<p class="abstract"><strong>Background:</strong> Femoral fractures are bone fracture involve femur, common injuries in adults. Intramedullary femoral nailing system is the recommended solution or treatment for fractures due to its high union rates.</p><p class="abstract"><strong>Methods:</strong> In this clinical inspection 30 patients were selected with bone fracture of femur, and treated by using intramedullary femoral nailing system (universal intramedullary cannulated femoral nail, expert femoral nail, gamma nail and retrograde femoral nail) manufactured by Auxein Medical Private Limited, Sonepat, Haryana, India. There are two types of patients used in this study, one is male (n=18) and another female (n=12). Patients physical fitness was also observed through American Society of Anesthesiologist.<strong></strong></p><p class="abstract"><strong>Results:</strong> Outcomes record from the patients using visual analog scale. Follow up of the patients were taken on 1<sup>st</sup> month, 6<sup>th</sup> month, and 12 months. Post-operative outcomes were good with none of the patients showing non-union of fracture site. There were no complications noticed related to intramedullary femoral nailing system in this study and hardware related complications were not encountered in this study also.</p><p class="abstract"><strong>Conclusions:</strong> Intramedullary nailing system provide excellent outcomes with high union and low complication rates in the management of bone fracture involve femoral in patients.</p>
INTRODUCTIONClavicle fractures are common in adult population, due to thin structure and super facial location of the bone. With less protection from muscle or fat, 69-82% of midshaft clavicle fractures occurs due to the slightly curved nature of the middle third and lack of articular support through muscles and tendons. 1 While the medial-end clavicle fractures are rare and make up only 2%-10% of all clavicle fractures, this type of fracture is usually caused by direct, high-energy trauma such as bike crash and also secondary to a fall, aggression or firearm wound. 2,3 Based on the anatomy, clavicle fracture are classified in to three parts (a) clavicle, proximal (medial) end segment (b) clavicle, diaphyseal segment and (c) clavicle, distal (lateral) end segment. 4The location of the fracture, along with degree of displacement and association of surrounding structures, is important to consider for treatment. There are two primary categories for treatment of clavicle fracturesoperative and non-operative. Non-operative, or conservative treatment involves immobilization using a sling or brace, whereas operative management can ABSTRACT Background: Clavicle fracture is common in adults associated with high non-union rate and post-operative complications. The aim of this prospective study was to reduce the postoperative complications in clavicle fracture (Type 15-A2 and 15-B1) by using wise lock plates (manufactured by Auxein Medical Private Limited). Methods: In this prospective study of 25 patients (11 patients had 15-A2 fracture, 14 patients had 15-B1 fracture) recruited with one year follows up period followed by physical exercises after one month of the surgery. The fractures were treated with two different plates: 3.5 mm wise lock clavicle hook plate and 3.5 mm wise lock superior anterior clavicle plate. X-ray was used to check the union, non-union. Functional outcome of the patients were assessed by the visual analogue scale (VAS) score at post-operative follow up at 4 weeks, 12 weeks, 6 months and 1 year. Results: Postoperative outcome was good with none of the patients showing non-union or delay in the union of fracture site. The encountered complication registered were residual pain which was mild (4 cases), and hypoesthesia (2 cases). Conclusions: Osteosynthesis of clavicle fracture with 3.5 mm diameter locking plates attributed as superior, anterior and hook plating system showed excellent results with low rate of complications.
<p class="abstract"><strong>Background:</strong> Humerus fracture is a common fracture in aging population mainly occurring due to fall, high energy trauma and sports injury. Locking plate treatment is showing good results in stabilization of the fracture. The purpose of this study is to showcase the surgical treatment and results by using Auxein locking implants for the treatment of proximal humeral fracture.</p><p class="abstract"><strong>Methods:</strong> Prospectively 13 patients were treated with ORIF treatment (6 males, 7 females with an average age of 43.6years). Fracture type is classified as per the Muller AO classification of fracture, 6 patients had type 11-A1 and 7 patients had type 11-A2. 1 patient were felt under American Society of Anesthesiologists grade 2 have mild systemic disease. Clinical outcomes were assessed at 1year follow-up with visual analogue scale score at 4 week, 16 week, 24 week and 1 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> The follow-up of patients was taken at 4<sup>th</sup>, 16<sup>th</sup>, 24<sup>th</sup> and 1 year bearing good clinical results. 2 patients were encountered with pain, these were elderly patients of the age 58 and 62 and had a history of other medical commodities. One patient reported of less weigh bearing ability which was relieved with physiotherapy.</p><p><strong>Conclusions:</strong> Open reduction internal fixation treatment with Pheelos 3.5 mm wise lock proximal humerus plate showed good results with improved performance and negligible complications. </p>
<p class="abstract"><strong>Background:</strong> The clinical results of intramedullary humerus nailing system of humeral fracture is controversial variation in implants, and follow up factor and operative technical studies. Humerus fracture is the third long fracture after femoral and tibia bone fracture.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 45 patients (24 female and 21 male) between the age group of 18-75 years with humerus fracture were taken who did not get conservative management. Type of fracture was categorized according to AO classification. Intramedullary humeral nailing system (compression intramedullary humerus nail, reconstruction nail and reconstruction intramedullary humerus nail) manufactured at Auxein Medical Pvt. Ltd., was used to treatment of humerus fracture. Patient physical fitness was observed according to American Society of Anesthesiologist. Pain scale and outcomes was record from the patients using visual analog scale. Follow up of the patients were taken on 3-week, 8-week, 16-week, 1-year and 2-year.<strong></strong></p><p class="abstract"><strong>Results:</strong> At 2 years follow up, bone consolidation was present in 44 cases. Only one case has reported of mortality but that was not due to implant related. No clinical and biomechanical complications were reported. Proper healing of implant was achieved.</p><p class="abstract"><strong>Conclusions:</strong> Intramedullary humeral nailing system is the best treatment option to treat the humerus fracture. Compression intramedullary humerus nail can minimize the gap and increase the biomechanical stiffness.</p>
<p class="abstract"><strong>Background:</strong> Hip prosthesis is a successful surgical technique the treatment of hip joint fracture. Thompson hip prosthesis is commonly used treatment of femoral head fracture. It is designed for non-union of fracture neck of femur when there is no neck available.</p><p class="abstract"><strong>Methods:</strong> In this retrospective study, examined the results of patients with Thompson hip prosthesis (cemented and uncemented). This examination has been done from August 2014 to February 2016. 50 Patients were enrolled in this study with mean age of 70 years in which the ratio of number of females more than the number of males. AO classification was used to categorize the hip fracture type. Patient physical fitness was obtained through visual analog scale. Thompson hip prosthesis has been used to treatment of femoral head fracture, manufactured at Auxein Medical Pvt. Ltd., Sonipat, Haryana, India.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients were follow-up on six week and three-month after discharge from hospital. 90% patients have excellent or pain-free results. There is no implant related complication has been found such as Loosening, prosthesis related size. The overall performance of hip prosthesis was very good.</p><p class="abstract"><strong>Conclusions:</strong> Present guideline strongly favor of hip prosthesis. After clinical study, we can conclude that the Thompson hip prosthesis is the best technique to treatment of femoral head fracture. Thompson is also a quick, simple, palliative solution to early mobility.</p>
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