Introduction: Calcaneum fractures constitute about 60% of all tarsal bone fractures. Intra-articularfractures account for 70% of all calcaneal fractures. There are controversies regarding the operativetreatment of calcaneum fractures. Therefore this study aimed to estimate the functional outcomes ofcalcaneum fractures treated by open reduction and internal fixation with plate and screws. Methods: This descriptive, cross-sectional study was carried out at the tertiary care center in thewestern region of Nepal among the patients with displaced intra-articular calcaneum fractures fromFebruary 2017 to July 2020 after approval from the Institutional review committee. Convenientsampling was done to reach the sample size. Fifteen cases were included in the study. Data wererecorded in proforma and Data analysis was done in the statistical package for social sciences. TheAmerican Orthopedic Foot and Ankle Society Hindfoot score was used to assess the final outcome. Results: According to the American Orthopedic Foot and Ankle Society hindfoot scores, there werefive excellent (33.33%), seven good (46.66%), two fair (13.33%) and one poor (6.66 %) results. Conclusions: In displaced intra-articular calcaneum fractures, open reduction and internal fixationwith plates and screws result in a good number of satisfactory outcomes with very few unsatisfactoryresults. Hence it can be a better option of treatment in displaced intra-articular calcaneum fractures.
Background Titanium Elastic Nail (TEN) is used for fixation of diaphyseal fractures of paediatric long bone, where the medullary canal is thin or flexibility of the implant is a chief concern. These are used for biologically and minimally invasive fracture treatment that delivers accurate reduction and stabilization in appropriate paediatric age group Methods A hospital based 18 months (from December 2020 to July 2022), retrospective study was conducted at Devdaha Medical College and Research Institute, Rupandehi, Nepal with the patients of paediatric long bone fractures who were operated with an elastic titanium intramedullary nail for diaphyseal fractures. Records of the surgical procedure and the follow-up outcomes were all recorded and the data was collected and tabulated in excel sheet for statistical analysis. The total number of patients in the study were 25 wherein, 20 were male and 5 were female. Results Children ranging from age 4 to 15 years of age were included with mean age of 9.44 years. Average hospital stay was 4 days having standard deviation of 1.68. Statistical analysis yielded z value of 2.97 and p-value of 0.003 which was significant. Most of the patients reported injury in the left side 17(68%) than right side 8(32%). Majority of the injury was sustained in forearm 18(72%) followed by femur 4(16%) and tibia 3(12%). Fall on the ground 14(56%) was commonest mode of injury followed by road traffic accident (RTA) 5(20%), fall from tree 3(12%), fall from bicycle 2(8%) and sports injury 1(4%) respectively. The average time to fracture union was 9.84 ± 2.93 weeks. Only 4 patients had complication, in which 2 had superficial surgical site infection and nopatient had Limb Length Discrepancy or non-union. Conclusion TENS for diaphyseal fracture is not only a safe, minimally invasive technique with shorter operating time but also helps in preservation of accurate bone alignment and encourages quicker bone healing.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.