scholarly journals Anterior inferior plating versus superior plating for middle 1/3rd clavicle fracture: a prospective comparative study

2021 ◽  
Vol 8 (1) ◽  
pp. 48
Author(s):  
Girish H. Rudrappa ◽  
Deepak B. V. ◽  
Gowthama Pradhaban
Keyword(s):  
Surgical Technique ◽  
Comparative Study ◽  
Functional Outcome ◽  
Outcome Measure ◽  
Clavicle Fracture ◽  
Delayed Union ◽  
Demographic Analysis ◽  
Inclusion Criteria ◽  
Plating Technique ◽  
Prospective Comparative Study

<p class="abstract"><strong>Background: </strong>Fractures of the clavicle are common injuries that may result from direct blow or transmitted forces. Deformities are shortening and depression of lateral fragments. Various techniques are performed out of which superior and anteroinferior plating are widely used with each having its own merits and drawbacks. Our study compares the outcome between above mentioned techniques.</p><p class="abstract"><strong>Methods: </strong>We conducted a prospective comparative study of 60 patients who has met inclusion criteria and out of which 30 patients were treated with anteroinferior technique and 30 patients were treated with superior plating technique. Outcome measure were assessed through constant and murley score.</p><p class="abstract"><strong>Results: </strong>The demographic analysis of our study showed that the incidence of fracture is predominant among males (63.3%) with RTA being the most common mode of injury. AO/OTA classification which was used in our study revealed A1 as the most frequently involved group. Each group had 2 patients with infection post operatively which was managed with appropriate antibiotics. Increased incidence of delayed union was found in anterioinferior group (13.3%) with decreased hardware prominence in comparison with superior plating.</p><p class="abstract"><strong>Conclusions:</strong> There were no significant differences in functional outcome between both the groups except the fact that superior plating had higher chances of plate prominence. So either of the surgical technique can be employed depending upon the feasibility of surgeon.</p>

scholarly journals A Study on Functional Outcomes after Plating of Middle Third Fractures of Clavicle

2020 ◽  
Vol 7 (47) ◽  
pp. 2793-2798
Author(s):  
Pardhasarathi B ◽  
Balaji Rao R ◽  
Manikumar C.J.
Keyword(s):  
Functional Outcome ◽  
Conservative Management ◽  
Functional Outcomes ◽  
Clavicle Fracture ◽  
Dash Score ◽  
Non Union ◽  
Plating Technique ◽  
Fracture Clavicle ◽  
Comminuted Fractures ◽  
Clavicle Fractures

BACKGROUND Fracture clavicle is one of the most common conservatively treated fractures. Conservative management showed lesser rates of non-union and satisfactory results for fracture clavicle initially. Recent studies showed that the functional outcome following conservative management was not as optimal as it was thought to be. With changing injury patterns, increased incidence of high velocity trauma and increased functional demands of the modern patients which led to thorough evaluation of the functional outcomes following conservative management of fracture clavicle, the outcome was not optimal. Recent studies showed increased rate of non-union among conservatively managed cases compared to those which were fixed internally. Some found residual deficits among patients treated conservatively. We wanted to study the functional outcome and complications following internal fixation of clavicle fractures by using plating techniques. METHODS This prospective study was done in Department of Orthopaedics, Andhra Medical College, Visakhapatnam. We studied functional outcome of 30 fractures of clavicle which were fixed using plating technique during the period October 2016 - October 2018. Thirty patients (n = 30) were treated with plating technique using precontoured locking plates and recon plates. The fractures in this study were middle third clavicle fractures which were divided into two types based on the classification of Robinson. Type 2 Robinson clavicle fracture implies that it is a middle third clavicular fracture, which is further divided based on fracture morphology. 2b1: Displaced simple or wedge comminuted fractures 2b2: Segmental comminuted fractures. In this study, superior plating was done. The implants used were precontoured LCP and recon plates. Functional outcome was assessed using Constant Murley scoring and Quick Dash score at 10 weeks. The follow up period was for 1 year - October 2016 to October 2018. RESULTS The average time of union for the fractures treated with plating technique in our study was around 10.2 weeks. The mean Constant Murley score of our study was 91. Eighteen out of 30 patients had excellent outcomes. One patient had fair outcome due to stiffness of the shoulder. 10 patients had good result. The average DASH score of the patients was about 9.8. CONCLUSIONS Treatment of fracture middle third of clavicle using plating technique provides good functional outcome and faster recovery with minimal complications. KEYWORDS Clavicle A02.835.232.087.227, Wounds and Injuries C26, Postoperative Complications C23.550.767

scholarly journals A prospective comparative study between interlocking nail and locking compression plate for management of diaphyseal fractures of the humerus

2020 ◽  
Vol 6 (5) ◽  
pp. 926
Author(s):  
Mallesh Rathod ◽  
Sandeep Kumar Kanugula ◽  
Pannuri Raja
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Reoperation Rate ◽  
Locking Compression Plate ◽  
Interlocking Nail ◽  
Operation Rate ◽  
Compression Plate ◽  
Prospective Comparative Study ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> The aim of this study was to compare the outcomes between open reduction and internal fixation by locking compression plate (LCP) and closed reduction and internal fixation with anterograde interlocking nail (ILN) for the treatment of diaphyseal fractures of the humerus.</p><p class="abstract"><strong>Methods:</strong> This is a prospective comparative study, with diaphyseal fractures of the humerus treated by LCP in 30 patients and with ILN in 30 patients. Patients were followed up to 18 months. The clinical and radiographic outcomes were assessed in terms of union, complications, reoperation rate and functional outcome using the American shoulder and elbow surgeons’ score (ASES) and Stewart and Hundley’s criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> Union was achieved in 93.3% of patients in LCP group and 90% in ILN group. The mean blood loss in LCP group was 280±22.10 ml (160-400 ml) and in ILN group was 110±17.62 ml (70-150 ml) (p=0.001). The ASES score was 42.47±5.532 in LCP group and 40.93±6.330 in nailing group (p=0.320; p&gt;0.05). Stewart Hundley criteria showed excellent and good results in 26/30 and 17/30 patients in LCP group and ILN group respectively (p=0.070; p&gt;0.05). Complications and re-operation rate were higher in ILN group.</p><p class="abstract"><strong>Conclusions:</strong> Our study concludes that LCP can be considered a better surgical option for the management of diaphyseal fractures of the humerus as it had lower incidence of complications, less re-operation rate and better union rate. However, there is no difference between the two groups in terms of union time and functional outcome.</p>

scholarly journals COMPARATIVE STUDY OF NIFEPIDINE AND ISOXSUPRINE IN SUPPRESSION OF PRETERM LABOUR IN THIRD TRIMESTER

2020 ◽  
pp. 1-2
Author(s):  
Priyanka Kumari ◽  
Anupama Sinha ◽  
Debarshi Jana
Keyword(s):  
Side Effects ◽  
Comparative Study ◽  
Neonatal Outcome ◽  
Preterm Labour ◽  
Inclusion Criteria ◽  
Third Trimester ◽  
Tocolytic Agent ◽  
High Incidence ◽  
Prospective Comparative Study ◽  
A Prospective Study

Background: A prospective study was conducted to compare the efficacy of nifedipine against isoxsuprine in preventing preterm labour in third trimester and also to evaluate maternal side effects and neonatal outcome. Methods: This prospective comparative study was conducted at JLNMCH, Bhagalpur, Bihar. 75 antenatal women with gestational age between 28 to 36 weeks wereselected who fulfilled the inclusion criteria for the study, were given nifedipine and were monitored throughout thecourse of treatment. Results: Groups were compared with mean prolongation of delivery, side effects, neonatal outcome, parity, cervicaleffacements. Nifedipine was twice more effective than isoxsuprine hydrochloride as a uterine tocolytic agent whileside effects were comparable with fewer side effects in nifedipine group. Neonatal outcome was better with nifedipinein comparison to isoxsuprine. Conclusions: There is a high incidence of preterm labour in India. The present study found that nifedipine has bettertocolytic efficacy, less side effects and better tolerability as compared to isoxsuprine in third trimester.

scholarly journals Functional Outcomes of 24-Hour Thumb Immobilization in Healthy Volunteers: Prospective Comparative Study

2017 ◽  
Vol 06 (03) ◽  
pp. 201-205
Author(s):  
Raghuveer Muppavarapu ◽  
Lyubov Tsytsikova ◽  
Poonam Dalwadi ◽  
Charles Cassidy ◽  
Michael Gottschalk
Keyword(s):  
Comparative Study ◽  
Healthy Volunteers ◽  
Functional Outcome ◽  
Measurement Information ◽  
Dominant Hand ◽  
Significant Difference ◽  
Patient Reported ◽  
Prospective Comparative Study ◽  
Group 2 ◽  
Group 1

Background Immobilization is often needed for the treatment of wrist and hand injuries. The current best method of immobilization for several types of injuries has yet to be elucidated with little being reported on the functional differences of each type of immobilization. Purpose The purpose of this study is to compare the functional outcome between healthy young volunteers with a 24-hour short arm cast (SAC) versus thumb spica cast (TSC) immobilization. Methods A total of 50 healthy volunteers completed a baseline typing assessment and a Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity functional scoring assessment. Participants in group 1 were randomly initially assigned to a TSC of their dominant hand followed by an SAC, whereas participants in group 2 were randomly initially assigned to a TSC of their nondominant hand followed by an SAC. The volunteers completed the typing assessment and PROMIS assessment at the end of the 24-hour casting period. Results A total of 50 participants were enrolled in the study with 25 in group 1 and 25 in group 2. There was a 24.3-point difference between the average PROMIS score for participants with SAC compared with participants with TSC (93 vs. 68.7; p = 0.0001). There was a significant difference between the typing speed and accuracy of participants with SAC compared with participants with TSC (p = 0.0001). Conclusion There is a significant difference in functionality of a TSC immobilization versus an SAC immobilization according to the PROMIS functional outcome score and typing speed in a 24-hour casting period. SAC immobilization should be considered to have a possible similar effect in pathologic conditions instead of TSC immobilization given these findings even though a 24-hour period is not enough to provide adequate long-term conclusions. Level of Evidence I, prospective comparative study.

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