scholarly journals Cemented THR In Comminuted Intertrochanteric Multi-Fragmentary Fracture Femur And Previously Failed Hip Surgery Is Really A Challenge

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0011
Author(s):  
Amjad Hossain

Comminuted intertrochanteric fracture is a common scenario in geriatric patient group. So far only DHS is the choice of implant to fix those fractures. But unfortunately we cannot allow the patient to full weight bearing mobilization before 6 weeks of surgery. And in addition of that due to osteoporotic bone many of the cases present with cut out of DHS later on. So in our center LabaidArthroplasty Center we started in trial basis cemented THR in Comminuted intertrochanteric fracture femur cases. In these cases we can allow patient to full weight bearing mobilization at minimum in 1st POD to maximum 3rd POD as pain permitted. In addition the previously failed hip surgeries also difficult to manage and cemented THA will be one of the best option in those cases. In subsequent follow up we observed better functional outcome in comparison to the cases of DHS. It is a case based study and need to be more theoretical and long term study before any conclusive decision.

2018 ◽  
Vol 08 (01) ◽  
pp. 049-054
Author(s):  
Rajeev Shukla ◽  
Vishal Champawat ◽  
Ravi Jain

Background Fractures of the distal end radius are a common upper extremity fracture. Intra-articular distal end radius fractures are recognized as very complex injuries with a variable prognosis. The aim of the study was to assess the long-term functional outcome of patients treated with Joshi's external stabilizing system (JESS) for displaced intra-articular distal end radius fractures. Materials and Methods A total of 170 patients with intra-articular distal end radius fracture were treated with JESS from 2014 to 2017. The patients were followed up at 2, 6 weeks, 6 months, 1, and 2 years (final) after the surgery. The assessment of pain, range of motion, grip strength, and satisfaction were assessed at 6 months, 1, and 2 years (final) follow-up and scored according to modified Mayo wrist scoring system. Results The good and/or excellent results were found in 82.2% of cases. We observed that patients with age less than 50 years had greater prognosis as compared with patients with more than 50 years of age. Final outcome was also found better in males as compared with females at 6 months, 1, and 2 years postoperatively. Conclusion JESS is an effective treatment technique for intra-articular distal end radius fractures in our community. On long-term follow-up of the patients treated with JESS for intra-articular distal end radius fractures, the functional and radiological outcomes were good with low complication rate.


Author(s):  
Stephen I. Rennard ◽  
Susan Flavin ◽  
Prasheen Agarwal ◽  
Kim Hung Lo ◽  
Elliot S. Barnathan

1986 ◽  
Vol 11 (3) ◽  
pp. 426-431
Author(s):  
S. R. CANNON ◽  
G. S. E. DOWD ◽  
D. H. WILLIAMS ◽  
J. M. SCOTT

Twenty-five patients with documented Bennett’s Fractures were reviewed five to sixteen years following injury (Mean 9.6 years). The majority of fractures affected the dominant hand and occurred in males. Twenty-two patients were managed conservatively by plaster immobilisation. At review ten patients were asymptomatic and only two had significant symptoms. Examination revealed loss of movement in the trapeziometacarpal joint of the thumb in twenty-one cases. Five of these exhibited malrotation of the thumb. Review of the post reduction radiographs revealed separation of the fragments by 1 mm or more in sixteen patients, but symptoms at follow-up could not be correlated with accuracy of reduction. Twenty-three patients had a varus angulation of the first metacarpal base which could be correlated to the initial post-reduction displacement. There was no correlation with the restriction of movement. Although metacarpal length will only be maintained by reduction of the fracture, there was little evidence that imperfect reduction leads to significant symptomatic arthritis in the long term.


Ophthalmology ◽  
2004 ◽  
Vol 111 (10) ◽  
pp. 1813-1824 ◽  
Author(s):  
M RAJAN ◽  
P JAYCOCK ◽  
D OBRART ◽  
H NYSTROM ◽  
J MARSHALL

Foot & Ankle ◽  
1992 ◽  
Vol 13 (6) ◽  
pp. 307-312 ◽  
Author(s):  
Richard V. Abdo ◽  
Stephen A. Wasilewski

Few studies of ankle arthrodesis have assessed tarsal mobility. This study was performed to evaluate radiographically the effect of ankle arthrodesis on tarsal motion. Thirty patients (31 ankles) returned for clinical and radiographic examination, review of charts, and completion of questionnarie forms. Radiographs were evaluated for success of fusion, position of fusion, tarsal motion, hindfoot position, and subtalar and midtarsal arthritis. The median follow-up time was 7.0 years (range 2–20 years). Results showed that fusion was achieved in 22 patients (71%). The evaluation score based on the grading system of Mazur et al. 16 correlated with success of fusion and patient satisfaction. However, no correlation existed between evaluation score and tarsal motion or position of fusion in the sagittal or coronal planes. Radiographic evaluation showed no significant difference between tarsal motion of the fused side and the unfused side. Tarsal mobility was not affected by ankle arthrodesis or by the techniques performed to achieve fusion.


2003 ◽  
Vol 66B (2) ◽  
pp. 539-547 ◽  
Author(s):  
Shinsuke Ishii ◽  
Jiro Tamura ◽  
Taizo Furukawa ◽  
Takashi Nakamura ◽  
Yoshitaka Matsusue ◽  
...  

2011 ◽  
Vol 29 ◽  
pp. e417
Author(s):  
L. M. Beltrami ◽  
L. C. Zingale ◽  
R. Vacchini ◽  
L. A. Dalla Vecchia ◽  
S. Carugo ◽  
...  
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