: Intra-articular distal humeral fractures can be approached in a variety of ways. The purpose of this study is to evaluate and compare the functional outcomes of two approaches: one with olecranon osteotomy and other with triceps-lifting approach; for the treatment of intra-articular distal humeral fractures.: In this study, 10 patients in Group A were compared with 10 patients in Group B. Both the groups were comparable in terms of age, gender, duration of injury and degree of comminution of the fracture. Results were compared in terms of operative time, hospital stay, union, range of motion and complications. Functional evaluation was done using the Mayos’ elbow performance score (MEPS).: Patients were followed for a minimum of 12 months. Fracture union was seen at or before 4 months in all the patients of both the groups, except in 1 case of Group A where it was seen at 7 months. Average time to union was comparable in both the groups. In Group A, mean range of flexion was found to be 118 degrees (SD 7.33) and extension lag was found to be 11 degrees (SD 3.84). In Group B, mean degree of flexion was found to be 118.25 (SD 4.94) and extension loss of 12 degrees (SD 4.70). Average range of motion was comparable in both groups. There were no significant differences noted between the two groups in terms of mean MEPS (p= 0.573). The overall complication rate was 40% in the TRAP group and 30% in the olecranon osteotomy group.: Intra-articular distal humerus fractures mandate surgical fixation for best functional outcomes. Although technically demanding, TRAP exposure can prove to be as effective as olecranon osteotomy approach. Both approaches appear to yield no significant differences in clinical and functional results for intra-articular distal humerus fracture management.
BACKGROUND Fracture of the medial condyle of humerus is very rare. Only a few reports are available where this injury is seen after closure of the condylar and medial epicondylar apophyses. The aim of this study is 1) To highlight the rarity of this fracture in adult population. 2) To report the clinical & radiological outcome following internal fixation. MATERIALS AND METHODS Over a period of 6 years (2005-2011), 6 medial condyle humeral fractures in adults were seen in Orthopaedics Department, Gauhati Medical College and Hospital. Surgical fixation by open reduction and internal fixation was done with cancellous screws and/or Recon plates and additional K-wires whenever required. The patients were followed up and were evaluated clinically, radiologically and functionally (using Mayo Elbow Performance Score). RESULTS All the 6 cases united clinicoradiologically. Based on the clinical criteria for evaluation of results, excellent results were obtained in 4 cases and good result in 2 cases. None of the cases reported with ulnar nerve injury.
Background: Trigger nger is a common clinical disorder caused by irritation of the exor tendon as it slides through the bro-osseous sheath and
characterized by pain and catching as the patient exes and extends digits because of disproportion between the diameter of exor tendons and the
A1 pulley. Its surgical options include open and percutaneous minimally invasive methods. A prospective study was conducted in Methods:
Gauhati Medical college and Hospital over the course of 4 months in which 23 patients aged 23-66 years presenting with trigger nger were treated
with percutaneous release. Percutaneous trigger nger release of A1 pulley was done with the help of 18G hypodermic needle under local
anaesthetic cover as a day care procedure. Subsequently the patient was followed up at 1 week,3 weeks and 2 months. Outcome was assessed by
level of satisfaction, complications, days to resume work and complications Results:All patients were completely resolved of their symptoms with
no serious complications. 3 patients had temporary wound related complications which was resolved in 3 days .2 patients had temporary stiffness
which resolved completely within a month. Percutaneous release of trigger nger Conclusion: is effective, convenient, cost effective day care
surgery without any signicant complications and presents a suitable alternative to intralesional steroids
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