and also range of motion noted. Patients were evaluated at 1 month, 2 month, 6 month and 12 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients aged from 25-65 years with mean age of 40 years. 26 patients were male and 4 female. In 20 cases, Right knee was involved. All had trauma due to road traffic accident. Mean operation time was 1 hour. At the end of 1 year follow up only 2 patients had range of motion <90, 4 patients had range of motion 90-120 degrees and 24 patients had range of motion >120 degrees. After 1 year, functional outcome was, excellent in 24, good in 4, fair in 1 and poor in 1.</p><p class="abstract"><strong>Conclusions:</strong> Intraoperative mobilisation of knee after a stable fixation with tension band wiring of patella can prove to a very effective method for increasing postoperative range of motion and improving functional outcome.</p>
Introduction: Supracondylar fractures of the humerus are very common fractures in pediatric age groups. If displaced, preferred treatment is close reduction with percutaneous K-wire fixation. This study compares the functional outcome of cross k-wires v/s lateral k-wires in Gartland type III supracondylar humerus fractures in paediatric age groups. Materials and Methods: 30 cases of supracondylar fractures of the humerus gartland type III in children operated with closed reduction and pinning of which 15 were of lateral and 15 were of cross k wires group from January 2015 to June 2017 with minimum 4 months follow-up period were considered Results: Functional outcome of the patients was assessed by Flynn's criteria. Results were excellent 13.33%, good 40% fair 46.6% in cross k wire group and excellent 6.6%, good 46.6% fair 40% and poor 6.6% in lateral k wire group Conclusion: Both lateral entry pin fixation and crossed pin fixation are effective in the treatment of gartland type III extension supracondylar fractures of the humerus in children.
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.