Context: It has been suggested that, with appropriate instruction and practice by the individual and normalization of the reaching distances, the SEBT can be used to provide objective measures to differentiate deficits and improvements in dynamic postural-control related to lower extremity injury and induced fatigue, and it has the potential to predict lower extremity injury. However, literature on its role in assessing proprioception deficits in anterior cruciate ligament deficient knees is limited. Objective: To provide a narrative review of the SEBT and its implementation and the known contributions to task performance and to systematically review the associated literature to address the SEBT's usefulness as a clinical tool for the quantification of dynamic postural-control deficits from anterior cruciate ligament deficiency.
Background: Subtrochanteric fractures of the femur remain some of the most challenging fractures facing orthopaedic surgeons. Most of the fractures in the elderly results from trivial fall from standing or walking, while in the younger age group it's mainly due to road traffic accidents. Closed management of these subtrochanteric fractures thus poses difficulties in obtaining and maintaining a reduction, making operative management the preferred treatment. Therefore, this has led to the development of intramedullary devices in the management of subtrochanteric fractures. Objective: To analyze functional outcome of Subtrochanteric fractures by proximal femoral nail antirotation A2 (PFN-A2). Materials and Methods: A prospective study with 20 adult patients with subtrochanteric fractures according to Seinsheimer's classification were treated with proximal femoral nail antirotation-2 (PFN-A2) in SSIMS, Davangere from October 2017 and March 2019. All the cases were followed at regular intervals as per our study protocol. The functional outcome were assessed with Modified Harris Hip Score.Results: In the present study, 20 subtrochanteric fractures underwent surgical fixation with proximal femoral nail antirotation 2 (PFN-A2). According to Modified Harris Hip scores, out of 20 cases, the functional outcome were excellent in 5 cases (25.00%), good in 11 cases (55.00%), fair in 3 cases (15.00%) and poor in 1 case (5.00%). Conclusion:We conclude that the proximal femoral nail antirotation 2 (PFN-A2) was an ideal and reliable implant for subtrochanteric fractures, leading to high rate of bone union, reducing the chances of implant failure and decreasing the post-operative morbidity by improving the functional quality of life.
Background: Unstable intertrochanteric fractures were one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma and in young adults due to high velocity trauma. The incidence of these fractures was rising because of increasing number of senior citizens with osteoporosis. The problems associated with unstable intertrochanteric fractures were due to substantial morbidity and mortality, malunion, implant failure and associated medical conditions. Therefore, this has led to the development of intramedullary devices in the management of unstable intertrochanteric fractures. Objective:To analyze clinico-radiological and functional outcome of unstable intertrochanteric fractures by proximal femoral nail antirotation A2 (PFN-A2). Materials and methods:A prospective study with 73 adult patients with unstable intertrochanteric fractures according to Boyd & Griffin classification were treated with proximal femoral nail antirotation-2 (PFN-A2) in SSIMS, Davangere from October 2017 and September 2019. All the cases were followed at regular intervals as per our study protocol. The functional outcome were assessed with Harris Hip Score.Results: In the present study, 73 unstable intertrochanteric fractures underwent surgical fixation with proximal femoral nail antirotation 2 (PFN-A2). The functional results assessed by Harris Hip score showed excellent in 41 cases (56.16%), good in 15 cases (20.54%), fair in 12 cases (16.43%) and poor in 5 cases (6.84%). Conclusion:We conclude that the proximal femoral nail antirotation 2 (PFN-A2) was an ideal implant for unstable intertrochanteric fractures, leading to high rate of bone union restoring the lateral femoral wall, reducing the chances of implant failure and decreasing the post-operative morbidity by improving the functional quality of life.
To assess the clinical and functional outcome of surgically treated distal radius fractures with variable angle locking compression plate at SSIMS-RC, Davanagere during August 2016 TO June 2018. Objectives: 1.To evaluate the radiological union in fractures of distal radius fixed with variable angle LCP, 2. To evaluate clinical and functional outcome associated with this treatment modality, 3. to study the complications associated with this study. Materials and methods: 28 cases of distal radius fractures surgically treated with variable angle LCP according to inclusion and exclusion criteria, all patients followed up for a period of 1 year and results assessed with Gartland and Werely classification. Results: In our study mean duration of complete radiological union was 11weeks which is comparable with other studies. We have achieved excellent results in 66.6% of cases, good results in 23.3%, fair results10%, and no poor results. Complications like stitch abscess, reduced range of motion, complex regional pain syndrome seen in 6(20%) cases. Conclusion:The results are evidence that Variable angle locking plates allows effective anatomic realignment and early wrist mobilization. It is biomechanically superior due to closer joint interface placement and better screw placement in different directions. Variable angle locking compression plates in distal radius fractures provide good to excellent results and are effective in the correction and maintenance of distal radius anatomy.
Background: To assess the clinical and functional outcome of surgically treated distal radius fractures specially involving volar rim fixed with Volar Rim Variable Angle Locking Plates. Objectives: To evaluate the radiological union in fractures of distal radius fixed with Volar Rim Variable Angle Locking Plates .To evaluate clinical and functional outcome associated with this treatment modality. To study the complications associated with this treatment. Materials and Methods: 20 cases of distal end radius fractures surgically treated with Volar Rim Variable Angle Locking Plate according to inclusion and exclusion criteria, all patients followed up for a period of 1 year and results assessed with using the Demerit point system of Gartland and Werley. Results: In our study mean duration of complete union was 11 weeks which is comparable with other similar studies. We have achieved excellent results in 65% of cases, good in 20% of cases, fair in 10% and poor results in 5% of cases. Complications like stitch abscess, reduced range of motion, complex regional pain syndrome seen in 4 (20%) of cases. Conclusion: Volar Rim Variable Angle Locking Plate gives an adequate buttress of the volar radius distal to volar projection of the lunate facet and do not interfere with wrist mobility. Volar rim plate in distal radius fractures provide good to excellent results and are effective in the correction and maintainance of distal radius anatomy.
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