scholarly journals A prospective study of radiological and functional outcome of non union scaphoid fractures treated by pronator quadratus muscle pedicle bone graft

2021 ◽  
Vol 7 (3) ◽  
pp. 175-180
Author(s):  
Dr. MD Qamar Abdul Azeez ◽  
Dr. Gompa Parameswara Rao ◽  
Dr. G Venkatesh ◽  
Dr. Chinni Ganesh
Author(s):  
Deepak Kaki ◽  
Naveen Babu Thalambedu ◽  
Sunil Malagan ◽  
Karthik Gudaru ◽  
Jagadesh Gudaru

<p class="abstract"><strong>Background:</strong> Humeral shaft fractures have an incidence of 13 per 100000 per year and account for 3% of total fractures. The following study is carried out with intention for determining and verifying facts around plate osteosynthesis on anteromedial surface of humerus through anterior approach.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 38 patients presenting with humerus shaft fracture and non-union to the Balaji Institute of Surgery Research and Rehabilitation for the Disabled (BIRRD) from April 2015 to March 2016.<strong> </strong>Inclusion criteria<strong> </strong>were age&gt;18 years, acute humerus shaft fractures and nonunion of humerus shaft. Exclusion criteria were undisplaced fractures, fractures associated with neurovascular injury, compound and pathological fractures, infected non unions. The functional outcome was graded based on the QuickDASH score. Fisher’s exact test was used to find the association between categorical data.<strong></strong></p><p class="abstract"><strong>Results:</strong> Clinical union was noted in 87% of the patients and radiological union in 74% at the end of three months. The average time period required to achieve union was 13.57 weeks. Based on Quick DASH score, 66% of them had excellent outcome, 24% had good outcome, 10% had fair outcome, and none had poor outcome.</p><p class="abstract"><strong>Conclusions:</strong> It may be concluded that, anteromedial plating through anterior approach for the treatment of humerus shaft fractures and non union leads to a satisfactory functional outcome in most of the patients. Most of the fractures were united by 3 months with good range of motion of shoulder and elbow.</p>


1997 ◽  
Vol 22 (5) ◽  
pp. 644-646 ◽  
Author(s):  
J. C-H. LEE ◽  
J. LIM ◽  
P. B. CHACHA

The vascular supply of the pronator quadratus was studied in 25 cadaveric dissections following coloured latex injections. This showed that the main blood supply of the pronator quadratus came from the anterior interosseous artery. There was, however, a rich anastomosis between the branches of the anterior interosseous artery and those of the radial and ulnar arteries. It was possible to raise a corticocancellous bone graft from the anterior surface of the radial styloid on a pedicle of the lower fibres of the pronator quadratus muscle. This muscle pedicle had a constant branch of the anterior interosseous artery which vascularized the bone graft. Such a vascularized pedicled bone graft may be useful in the treatment of non-union of the scaphoid and Kienböck’s disease.


Author(s):  
Sagar Panthi ◽  
Rishiswor Shrestha ◽  
Rajan Shakya

<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>


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