Introduction: Proximal femur fractures are a cause for significant morbidity & mortality in the elderly. These fractures need to be fixed surgically so as to help rehabilitate the patient at the earliest. Extra capsular fractures (Intertrochanteric fractures & Sub trochanteric fractures) when occur in osteoporotic bone are usually comminuted in nature. Choice of implant is of prime importance as the risk of implant failure is very high in such patients. This study was undertaken to see the functional outcome in management of osteoporotic proximal femoral bone fractures treated by open reduction & internal fixation with Proximal Femoral Locking Plate. Materials & Methods: In this prospective study conducted at MVJMC&RH, 40 elderly patients with Extra capsular fractures of the proximal femur (IT & ST) were treated with surgical fixation using PFLP from October 2014 to march 2017.Results: In the present study of 40 cases with an average age of patient is 65years with Male to Female ratio of 42.5%: 57.5%; 26 Intertrochanteric fractures & 14 Sub trochanteric fractures the outcome was found to be 25% (10) excellent, 32.5% (13) good, 32.5%(13) fair, 10% (4) poor result with Harris hip scoring system. 4 complications include 1 infection; 2 delayed union & 1 case of purely implant related complication like plate bending due to early mobilization & weight bearing. Conclusion:In view of the results obtained from our study which are comparable with the results obtained from similar studies; despite few unfavourable results and complications, Proximal FLP is a good option for treatment of proximal femur fractures with severe comminution and osteoporosis.
<p>Lateral closing wedge osteotomy is a commonly described procedure for correcting cosmetically unacceptable post-traumatic cubitus varus deformity in children. We report a case of 12-year-old boy who underwent step cut osteotomy for cubitus varus deformity. Preoperative measurements of varus deformity followed by planning of osteotomy using a template was done. Intraoperatively the preplanned cuts were made using a posterior approach and then fixation was done using k wire. Patient recovered completely with correction of deformity. Step cut osteotomy has key advantages over traditional closing wedge osteotomy and hence can be used as an alternative surgical technique.</p><p><strong> </strong></p>
Background: In current practice, proximal femoral nail (PFN) and dynamic hip screw (DHS) with locking side plate are the implant of choice in stable trochanteric fractures. Most of the deficiencies of the standard DHS have been addressed by the introduction of the Locking side plate. There are plenty of studies comparing standard DHS and PFN. But studies comparing locking DHS and PFN are scarce in current literature. This study aimed to compare the outcomes of both implants in stable pertrochanteric fractures. Methods: The objective of this study was to assess and compare the clinical outcomes of using locking DHS and PFN for fixation in 40 patients who were admitted to SUT Academy of Medical Sciences between October 2017 and April 2019. The modified Harris hip score was used to evaluate the patients' progress, and regular follow-up was conducted to compare their outcomes. Results: Among the DHS group, the mean Harris hip score was 83.05, with excellent results observed in 2 patients (10%), good results in 12 patients (60%), fair results in 5 patients (25%), and poor results in 1 patient (5%). In comparison, the PFN group had a mean Harris hip score of 85.50, with excellent results seen in 6 patients (30%), good results in 10 patients (50%), fair results in 3 patients (5%), and poor results in 1 patient (5%). Conclusions: The DHS group had more patients with good and fair outcomes, while the PFN group had more patients with excellent and good outcomes. Based on these findings, we can conclude that both the PFN and DHS with locking side plate are similarly effective in treating stable intertrochanteric fractures.
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