Introduction: Prospective study to determine donor site complications after autogenous fibular graft for different surgical procedures. Complications following iliac crest grafting have been studied extensively in the past but literature for complications of fibular grafting is still lacking.
Material and Methods:The study was performed at tertiary care centre after taking necessary approval from institutional ethics committee. Thirty donor sites in thirty patients were followed up for minimum one year. Patients were followed up at 3 months, 6 months, and 9 months and at the end of one year. Vascularized as well as non-vascularized grafting patients were included in the study. Results: Thirty patients including 21 men (70%) and 9 (30%) women were included in the study. The most common indication for taking graft was post traumatic defect. The most common complication was pain and overall complication rate at the end of 1 year was 13.33%. Conclusion: On the basis of our clinical observations, we are convinced that obtaining vascularised or non-vascularised fibular grafts is associated with a small but demonstrable clinical morbidity related to altered fibular function and localized motor weakness. The dissection and preservation of tissue and structures must be meticulous to minimise the chance of donor site complications.
Intramedullary implants for fracture intertrochanteric fractures, there is always risk of loss of reduction despite of reduction after percutaneous procedure. Loss of reduction intraoperatively is not uncommon.
Temporary k wire fixation is a good alternate to maintain the reduction during procedure. Retrospective analysis of intraoperative C-arm image with x ray proves this method as a reasonable approach for maintaining reduction of intertrochanteric fractures during nailing.
Intramedullary implants for fracture intertrochanteric fractures, there is always risk of loss of reduction despite of reduction after percutaneous procedure. Loss of reduction intraoperatively is not uncommon.
Temporary k wire fixation is a good alternate to maintain the reduction during procedure. Retrospective analysis of intraoperative C-arm image with x ray proves this method as a reasonable approach for maintaining reduction of intertrochanteric fractures during nailing.
Introduction: There is still no consensus regarding management of fracture shaft humerus. We performed a prospective and retrospective study to compare clinical and functional outcome of humerus shaft fracture fixation by Nail and Plate Material and Methods: The study was performed at tertiary care centre after taking necessary approval from institutional ethics committee. Fourty patients were followed up for minimum six months. Patients were followed up at 6 weeks, 12 weeks, and 16 weeks and at the end of six months. Plating as well as nailing patients were included in the study. Results: In this study age ranges from 19 to 74 years with an average 33.22 years. The overall mode of injury in both groups was Road Traffic Accident (RTA) in 34 (85%), Fall 2 (5%), other causes, including industrial injury, assault in 4 (10%) cases. Average time taken for radiological healing overall was 16.83 weeks. In the interlocking group 18.95 weeks and plating group 14.72 weeks. So the healing rate was relatively faster in the plating group as compared to the interlocking group. Conclusion: Clinical and functional outcome after fixation of fracture shaft of humerus by plate and nails both were better (assessed by ASES Scores) with less postoperative complications. Both the modalities of treatment i.e. Plating and Nailing are good as far as union of the fracture is concerned, but considering the functional outcome and rate of complications, we are of the opinion that Plating offers better result than Nailing which is compared and evaluated statistically.
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