<p class="abstract"><strong>Background:</strong> Control of infection in open fractures is a challenge in orthopaedic surgery. The literature provides evidence that antibiotic-laden bead chains are a useful adjuvant with systemic antibiotics in the prevention of infection in open fractures.</p><p class="abstract"><strong>Methods:</strong> Between February 2018 and January 2019, sixty four patients with open type fractures admitted in emergency room were analysed for this study. In this 64 patients, 32 in Group A received antibiotic laden PMMA (Poly methyl methacrylate) beads with standard care. Another 32 in Group B received standard care.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 54 males and 10 females with a mean age of 41 and follow up 6 months. Among 64 patients 37 patients were stabilised with external fixators and remaining 17 patients underwent a definitive fixation either an intramedullary nailing (12 patients) or internal fixation with a plate (5 patients). 10 patients were stabilised with k wires. The infection rate in group A and B was 6.25% and 21.8% respectively which is statistically not significant (p=0.072).</p><p class="abstract"><strong>Conclusions:</strong> Although the final infection control rate was comparable between the bead group (30/32, 93.75%) and the non bead group (25/32, 78.12%), few complications were noted in the bead group (9.37%, 3/32) than in the group B (15.62%, 5/32). Hence the prophylactic use of antibiotic cement beads is advantageous in preventing post traumatic orthopaedic infection, lessens hospital stay as well the financial burden to the patients.</p>
Background: In elderly people neck of femur fractures are common. For which hemiarthroplasty is most popular surgery doing by an orthopaedic surgeon. Usually hemiarthroplasty can perform either with unipolar or bipolar prosthesis. Purpose: The aim of this study is to know the outcome of unipolar prosthesis in elderly patients presented with fracture neck of femur. Materials and Methods: From October 2014 to October 2016, 30 patients aged above 60 years who were admitted in the department of orthopaedics in R.L Jalappa Hospital, kolar were included. Functional outcome were assessed with Harish Hip Score. Results: The study included 53% females and 47% males. 47% were in the age group of 70-79, followed by 43%, 10% were 60 to 69 years and 80-89 years age groups respectively. Left sided hip fracture was 57% which is more than Right sided hip fracture 43%. Fracture was classified as per Garden classification, Type IV were 14, Type III 12 and Type II 4. Most commonly used prosthesis size was 47 ranged from 39 to 49.After 6 months follow-up outcome analyzed by Harris hip score and found to be Excellent 47%, Good 27%, fair 20% and poor in 6.6%. 13% of the study subjects had complication like superficial infections and bed sore which was treated with regular dressings and antibiotics. Conclusion: Austin Moore prosthesis gives a better function, safe operation, lesser pain and improved gait function outcome even in elderly with significant medical problems.
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