Background: The majority of proximal femur fractures (PFFs) affects the elderly. The present study was conducted to analyze the functional outcome of proximal femur fracture in patients having cardiac diseases. Materials and Methods: A prospective medical record of 50 cases that underwent surgery at Department of Orthopedics, LG Hospital and AMC MET College, Ahmedabad, Gujarat (India) were selected who were having proximal femur fracture with cardiac diseases. The preliminary history, examination details and functional outcome was assessed using Harris Hip score. After taking detailed history and examination, the patients were followed up after 4-6 weeks and 3-4 months. All statistical calculations were done using SPSS (Statistical Package for the Social Science) SPSS 21 version statistical program for Microsoft Windows. Results: The mean HHS at 4-6 weeks was 42.33 and at 3-4 months was found to be 65.43 and the p value found to be 0.0001 which is a significant value. The maximum mean HHS found in patients having LV dysfunction was 43.45 and minimum mean HHS found in patients having an old MI i.e. 30.23. At 3-4 months, mean HHS was found to be maximum in patients with H/O CABG that i.e.
Background: Tibial shaft fractures remain the more common of all fractures and routinely treated with intramedullary interlocking nail. One of the most common complication is anterior knee pain after intramedullary nailing of tibia fractures. The exact etiology of anterior knee pain after tibia nailing is still debatable and unknown. Methods: We evaluated 48 patients treated for tibia shaft fractures with intramedullary interlocking nail at our institute from the period between January 2016-December 2020. All patients were treated with transtendinous approach by single surgeon. Patients were assessed at follow up and incidences of knee pain were noted. Serial x ray and clinical evaluation were done with VAS score at final follow up. Final clinical outcome evaluated with modified lysholm score. Results: In our study incidence of knee pain remained 33% in overall patients. As per Modified lysholm score 62% patients with excellent outcome followed by 23% good and 15% fair outcome respectively. Conclusion: Proper surgical techniques and correct placement and sizing may alleviate the incidences of anterior knee pain after tibia nailing.
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