Background: The management of distal end radius has undergone an extraordinary evolution over the preceding twenty years. The technical advance of palmar locking plating has again changed the management of this fracture in a real and seemingly permanent way. Perhaps most importantly it is becoming increasingly apparent that operative intervention needs to be customized to the patient, fracture and expertise of the surgeon. Materials and Methods:The study is hospital based prospective study centered in R.L. Jalappa Hospital from November 2013 to April 2015 between which thirty patient patients with intra articular distal radius fractures are treated with locking compression plate and screws. Results: Patients were regularly followed-up post-operatively. Thirty cases were available for follow up. Excellent results were seen in 20 patients, good results in 5 patients, fair results in 3 patients and poor results in 2 patients. Conclusion: Open reduction and internal fixation with locking compression plate and screws gives better functional and anatomical results in intra articular distal radius fractures. The successful use of locking compression plate for intra articular distal radius fractures requires careful assessment of fracture pattern, appropriate patient selection, meticulous surgical techniques, appropriate choice of fixation, screw size, judicious augmentation with internal fixation, careful post-operative monitoring and aggressive early institution of rehabilitation. The final functional result of treatment not only depends of on anatomical reduction but also depends on surrounding soft tissue injuries and early mobilization.
Background: Intertrochanteric fractures is the fracture of the proximal femur, in which the fracture line extends from the greater trochanter to lesser trochanter 1
Background: Subtrochanteric fractures of the femur remain some of the most challenging fractures facing orthopaedic surgeons. Most of the fractures in the elderly results from trivial fall from standing or walking, while in the younger age group it's mainly due to road traffic accidents. Closed management of these subtrochanteric fractures thus poses difficulties in obtaining and maintaining a reduction, making operative management the preferred treatment. Therefore, this has led to the development of intramedullary devices in the management of subtrochanteric fractures. Objective: To analyze functional outcome of Subtrochanteric fractures by proximal femoral nail antirotation A2 (PFN-A2). Materials and Methods: A prospective study with 20 adult patients with subtrochanteric fractures according to Seinsheimer's classification were treated with proximal femoral nail antirotation-2 (PFN-A2) in SSIMS, Davangere from October 2017 and March 2019. All the cases were followed at regular intervals as per our study protocol. The functional outcome were assessed with Modified Harris Hip Score.Results: In the present study, 20 subtrochanteric fractures underwent surgical fixation with proximal femoral nail antirotation 2 (PFN-A2). According to Modified Harris Hip scores, out of 20 cases, the functional outcome were excellent in 5 cases (25.00%), good in 11 cases (55.00%), fair in 3 cases (15.00%) and poor in 1 case (5.00%). Conclusion:We conclude that the proximal femoral nail antirotation 2 (PFN-A2) was an ideal and reliable implant for subtrochanteric fractures, leading to high rate of bone union, reducing the chances of implant failure and decreasing the post-operative morbidity by improving the functional quality of life.
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