scholarly journals Clinical treatment of humerus fracture using intramedullary humerus nailing system

2020 ◽  
Vol 6 (2) ◽  
pp. 266
Author(s):  
Pooja Rawat ◽  
Mohit Kumar ◽  
Gaurav Luthra
Keyword(s):  
Humeral Fracture ◽  
Clinical Results ◽  
Pain Scale ◽  
Humerus Fracture ◽  
Ao Classification ◽  
Reconstruction Nail ◽  
American Society ◽  
Fracture Compression ◽  
Type Of Fracture

<p class="abstract"><strong>Background:</strong> The clinical results of intramedullary humerus nailing system of humeral fracture is controversial variation in implants, and follow up factor and operative technical studies. Humerus fracture is the third long fracture after femoral and tibia bone fracture.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 45 patients (24 female and 21 male) between the age group of 18-75 years with humerus fracture were taken who did not get conservative management. Type of fracture was categorized according to AO classification. Intramedullary humeral nailing system (compression intramedullary humerus nail, reconstruction nail and reconstruction intramedullary humerus nail) manufactured at Auxein Medical Pvt. Ltd., was used to treatment of humerus fracture. Patient physical fitness was observed according to American Society of Anesthesiologist. Pain scale and outcomes was record from the patients using visual analog scale. Follow up of the patients were taken on 3-week, 8-week, 16-week, 1-year and 2-year.<strong></strong></p><p class="abstract"><strong>Results:</strong> At 2 years follow up, bone consolidation was present in 44 cases. Only one case has reported of mortality but that was not due to implant related. No clinical and biomechanical complications were reported.  Proper healing of implant was achieved.</p><p class="abstract"><strong>Conclusions:</strong> Intramedullary humeral nailing system is the best treatment option to treat the humerus fracture. Compression intramedullary humerus nail can minimize the gap and increase the biomechanical stiffness.</p>

scholarly journals Treatment of humerus fracture with wise-lock implants

2019 ◽  
Vol 5 (6) ◽  
pp. 1192
Author(s):  
Prashant Kumar ◽  
Mohit Kumar ◽  
Pooja Rawat ◽  
Gaurav Luthra
Keyword(s):  
Systemic Disease ◽  
Humeral Fracture ◽  
Sports Injury ◽  
Clinical Results ◽  
High Energy ◽  
Open Reduction Internal Fixation ◽  
Humerus Fracture ◽  
Patient Reported ◽  
Improved Performance

<p class="abstract"><strong>Background:</strong> Humerus fracture is a common fracture in aging population mainly occurring due to fall, high energy trauma and sports injury. Locking plate treatment is showing good results in stabilization of the fracture. The purpose of this study is to showcase the surgical treatment and results by using Auxein locking implants for the treatment of proximal humeral fracture.</p><p class="abstract"><strong>Methods:</strong> Prospectively 13 patients were treated with ORIF treatment (6 males, 7 females with an average age of 43.6years). Fracture type is classified as per the Muller AO classification of fracture, 6 patients had type 11-A1 and 7 patients had type 11-A2. 1 patient were felt under American Society of Anesthesiologists grade 2 have mild systemic disease. Clinical outcomes were assessed at 1year follow-up with visual analogue scale score at 4 week, 16 week, 24 week and 1 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> The follow-up of patients was taken at 4<sup>th</sup>, 16<sup>th</sup>, 24<sup>th</sup> and 1 year bearing good clinical results. 2 patients were encountered with pain, these were elderly patients of the age 58 and 62 and had a history of other medical commodities. One patient reported of less weigh bearing ability which was relieved with physiotherapy.</p><p><strong>Conclusions:</strong> Open reduction internal fixation treatment with Pheelos 3.5 mm wise lock proximal humerus plate showed good results with improved performance and negligible complications. </p>

scholarly journals Internal Trauma, Humeral Fracture, and Radial Nerve Paralysis: How Could it Occur in the Sport Setting? A Case Report and Review of the Literature

2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Elghoul Naoufal ◽  
Elantri Ismail ◽  
Bouya Ayoub ◽  
Bennis Azzelarab ◽  
Zaddoug Omar ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Full Range ◽  
Humeral Fracture ◽  
Imaging Findings ◽  
Review Of The Literature ◽  
Significant Morbidity ◽  
Nerve Paralysis ◽  
Pathologic Fractures ◽  
Type Of Fracture

Thrower’s fractures are Spiral fractures of the humerus in the ball. They represent very uncommon clinical entities that can simulate pathologic fractures. Moreover, the concomitant neurologic deficient is rare. Herein we report a 27 years old muscular man presented a spiral fracture of the humerus following a forceful throw of the ball during an amateur throwing challenge. Clinical and imaging findings showed a displaced Thrower fracture with radial nerve neurapraxia (known as Holstein Lewis fracture) prompting the patient to undergo surgery. The intraoperative aspect found that the nerve was near to the beveled distal humeral fragment with no incarceration. We performed an internal fixation using the Leicester plate and the nerve was kept away from the plate by the interposition of a soft tissue sheet. At the last follow up, the fracture united and radial nerve neurapraxia resolved and the patient regained the full range of motion of his right upper limb with no pain. In conclusion, although this type of fracture is rare, given their significant morbidity, we emphasize that the reactional throwers should undergo appropriate preseason training before practicing a throwing challenge or generally a throwing sport.

Arthroscopic-Assisted Versus All-Arthroscopic Ankle Stabilization Technique

2020 ◽  
Vol 41 (11) ◽  
pp. 1360-1367 ◽  
Author(s):  
Matteo Guelfi ◽  
Gustavo Araujo Nunes ◽  
Francesc Malagelada ◽  
Guillaume Cordier ◽  
Miki Dalmau-Pastor ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Clinical Results ◽  
Pain Scale ◽  
Chronic Ankle Instability ◽  
Percutaneous Technique ◽  
Aofas Score ◽  
Level Of Evidence ◽  
Vas Score ◽  
The Mean

Background: Both the percutaneous technique with arthroscopic assistance, also known as arthroscopic Broström (AB), and the arthroscopic all-inside ligament repair (AI) are widely used to treat chronic lateral ankle instability. The aim of this study was to compare the clinical outcomes of these 2 arthroscopic stabilizing techniques. Methods: Thirty-nine consecutive patients were arthroscopically treated for chronic ankle instability by 2 different surgeons. The AB group comprised 20 patients with a mean age of 30.2 (range, 18-42) years and a mean follow-up of 19.6 (range, 12-28) months. The AI group comprised 19 patients with a mean age of 30.9 (range, 18-46) years and mean follow-up of 20.7 (range, 13-32) months. Functional outcomes using the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score and visual analog pain scale (VAS) were assessed pre- and postoperatively. Range of motion (ROM) and complications were recorded. Results: In both groups the AOFAS and VAS scores significantly improved compared with preoperative values ( P < .001) with no difference ( P > .1) between groups. In the AB group the mean AOFAS score improved from 67 (range, 44-87) to 92 (range, 76-100) and the mean VAS score from 6.4 (range, 3-10) to 1.2 (range, 0-3). In the AI group the mean AOFAS score changed from 60 (range, 32-87) to 93 (range, 76-100) and the mean VAS score from 6.1 (range, 4-10) to 0.8 (range, 0-3). At the final follow-up 8 complications (40%) were recorded in the AB group. In the AI group 1 complication (5.3%) was observed ( P < .05). Conclusion: Both the AB and AI techniques are suitable surgical options to treat chronic ankle instability providing excellent clinical results. However, the AB had a higher overall complication rate than the AI group, particularly involving a painful restriction of ankle plantarflexion and neuritis of the superficial peroneal nerve. Level of Evidence: Level III, retrospective comparative study.

Percutaneous fibrin glue therapy for meningeal cysts of the sacral spine with or without aspiration of the cerebrospinal fluid

2007 ◽  
Vol 7 (2) ◽  
pp. 145-150 ◽  
Author(s):  
Tao Zhang ◽  
Zhenhua Li ◽  
Weiming Gong ◽  
Bingwei Sun ◽  
Shuheng Liu ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Fibrin Glue ◽  
Clinical Results ◽  
Pain Scale ◽  
Percutaneous Injection ◽  
Ct Guided ◽  
Definitive Therapy ◽  
Meningeal Cysts ◽  
Sacral Spine

Object. The authors assessed the efficacy of computed tomography (CT)–guided percutaneous injection of fibrin glue to treat meningeal cysts of the sacral spine in patients with back pain, and evaluated the necessity for cerebrospinal fluid (CSF) aspiration before glue injection. Methods. Of the 31 patients in this study, 15 underwent injection of fibrin glue under CT guidance after aspiration of more than 15 ml of CSF (Group A), and 16 patients were treated with the glue but without CSF aspiration (Group B). Clinical results were evaluated after an average of 23 months of follow-up, and changes on the imaging studies were also evaluated. The clinical outcome and postoperative complications were analyzed. Results. All 31 patients experienced resolution or marked improvement of symptoms for as long as 28 months after fibrin glue therapy. No patient experienced recurrence of symptoms during the follow-up interval. The postoperative pain relief was statistically significant (p < 0.001) according to evaluations in which a 100-mm visual analog pain scale was used. There were no statistical differences between the two groups (p > 0.05). Conclusions. Percutaneous CT-guided fibrin glue therapy for sacral arachnoid cysts may be a definitive therapy. It is unnecessary to aspirate the CSF before injection of the fibrin glue.

scholarly journals Late Prosthetic Shoulder Hemiarthroplasty after Failed Management of Complex Proximal Humeral Fractures

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
A. Panagopoulos ◽  
P. Tsoumpos ◽  
K. Evangelou ◽  
Christos Georgiou ◽  
I. Triantafillopoulos
Keyword(s):  
Constant Score ◽  
Humeral Fracture ◽  
Primary Treatment ◽  
Pain Scale ◽  
Visual Analogue Pain Scale ◽  
Shoulder Hemiarthroplasty ◽  
Visual Analogue Pain ◽  
Reconstructive Option ◽  
Complex Proximal Humeral Fractures

Background. The purpose of this study was to report our experience with shoulder hemiarthroplasty in the context of old trauma.Methods. 33 patients with failed treatment for a complex proximal humeral fracture underwent prosthetic hemiarthroplasty. There were 15 men and 18 women with a mean age of 58.1 years. The average period from initial treatment was 14.9 months. Sequelae included 11 malunions, 4 nonunions, 15 cases with avascular necrosis (AVN) and 3 neglected posterior locked dislocations. Follow up investigation included radiological assessment and clinical evaluation using the Constant score and a visual analogue pain scale.Results. After a mean follow up of 82.5 months the median Constant score was 75.7 points, improved by 60% in comparison to preoperative values. Greater tuberosity displacement, large cuff tears and severe malunion were the factors most affected outcome. No cases of stem loosening or severe migration were noted. 60% of the patients were able to do activities up to shoulder level compared with 24% before reconstruction.Conclusions. Late shoulder hemiarthroplasty is technically difficult and the results are inferior to those reported for acute humeral head replacement, nonetheless remains a satisfactory reconstructive option when primary treatment fails.

Problematic Bone Fixation with Pyrocarbon Implants in Proximal Interphalangeal Joint Replacement: Short-Term Results

2006 ◽  
Vol 31 (6) ◽  
pp. 643-651 ◽  
Author(s):  
D. B. HERREN ◽  
S. SCHINDELE ◽  
J. GOLDHAHN ◽  
B. R. SIMMEN
Keyword(s):  
Pain Relief ◽  
Joint Replacement ◽  
Clinical Results ◽  
Pain Scale ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Short Term ◽  
Functional Rehabilitation ◽  
Bone Fixation

Seventeen pyrocarbon PIP prostheses were implanted into 14 patients, followed prospectively and reviewed clinically. The patients were assessed after a mean follow-up of 20.5 months subjectively by a VAS pain scale and radiographically. Significant pain relief was noted in all patients from a mean of 7.6 pre-operatively to 1.3 at final follow-up. Migration of one, or both, components was observed radiographically in eight joints and radiolucent lines were evident in three more cases. The clinical results of the implants which had migrated were less favourable for range of motion and grip strength than the stable joints of this series, although, statistically, the results were not significant. The number of possibly unstable prostheses in this series raises the question as to whether pyrocarbon is suitable for uncemented pressfit fixation in combination with early functional rehabilitation.

scholarly journals Clinical outcomes in the treatment of femoral fracture by using intramedullary femur nailing system

2021 ◽  
Author(s):  
Shashank Mishra ◽  
Mohit Kumar ◽  
Prashant Kumar ◽  
Gaurav Luthra
Keyword(s):  
Clinical Outcomes ◽  
Femoral Fracture ◽  
Femoral Fractures ◽  
Ao Classification ◽  
Femoral Nailing ◽  
Femoral Nail ◽  
American Society ◽  
Hospital Group

<p><strong>Background: </strong>Femoral fractures are frequently occurring fractures that are caused due to large force impaction. The purpose of this study was to clinically evaluate the outcomes of treating femoral fractures with the use of the intramedullary femoral nailing system.</p><p><strong>Methods:</strong> This retrospective clinical trial consists of 32 patients with femoral fracture and are treated by using an intramedullary femoral nailing system which consists of retrograde femoral nail, gamma nails, expert femoral nail, universal intramedullary cannulated femoral nails that are manufactured by Auxein medical Pvt. Ltd. Sonipat, Haryana, India. There were 32 patients from two different hospitals i.e., first hospital group consist of 15 patients (8 male and 7 female) with mean age of 32 years and the second hospital group consist of 17 patients (9 male and 8 female). The fracture categorization was done on the basis of AO Classification of fracture and physical fitness was categorized by American society of anaesthesiologists. VAS score and HHS was used as a criterion for assessing the clinical outcomes of the patients.</p><p><strong>Results: </strong>There were 32 patients to whom surgery was performed and follow up time was 1 month, 3 months, 6 months and 12 months. After the final follow up no patient in any group complaint about the complications or any hardware related problem, there were perfect bone union in every patient. Radiological outcomes also showed proper union at 6 months follow up.</p><p><strong>Conclusions: </strong>For femoral fractures, intramedullary femoral nail gives a better result with high union rate and post-operative composure.</p>

scholarly journals Treatment of Proximal Humeral Fracture Using Polarus Nail and Philos Plate

2014 ◽  
Vol 17 (3) ◽  
pp. 120-126
Author(s):  
Chang Hyuk Choi ◽  
Jung Hyun Sim ◽  
Sang Hwa Lee ◽  
Joo Hwan Lee ◽  
Jun Ho Nam
Keyword(s):  
Functional Recovery ◽  
Proximal Humeral Fracture ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humeral Fracture ◽  
Humerus Fracture ◽  
Philos Plate ◽  
One Year ◽  
The One

BACKGROUND: To compare the treatment of the proximal humerus fracture using a Polarus nail or Philos plate, we aimed to analyze the functional recovery and the factors affecting the selection between the two types of surgery.METHODS: The study included 107 patients with proximal humerus fracture who underwent surgery at our institution. Of these patients, 67 underwent surgery with Polarus nails (G1) and 40 with Philos plates (G2). In G1, the cases of two- and three-part fractures were 60 and 7 cases, in G2, the cases of two-, three-, and four-part fractures were 28, 10, and 2 cases, respectively. The average age was 61 years old, and the average follow-up period was 32.5 months. We compared radiological results, the functional recovery retrospectively.RESULTS: The radiological union time was 6.8 weeks and 8.7 weeks on average in G1 and G2 (p < 0.05). At the one-year follow-up period, these were visual analogue scale (VAS) 1.355, forward flexion (FF) 130.968, external rotation (ER) 50.161, internal rotation (IR) L2 in G1, and VAS 0.781, FF 135.806 ER 51.25, IR L1 in G2, respectively, showing no significant differences between the two groups (p > 0.05). Similar observations were made at the final follow-up. In terms of functional recovery, no significant differences were seen at the one-year or at the final follow-up period (p > 0.05).CONCLUSIONS: For the surgical treatment of proximal humeral fracture, the selection of the type of surgery is affected by the fracture pattern. However, both methods give satisfactory outcomes and do not show significant differences in the functional outcome after the surgery.

Klinische Langzeitergebnisse der perkutanen transluminalen Angioplastie bei Patienten mit peripherer arterieller Verschlusskrankheit

VASA ◽  
2002 ◽  
Vol 31 (1) ◽  
pp. 36-42 ◽  
Author(s):  
. Bucek ◽  
Hudak ◽  
Schnürer ◽  
Ahmadi ◽  
Wolfram ◽  
...  
Keyword(s):  
Success Rate ◽  
Clinical Stage ◽  
Ankle Brachial Index ◽  
Clinical Situation ◽  
Clinical Results ◽  
Transluminal Angioplasty ◽  
Term Outcome ◽  
Long Term Outcome

Background: We investigated the long-term clinical results of percutaneous transluminal angioplasty (PTA) in patients with peripheral arterial occlusive disease (PAOD) and the influence of different parameters on the primary success rate, the rate of complications and the long-term outcome. Patients and methods: We reviewed clinical and hemodynamic follow-up data of 166 consecutive patients treated with PTA in 1987 in our department. Results: PTA improved the clinical situation in 79.4% of patients with iliac lesions and in 88.3% of patients with femoro-popliteal lesions. The clinical stage and ankle brachial index (ABI) post-interventional could be improved significantly (each P < 0,001), the same results were observed at the end of follow-up (each P < 0,001). Major complications occurred in 11 patients (6.6%). The rate of primary clinical long-term success for suprainguinal lesions was 55% and 38% after 5 and 10 years (femoro-popliteal 44% and 33%), respectively, the corresponding data for secondary clinical long-term success were 63% and 56% (60% and 55%). Older age (P = 0,017) and lower ABI pre-interventional (P = 0,019) significantly deteriorated primary clinical long-term success for suprainguinal lesions, while no factor could be identified influencing the outcome of femoro-popliteal lesions significantly. Conclusion: Besides an acceptable success rate with a low rate of severe complications, our results demonstrate favourable long-term clinical results of PTA in patients with PAOD.

Standardized Tendon Fenestration with Injection of Autologous Blood for Treatment of Lateral Epicondylitis

2020 ◽  
Author(s):  
Chul Ki Goorens ◽  
Pascal Wernaers ◽  
Joost Dewaele
Keyword(s):  
Tennis Elbow ◽  
Autologous Blood ◽  
Lateral Epicondylitis ◽  
Pain Scale ◽  
Short Term ◽  
Shockwave Therapy ◽  
Other Substances ◽  
Injured Tendon ◽  
Satisfaction Rates

AbstractLateral epicondylitis (LE) of the elbow is often treated with conservative methods. Several techniques including injections with different substances are widely performed. No standardization exists. This prospective study describes the results of the short-term follow-up of 56 patients with mean age 48 years (range: 30–68 years) treated with the Instant Tennis Elbow Cure Medical device, which fenestrates the injured tendon in a standardized way through a holder of 12 small needles. Depth and position of the needles are determined beforehand by ultrasonography. Unprepared autologous blood was injected through the holder in the tendon. Visual analog pain scale (VAS) decreased significantly in rest by 61% and during activity by 47% after 6 weeks. VAS decreased significantly in rest by 79% and during activity by 66% after 3 months. VAS did not remain significantly different after 6 months. Satisfaction rates were 71% after 6 weeks and 82% after 6 months. This suggests that the therapeutical effect sustains and in some cases increases over time. Patient Related Tennis Elbow Evaluation score ameliorated after 3 months by 71%. Comparative studies are needed to confirm this effect versus other techniques as physiotherapy, shockwave therapy, and injections with other substances.

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