Introduction-Treatment of extra-articular distal humerus fractures is often difficult using conventional plates. Plates having enough screws (three to four) in the distal fragment either impinge on the olecranon fossa, or gain purchase by placing screws in the lateral or medial column of the distal humerus avoiding the olecranon fossa. Objectives-This study was to ascertain the effectiveness of modified distal tibial locking plate for use in distal third shaft humerus fracture. Methods-By using a modified distal tibial locking plate, a six to eight locking head screws can be easily placed in the in the limited length of distal fragment proximal to the olecranon fossa. Fourteen cases treated in such manner were followed up for a minimum of 24 months. Results-Union was achieved in all cases with no loss of reduction or implant failure. No patient complained of hardware complication, functional limitation or infection. Conclusion-Modified distal locking plate can be safely used in the limited space above olecrenon fossa in distal thirds humerus shaft fractures
Introduction: In orthopaedics practice Supracondylar fracture of humerus is the commonest injury around elbow in children during fall on the outstretched hand. The complications of this injury are many like pain, deformity and permanent restriction of movement however if due care is taken and early treatment is started, excellent results are seen. Various treatment modalities are used for treating these fractures. Closed reduction and percutaneous pinning is a useful technique to manage this condition. Methods: Thirty five cases with Gartland type III supracondylar humeral fractures were treated with closed reduction and percutaneous lateral pin fixation with Kirschner wire and followed up for 12 months. Results: Results were excellent in 30 patients and good in 4 patients according to Flynn's criteria. There was only one patient with poor results. Post-operatively, one patient sustained ulnar nerve injury. Two patients got pin tract infection which were superficial and healed after removing pins and antibiotics. Union was seen in all patients at the 2-3 weeks post-operatively before removing the K-wires. Conclusion: It is concluded that closed reduction and lateral pin fixation is a safe and effective treatment modality for management of supracondylar fractures with minimum complication rate.
BACKGROUND Through this study we want to evaluate the results of hemiepiphysiodesis of distal femoral physis with eight-plate for correcting the knock knee in adolescent age group. Genu valgum is considered physiological up to the age of 3-4 years. The maximum value of genu valgum is observed at age of 3-4 years and this further spontaneously resolves around 7 years of age. Persistence of genu valgum beyond this age is pathological and requires some form of treatment. METHODS This is a prospective longitudinal study in which 30 patients with idiopathic bilateral genu valgum were treated surgically by hemiepiphysiodesis using eight-plates. Patient evaluated with radiograph and clinically assessed at every follow up till 36 months. RESULTS We evaluated 30 patients who were surgically managed for bilateral idiopathic genu valgum over a 36-month period. The average age at surgery was 13 years and 7 months (Range 11 years 8 months-14 years 6 months). The mean preoperative tibiofemoral angle was found to be 17 0 with a standard deviation +/-2.7 0 , and post-surgery the mean tibiofemoral angle was recorded to be 5 0 with a standard deviation +/-1 0. The total follow-up period was 36 months. CONCLUSIONS Hemiepiphysiodesis using eight plate is a simple technique for correction of idiopathic genu valgum in adolescent and paediatric patients. It produces reproducible results, is cost effective and ensures rapid return to preoperative level of school and recreational activities.
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