scholarly journals Short term Functional outcome of Harris HIP Score from Open Reduction Internal Fixation action (ORIF Intertrochanter)

2020 ◽  
Vol 13 (2) ◽  
pp. 35-39
Author(s):  
Charles Meliala ◽  
Pranajaya Dharma Kadar ◽  
Husnul Fuad Akbar
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Femur Fracture ◽  
Open Reduction Internal Fixation ◽  
Harris Hip Score ◽  
Control Group ◽  
Functional Evaluation ◽  
Fracture Femur ◽  
Femur Fractures ◽  
Healthy Side

Background- Intertrochanter fracture is commonly found in geriatric and young active patient and it can affects the overall health system. The death rate of intertrochanter fracture has increased by 1 person in 1 year with mortality rate of around 14-36%.Objective- To find out the functional evaluation by Harris hip score from the action of open reduction internal fixation (ORIF) on the intertrochanter femur fractures. Material and Methods-A total of 42subjects were used in the study. The study wasanobservationalanalytic study with no retrospective pairing and with a crossectional approach, whichaimedtoanalyzetheclinical outcomeoftheHarris HipScore after performed ORIF intertrochanter femurfracture. In thiscase, the control group are healthy femur from the same patient. Unpaired T-Test is use if normal distributed data aquired, otherwise Mann-Whitney is the option. The affordable populationofthe study waspatientswho were operated using internal fixation due to intertrochanter femur fracture measures in January 2012 - June 2018.Results-In this case the distribution of the number of intertrochanter femur fracture samples was 42 subjects with 14 women (33.3%) and 28 men (66.7%). The youngest age of the study subjects was 17 years and the oldest age of the research subjects was 82 years with a mean and standard deviation of 60.77 ± 18.23 years, there were significant differences in outcomes of the clinical score of the hip score of the action Open reduction internal fixation (ORIF ) in the case of intertrochanter fracture femur, with a significance value of 0.0001 (<0.05).Conclusion-From the results of the statistical analysis of the outcome of the clinical hip score score of ORIF compared to the healthy side in the case of intertrochanter femur fractures, there is a significant result (15.1%) between ORIF actions compared to the healthy side in the case of intertrochanter fracture femur, with p value <0,0001.

Radiographic and Clinical Outcomes of Periprosthetic Distal Femur Fractures Treated With Open Reduction Internal Fixation

2018 ◽  
Vol 32 (10) ◽  
pp. 515-520 ◽  
Author(s):  
Alexander B. Christ ◽  
Harshvardhan Chawla ◽  
Elizabeth B. Gausden ◽  
Jordan C. Villa ◽  
David S. Wellman ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Clinical Outcomes ◽  
Open Reduction ◽  
Distal Femur ◽  
Open Reduction Internal Fixation ◽  
Femur Fractures

Functional Outcome of Patients Following Open Reduction Internal Fixation for Bilateral Calcaneus Fractures

2002 ◽  
Vol 23 (10) ◽  
pp. 917-921 ◽  
Author(s):  
Matthew G. Zmurko ◽  
David E. Karges
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Work Capacity ◽  
Nonoperative Treatment ◽  
Open Reduction Internal Fixation ◽  
Functional Evaluation ◽  
American Orthopaedic ◽  
Improved Function ◽  
Calcaneus Fractures

Treatment of displaced intra-articular calcaneus fractures has historically been controversial, but recent developments have led to resurgence in open reduction internal fixation (ORIF) for displaced calcaneus fractures. Recent functional outcome studies comparing operative to nonoperative treatment of unilateral calcaneus fractures has shown a trend towards improved function with ORIF. No studies have investigated the functional outcome of patients who have required operative treatment of bilateral displaced calcaneus fractures. The purpose of this study was to review our operative experience with bilateral displaced intra-articular calcaneal fractures. A retrospective review of medical charts indicated 13 patients had undergone ORIF for bilateral calcaneus fractures. Nine patients could be contacted and brought to the clinic for functional evaluation and radiographic CT studies. Functional outcome was assessed by the Musculoskeletal Functional Assessment Score (MFA) and the American Orthopaedic Foot and Ankle Hindfoot Score (AOFAS). The average follow-up was 56 months. Over half of the patients required additional surgeries. The average MFA and AOFAS scores were 31.1 and 71.8, respectively. Functional outcome decreased for patients with multiple traumatic fractures and surgical procedures of the calcaneus. Our results show a diminished functional outcome for patients sustaining bilateral calcaneus fractures treated with ORIF when compared to patients managed surgically for unilateral calcaneus fractures, but better functional outcomes than patients who do not undergo ORIF for unilateral calcaneus fractures. This diminished function limits work capacity and ability to perform daily activities that require standing.

Orthogonal Plating of Vancouver B1 and C-Type Periprosthetic Femur Fracture Nonunions

2017 ◽  
Vol 27 (6) ◽  
pp. 578-583 ◽  
Author(s):  
Christopher E. Birch ◽  
Michael Blankstein ◽  
Jesse D. Chlebeck ◽  
Craig S. Bartlett 3rd
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Femur Fracture ◽  
Plate Osteosynthesis ◽  
Perioperative Complications ◽  
Femoral Shaft ◽  
Open Reduction Internal Fixation ◽  
Fixation Method ◽  
Periprosthetic Femur Fracture ◽  
Fracture Nonunions

Background Periprosthetic femoral shaft fractures are a significant complication after total hip arthroplasty (THA). Plate osteosynthesis has been the mainstay of treatment around well-fixed stems. Nonunions are a rare and challenging complication of this fixation method. We report the outcomes of a novel orthogonal plating surgical technique for Vancouver B1 and C-type periprosthetic fractures that previously failed open reduction internal fixation (ORIF). Methods A retrospective review identified all patients with Vancouver B1/C THA periprosthetic femoral nonunions from 2010 to 2015. Exclusion criteria included open fractures and periprosthetic infections. The technique utilised a mechanobiologic strategy of atraumatic exposure, resection of necrotic tissue, bone grafting with adjuvant bone morphogenetic protein (BMP) and revision open reduction internal fixation with orthogonal plate osteosynthesis. Results 6 Vancouver B1/C periprosthetic femoral nonunions were treated. 5 patients were female with an average age of 80.3 years (range 72-91 years). The fractures occurred at a mean of 5.8 years (range 1-10 years) from their initial arthroplasty procedure. No patients underwent further revision surgery; there were no perioperative complications. All patients had a minimum of 11 months follow-up (mean 18.6, range 11-36 months). All fractures achieved osseous union, defined as solid bridging callus over at least 2 cortices and pain free, independent ambulation, at an average of 24.4 weeks (range 6.1-39.7 weeks). Conclusions This is the 1st series describing orthogonal locked compression plating using modern implants for periprosthetic femoral nonunions. This technique should be considered in periprosthetic femur fracture nonunions around a well-fixed stem.

scholarly journals Functional Outcome of Traumatic Acetabulum Fractures : A 6 Months Comprehensive Follow Up Following Open Reduction Internal Fixation Surgery at Saiful Anwar General Hospital Malang

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0003
Author(s):  
DP Putra ◽  
AS Pradana ◽  
KY Phatama ◽  
E Mustamsir ◽  
M Hidayat
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
General Hospital ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Harris Hip Score ◽  
Acetabular Fractures ◽  
Acetabulum Fractures ◽  
Harris Score ◽  
The Mean

Acetabular fractures commonly occurred in young adult patient who suffered from high impact trauma which often associated with life threatening injuries. Displaced acetabular fractures lead to abnormal distribution on joint cartilage pressures. It produces early cartilage disruption and development of premature osteoarthritis at the hip. Anatomical reduction and fixation operation in acetabulum fractures still a major challenges due to its complications such as poor functional outcome after surgery. Despite its difficulty to predict the outcomes of acetabular fractures surgeries, functional outcomes scoring such as Oxford Hip Score (OHS) and Harris score may help surgeon to measure long term outcome following acetabular fractures. A total of 13 patients were treated over period of January 2018 until March 2019 in Saiful Anwar General Hospital Malang. The mean age of patients in this serial case is 37 years old and were operated within 2 weeks of injury. All the patients undergone an ORIF (Open Reduction Internal Fixation) operation and observed for the OHS and also Harris score 6 months following surgeries to measure functional outcome of the patients. The mean score of OHS in this serial case is 41 (satisfactory joint function) and the mean score of harris hip score is 91 (excellent). Some patients experience pain during activities, tingling sensation after standing in some periods of time, and heaviness when taking stairs 6 months after operation. This results conclude that the preoperative, operative and post operative management of patient with acetabular fracture in Saiful Anwar Hospital has satisfactory results.

scholarly journals Pengaruh Nafas Dalam Dan Mendengarkan Musik Gamelan Terhadap Tingkat Nyeri Pasien Post Operasi Fraktur Di RSUD Dr. Soediran Mangun Sumarso Wonogiri

2020 ◽  
Vol 10 (1) ◽  
pp. 414-426
Author(s):  
Sumardi Sumardi ◽  
Arlina Dewi ◽  
Sri Sumaryani
Keyword(s):  
Internal Fixation ◽  
Instrumental Music ◽  
Open Reduction ◽  
Simple Random Sampling ◽  
Open Reduction Internal Fixation ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Deep Breath

Latar Belakang: Indonesia menjadi peringkat ketiga Asia kematian korban kecelakaan lalu lintas. Penatalaksanaan patah tulang dilakukan dengan cara membatasi pergerakan tulang (imobilisasi) dapat dilakukan dengan cara Open Reduction Internal Fixation (ORIF). Managemen nyeri post operasi fraktur merupakan tindakan sangat penting dapat berupa nafas dalam dan mendengarkan musik gamelan.Tujuan: Untuk menganalisis pengaruh nafas dalam dan mendengarkan music gamelan terhadap tingkat nyeri pasien post operasi frakturMetode: Penelitian dengan Jenis   kuantitatif   pendekatan quasi ekeperimen ( pre-post test with control group design ). Populasi penelitian ini adalah pasien post operasi ORIF (Open Reduksi Internal fixation) yang mengalami rawat inap dengan sampling menggunakan teknik  simple random sampling sejumlah  30 responden. Kelompok intervensi diberikan nafas dalam dan mendengarkan musik gamelan, kelompok kontrol dengan nafas dalam dan mendengarkan musik  instrumental.Penilitian dilaksanakan bulan Agustus – September 2018Hasil: Uji statistik yang digunakan adalah uji t- berpasangan yaitu paired t-test dan independent t-test. Penelitian menunjukkan bahwa niali p value 0,05 sedangkan untuk nafas dalam dan mendengarkan musik gamelan serta nafas dalam dan mendengarkan musik instrumental dengan nilai p value 0,000, Pada independent t-test nilai p = 0,03. Nilai p0,05 Sehingga nafas dalam dan mendengarkan musik gamelan berpengaruh terhadap perubahan tingkat nyeri secara bermakna pada pasien post operasi ORIFKesimpulan: Terdapat pengaruh nafas dalam dan mendengarkan musik gamelan terhadap perubahan tingkat nyeri pasien post operasi di RSUD dr. Soediran mangun Sumarso Wonohiri. Kata kunci : Musik gamelan, nyeriAbstract Background: Indonesia is ranked third in Asia, the death toll of traffic accident victims. Management of fractures is done by limiting bone movement (immobilization) can be done using Open Reduction Internal Fixation (ORIF). Postoperative fracture pain management is a very important action that can take the form of deep breathing and listen to gamelan music.Objective: To analyze the effect of a deep breath and listen to gamelan music on the pain level of post-fracture surgery patientsMethod: Research with quantitative type quasi-experimental approach (pre-post test with control group design). The population of this study was patients post-ORIF (Open Reduction Internal Fixation) surgery who experienced hospitalization by sampling using a simple random sampling technique of 30 respondents. The intervention group was given a deep breath and listened to gamelan music, the control group with deep breathing and listening to instrumental music. The study was held in August - September 2018Results: The statistical tests used were paired t-test and independent t-test. Research shows that the value of p 0.05 value while for a deep breath and listening to gamelan music and deep breath and listening to instrumental music with a p-value of 0.000, In the independent t-test the value of p = 0.03. Value p 0.05 so that deep breath and listening to gamelan music have a significant effect on changes in pain levels in patients post-ORIF surgeryConclusion: There is the influence of a deep breath and listening to gamelan music on changes in the level of pain of postoperative patients in Dr. Soediran General Hospital Sumanguno Wonohiri. Keywords: gamelan music, pain

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