Objective: To evaluate the clinical outcome and compare the advantages, disadvantages and possible complications associated with fixation of intertrocantric fractures with proximal femoral nail (PFN) and hemiarthroplasty. Introduction: Surgery in trochanteric fractures is important in elderly patients for prevention of complications associated with conservative treatment like pressure sores, pulmonary infection, malunion etc, and aimed at early rehabilitation and mobilization. Internal fixation does provide immediate fracture fixation. The present study was undertaken to compare outcomes of reduction of intertrochanteric fractures using internal fixation with the use of PFN and bipolar hemiarthroplasty (BPH) in elderly patients. This study compares bipolar hemiarthroplasty with proximal femoral nail (PFN) in ambulatory elderly patients, focusing on functional results and return to premorbid level of activity. Treatment modality like DHS is time tested but with availability of better hemiarthroplasty techniques and implant, mortality and morbidity can be reduced. This study was undertaken to compare clinical outcomes of intertrochanteric fractures treated with PFN compared to bipolar hemiarthroplasty (BPH) in elderly patients Methodology: A Prospective Comparative Study was conducted in 20 elderly patients who were admitted and operated between November 2013 to November 2015 and had fulfilled the inclusion /exclusion criteria. They were allocated into two groups 10 patients each for PFN and BIPOLAR PROSTHESIS as group A and group B respectively. Harris hip score was used for assessment of the results of surgery. The results thus obtained was analysed and compared. Results: 8 of the 10 patient treated with PFN and 9 of the 10 patient treated with Bipolar regained their pre injury walking ability at the fourth month of follow-up. Patients treated with PFN had a significantly lower pain score at the sixth month of follow up. The outcomes of the stable fractures treated with either Bipolar or PFN were similar. Unstable comminuted fractures treated with Bipolar showed significantly better outcomes with all patients having good results.
Objective: To study the functional outcome of surgically managed malleolar fractures at ankle and to assess the results of complication. Introduction: Ankle fracture is a common injury with potentially significant morbidity associated with it. Regardless of the method of the intervention, main goal is to restore normal anatomy. Complications associated with both conservative and operative management are an important consideration in decision making. Patient selection is very important in deciding the type of management. This paper provides an update to surgical management of ankle fractures. Methodology: Medical records of 96 patients were studied and data was collected which includes the demographic data, fracture details, intraoperative and postoperative details. Then patients were called up for follow-up. The functional outcome of these patients was assessed subjectively using OLERUD MOLANDER ANKLE SCORE (OMA) score. Objective and radiological outcome was assessed using cedell's criteria. Results: Among the 96 patients we achieved excellent and good subjective results in 60 (62.5%) patients; Good objective result in 72 (75%) patients; Good radiographic results in 80 (83.4%) patients. In our study, patients with unimalleolar fractures had the best outcome. Trimalleolar fractures had the worst outcome. Bimalleolar fracture had intermediate outcome. With regards to lateral malleolar fracture fixation modality, patients with rush nail achieved good to fair radiological and objective outcome with no poor outcomes With regards to medial malleolar fracture fixation modality, patients with Tension band achieved good objective and radiological outcome and there were no poor outcomes. In patients with malleolar screw fixation 62.5 % patients achieved good objective and 75 % patients achieved good radiological outcome. Patients with complications has poorer outcome. In patients with superficial infection the outcome was poorer.
Objective: To study and analyze the effectiveness of the surgery of the distal femur fractures using Locking Compression Plate based on fracture union, complications, recovery, return to work and overall functional outcome using Neer's criteria.
The objective of this study was to analyse clinical outcome of treatment of supracondylar fracture of humerus by open reduction and internal fixation with K-wires and to analyse complications of the procedure. Introduction: Treatment of displaced supracondylar humerus fracture (SCHF) is a challenge to the orthopaedic surgeon owing to its neurovascular and other complications. Open reduction and K-wire fixation is widely accepted standard treatment and is an effective way in managing such fracture with goals of obtaining correction and maintenance of alignment, avoiding deformity, and getting functional range of elbow movement. The aim of our study was to evaluate the functional results of open reduction and internal fixation with k wires in the treatment of displaced (Gartland's type III) supracondylar fractures of the humerus. Methods: 50 cases of displaced (Gartland's type III) supracondylar fractures treated by Open reduction and internal fixation with K-wires were studied between february 2013 -January 2016 at our institution and followed for an average of 6 months. Results: In our study of 50 cases, all were closed Gartland's type III fractures with mean age of 6.3 years, posteromedial displacement in 32 patients. 4 patients had associated distal end radius fracture. Majority of patients operated on 2nd day and discharged on 3rd postoperative day. 32 had 0-5° loss of range of motion, 36 had 0-5° loss of carrying angle. 6 patients had superficial pin tract infection, 4 had traumatic median nerve palsy, 4 had migration of K-wire, 2 had Cubitus varus deformity and 2 had loss of motion >15.
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