Introduction Ipsilateral floating hip and knee injuries at the same time are very rare injuries, occurring due to high velocity trauma. With a small number of such case reports, the treatment guidelines regarding surgical fixation are yet to be formulated. Case report We report an interesting case of hip dislocation, comminuted acetabular fracture, intertrochanteric and shaft of femur fracture and both bones leg fracture ipsilaterally. Open reduction of hip, antegrade femoral nailing with recon nail and closed tibial nailing was done in a single setting. Acetabular fracture was treated non-operatively. Conclusion Patient's general condition, co-morbid status, fracture pattern and the surgical expertise of the trauma team should guide the definitive treatment and its sequence. Early fixation of long bones is warranted and acetabular fixation can be done in second stage.
Background and Objectives: Fractures of distal end of the radius are the most common fractures that orthopedic surgeons have to treat. Range of fracture extends from simple extraarticular to highly communited intraarticular fractures. Our objective was to to assess the outcome of intra focal pinning in distal radius fractures in terms of functional recovery and radiological union and to assess the complications associated with the procedure. Materials and Methods: The present prospective study was conducted between January 2016 and September 2017. 30 patients were enrolled for the study and follow up for a period of 6 months. Closed reduction and percutaneous pinning with K wire were done. The radiological parameters were assessed for pre-reduction, post reduction, 4 weeks, 3 months and at 6 months. The data from the radiological parameters was analyzed using students t-test, Bonferroni comparison test and chi-square test. The values were normally distributed (normality test P= 0.3) and significance was assessed using a paired t-test. The statistical significance was defined as p<0.01. Results: Mean age was 42.03 years with 19 male and 11 female patients. 18(60%) were due to RTA and10 (33.3%) were due to fall. Pin tract infection was seen in 2 patients, K-wire loosening was encountered in 1 patient, Loss of reduction in 1 patient, Radiocarpal arthritis in 2 patients. The radiological parameters were assessed for pre-reduction, post reduction, 4weeks and at 3 months. There was a significant difference in all the three parameters i.e. volar tilt, radial length and radial inclination between both the groups at the end of 3 months. Conclusion: From our study, we conclude that percutaneous pinning technique is a simple, cheap, minimally invasive and effective method for the treatment of unstable extra articular distal radius fractures, with good functional results.
Background and objectives: Vertebral Fractures with spinal cord injury represents a devastating injury with potentially drastic effects on the patient's life. The treatment options for unstable thoracolumbar spine fractures and fracture dislocations have long been controversial. Aim of the study was to access the commonest mode, level, type of fracture, efficacy of pedicle screw and rod system and the radiological, neurological and functional out come in order to recreate a stable pain free spinal column. Methods: This study is a prospective clinical study of unstable thoracolumbar spinal injuries by posterior instrumentation (pedicular screw and rod fixation in thoracic, lumbar, and thoracolumbar spinal fractures). In all, a total of 20 cases were evaluated and assessed during the period from January 2016 to January 2018. At the end of 6 month of follow up the patients were evaluated clinically by using Denis work scale. Results: In our study, we had 70% males and 30% female patients and average age was 37.55 years. Fall from height was the most common mode of injury with 65% followed by RTA with 30%. 70% of patients were T11-L2 level, 20% were between T1-T10, 10% were between L3-L5 levels. In our study we had of patients with 20% ASIA Grade-A, 25% with Grade Band 40% with Grade-C at admission and at latest follow up showed at least 1 ASIA Grade improvement. As per Denis work scale, 5 patients were in W1 category, 11 patients in W2 category, 2 patients in W3 category, and 2 patients in W4 category at the end of 6 months follow-up. Conclusion:From our study, we conclude that posterior decompression and posterior stabilisation is a safe, relatively easier and effective approach to the management of traumatic dorsolumbar spinal fractures.
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.