A PROSPECTIVE STUDY TO ASSESS THE FUNCTIONAL OUTCOME FOLLOWING ORIF VS PERCUTANEOUS FIXATION IN SCAPHOID FRACTURE

The study aimed to assess clinical, radiological as well as functional outcome in patients of scaphoid fracture following open reduction as compared to percutaneous xation with Herbert Screw. This study was conducted at Department of orthopedics, for 1 year on 30 patients of scaphoid fracture. Fractures were rst tried for percutaneous xation using volar approach, ORIF with volar approach was used when adequate reduction was not achieved. Patients were followed at 2 week interval till union. Clinical assessment at nal followup was performed using MMWS. The mean mean duration of presentation after injury of 19.9 days (3 to 162 days). The mean MMWS score was 93.8 (90-100) for percutaneous and 83.8 (70-95) for ORIF. Since fracture treated with percutaneous xation are associated with early union and early return to functional activity as compared to ORIF, Herbert screw for xation with percutaneous technique for scaphoid fracture must be encouraged for displaced or undisplaced fracture

Download Full-text

Scaphoid Fracture: Functional Outcome Following Fixation with Herbert Screw

Kathmandu University Medical Journal ◽

10.3126/kumj.v9i4.6342 ◽

2012 ◽

Vol 9 (4) ◽

pp. 267-273 ◽

Cited By ~ 2

Author(s):

N P Parajuli ◽

D Shrestha ◽

D Dhoju ◽

R Shrestha ◽

V Sharma

Keyword(s):

Functional Outcome ◽

Open Reduction ◽

Screw Fixation ◽

Scaphoid Fracture ◽

Operative Management ◽

University Hospital ◽

Volar Approach ◽

Herbert Screw ◽

Scaphoid Fractures ◽

Radiological Union

Background Most scaphoid fractures though heal uneventfully with cast treatment, immobilization with cast is associated with complication like wrist stiffness. Open reduction and fixation with Herbert Screw though technically demanding procedure can yield excellent results and prevents complication like nonunions and loss of wrist function. Objectives To assess clinical outcome and radiological union of scaphoid fracture after operative management following Herbert screw fixation in patient attending Dhulikhel Hospital. Methods All scaphoid fracture, treated from Feb 2007 till Feb 2011, were retrospectively studied in Dhulikhel Hospital, Kathmandu University Hospital. Fifteen patients with scaphoid fractures were treated with Herbert screw. Fourteen were males and one was female. Serial radiographs were taken to assess radiographic union and functional outcome was assessed using Modified Mayo wrist score. Results Out of 15 patients, 13 scaphoid had waist fractures and two had proximal pole factures. All scaphoid were treated with open reduction and Herbert screw fixation either by volar approach or by dorsal approach. All fractures maintained good alignment post operatively. Nine (60%) patients had excellent results with normal wrist range of motion, five (33.3%) patients had good results and one (6.7%) patient had poor outcome. In 14 (93.3%) patients good radiological union was seen at final follow up at six months time. Conclusion Fixation with Herbert screw for scaphoid fracture is an effective and convenient way of treatment with satisfactory functional outcome and less complication.DOI: http://dx.doi.org/10.3126/kumj.v9i4.6342 Kathmandu Univ Med J 2011;9(4):267-73

Download Full-text

Management of lateral end clavicle fractures-using lateral clavicle locking plate: a prospective study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20195807 ◽

2019 ◽

Vol 6 (1) ◽

pp. 139

Author(s):

Nageswara Rao V. ◽

Ravichandra V. ◽

Lavanya K. M. ◽

C. Ganapathi Swamy

Keyword(s):

Prospective Study ◽

Functional Outcome ◽

Locking Plate ◽

Fixation Method ◽

Age Group ◽

Lateral Clavicle ◽

Joint Dislocations ◽

Clavicle Fractures ◽

The Mean ◽

A Prospective Study

Background: Lateral end clavicle fractures are one of the common upper limb fractures. They constitute 21–28% of all clavicle fractures. Of these 10–52% is displaced fractures. The management of fractures of lateral end clavicle remains debated and challenging. The objectivbe of this study is to evaluate the functional outcome following surgical treatment of unstable/displaced (Neer type II lateral clavicle fractures, and acromio-clavicular joint dislocations Rockwood grade III to V) lateral end clavicle fractures using lateral clavicle locking plate.Methods: It is a prospective study conducted in the orthopaedics department of GSL Medical College and General Hospital for a period of 3 years (April 2016 to March 2019) among a total of 60 patients.Results: About 23 (38.3%) belonged to 41–50 years age group, followed by 16 (26.7%) to 31–40 years age group and 13 (21.7%) to >51 years age group and 8 (13.3%) to 18–30 years age group. The time from trauma to surgery ranged from 0-15 days with a mean of 5 days and the mean operating time was 41 minutes ranging between 23-70 minutes. Mean duration to union was 13.33±2.126 weeks and the mean Constant Murley score was 88.56. Functional outcome at 6 months follow up was excellent in 8 (13.3%), good in 37 (61.7%), fair in 13 (21.7%) and poor in 2 (3.3%) patients.Conclusions: Although there is no consensus as to a “gold standard” fixation method for unstable distal clavicle fractures, satisfactory outcomes could be obtained using the lateral clavicle locking plate resulting in sufficient stabilization and good functional outcome.

Download Full-text

Results of Herbert screw fixation in scaphoid fracture: A prospective study

Sports Orthopaedics and Traumatology ◽

10.1016/j.orthtr.2017.12.002 ◽

2018 ◽

Vol 34 (1) ◽

pp. 45-53

Author(s):

Ramji Lal Sahu

Keyword(s):

Prospective Study ◽

Screw Fixation ◽

Scaphoid Fracture ◽

Herbert Screw ◽

A Prospective Study

Download Full-text

A Prospective Study on Functional Outcome of Open Reduction and Internal Fixation of Acetabular Fractures

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i1330597 ◽

2020 ◽

pp. 174-183

Author(s):

Venkata Kiran Pillella ◽

J. Lionel John

Keyword(s):

Prospective Study ◽

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

Acetabular Fractures ◽

Medical College ◽

The Mean ◽

One Year ◽

A Prospective Study

The current study is a prospective study on the functional outcome of open reduction and internal fixation of acetabular fractures. About 30 patients were analyzed for the functional outcome of acetabular fractures treated by open reduction and internal fixation over a period of one year and eight months from March 2017 to October 2018 with a minimum follow up period of 9 months at Sree Balaji Medical College & Hospital, Chromepet, Chennai. The mean age of the patient was 37.96 year ranging from 20 - 60 years. The Joel Matta score was used for calculation of radiological outcome of 30 patients. The results were excellent in 19 (66.3%), good in 8 (26.6%), fair in 3 (10%), and poor in 0 (0%) patients. Functional outcome of displaced acetabular fractures more than 2 mm displacement was found to have excellent results on open reduction and internal fixation.

Download Full-text