scholarly journals Efficacy of antiglide plate in vertical shear fractures of medial malleolus due to supination adduction injury around ankle: a prospective clinical study

2021 ◽  
Vol 8 (12) ◽  
pp. 3626
Author(s):  
Kamal Kumar Arora ◽  
Rajesh Kapila ◽  
Priti Chaudhary ◽  
Raminder Singh ◽  
Sarika Kapila
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Shear Fracture ◽  
Axial Loading ◽  
Vertical Shear ◽  
Medial Malleolus ◽  
Prospective Clinical Study ◽  
Medical College ◽  
Maximum Stability ◽  
Limb Fractures

Background: Ankle fractures represent 10% of all fractures with an incidence of around 137/100000 population per year, making these the second most common lower limb fractures after hip fractures. Increasing age, obesity and alcohol abuse are the major causal factors for the fractures around the ankle joint. These are typically low energy injuries with the majority occurring due to simple falls or sport. The aim was to open reduction and internal fixation of these with an antiglide plate.Methods: The present prospective study was carried out at government medical college Amritsar, Punjab in 25 patients of same demographic profile, March 2018 to December 2020 after having the clearance of ethical committee. All the patients after careful assessment of the injury both clinically (pain, swelling, deformity, any blisters) and radiologically (type of fracture, that is, vertical shear fracture of medial malleolus) were internally fixed under spinal anesthesia, with an antiglide plate after reduction of the fracture fragments.Results: The results were assessed accordance with Olerud-Molander ankle score (OMAS). We achieved excellent to good results with an average OMAS score of 80/100 in the present study.Conclusions: The open reduction and internal fixation of vertical shear fractures of medial malleolus with an antiglide plate is an effective way of management of these fractures. It ensures maximum stability and more so safeguards against loss of reduction or the implant failure under axial loading and at the same time ensures the timely union of such fractures without any significant complications.

scholarly journals Nasal/maxillofacial manifestations of head and neck injury

2017 ◽  
Vol 3 (3) ◽  
pp. 555
Author(s):  
Siddaram Patil ◽  
Girish P. B.
Keyword(s):  
Head Injury ◽  
Internal Fixation ◽  
General Anesthesia ◽  
Open Reduction ◽  
Mandibular Fractures ◽  
Medical College ◽  
Traumatic Amnesia ◽  
Post Traumatic ◽  
Waking Up ◽  
Head And Neck Injury

<p class="abstract"><strong>Background:</strong> A great deal of work has been directed toward using these symptoms to classify the severity of head injury. Loss of consciousness or coma and posttraumatic amnesia (difficulty in remembering new information after waking up from the coma) are the two most common symptoms used. A mild head injury is one in which the period of unconsciousness is less than twenty minutes and post traumatic amnesia lasts for less than one hour, while a head injury in which the person is unconscious for at least one day and experiences post traumatic amnesia for more than twenty four hours is considered severe<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> 50 Cases coming to O.P.D and casualty of Chigateri general hospital and Bapuji hospital attached to JJM Medical College, Davangere were studied<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> Evidence of C.S.F rhinorrhoea was noticed in 1(2%) case which managed conservatively. Maxillary fracture was noticed in 05 (10%) cases which were managed conservatively. Zygomatic fractures were noticed in 07 (14%) cases which were managed by open reduction and internal fixation with mini plates under general anesthesia<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Mandibular fractures were noticed in 10 (20%) of cases which were managed by open reduction and internal fixation with mini plates under general anesthesia<span lang="EN-IN">.</span></p>

An Experimental Analysis of Composite Nursing Material of Degradable Magnesium/Polylactic Acid in the Treatment of Postoperative Pain After Orthopedic Surgery

2020 ◽  
Vol 12 (6) ◽  
pp. 842-852
Author(s):  
Yongli Feng ◽  
Li Yu ◽  
Yanjie Liu ◽  
Xiaoyuan Wu ◽  
Ying Wang ◽  
...  
Keyword(s):  
Composite Material ◽  
Postoperative Pain ◽  
Internal Fixation ◽  
Lower Limb ◽  
Open Reduction ◽  
Magnesium Fluoride ◽  
Magnesium Powder ◽  
Group 4 ◽  
Lower Limb Fractures ◽  
Limb Fractures

In this study, magnesium is used as the modified material of polylactic acid (PLA). In the process of combining magnesium and PLA, the magnesium powder is pre-treated with fluorine conversion, that is, the surface of the magnesium powder would form a fluoride membrane, and then it is compounded with PLA to form Mg-F-PA. In the experiment, the morphology of the material is analyzed first. Magnesium powder and magnesium fluoride powder are evenly dispersed on the surface of the composite material, and the surface of the composite material is relatively flat. At the same time, it is found in the mechanical analysis that the mechanical strength of composite Mg-F-PA decreases compared with that of single PLA, but the binding force of magnesium fluoride powder + PLA is stronger than that of magnesium powder + PLA. 120 patients with lower extremity fractures of ASA I∼III are selected and divided into 4 groups, with 30 cases in each group. These patients are treated with hip replacement (group 1), artificial femoral head replacement (group 2), open reduction and internal fixation for lower limb fractures (group 3), open reduction and internal fixation for lower limb fractures + Mg-F-PA (group 4). Then, postoperative evaluation is conducted. The clinical results show that the group 4 is better than the other 3 groups in terms of the sedation degree score, the number of pain pump presses and the incidence of postoperative adverse reactions (P < 0.05). Therefore, the orthopedic material that proposed in this study can reduce postoperative pain.

Open Reduction and Internal Fixation of Vertical Shear Pelvic Fractures

1987 ◽  
Vol 27 (3) ◽  
pp. 291-295 ◽  
Author(s):  
E. FRAZIER WARD ◽  
JOHN TOMASIN ◽  
ROBERT A. VANDER GRIEND
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Pelvic Fractures ◽  
Vertical Shear

scholarly journals Type-III supracondylar humerus fracture: functional outcome of open reduction and internal fixation after failed closed reduction

2020 ◽  
Vol 7 (1) ◽  
pp. 62
Author(s):  
Shobha H. P. ◽  
Vishwas K. ◽  
Lingaraju K. ◽  
Giridhar Kumar
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Supracondylar Fractures ◽  
Orthopaedic Department ◽  
Type Iii ◽  
Medical College ◽  
K Wires ◽  
Age Range

<p><strong>Background: </strong>To evaluate results of open reduction and internal fixation with Criss cross k-wires after failed closed reduction in Gartland type III Supracondylar fracture of humerus in our institution.<strong></strong></p><p><strong>Methods:</strong> This prospective study was conducted at the Krishna Rajendra hospital affiliated to the orthopaedic department of Mysore medical college and research institute from December 2018 to December 2019. Twenty-five patients of type-III fracture of supracondylar humerus were included within the study. Consent was obtained from all patients. Under anaesthesia, closed reduction was attempted first. When 2-3 attempts of closed reduction failed, an open reduction and internal fixation with cross k-wires was performed. Fortnightly follow up was applied for the first 8 weeks then monthly for the next 4 months. The clinical outcome was evaluated using Flynn criteria.</p><p><strong>Results:</strong> Out of 25 patients, 16 were male and 9 were female. Left side was involved in 17 patients and right side in 8. Mean age was 6.9 years with age range from 3 to 12 years. Excellent or good results were obtained in 23 (92%) patients and fair or poor in 2 (8%). </p><p><strong>Conclusions:</strong> We conclude that these fractures must be managed aggressively, by a specialised surgeon. Open reduction and internal fixation of severely displaced supracondylar fractures of the humerus is a safe and effective method when a satisfactory reduction can't be obtained by 2-3 attempts on closed method.</p>

scholarly journals Descriptive study of functional outcome and complication of fracture calcaneum treated with locking calcaneum plate

2019 ◽  
Vol 5 (3) ◽  
pp. 498
Author(s):  
Amit Jain ◽  
R. C. Meena ◽  
Laxman Choudhary ◽  
Jitesh Jain ◽  
Abhishek Chandra ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Weight Bearing ◽  
Descriptive Study ◽  
Calcaneal Fracture ◽  
Lateral Approach ◽  
Soft Tissue Envelope ◽  
Medical College ◽  
Type Iv

<p class="abstract"><strong>Background:</strong> Fracture of calcaneum accounts for about 2% of all fractures and 75% of all calcaneum fractures are intra-articular. Numerous controversies existed regarding optimal treatment of displaced intraarticular calcaneum fractures. In this study evaluate post-operative functional outcome and complication of fracture calcaneum treated with locking calcaneum plate.</p><p class="abstract"><strong>Methods:</strong> This hospital based prospective descriptive study was conducted on 108 patients (120 calcaneum fracture) operated between July 2016 to December 2018 by open reduction and internal fixation with locking calcaneum plate through extensive lateral approach at Department of Orthopaedics, SMS Medical college and hospital, Jaipur. All close displaced intraarticular calcaneal fracture was included in the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> Average duration between injury and surgery was 8.3±2.97 days. Out of 120 calcaneum fracture 52 fractures (43.33%) were Sander’s type II, 52 fractures (43.33%) were Sander’s type III, and 16 fractures (13.33%) were Sander’s type IV. Pain on weight bearing was noted in 20 patients (16.66%) implant prominence was noted in 8 patients and delayed wound healing was seen in 4 patients. Maryland foot score was excellent in 44 fracture (36.67%), good in 56 fractures (46.67%), fair in 8 fractures (6.67%), and poor in 12 fractures (10%).</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation (ORIF) with locking calcaneum plate in an indicated case, with respect to soft tissue envelope and early rehabilitation, leads to better therapeutic results as compared to other operative technique.</p>

scholarly journals Clinical outcome of acute Monteggia fractures in children after open reduction and internal fixation of ulna

2021 ◽  
Author(s):  
Manoj Kumar ◽  
Muhammad Farooq Bhatt ◽  
Sanjeev Gupta ◽  
Zubair A. Lone ◽  
Maneer Ahmed ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Internal Fixation ◽  
Open Reduction ◽  
Monteggia Fracture ◽  
Medical College ◽  
Fractures In Children ◽  
Fracture Dislocations ◽  
Ulna Fractures ◽  
Study Participants ◽  
Type 3

Background: Monteggia fracture dislocations are a rare but a complex injury. The fracture of the ulna associated with proximal radioulnar joint dissociation and radio capitellar dislocation. This injury comprises less than 1% of all pediatric forearm fractures and typically affects patients between 4 and 10 years of age. There are many options for treatment of these fractures. The present study was planned to assess the clinical outcome of patients treated with open reduction and internal fixation of ulna with plating.Methods: The study was conducted in department of orthopedics, government medical college and hospital, Jammu from August 2018 to January 2021. 25 patients of Monteggia fractures were managed with open reduction and internal fixation of ulna with plating. Patients were evaluated at follow-up for pain, stability and disturbance of daily and sports activities. Functional outcome was assessed using elbow performance score.Results: Mean age of study participants was 8.2 years and male children predominated our study constituting 17 patients (68%). 14 patients were Bado type 1, four patients were Bado type 2 whereas seven patients were Bado type 3. The outcome was excellent in 18 patients (72%) and no cases of failure were encountered.Conclusions: Stable anatomical fixation by open reduction and internal fixation of ulna fractures with plating, that in turns leads to the stable reduction of radial head, in the management of acute Monteggia fracture dislocations in children has a very good outcome.

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