scholarly journals Functional outcome of Subtrochanteric Fractures of femur fixed with Dynamic Condylar Screw (DCS).

2020 ◽  
Vol 27 (02) ◽  
pp. 225-229
Author(s):  
Masroor Ahmed ◽  
Ghulam Hussain ◽  
Mukesh Kumar ◽  
Nida ◽  
Rukhsana Hamid
Keyword(s):  
Functional Outcome ◽  
Road Traffic ◽  
Subtrochanteric Fracture ◽  
Female Ratio ◽  
Subtrochanteric Fractures ◽  
Femur Fractures ◽  
Dynamic Condylar Screw ◽  
Quasi Experimental ◽  
Subtrochanteric Femur Fractures ◽  
Male To Female

Objectives: To determine functional outcome of Subtrochanteric femur fractures fixed with dynamic condylar screw. Study Design: Single group quasi experimental study. Setting: Orthopedic Surgery, creek general hospital, united medical and dental college and KVSS SITE hospital Karachi. Period: 15th February 2015 to 30th November 2016. Material & Methods: All the patients with Type 32A (A1, A2 and A3) subtrochanteric fractures of femur presenting within two weeks of injury were included in the study. Functional outcome was assessed by modified Schatzker and Lambert Criteria. Results: 79 patients with closed subtrochanteric fractures were included in study. The mean age of the patients was 41.2±12.98 years, mean duration of fracture was 4.58±1.25 days. Male to female ratio was 2.04 to 1, 42(53.16%) were injured in road traffic accident and 37(46.84%) were due to fall, right side were effected in 40.51% cases and left side effected in 59.49% cases. Acceptable functional outcome achieved in 82.28% (65/79) of cases. Conclusion: We conclude that open reduction and internal fixation are the best procedure to treat difficult fractures like subtrochanteric fractures and to avoid complications like implant failure, nonunion, and mal-union. In our study we attained satisfactory results by the use of dynamic condylar screw in patients with subtrochanteric fracture of femur.

scholarly journals Functional outcome of Subtrochanteric Fractures of femur fixed with Dynamic Condylar Screw (DCS).

2020 ◽  
Vol 27 (02) ◽  
pp. 225-229
Author(s):  
Masroor Ahmed ◽  
Ghulam Hussain ◽  
Mukesh Kumar ◽  
Nida - ◽  
Rukhsana Hamid
Keyword(s):  
Functional Outcome ◽  
Road Traffic ◽  
Subtrochanteric Fracture ◽  
Female Ratio ◽  
Subtrochanteric Fractures ◽  
Femur Fractures ◽  
Dynamic Condylar Screw ◽  
Quasi Experimental ◽  
Subtrochanteric Femur Fractures ◽  
Male To Female

Objectives: To determine functional outcome of Subtrochanteric femur fractures fixed with dynamic condylar screw. Study Design: Single group quasi experimental study. Setting: Orthopedic Surgery, creek general hospital, united medical and dental college and KVSS SITE hospital Karachi. Period: 15th February 2015 to 30th November 2016. Material & Methods: All the patients with Type 32A (A1, A2 and A3) subtrochanteric fractures of femur presenting within two weeks of injury were included in the study. Functional outcome was assessed by modified Schatzker and Lambert Criteria. Results: 79 patients with closed subtrochanteric fractures were included in study. The mean age of the patients was 41.2±12.98 years, mean duration of fracture was 4.58±1.25 days. Male to female ratio was 2.04 to 1, 42(53.16%) were injured in road traffic accident and 37(46.84%) were due to fall, right side were effected in 40.51% cases and left side effected in 59.49% cases. Acceptable functional outcome achieved in 82.28% (65/79) of cases. Conclusion: We conclude that open reduction and internal fixation are the best procedure to treat difficult fractures like subtrochanteric fractures and to avoid complications like implant failure, nonunion, and mal-union. In our study we attained satisfactory results by the use of dynamic condylar screw in patients with subtrochanteric fracture of femur.

STUDY OF PROXIMAL FEMORAL NAILING IN THE MANAGEMENT OF SUBTROCHANTERIC FRACTURES OF FEMUR

2021 ◽  
pp. 77-79
Author(s):  
Nilabh Kumar ◽  
Laljee Chaudhary ◽  
Debarshi Jana
Keyword(s):  
Early Mobilization ◽  
Subtrochanteric Fracture ◽  
Harris Hip Score ◽  
Subtrochanteric Fractures ◽  
Femur Fractures ◽  
Intramedullary Device ◽  
Fracture Table ◽  
Nail Insertion ◽  
Subtrochanteric Femur Fractures ◽  
Proximal Femoral Nailing

Background:The proximal femoral nail (PFN) used as an intramedullary device for the treatment of fractures. Objectives: Study was taken to analyse the union of the subtrochanteric fracture, internally xed with PFN. Materials and Methods: Study was conducted in the Department of Orthopaedics, DMCH, Laheriasarai, Bihar from June 2019 to November 2019. Individuals with acute subtrochanteric femur fractures >18 years were included in the study. The patient was positioned supine on the fracture table under spinal or epidural or general anesthesia as the condition of the patient permitted. Pre-operatively one dose of antibiotic was also administered. The fracture was reduced by longitudinal traction on fracture table and the limb was placed in neutral or slight adduction to facilitate nail insertion through the greater trochanter ; P <0.05 was considered statistically signicant. Results: At the end of ve months, all except three patients could mobilise independently; statistically there was signicant difference (P<0.05). Based on Harris Hip score obtained 3 patients outcome was excellent, 18 patients were good and 4 patients had fair outcome. Conclusion: Minimal exposure, better stability and early mobilization are the advantages with PFN. Fractures united in all cases and postoperative functional outcome was satisfactory. PFN could be a preferred implant of choice in treating subtrochanteric fractures especially in elderly.

A COMPARATIVE STUDY TO DETERMINE THE KNEE JOINT FUNCTIONAL OUTCOME IN PATIENTS WITH FEMUR SHAFT FRACTURES MANAGED OPERATIVELY OR CONSEVATELY AT NDOLA HOSPITAL:complete enumeration (Preprint)

2019 ◽  
Author(s):  
Ripedah Nakana
Keyword(s):  
Knee Joint ◽  
Functional Outcome ◽  
Road Traffic ◽  
Femur Fracture ◽  
Conservative Group ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Significant Difference ◽  
Femur Shaft ◽  
Femur Shaft Fractures

BACKGROUND According to WHO, It has been reported that there has been a rise in road traffic accidents globally due to many factors. Consequently this has contributed to an increase in fracture of the femur in hospitals. The annual incidence of these Fractures has been estimated to be 10 per 100,000 persons and this incidence has been noticed to be higher among the youths decreasing after the age of 40 and then increasing in the elderly. These fractures are either managed conservatively or operatively. OBJECTIVE the aim of this study was to determine if there is a significant difference in knee joint functional outcome in patients with femur shaft fractures managed operatively and conservatively at Ndola Teaching Hospital at the orthopedics clinic and physiotherapy. This in future might help to place emphasis on government to sensitize the right measures needed to improve on the functional outcome of a knee joint in patients with femur fracture who are treated operatively or conservatively METHODS the method used for the study was a complete enumeration of all patients with femur fractures that were admitted at orthopedic ward, visited the orthopedic clinic and physiotherapy sessions at NTH between the period of July 2019 to September 2019. Data collected will be analyzed using a statistical data software called Statistical Package of Social Sciences (SPSS). The independent variable that will be considered in the study are age, DOI, DOA, femur shaft fractures, treatment and others that that will meet the selection Criteria. The dependent variable will be “Knee Joint Functional Outcome”. RESULTS Results did not show statistically significant difference in knee functional outcome for two methods (conservative or operative). In the current study it was noted that there was much reduction in swelling in the operative in comparison to the conservative group. We may therefore conclude that the operative management promises a better outcome especially when done on time. However it seemed the operative procedure was not preferred for any conservative approach however the study has shown an in depth feasibility study to affirm such findings in order to inform on policy or management paradigim shift. CONCLUSIONS There is need for further intervention in the management of femur fracture which complicates to poor knee joint function

scholarly journals Epidemiology of fractures in indoor patients at a tertiary care centre in India: a study of 3000 cases

2021 ◽  
Vol 8 (1) ◽  
pp. 39
Author(s):  
Mohan M. Desai ◽  
Deven R. Kuruwa ◽  
Easwar Elango ◽  
Roshan Wade
Keyword(s):  
Road Traffic ◽  
Tertiary Care ◽  
Age Groups ◽  
Control Measures ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Treatment Protocols ◽  
Female Ratio ◽  
Femur Fractures

<p class="abstract"><strong>Background: </strong>Implementing appropriate fracture control measures and treatment protocols is crucial to maximizing health and development gains. This requires an in depth understanding of age-specific, sex-specific and cause-specific injury patterns at the national and subnational levels. No such study on fracture epidemiology has been undertaken in the Indian population.</p><p class="abstract"><strong>Methods: </strong>Study was conducted in a tertiary care centre (KEM hospital, Mumbai) which is one of the highest volume trauma centres in the country. Data of 3000 patients was obtained from the medical records department for the year 2016-2019. Patients were segregated with respect to their genders and into three age groups. Etiology of fracture was noted, and fractures classified according to the anatomical area. Whether the patient received conservative or operative management was also recorded.</p><p class="abstract"><strong>Results: </strong>43.83% of the fractures occurred in 18-50 years age group. 41.33% in the above 50 group and only 14.73% in the below 18 age group. Overall male to female ratio was 1.4: 1. Vehicular accident was the most common mode of injury (47.07%) followed by fall from height (21.03%). Proximal femur fractures were the most common accounting for 19.57% of all fractures followed by forearm (10.53%), tibia diaphysis (8.10%). Talus was the least common. 81.07% cases were managed operatively and 18.93% conserved.</p><p class="abstract"><strong>Conclusions: </strong>Our study highlights that Indian epidemiology is unique from our Western counterparts. Population affected is much younger, old age males are affected more than females. Lower limb fractures are more prevalent and road traffic accidents are responsible for almost half the fractures.</p>

scholarly journals Treatment of subtrochanteric fracture femur by open reduction and internal fixation by long proximal femoral nailing

2019 ◽  
Vol 6 (1) ◽  
pp. 164
Author(s):  
Prabhu P. Munavalli ◽  
Gururaj N. G.
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Road Traffic ◽  
Weight Bearing ◽  
Subtrochanteric Fracture ◽  
High Rate ◽  
Full Weight Bearing ◽  
Subtrochanteric Fractures ◽  
Fractures In Children ◽  
Pathologic Fractures

<p class="abstract"><strong>Background:</strong> Subtrochanteric fractures are devasting injuries that most commonly affect the elderly population and also in young.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 20 cases of subtrochanteric fracture admitted to KIMS, Huballi between November 2008 to August 2010 treated with left proximal femoral nail (LPFN) by open method. Cases were taken according to inclusion and exclusion criteria, i.e., fresh subtrochanteric fracture in adults. Pathologic fractures, multiple fractures, fractures in children, old neglected fractures were excluded from the study. Objectives of this study were to study subtrochanteric fractures and to determine effectiveness of LPFN in tretment of subtrochanteric fractures by open reduction and internal fixation (ORIF).<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study of 20 cases, there were 16 male and 4 female patients with age ranging from 17 years to 75 years with most patients in between 21-40 years. 65% of the cases admitted were road traffic accidents, 25% due to fall from height and 10% due to trivial fall with right side being more common side affected. Russell and Taylor type IA fracture accounted for 40% of cases. Mean duration of hospital stay was 24 days and mean time of full weight bearing was 14 weeks in our patients. Good to excellent results were seen in 85% of cases in our study.</p><p class="abstract"><strong>Conclusions:</strong> Subtrochanteric fractures of femur can be successfully treated by ORIF by LPFN resulting in proper anatomical reduction and hence alignment and high rate of bone union.</p>

scholarly journals DEMOGRAPHIC STUDY OF DEATHS DUE TO ROAD TRAFFIC ACCIDENTS, EXAMINED IN DR. S.N. MEDICAL COLLEGE, JODHPUR (RAJ.)

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Kana Ram Patel ◽  
Jagdish Jugtawat ◽  
Shalender Kumar ◽  
P.C. Vyas
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Subdural Hemorrhage ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female

Accidents are not due to external factors all the time but often they occur due to failure of control of self-conscience and free thoughts. Road Traffic Accidents is still the major cause of death worldwide including India. A retrospective study has been conducted in Dr. S.N. Medical College, Jodhpur (Raj.), in the year 2019 to study the pattern and distribution of Head Injuries of fatal road traffic accidents and to prepare the demographic profile of it. Out of total 901 cases, male to female ratio was 9:1, and commonest age group affected was 21-30 years (39.8%). Among total victims, Hindus were 748 (83%) and rests were Muslims 103 (11.4%) and other religions. Head injury was the most common injury, present alone in 509 cases (56.4%) and in 392 (43.6) cases along with other injuries. Skull fractures were found in 451 (50.5), in which linear/fissure fracture (32.9%) was most common. Most common bone fractured was temporal bone. The commonest variety of intracranial hemorrhage was subdural hemorrhage and craniotomy was done in 29 (3.2%) cases. Keywords: Accidents, Road traffic, Head injury, Fractures.

scholarly journals Conservative treatment of chronic unreduced shoulder dislocations in Cameroon: Key results concerning 33 cases

2021 ◽  
Vol 28 ◽  
pp. 221049172110018
Author(s):  
Nana C Theophile ◽  
Fokam Pius ◽  
E Choffor Nchinda ◽  
I Farikou ◽  
Daniel E Handy ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Functional Outcome ◽  
Closed Reduction ◽  
Prospective Observational Study ◽  
Anterior Dislocation ◽  
Average Score ◽  
Middle Income ◽  
Female Ratio ◽  
Good Score ◽  
Male To Female

Introduction: Chronic unreduced shoulder dislocations are rare in orthopaedics. The aim of this study is to report how conservative treatment of chronic unreduced shoulder dislocations is done and evaluate the functional outcome in a low-middle income environment. Patients and methods: This was a hospital based prospective observational study carried out from January 2008 to January 2018. Cases of unreduced shoulder dislocations of at least 1 month duration were included in the study. Closed reduction was done by progressive soft maneuvers described by Kocher. Epi Info software was used to analyze this data. Results were represented on tables to ease organization and comprehension. Results: One of the 33 had a bilateral chronic unreduced anterior dislocation. The ages ranged from 21 to 80 years, with a mean age of 42.71 ± 16.13 years. The male to female ratio was 3.2:1. The duration of dislocation ranged from 1 to 120 months. Majority of the cases 79.4% (n = 27) had successful closed reduction. The average score was 78.04/100, representing a good score. Conclusion: Although treatment by non-operative method is a challenge, fair to good functional outcome can be obtained if this procedure is carried out under general anesthesia and adequate relaxation.

scholarly journals Functional outcome of tension band wiring with k-wires for olecranon fractures.

2019 ◽  
Vol 26 (08) ◽  
pp. 1256-1260
Author(s):  
Kashif ◽  
Haseeb Hussain ◽  
Ashfaq Ahmed ◽  
Rizwan Akram ◽  
Atiq uz Zaman ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Road Traffic ◽  
Case Series ◽  
Sampling Technique ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Female Ratio ◽  
The Mean ◽  
K Wires ◽  
Olecranon Fractures

Among orthopedics trauma, the Olecranon fractures are one of the most commonly seen in the emergency room. The cause of such injuries are either fall or road traffic accident. The coronoid process stabilizes the humerus against the distal ulna. There is loss of extensor mechanism at the elbow joint whenever there is fracture of Olecranon. So, its management is always operative. Objectives: The main objective of this study was to determine the functional outcome of patients with olecranon fractures treated with tension band wiring and K-wires. Study Design: Descriptive case Series. Setting: Department of Orthopedics and Spine centre, Ghurki Trust teaching Hospital, Lahore. Period: 25th March 2016 to 30th September 2016. Materials and Methods: 85 patients were selected using Non Probability/ Consecutive sampling technique. Informed consent was taken and demographic information was noted. Surgery was performed by single team of orthopedics surgeons. Patient was followed after 06 weeks. Post-operatively for the assessment of functional outcome in terms of very good to good, fair and poor according to Murphy’s system. All the collected data was entered and analyzed on SPSS version 20. Results: In our study the mean age of the patients was 36.62±14.09 years, the male to female ratio of the patients was 0.7:1. The mean value of total Murphy’s score of the patients was 5.98±2.03. In this study the good functional outcome was observed in 35(41.18%) patients, fair outcome was observed in 46(54.12%) patients. Conclusion: The tension band wiring with K-wires shows good and satisfactory functional outcome for the management of olecranon fractures.

scholarly journals Evaluation of outcome following clamp assisted mini open reduction and internal fixation with intramedullary nailing of subtrochanteric femoral fractures

2019 ◽  
Vol 5 (6) ◽  
pp. 1126
Author(s):  
Chirag G. Prajapati ◽  
Rasik B. Dabhi ◽  
Nikunj D. Maru
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
The Elderly ◽  
High Energy ◽  
High Rate ◽  
Excellent Outcome ◽  
Subtrochanteric Fractures ◽  
Femur Fractures ◽  
Subtrochanteric Femur Fractures

<p class="abstract"><strong>Background:</strong> Subtrochanteric fractures of the proximal femur have been defined as the fractures extending from lesser trochanter distally for 5 cm. These fractures usually occur in two age distributions. In the elderly osteopenic population resulting from trivial trauma as fall from standing height or in the younger ones as a result of high energy trauma. Incidence has been on the rise and they comprise about 7 to 10% hip fractures and could lead quickly to large amount of blood loss and other complications.</p><p class="abstract"><strong>Methods:</strong> This is a multicentric prospective prognostic study level 1 consisting of 25 patients admitted in government civil hospital, Ahmedabad during April 2013 to May 2015 having high subtrochanteric femur fractures treated by clamp assisted reduction and intramedullary nailing. Out of these, 20 patients (80%) came for final follow up with average follow up of 11.5 months and evaluated for union, complication and functional outcome.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study final outcome is assessed based on hip outcome score (modified) based on which 85% had excellent outcome, 10% had good outcome and 5% had fair outcome with none of the patient having poor outcome.</p><p><strong>Conclusions:</strong> We found that clamp-assisted reduction and intramedullary nail fixation provides excellent reduction quality, high rate of fracture union, with no apparent increase in complications in subtrochanteric fractures of the femur. </p>

scholarly journals DIAPHYSEAL FEMORAL FRACTURES

2015 ◽  
Vol 22 (04) ◽  
pp. 476-482
Author(s):  
Muhammad Azeem Akhund ◽  
Karam Ali Shah ◽  
Allah Nawaz Abbasi ◽  
Zulfiqar Ali Mastoi
Keyword(s):  
Road Traffic ◽  
Callus Formation ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
P Value ◽  
Female Ratio ◽  
Femur Fractures ◽  
Group A ◽  
The Mean ◽  
Group B

The femur fractures usually happen with oomph forces like motor vehicleaccidents. Objectives: To assess the mode of injury and complications of the management, indiaphyseal femoral fractures, in comparison of close versus open intramedullary interlockingnail (IMN). Study Design: Experimental and comparative study. Period: April 2013 to March2014. Setting: Department of Orthopaedic Surgery, Peoples University of Medical & Healthsciences, Nawabshah. Methods: The cases were divided into two groups A and B. Group Awas treated by open nailing (n = 20) and group B by close nailing (n = 20), all the cases wereoperated within 48 hours of admission. All the data were recorded on well structured proforma.Serial radiographies were performed at 3, 6, 12 weeks, and 6 months; additional radiographieswere performed as needed postoperatively. Knee, ankle, and hip motions were begun andprotected weight bearing was started on the second day postoperatively and increasedgradually to full WB depending on x-ray findings of callus formation. The patients were followedfor two years. Results of open and closed I.M.N were assessed and the complications if anywere observed over a mean follow-up period of two years. Results: The mean age in groupA was 29.40 years and the mean age in group B was 30.45 years. Out of 40 cases, 32(80.0%)were males with male to female ratio 1:4. Mean ± SD hospital stay was 19.80 ± 14.60 days ingroup A, and 17.90 ± 5.95 days in group B (p value 0.55). Average time between injury andadmission was 1.53 days (n = 40), in the group A it was 1.05 days, and in the group B it was2.0 days (p value 0.03). The average of time between injury and operation in the group A was8.75 days, and in the group B, it was 8.20 days, (p value 0.71). The average of time betweenadmission and discharge in the group A was 11.0 days, and in the group B was 9.15 days,(p value 0.55). Mean ± SD union time was 11.70 ± 6.45 weeks, in group A and 11.90 ± 5.77weeks, in group B. (p value 0.91). All the patients had full ranged of hip motion and 2 (10.0%)patients of group A had mild limitation of knee motion with a flexion ranges between 80 and110 degrees. Final functional results based on Thoresen BO criteria16. Excellent results wereobserved in 19 (47.5%) cases, out of them 5(25.0%) were in group A and 14(70.0%) were ingroup B. Good results were found in 13(32.5%) patients, out of these 7(35.0%) were in group Aand 6(30.0%) were in group. Fair and poor results were detected in 4(10.0%) cases of group A.Conclusions: Road traffic accidents by motorcycle was found the commonest (47.5%) causeof femur fracture, a few complications were observed in open interlocking nailing as comparedto closed interlocking nails.

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