<p class="abstract"><strong>Background:</strong> Acetabulum fractures are among the most serious injuries treated by orthopedic surgeons. People of all ages are vulnerable to these injuries. ORIF is considered the right treatment method for acetabular fractures. Patients who underwent this treatment had a good result. For the general orthopedic surgeon the treatment for displaced acetabular fracture is a challenging task. The aim of the study was to evaluate the functional outcome of surgically treated acetabular fractures.</p><p class="abstract"><strong>Methods:</strong> A prospective longitudinal study was undertaken in our hospital during the period of June 2011–June 2015. A total number of 32 patients were included in the study. All patients with the history of fall and pain in the pelvic region were examined clinically and radiologically by doing an X-ray of plain AP view of the pelvis as well as CT-scan. Fractures that were displaced by more than 5 mm with concomitant disruption of the bony continuity of the acetabular dome were treated surgically. The follow-up schedule was 3, 6 and 12 months post-operatively and subsequently at two years when the operative outcome had been finalized and final evaluation of fracture healing and functional outcome was performed.<strong></strong></p><p class="abstract"><strong>Results:</strong> Radiologic evaluation showed 88.5% of excellent or good results and 12.5% of fair or poor results, while clinical evaluation showed 90.6% of excellent or good results and 9.4% of fair or poor results. The clinical evaluation was done for the patients based on the D’Aubigne-Postel criterion. . Based on this criterion 90% of the patients had shown good to excellent results and for the remaining 10% of the patients it was between poor and fair.</p><p><strong>Conclusions:</strong> In acetabular fractures open reduction and internal fixation was consistent with better anatomical reduction and functional outcome provided when it is carried out by an experienced surgeon and intervened within the first few days following the injury. </p>
Background: The ultimate objective in the management of tibial plateau fracture is to ensure anatomic reduction, restore the axial alignment and maintain a stable fixation such a way to prevent the secondary displacement of fracture fragment. The various type of managing the tibial plateau fractures apart from conservative management are open reduction and internal fixation, closed reduction and percutaneous fixation and hybrid type of external fixation. Aim: To evaluate the functional outcome of osteosynthesis of tibial plateau fractures using different surgical techniques after a minimum period of 6 months by using Rasmussen scoring system. Methodology: All patients with proximal tibial fracture in the age group between 20 and 60 years were included as our study subjects. A total of 38 patients were taken as our study subjects. The tibial fractures were classified based on schatzker type of fracture classification. Fracture reduction was done under Carm guidance by closed methods using ligamentotaxis. After confirming the reduction under C-arm guidance fixation of the fracture was done with locking plate. Functional outcome assessment of knee joint was done after six months post-operatively by using Rasmuseen score, which includes pain perception, walking capacity, extension at knee joint, range of movements and stability. Results: Majority of the patients who had undergone closed reduction with cancellous screw procedure or open reduction and internal fixation with buttress plate and bone graft had the functional outcome between excellent and good whereas patients who had underwent dual plating had a fair to poor outcome and this difference was found to be statistically significant. Pain and knee stiffness were reported in very few patients at the end of 6 months. Conclusion:In the management of tibial plateau fractures, open reduction with internal fixation using plate screws with lesser soft tissue dissection would lead to excellent functional outcome.
BACKGROUND Total Knee Arthroplasty (TKA) has become a standard operative procedure to relieve pain, and to restore alignment and function of patients with advanced arthritis of knees. 1,2,3 Total knee arthroplasty has evolved into a very reliable surgical treatment for advanced arthritis of knee. TKA provides pain relief and improves function for patients with advanced osteoarthritis of the knee. The aim of this study is to prospectively evaluate the clinical and functional outcomes of total knee arthroplasty in arthritic knees in terms of pain relief, range of motion and stability. METHODS We prospectively reviewed a series of 65 primary Total Knee Arthroplasties performed in 40 patients at our institute from November 2014 to November 2017. Of these patients, 12 underwent bilateral TKA in the same sitting, 13 underwent staged bilateral TKA and 15 patients underwent TKA on one side. Patients were followed up to 3 years post-operatively with an average follow up of 24 months and were evaluated with Knee Society Clinical Ratings and radiographic analysis. RESULTS Pre-operative mean of clinical score (pain, ROM and stability) and functional score (walking distance and stair climbing) of patients improved from 48.33 to 92.82 and 49.65 to 88.43 respectively. CONCLUSIONS In this short-term analysis of this prospective observational study, satisfactory results were obtained in a good percentage of arthritic knee patients.
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