Various treatments have been described for the treatment of distal femoral fractures (extra-and intraarticular). We present our experience with locking compression plate in the management of distal femoral fractures at SGT Medical College Hospital and Research Institute, Gurugram. Methods: This study was conducted from May 2015 -January 2019 and included 30 patients of fracture lower end of femur who presented to the department for treatment. Follow up was done for a minimum period of 12 months. All those patients who were above 20 years of age, and were having closed fracture of the distal femur were included in the study. The purpose of this study was to evaluate functional outcome in terms of knee pain, range of knee movements, knee stability, alignment, weight bearing status and union Results: All the fractures united in the meantime of 17 weeks with two cases of delayed union. The mean operating time was 70 minutes. At the end of follow up period of 12 months, 80% of the patients had excellent results and 20% had good results on evaluation by Knee Society Score. The use of distal femoral locking compression plate (DF-LCP) in fractures of the distal femur had good functional outcomes with early recovery as it provided early mobilization and rehabilitation.
50 cases of isolated meniscal injuries of the knee were evaluated and managed arthroscopically, 56 % of the cases were in 25-35 year age group. In 80% of the cases military training and contact sports was the mode of injury. Maximum (42%) patients reported late (> 2 years) after the injury. On presentation, they had an average Lysholm knee score of 53.76. Medial rneniscal lesion was seen in 74%. Commonest pattern of tear encountered was a longitudinal tear (40%). Depending on pattern and extent of lesion, partial meniscectomy (60%), subtotal meniscectomy (14%) and total meniscectomy (26%) were performed. Patients were followed up at six months and one year. The average Lysholrn score at 6 months was 83.3 and at one year 79.5. At one year, the patient satisfaction level was 82 % and patients who underwent partial meniscectomy had the best results, MJAFI 2001; 57: 99·103
Introduction: Management of distal metaphyseal tibial fractures is a formidable challenge to the orthopaedic surgeon. Some of the confounding factors in management are delicate soft tissue in this area, presence of ankle joint in close proximity, small distal fragment size, ligament injuries, occasional fibular fractures and compaction of cancellous bone among others. The conventional implants are unsuitable for managing such fractures successfully. Material and method: The 3.5mm anatomical anterolateral locking compression plates are precontoured plates that have been designed and developed especially for fixation of distal tibial metaphyseal fractures to overcome some of these problems. 34 patients underwent management using this implant. The study was done prospectively. Aim: The aim of the study was to evaluate the management of such fractures with this implant and to assess the functional outcome of the same. Results: 83% of patients in our study had excellent to good functional outcome. Conclusions: We concluded that that the anatomical anterolateral plate is an excellent option for managing such fractures and gives consistent and reproducible clinical results.
is clearly the last word on the subject at the time of its writing. The surveys of the intermediate metabolism of the sex hormones by Gregory Pincus and William H. Pearlman and on the adrenal cortical hormone by T. Reichstein and C. W. Shoppee are of the same calibre, the latter being, apparently, the only contribution to this volume by authors not resident in North America. There is reason to believe that the editors will have arranged in later volumes for the collaboration of authors in Great Britain, for whom this first volume has set an almost terrifyingly high standard. THE HOSPITAL ALMONER Social Service in a General Hospital. By Dorothy Manchte. (Pp. 164. 6s.) London: BailliUre, Tindall and Cox. 1944.
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