scholarly journals Role of distal femoral locking plate in management of distal femoral fracture: a prospective study

2017 ◽  
Vol 3 (5) ◽  
pp. 1062
Author(s):  
Rajni Ranjan ◽  
Rakesh Kumar ◽  
Ajeet Singh
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Femoral Fracture ◽  
Locking Plate ◽  
Osteoporotic Fractures ◽  
Anatomical Location ◽  
Distal Femoral Fracture ◽  
A Prospective Study ◽  
Age Range

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Distal femoral fracture one of common surgical challenges for an orthopaedic surgeon. Distal femoral locking plate is a good implant to be used in this anatomical location. Aim of our study was to review functional outcome, union time and complications in distal femoral fracture treated with distal femoral locking plate.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective study was done during June 2012 to July 2016. Patients were included on the basis of inclusion and exclusion criteria. These patients were managed with distal femoral locking plate by close or open method. Pritchett rating system was used to assess functional outcome of patient</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Total 28 patient were enrolled in our study. There were 21 male and 7 female. The age range was from 21 to 68 years. Functional outcome was excellent in 14 patient, good in 7 Patient fair in 3 and poor 4. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Distal femoral locking plate is a reliable implant for treatment of distal femoral fracture including osteoporotic fractures. Proper surgical technique is key to good result.</span></p>

scholarly journals A prospective study of functional outcome of distal femur fractures by locking plate

2020 ◽  
Vol 6 (1) ◽  
pp. 359-363
Author(s):  
Dr. Abhishek Shenoy ◽  
Dr. Anil Bulagond ◽  
Dr. OB Pattanashetty ◽  
Dr. Dayanand BB
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Distal Femur ◽  
Locking Plate ◽  
Femur Fractures ◽  
A Prospective Study

scholarly journals Coagulation tests or Standardized questionnaire, which is better as a predictor of bleeding? A prospective study among children before tonsillectomy and/or adenoidectomy.

2020 ◽  
Author(s):  
Muhamed Masalha ◽  
Ari DeRowe ◽  
Salim Mazzawi ◽  
Tzvi chen ◽  
Rami Ghanayim ◽  
...  
Keyword(s):  
Prospective Study ◽  
Bleeding Events ◽  
Risk Of Bleeding ◽  
Coagulation Testing ◽  
Coagulation Tests ◽  
A Prospective Study ◽  
Medical Questionnaire ◽  
Age Range ◽  
Routine Coagulation

Abstract Objective: The value of pre-operative coagulation testing for adenotonsillar surgery is controversial. The purpose of this study was to evaluate the role of routine coagulation tests and a standardized questionnaire in children before tonsillectomy and/or adenoidectomy. Results: A total of 143 children were prospectively enrolled in the study between 2013 and 2017, 81 males (56.6%) and 62 females (43.4%), age range 1 to 18 years (median age 5 years). Eighteen bleeding events were documented, three of them required treatment in the operating room. Abnormal coagulation tests were not associated with higher odds of bleeding after surgery. Higher risk of bleeding (p=0.01) was associated with an abnormal standardized medical questionnaire.

scholarly journals Radiological and functional outcome of displaced mid-shaft clavicular fracture managed with open reduction and internal fixation with precountered anatomical clavicular locking plate: a prospective study

2020 ◽  
Vol 6 (5) ◽  
pp. 878
Author(s):  
Sagar Panthi ◽  
Rishiswor Shrestha ◽  
Rajan Shakya
Keyword(s):  
Prospective Study ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Fracture Fixation ◽  
Open Reduction ◽  
Locking Plate ◽  
Age Group ◽  
Clavicular Fracture ◽  
Non Union ◽  
A Prospective Study

<p><strong>Background: </strong>Displaced mid-shaft clavicular fractures are treated by conservative methods which shows higher rate of malunion and non-union with suboptimal outcomes. Fracture fixation by pre-countered anatomical clavicular locking plate avoids these complications. This study aims to assess the radiological and functional outcome after open reduction and internal fixation by pre-countered anatomical clavicular locking plate.</p><p><strong>Methods:</strong> Fifty patients of mid-shaft clavicular fractures with age group of 18 to 60 years were treated with open reduction and internal fixation with precountered anatomical clavicular locking plate from, in the span of November 2018 to May 2020. All the patients were followed up for six months for the study. Final functional outcome was assessed in six months.</p><p><strong>Results:</strong> All the fractures united at the average time of 16.32±2.37 weeks. Mean Constant and Murley score was 96.0±5.20. The outcome was graded as excellent in 45 (90%), good in 4 (8%) and fair in 1 (2%) patients.</p><p><strong>Conclusions:</strong> Hence displaced mid-shaft clavicular fractures can be treated with by precountered anatomical clavicular locking plate.</p>

scholarly journals Management of lateral end clavicle fractures-using lateral clavicle locking plate: a prospective study

2019 ◽  
Vol 6 (1) ◽  
pp. 139
Author(s):  
Nageswara Rao V. ◽  
Ravichandra V. ◽  
Lavanya K. M. ◽  
C. Ganapathi Swamy
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Locking Plate ◽  
Fixation Method ◽  
Age Group ◽  
Lateral Clavicle ◽  
Joint Dislocations ◽  
Clavicle Fractures ◽  
The Mean ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Lateral end clavicle fractures are one of the common upper limb fractures. They constitute 21–28% of all clavicle fractures. Of these 10–52% is displaced fractures. The management of fractures of lateral end clavicle remains debated and challenging. The objectivbe of this study is to evaluate the functional outcome following surgical treatment of unstable/displaced (Neer type II lateral clavicle fractures, and acromio-clavicular joint dislocations Rockwood grade III to V) lateral end clavicle fractures using lateral clavicle locking plate.</p><p class="abstract"><strong>Methods:</strong> It is a prospective study conducted in the orthopaedics department of GSL Medical College and General Hospital for a period of 3 years (April 2016 to March 2019) among a total of 60 patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> About 23 (38.3%) belonged to 41–50 years age group, followed by 16 (26.7%) to 31–40 years age group and 13 (21.7%) to &gt;51 years age group and 8 (13.3%) to 18–30 years age group. The time from trauma to surgery ranged from 0-15 days with a mean of 5 days and the mean operating time was 41 minutes ranging between 23-70 minutes. Mean duration to union was 13.33±2.126 weeks and the mean Constant Murley score was 88.56. Functional outcome at 6 months follow up was excellent in 8 (13.3%), good in 37 (61.7%), fair in 13 (21.7%) and poor in 2 (3.3%) patients.</p><p class="abstract"><strong>Conclusions:</strong> Although there is no consensus as to a “gold standard” fixation method for unstable distal clavicle fractures, satisfactory outcomes could be obtained using the lateral clavicle locking plate resulting in sufficient stabilization and good functional outcome.</p>

scholarly journals Role of Intravenous Dexmedetomidine as an Adjuvant in Labour Analgesia in Pre-eclampsia: A Prospective Study

2020 ◽  
Vol 5 (1) ◽  
pp. 57-60
Author(s):  
Jyothsna C ◽  
Roopa Kotha
Keyword(s):  
Prospective Study ◽  
Pregnant Women ◽  
Test Group ◽  
Labour Analgesia ◽  
Control Group ◽  
Medical College ◽  
A Prospective Study ◽  
Age Range ◽  
And Control

Background: Dexmedetomidine is a highly selective α-2 adrenergic receptor agonist with several diverse actions like sedation, anxiolysis, sympatholysis, analgesia, and decreased intraoperative anesthetic requirements (narcotic, inhalational). Intravenous (IV) dexmedetomidine can be used as an adjuvant in labour analgesia in preeclampsia patients as onset is faster and duration of analgesia is longer. Aim of the study: The aim of the study was to determine the role of intravenous Dexmedetomidine as an adjuvant in Labour analgesia in PIH.Subjects and Methods:This was a prospective study and was done in the department of Anaesthesia at Maheshwara Medical College. Our study included 60 full term pregnant women with preeclampsia, within 25 to 45 years age range. They were divided into two groups, as Test group and Control group of 30 patients each. Test group received IV Dexmedetomidine and Control group received IV Fentanyl.Results:Maximum number of cases 15/30 (50%) were in the age group 31-35 years, Majority were primigravida ie, 60% ( 36/60). Onset of analgesia was faster, duration of analgesia was longer and uterine contraction was greater with IV Dexmedetomidine as compared to IV fentanyl.Conclusion:From the present study we conclude that IV Dexmedetomidine can be used for labour analgesia in pregnant women with preecampsia and observed that onset and duration of analgesia are better and also it gives stable maternal parameters of maternal heart rate and mean blood pressure.

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