Introduction: Infection is the most prominent cause of delayed or non-union in tibial fractures because of the bone's sensitive subcutaneous location. Ilizarov external fixator application is regarded as the best approach for treating them because of several benefits. Analysis of the role of Ilizarov fixation in infected tibial non-union was the goal of this investigation and evaluating clinical & functional outcomes of infected tibial non-union. Materials and Methods: A Multicenter based non-randomized quasi-experimental prospective study was performed in Rajshahi Medical College Hospital, Rajshahi, Bangladesh. From 1st January 2015 to 31st December 2020. The study comprised a total of 61 (n=61) Tibial non-union patients treated with the Ilizarov fixator who also had an infection. ASAMI score criteria were used to evaluate the outcome. Results: The most common organism for infection was identified to be at Staphylococcus Aureus. The final follow-up showed that all but one patient had achieved union; one patient had to amputate due to infection and non-union. ASAMI score rating methodology for bone and function results rated the majority of patients as outstanding. Pin tract infections were the most prevalent problem discovered in this research. Conclusion: The Ilizarov external fixator is safe and successful for treating infected non-union of the tibia since it can offer a stable mechanical environment, bone transfer, rectify deformities, eradicate the infection, and allow patients to bear weight. Therefore, we still suggest it despite its disadvantages.
Background: More over 10% of all fractures in people over the age of 70 are in the proximal humerus, making it the third most commonly non-vertebral osteoporotic fracture behind proximal femur and collies' fractures. Many different methods of treatment, including closed reduction with percutaneous K-wire fixation, open reduction with subsequent fixation using Transosseous sutures, tension band wire, T plate, locking plates and screws, intramedullary nails, and prosthetic replacement, have been documented. Objective: The aim of our study was to functionally evaluate the Proximal Humerus Type II and type IV Fracture treated with PHILOS plate with early joint mobilization. To achieve maximum functional activity at shoulder joint. Material and Methods: This prospective study was conducted in the department of orthopedic surgery, Rajshahi Medical College, Bangladesh with Matricentred base Study from January June 2020 to July 2022. A total (n=176) cases of proximal humerus fracture treated by PHILLOS plate. Results: In our study of 179 cases, Male patients predominated female patients 100 (56%) males to 79 (44%) females, and the average age of patients is 39 years with the range being 25–65 years. Road traffic accident and fall from height were the commonest cause of the trauma 71 (39.66%). Neer classification system was used to classify the fractures. During the follow–up functional parameters were assessed using Constant-Murley scoring system. The study shows 60 (33.52%) excellent, 51 (28.49%) good, 24 (13.41%) satisfactory, Adequate 28 (15.64%) and 13 (7.26%) poor results on Constant Murley Score. The most common complications surgical site infection 3 (1.68%). Conclusion: A proximal humerus fracture can be stabilized with the use of a PHILOS plate.
Background: Fractures of the tibial plateau, which are intra-articular injuries of the knee joint, are often difficult to treat and have a high complication rate, including early-onset osteoarthritis. Various treatment options including proximal tibial plating with locking compression plates are available for the treatment of tibial plateau fracture. Objective: The purpose of this research was to evaluate the functional outcome of tibial plateau fractures treated with locking compression plating; a technique found to effectively reduce post-operative co-morbidities. Material and Methods: This prospective and observational study was carried out in Multicentral base with Department of Orthopedic Surgery, Rajshahi Medical College, Rajshahi, Bangladesh from January 2020 to June 2022. All patients (n=256) enrolled in the study for the study were included and treated with a locking compression plate for tibial plateau fractures (Schatzker III-VI) after receiving informed written permission. Patients were monitored continuously with clinically, radiographically, and functionally at 6-weeks and 3-6 Month, fellow-up after surgery. Results: In our study of 256 cases, the mean age was 37.77 ±15.65 years. Most of the cases were Schatzker type VI (161 patients) 63% and type III (89 patients) 35%. The average duration for fractures union was 23.4 ±2.1 weeks. Superficial wound infection was the common complication seen in (6 patient) 2% cases. At six months, the mean knee society score (KSS) was 85 ±7.22 and majority of patients (245 patients) 95% had good results. Conclusion: The radiological and functional outcome of a locking compression plate is quite excellent. Tibial plateau fractures in adults can be effectively treated with this implant.
Introduction: A high pace of urbanization and improvised high-velocity motor vehicles are the leading factors for high energy lower limbs trauma in a middle-income country, Bangladesh resulting in a common compound fracture and dislocation at the level of knee; the proximal and middle third of the leg in the salvageable limb. Among the coverage options, gastrocnemius muscle flap (GMF) and proximally based sural fasciocutaneous flap (PBSFC flap) were used for a long period to meet the good reconstructive goals. Aims and objectives: The study aims to compare between gastrocnemius muscle flaps and proximally based sural artery fasciocutaneous flaps for coverage of soft tissue defect on proximal and middle third of leg with the exposed tibia and/or knee joint in terms of operating time, flap viability and its complications, donor site morbidity, time taken for bone healing. Methods and materials: This study is a retrospective study of 22 cases of those who came with soft tissue defects on knee and proximal and middle third of leg requiring flap coverage in Rajshahi Medical College Hospital from August 2019 to July 2021. Here we harvested medial gastrocnemius muscle flap for coverage of knee and proximal third of the leg and PBSFC flap based on median sural artery was done for the defect on knee to proximal two third of leg. All the donor sites of PBSFC flaps were covered by split thickness skin graft, whereas, in case of GMF, the donor site was tried for direct closure. Results and discussion: 13 GMF and 09 PBSFC flap were done in the study period. All collected data were analyzed in GMF group and PBSFC flap group and made the comparison between two groups by standardized analytic testing tools. Conclusion: In comparisons of two different flaps of the study, none was superior in terms of survivability of the flap, rate wound infection control, bone healing.
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.