TO STUDY THE FUNCTIONAL OUTCOME OF BIPLANAR CROSSED PIN K WIRE FIXATION IN DISPLACED SUPRACONDYLAR HUMERUS FRACTURE IN CHILDREN

2021 ◽  
pp. 8-11
Author(s):  
Rajesh K. Ambulgekar ◽  
Dhananjay Eknathrao More
Keyword(s):  
Functional Outcome ◽  
Full Range ◽  
Kirschner Wire ◽  
Humerus Fracture ◽  
Invasive Technique ◽  
Supracondylar Humerus Fracture ◽  
Medical College ◽  
Fall From Height ◽  
A Prospective Study ◽  
Type Of Fracture

BACKGROUND: supracondylar humerus fracture represents most common fracture around elbow in children. This type of fracture usually results due to fall while playing or fall from height on outstretched hand. The treatment of displaced supracondylar fracture of the humerus is one of the most challenging one to prevent complications. METHOD: The study was conducted at department of orthopedics dr. Shankarrao Chavan Government Medical College and Hospital Nanded for treatment of supracondylar humerus fracture .this is a prospective study of 60 cases over period of 18 months ( 2019- 2020 ) RESULT: Extension type fractures were seen in 98.33% of the cases as compared to exion type in 1.66% of the patients.70% had Gartland type III fractures and 30% had type II fractures. 45 had almost full range of motion, 9 had restricted exion ranging from >5 to 10 degrees, 4 children had restriction of exion between 10 to 15 degrees and 2 patients had restricted exion from 15 to 20 degrees. The average restriction of exion was 5.83 degrees. Outcome of patients were graded as per the criteria given by Flynn et al and according to it 46 patients had excellent outcomes, 8 had good results, 4 cases had fair outcomes while only 2 patients had poor results. Out of the 60 patients, 58 (96.66%) had satisfactory outcomes and only 2 (3.33%) had unsatisfactory outcome. CONCLUSION: Percutaneous kirschner wire pinning is a minimally invasive technique that provides a better functional outcome with minimal complications. Hence we concluded that closed reduction and crossed percutaneous pinning is a effective method of treatment .

FUNCTIONAL OUTCOME OF DISTAL FEMORAL FRACTURES AND THEIR MANAGEMENT

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Raman Shrivastava ◽  
Namita Shrivastava
Keyword(s):  
Functional Outcome ◽  
Surgical Techniques ◽  
Femoral Fractures ◽  
Railway Track ◽  
Distal Femoral Fractures ◽  
Minimally Invasive Surgical ◽  
Fall From Height ◽  
Classification Management ◽  
A Prospective Study ◽  
Jawaharlal Nehru

Background: Fractures of distal end of femur are complex injuries which are difficult to manage. These fractures often are unstable and comminuted. Despite advances in surgical techniques and improvement in implants, treatment of distal femoral fractures remains a challenge in many situations. This study was done to analyse the functional outcome and this management of distal femoral fractures. Material & Methods: This study has been done between August 2008 to March 2010 on patients coming to Orthopaedics Department at Jawaharlal Nehru Hospital and Research Center, Bhilai. It is a prospective study which includes 25 patients with 10 Type A, 7 Type B and 8 Type C fractures of distal femur after fulfilling the inclusion and exclusion criteria. Results: Mean age of 47.08 years with sex incidence of 3.17:1(M:F). Mode of injury was RTA in 16, simple fall in 6, fall from height in 2 and railway track accident in 1 patient. There were 5-A1, 1-A2, 4-A3, 3-B1, 1-B2, 3-B3, 1-C1, 4-C2 and 3-C3 fractures. Results were found to be excellent in 17, good in 1, moderate in 3 and poor in 4 patients. Conclusion: We conclude that minimally invasive surgical techniques and with the availability of locking type of plates distal femoral fractures can now be dealt with more precessions and more satisfactory results can be produced. Keywords: Distal fractures, Muller Classification, Management, Femoral fractures

scholarly journals Displaced Colles fractures: Functional outcome following closed reduction and stabilization with percutaneous K-wires

2013 ◽  
Vol 2 (1) ◽  
pp. 14-20 ◽  
Author(s):  
RR Manandhar ◽  
S Lakhey ◽  
BK Pandey ◽  
RL Pradhan ◽  
S Sharma ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Invasive Technique ◽  
Percutaneous Pinning ◽  
Fracture Stabilization ◽  
Excellent Functional Outcome ◽  
Post Traumatic ◽  
K Wires ◽  
A Prospective Study ◽  
Traumatic Arthritis

Background: Displaced Colles fractures are generally treated by manipulation and below elbow cast application. Malunion is a common complication resulting in pain, mid carpal instability and post-traumatic arthritis. Fracture stabilization by percutaneous pinning is a simple, minimally invasive technique which helps prevent dislodgment of the fracture thereby minimizing complications. The study aims to assess the amount of collapse after closed manipulation and percutaneous pinning with K-wires and its correlation with the functional outcome of the wrist after union. Methods: A prospective study was conducted from October 2006 to November 2009. Fifty adults (27 female, 23 male) with an average age of 40.72 years with type II fractures underwent closed manipulation and percutaneous pinning with crossed K-wires as the primary procedure. Serial radiographs were taken to document the amount of collapse. The functional outcome was assessed using Mayo Wrist Score. Results: At the final follow up of 6 months the collapse in the mean dorsal angle was 1.15 and mean ulnar variance 0.51. Functionally 25 patients (53.19%) had excellent, 17 patients (36.17%) good and 5 patients (10.63%) had satisfactory or fair outcome. Conclusions: Displaced Colles fractures should be reduced and stabilized with percutaneous K-wires to achieve an excellent functional outcome. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8135 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 14-20

scholarly journals Study of surgical outcome of mid third clavicle fractures surgically managed by locking compression plate

2021 ◽  
Vol 8 (1) ◽  
pp. 72
Author(s):  
Potharaju Swetha Rani ◽  
M. Zeeshan Vasif
Keyword(s):  
Functional Outcome ◽  
Road Traffic ◽  
Constant Score ◽  
Clavicle Fracture ◽  
High Energy ◽  
Bony Union ◽  
Non Union ◽  
Fall From Height ◽  
Clavicle Fractures ◽  
A Prospective Study

<p class="abstract">Clavicle is one of the most frequently fractured bones in young and active individuals. They account for 2.6-12% of all fractures and for 44-66% of fractures around the shoulder. Majority of clavicle fractures are mid shaft (80-85%). Functional outcome of midshaft fracture not only depends on the union but also on its length which has to be maintained. Thus a displaced or comminuted fracture carries a risk of symptomatic malunion, non-union or poor functional outcome with cosmetic deformity. The recent trend is shifting to internal fixation of these displaced mid shaft clavicle fracture. This was a prospective study of 20 cases of fresh mid third clavicle fracture admitted to MNR medical college and hospital from August 2020 to September 2021. Cases were taken according to inclusion and exclusion criteria. Medically unsuitable and patients not willing for surgery were excluded from the study. There were 17 male patients and 3 female patients with mid 1/3 closed clavicle fracture. 12 patients had right sided clavicle fracture and 8 patients had fracture of the left clavicle. All 20 fractures were closed fractures. Majority of the patients sustained fracture due to road traffic accident (high energy trauma) in 16 cases, fall from height in 3 cases and assault in one case. The mean duration to surgery from the day of presentation and injury was 2.1 days for middle third clavicle fractures. Functional outcome as assessed by constant and Murley scoring was favourable with excellent to good result in 97% cases and fair in 3% cases. The average constant score was 93.35 in one year follow up in middle third group. This study has some limitations. The conclusions drawn from this analysis cannot be generalized because of the small number of cases. In conclusion, for middle third clavicle fractures bony union could be achieved with locking compression plates and the clinical outcomes were satisfactory. All the fractures united and there were no cases of nonunion.</p>

scholarly journals Shaft of humerus fracture managed by anteromedial plating through anterolateral approach.

2021 ◽  
Vol 28 (06) ◽  
pp. 881-885
Author(s):  
Masroor Ahmed ◽  
Muhammad Bux ◽  
Naveed Ahmed ◽  
Mukesh Kumar ◽  
Muhammad Ishtiyaque ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Cross Sectional Study ◽  
Humerus Fracture ◽  
Anterolateral Approach ◽  
Cross Sectional ◽  
Medical College ◽  
Excellent Functional Outcome ◽  
Humerus Fractures ◽  
The Mean ◽  
Study Setting

Objective: To assess the use of anteromedial plating in the shaft of humerus fractures concerning the union of fracture and to assess the frequency of complications associated with this approach. Study Design: Cross Sectional study. Setting: United Medical and Dental College, Shaheed Muhatarma Benazir Bhutto Medical College Lyari and Khairpur Medical College. Period: 15 January 2016 to 15 January 2019. Material & Methods: All the patients aged 18 years or over presenting with the shaft of humerus fracture were included in the study. The anterolateral approach was used to expose the fracture, and the plate was applied on the anteromedial surface of the humerus. Rodriguez Merchan criteria assessed the functional outcome. All the data was recorded on designated Performa and entered and analyzed by SPSS version 20. Results: Two hundred twenty-five patients of both sexes were included in the study. The mean age of the patients in the study was 38.06 ± 11.51. The mean union time of fracture in our study was 11.76 ± 2.72 weeks.  Functional outcome was assessed using Rodriguez Merchan criteria excellent functional outcome was achieved in 165(73.3%) of the cases and good functional outcome in 58 (25.8%) of cases. A fair outcome was achieved in 2 (0.9%) cases. Conclusion: Anteromedial plating is the viable option for treating shaft of humerus fractures as it is associated with a high union rate and low or no complications.

scholarly journals A study on outcome of various K-wire fixations in paediatric supracondylar humerus fractures

2020 ◽  
Vol 6 (5) ◽  
pp. 896
Author(s):  
Shalin Bharat Shah ◽  
Kushal Nikhil Parikh ◽  
Pradipkumar Ishvarbhai Paraliya
Keyword(s):  
Functional Outcome ◽  
Cosmetic Outcome ◽  
Humerus Fracture ◽  
Supracondylar Humerus Fracture ◽  
Lateral Entry ◽  
Supracondylar Humerus Fractures ◽  
Pin Geometry ◽  
Humerus Fractures ◽  
The Mean

<p class="abstract"><strong>Background:</strong> The ideal pin geometry for treatment of paediatric supracondylar humerus fracture is still debated. Various studies have been carried out comparing medial-lateral pinning (MLP) and lateral only pinning (LOP), but none have compared all three individually i.e. MLP, lateral divergent pinning and Lateral Trans olecranon fossa four cortex purchase pinning (TOF-FCP). This study aims to compare the cosmetic and functional outcome of these three pinning methods.</p><p class="abstract"><strong>Methods:</strong> 54 children with supracondylar humerus (Gartland type 2 or 3) meeting inclusion criteria were treated operatively and followed up till 6 months postoperatively. At 6 months the cosmetic and functional outcomes were assessed using the modified Flynn criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> All fractures united within 3 to 6 weeks duration. The mean duration of fracture union was 4.05 weeks. Functional outcome was satisfactory (i.e. excellent or good) at 6 months according to Flynn criteria in 95% of cases in cross pinning, 100% cases in TOF-FCP construct and 89% cases in lateral entry divergent pinning. cosmetic outcome was satisfactory (i.e. excellent or good) at 6 months according to Flynn criteria in 95% of cases in cross pinning, 100% cases in TOF-FCP construct and 89% cases in lateral entry divergent.</p><p class="abstract"><strong>Conclusions:</strong> Functional and cosmetic outcome of all three pinning geometries after operative intervention of paediatric supracondylar humerus fracture is similar in expert hands. The incidence of complications with TOF-FCP construct is less amongst the lateral only pinning.</p>

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