Background:The incidence of intertrochanteric fractures has been increasing significantly due to the rising age of modern human populations. Generally, intramedullary fixation [proximal femoral nail (PFN) and gamma nail] and extra-medullary fixation [dynamic hip screw (DHS)] are the 2 primary options for treatment of such fractures. Objectives: The goal of this study is to compare the clinical and radiographical results of DHS and PFN for the treatment of trochanteric hip fractures. Methods: Patients with trochanteric fractures were treated either with DHS or PFN in the Department of Orthopaedics, M.G.M. Medical College and L.S.K Hospital, Kishanganj, Bihar from October 2010 to October 2012 were included for this study. Results: Forty three patients (24 male and 19 female, ratio of M:F 1.26:1) surgically treated for trochanteric fractures were divided into two groups. Group 1: 25 hips treated with DHS and group 2: 18 hips treated with PFN. The outcome for each group was analyzed, and total operative time, time to union, complications (early and late), and mortality were recorded. The results were statistically compared. Out of 25 cases of DHS, majority cases (13) took between 1 hour 36 minutes to 2 hours. Whereas, out of 18 cases of PFN, majority (8) took 1 hour to 1 hour 30 minutes. The mean time to union for group 1 was 2.09 months and 1.69 months for group 2. Early and late complication rates between treatment groups revealed no statistically significant differences. Total duration of surgery was significantly lower for PFN than it was for DHS. A comparison of time to union and overall mortality demonstrated no statistically significant differences. Conclusions: We detected no differences between the two treatment groups in regard to early versus late complications, time to union, and overall mortality; however, with its shorter operative period, PFN is a good alternative to the DHS.
Introduction: Most of the sudies focuses on the surgical advantages and disadvantages of the posterior and direct lateral approaches to THA, in addition to identifying the effects of these surgical approaches on global function describing post-operative gait and activities of daily living (ADLs), local function describing muscle strength around the hip and iatrogenic damage of soft tissue around hip Aims and Objectives: To compare functional outcome following primary total hip arthroplasty among geriatric patients between two surgical approaches - direct lateral and posterior approaches. Material And Methods: Descriptive follow up study with comparison between two groups of patients operated by direct lateral and posterior approach of THA to be conducted in DEPARTMENT OF ORTHOPAEDICS, JAGANNATH GUPTA INSTITUTE OF MEDICAL SCIENCES AND HOSPITAL, KOLKATA from 18 months. 54 patients were included in this study. Result: In Direct lateral Group, 9(33.3%) patients had AVN of femoral head, 13(48.1%) patients had displaced neck of femur fracture and 5(18.5%) patients had osteoarthritis of hip joint. In Posterior Group, 7(25.9%) patients had AVN of femoral head, 7(25.9%) patients had displaced neck of femur fracture and 13(48.1%) patients had osteoarthritis of hip joint. Association of Indication of operation vs group was not statistically signicant (p=0.0606). Conclusion: Month of follow-up was higher in Posterior approach compared to direct lateral approach which was statistically signicant.
Introduction: Fractures of the clavicle, which primarily occur in young males, constitute 2.6–4% of all fractures in adults. A male dominance of approximately 70% has been reported. The most frequent injury mechanism is a direct fall on the shoulder. Fractures are often sustained during sports activities or trafc accidents. The majority (69–82%) of fractures occur in the mid-shaft of the clavicle, followed by 12–26% in the lateral part and 2–6% in the medial part. Aims: This study is aimed to assess the functional Outcome of intramedullary titanium elastic nail system for Displaced Clavicle Fracture.Materials And Methods:The present study was analytical study. This Study was conducted from one and half year at Department Of Orthopaedics Jagannath Gupta Institute Of Medical Sciences And Hospital, Kolkata. Result: In our study, 1 (5.0%) patient had Bb Leg Injuries and 2 (10.0%) patients had I/L Scapula Spine in Associated Injuries which was not statistically signicant (p=0.6530). Conclusion: We found that, ESIN is safe and minimally invasive with good patient satisfaction, cosmetic appearance, and overall outcome.
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