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.
Fracture neck of femur has always attracted the mankind due to its peculiar nature of going into non union and osteonecrosis of femoral head even with best fixation method and adequate reduction. A novel way to treat fracture neck of femur is with small diameter dynamic hip screw and an additional derotation screw. 30 patients aged 18-60 years presenting to Deen Dayal Upadhyay Hospital with fresh (<3 weeks old) fracture neck of femur were randomized into two groups and were treated with two different modalities of fixation: Small diameter sliding hip screw and plate with an additional derotation screw (Mini DHS group) and three cannulated cancellous screws in an inverted triangle configuration (CCS group). Intraoperative duration of surgery and blood loss was noted. All the patients were followed up for a minimum period of 12 months. The clinical outcomes were evaluated using UCLA score. Postoperative radiographs were used to look for evidence of union, loss of the alignment of the fracture, trabecular continuity at fracture line, late segmental collapse and the presence of avascular necrosis. Between group comparisons were performed using chi square test and Student's T test. Conclusion: Small diameter dynamic hip screw with an additional derotation screw is a good method to treat fracture neck of femur with increased incidence of union and less complications.
<p class="abstract"><strong>Background:</strong> Platelet rich plasma (PRP) has been a breakthrough in the field of medicine especially in the field of orthopaedics for enhancing bone and soft tissue healing. Plantar Fasciitis is a very common problem in the field of orthopaedics and are very difficult to treat and a challenge to orthopaedicians. <span lang="EN-IN">The aim of our study was to find out the efficacy of autologous PRP in relieving pain in patients with plantar fasciitis.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">In this study, 25 patients with plantar fasciitis (age above 18 years) were selected. The pain intensity was assessed with visual analogue score initially and during follow up. All subjects were given single autologous intra-lesional PRP injection and the results were assessed using difference in VAS</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The mean pain score at presentation was 8.08. The mean pain scores at subsequent intervals of 1,2,4,6 months after injection were 4.32, 2.60, 1.88 & 2.00 respectively. (P<0.05 which is statistically significant). The maximum pain relief was seen at 4<sup>th</sup> month post PRP injection and the pain relief was sustained till the last follow up. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">From our study we have found that Intra-lesional autologous PRP is effective in relieving pain in patients with plantar fasciitis. PRP is biological and can be a safe adjuvant in the treatment of Plantar Fasciitis.</span></p>
<p class="abstract"><strong>Background:</strong> The morphology of the proximal femur is a topic of extensive research. The hip joint is one of the most commonly replaced joint. The era of replacement has given rise to various implants that can be used to replace the proximal femur. This present study addresses these issues involving ethnic differences in the geometry of the proximal femur in Indians and its differences between people of various ethnicity.</p><p class="abstract"><strong>Methods:</strong> The total population that was radiographed was 178 (n=178). There were 78 males and 100 females. The age of the participants were spaced from 25-75 years age groups. The parameters were measured.<strong></strong></p><p class="abstract"><strong>Results:</strong> The canal flare index in South-Indians was an average of 3.23 with 70% of the study population having normal CFI (3-4.5), 30% of the population having a stove pipe configuration CFI (<3). Majority of the Indian population favour a un-cemented fixation (70%).</p><p><strong>Conclusions:</strong> In summary all current implants have to be revised on population basis to fit the changing anthropometry of our proximal femur. </p>
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.