Background: The functional and radiological outcome of the union of transverse fractures of patella treated by tension band wiring (TBW) and encirclage wiring were compared according to WEST’s criteria.Methods: During three years, 44 patients with displaced transverse fracture patella were treated randomly either by TBW or encirclage with twenty-two patients in each group. Two patients in each group were lost to follow-up.Results: Results were compared based on the period of union, post-operative complications, early mobilization and recovery to pre-injury level. Fractures united at an average of 13.6 weeks with 8-12 and 10-14 weeks in TBW and the encirclage group, respectively. Results were excellent in 65%, good in 25% and poor in 10% cases in TBW group, as compared to the encirclage group with excellent in 50%, good in 30% and poor in 20% cases. In TBW group, 75% cases had a full range of motion (ROM), 15% had >120° of flexion and 10% had flexion between 90° and 120°, as compared to 50% full ROM, 30% >120° of flexion and 20% between 90° and120° flexion in the encirclage group. A case of migration of pin and another case of limitation of flexion by 25° were noticed.Conclusions: Patients treated with TBW had better results than the encirclage in the management of transverse fractures of the patella.
INTRODUCTIONClavicle is the only bone that is most neglected in a polytrauma patient. But its importance was more convincing after dealing floating shoulder injuries. When there was both clavicle and scapular fracture more attention was given to clavicle fracture to maintain the leverage action of shoulder. Clavicle fracture amounts to 2.6% of all fractures and accounts for 34% to 45% of shoulder girdle injuries in adults.1-3 Of all clavicle fractures it is most common in middle one third i.e. about 69% to 81%, lateral one-third 17% and medial one-third 2%. 4,6 Most of the clavicles fractures are treated nonoperatively, results vary from good union, mal-union to non-union. Even united or not most patients have good functional outcomes and a high level of patient satisfaction except few where there is functional disability following nonunion. 2,7-11As nonoperative treatment are not as favourable as once thought, there is increase trend for internal fixation. 12-13Besides non-union was lower in operated group as compared to conservative group, pooled data showed that 14% of 452 patients in the nonoperative group developed non-union, which is significantly higher (p=0.00001) than the 1.7% rate of non-union in the 507 patients of the ABSTRACT Background: Among all long bones clavicle is the only bone placed horizontally and has membranous ossification. Clavicle fractures accounting for about 2.6% of total body fractures and 34% to 45% of total shoulder girdle injuries in adults. Most fractures occur in middle third of clavicle and common in young male patients. It has wide range of management from conservative to variant internal fixation. Each procedure has its own outcome and complications. We tried to find out the outcome and complications following internal fixation of clavicle with plate and screws. Methods: In a prospective study 50 patients of fracture mid shaft clavicle who were treated with plate and screw were followed for a period of two years. Only adults more than 18 years were included in the study. All patients were followed at 2 nd post-operative day 5 th post-operative day 14 th post-operative day and at 1, 2, 6, 12 and 24 months. Only two parameters were observed i.e. union of fracture and post-operative complications. Results: Of all patients operated with plate and screw 48 patients had good radiological union by six months. Only two patients had non-union and one with implant failure at 12 months. Of complications one had stitch abscess and seven had hardware discomfort. Conclusions: Clavicle fracture in adults has multimodal treatment option. Though conservative management has good results it has high chance of mal-union and non-union. Operative fixation should be opted for adult individuals where chance of non-union is high. Plate and screw fixation has good results in terms of union with least complication.
Introduction: Surgical site contaminations (SSIs) still reason huge horribleness and mortality in spite of advances in injury care. We have considered right now pace of SSIs, their results in patients experiencing mediations for injury and SSI inclines in creating nations. Materials and Methods: One study (January, 2018 to December, 2018) was done. Patients experiencing intercessions for orthopedic injury were followed and evaluated for SSIs and their results and antimicrobial affectability examples of the smaller scale life forms separated were noted and associated. Results: A sum of 40 (4.4%) affirmed instances of SSIs were distinguished among 746 patients of orthopedic injury. In light of the new CDC criteria, in the wake of precluding cellulitis, just 24 (2.6%) were found to have SSIs. A sum of 12.5% of the SSIs were identified during development. Acinetobacter baumannii was the prevalent life form as likewise Staphylococcus aureus. Results watched remembered changes for anti-microbial system, amendment medical procedure, readmission to emergency clinic and passing's. Conclusions: SSI is pervasive in orthopedic injury patients and a functioning observation program will help in early administration and avoidance.
To decide the elements of the femoral shaft and their relationship to age in Anatolian Caucasian men and women. Materials and Methods: Maximum femoral length (MFL), mid-shaft transverse diameter (MTD), and foremost bowing (AB) were considered in an example of 104 grown-ups. The linear dimensions and AB of the femoral shafts were measured on computerized pictures. Results: In guys, mean MFL, MTD, and AB were 448.2 mm, 26.5 mm, and 759.3 mm, individually. In females these estimations were 419.0 mm, 25.6 mm, and779.5 mm. Guys had longer MFL (P< 0.0001) and there was no distinction among guys and females regarding different parameters. MFL and age were correlated in females (r = -0.374, P< 0.005), where as they were not associated in guys. In females, MFL decreased until around 45 years old and stabilized thereafter. MTD was connected with age in guys (r= 0.428, P< 0.002), expanding from pre-adulthood to maturity. This relationship was immaterial in females and there was just a slight increment in distance across after about 30 years old. Abdominal muscle and age were significantly correlated in females (r = -0.401, P< 0.003), with AB ceaselessly expanding with age. The correlation between AB and age was immaterial in guys. Conclusions:The expansion in bone cross-sectional zone in aging males may add to the upkeep of adequate mechanical skill all through adulthood. In females this compensatory mechanism appears to be considerably less productive and, accordingly, the final product of this procedure is AB of the femur and inevitable shortening of the bone.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.