Comparison of Outcome with RNVL Compressive Plating in the Treatment of Extra Articular Supracondylar Femur Fractures

2021 ◽  
Vol 15 (12) ◽  
pp. 3410-3412
Author(s):  
Umair Ahmed ◽  
Umair Ahmad ◽  
Majid Zaheer ◽  
Ahmed Sadaqat ◽  
Zubair Khalid
Keyword(s):  
Functional Outcome ◽  
Prospective Trial ◽  
Study Groups ◽  
Retrograde Nailing ◽  
Femur Fractures ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Keywords Femur ◽  
Supracondylar Femur Fractures

Objective: To compare outcome of retrograde nailing versus locked compressive plating in the treatment of extra articular supracondylar femur fractures. Study Design: A randomized prospective trial. Place and Duration of the Study: Department of Orthopedic Surgery, Ghurki Hospital, Lahore, Pakistan from January 2020 to November 2021. Methodology: A total of 160 (80 in each group) patients aged between 18 to 50 years of both genders with extra articular supracondylar femur fractures were randomized into either retrograde nailing group (Group-A) or locked compressive plating (Group-B). Surgery time and functional outcome were compared in both groups. Demographic characteristics along with mean surgery time and functional outcomes were compared between both study groups. Results: In a total of 160 patients, mean age was 33.57±9.45 years. The mean age in Group-A was 33.24±8.61 years and in Group-B 33.90±10.26 years. In group-A, there were 49 (61.25%) male and 31 (38.75%) female cases while in group-B there were 56 (70%) male and 24 (30%) female cases. The mean surgery time in group-A was significantly less as compared to group-B (83.29±7.48 minutes vs. 106.62 ± 7.69 minutes, p<0.01). The frequency of excellent to good outcome was statistically higher in Group-A as compared to Group-B (p< 0.05). Conclusion: Retrograde nailing gave better results in the treatment of extra articular supracondylar femur fractures when compared with locked compressive plating. Retrograde nailing can be opted to reduce the surgery time and gain better functional outcome. Keywords: Femur fracture, nailing, plating, surgery time, functional outcome

Outcome of Retrograde Nailing in the Treatment of Extra Articular Supracondylar Femur Fractures

2021 ◽  
Vol 15 (12) ◽  
pp. 3405-3406
Author(s):  
Umair Ahmad ◽  
Umair Ahmed ◽  
Majid Zaheer ◽  
Ahmed Sadaqat ◽  
Zubair Khalid ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Femoral Shaft ◽  
Retrograde Nailing ◽  
Supracondylar Fractures ◽  
Femur Fractures ◽  
The Mean ◽  
Spinal Epidural ◽  
Keywords Femur Fracture ◽  
Keywords Femur ◽  
Supracondylar Femur Fractures

Objective: To find out outcome of retrograde nailing in the treatment of extra articular supracondylar femur fractures. Study Design: A prospective observational study. Place and Duration of the Study: The Department of Orthopedic Surgery, Ghurki Hospital, Lahore, Pakistan from January 2020 to August 2021. Methodology: A total of 92 patients of both genders aged 18 to 50 years with supracondylar femur fractures and supracondylar fractures with fracture line extending to distal third of femoral shaft were enrolled. Retrograde nailing was performed among all patients. Surgery time and functional outcome were noted. All surgeries were accomplished under spinal/epidural or general anaesthesia. Results: Out of a total of 92 patients, there were 59 (64.1%) were male and 33 (35.9%) female. Overall, the mean age of patients was 33.12±9.08 years. The mean surgery time was noted to be 85.29±7.48 minutes. A total of 85 patients completed the designated period of 12-weeks for the evaluation of functional outcome. Excellent outcomes were observed in 47 (55.3%) cases, good 25 (29.4%), fair 9 (10.6%) and poor in 4 (4.7%) cases. Excellent to good outcomes were observed in 72 (84.7%) cases. Conclusion: Retrograde nailing had good outcomes in the treatment of extra articular supracondylar femur fractures. Keywords: Femur fracture, nailing, surgery time, functional outcome.

Effectiveness and safety of povidone iodine for prolonged lung air-leak after lung surgery

2021 ◽  
pp. 021849232110676
Author(s):  
Zied Chaari ◽  
Abdessalem Hentati ◽  
Aimen Ben Ayed ◽  
Walid Abid ◽  
Imed Frikha
Keyword(s):  
Side Effects ◽  
Povidone Iodine ◽  
Prospective Trial ◽  
Lung Surgery ◽  
Air Leak ◽  
Pulmonary Surgery ◽  
Hospitalization Period ◽  
Group A ◽  
The Mean ◽  
Group B

Background Pulmonary surgery is often associated with postoperative prolonged parenchymal air-leak. The purpose of this study was to determine efficacy and safety of povidone iodine as treatment of prolonged parenchymal air-leak following all-types of lung surgery. Methods This prospective trial was conducted from June 2019 to December 2020, and designed under PanAfrican Clinical Trials Registry requirements. Patients having prolonged parenchymal air-leak were randomly allocated to povidone iodine protocol (Group A) or surveillance without povidone iodine (Group B). We collected the number of povidone iodine injections required before bubbling stopped, total drainage period, tolerance after injection, complications and side-effects. Comparative study was performed to evaluate povidone iodine efficacy. Results Following randomization, Group A included 19 patients, and Group B 21. Both groups were comparable. The mean drainage period was 9.21 days in Group A (6–14 days) and 15.62 days in Group B (7–31 days) ( p = 0.001). The mean hospitalization period was 11.05 days in Group A (7–16 days) and 18.9 days in Group B (9–38 days) ( p < 0.0001). The mean follow-up period was 6.8 months (3–18 months). No deaths were noted in either groups. Four side-effects were reported in Group A (21%) and four serious complications were noticed in Group B (19%). No recurrences were reported in Group A versus one recurrence of homolateral pneumothorax in Group B (4.76%). Conclusions Povidone iodine is an effective and safe solution for pleurodesis. It is associated with a low complication rate that remains acceptable, and could be proposed as treatment of prolonged parenchymal air-leak after lung resections.

COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF OLECRANON FRACTURE TREATED WITH TENSION BAND WIRING AND CANNULATED COMPRESSIVE SCRE

2021 ◽  
pp. 71-72
Author(s):  
Ranjeet Kumar ◽  
Shambhu Prasad ◽  
Shailendra Kumar
Keyword(s):  
Functional Outcome ◽  
Operation Time ◽  
Cancellous Screw ◽  
Fracture Union ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Intramedullary Screw ◽  
Orthopaedic Injuries ◽  
Olecranon Fractures

Olecranon fractures are one of the most commonly seen orthopaedic injuries in the emergency room. There are various types of management including non-operative, TBW using k wire, TBW using Cancellous screw, plating, intramedullary screw xation, olecranon excision (1). Our study is to compare functional outcome of two operative methods namely TBW and intramedullary CCS xation. 25 patients were retrospectively analysed and divided into two groups. Group A (n=13) patients were treated by TBW and group B (n=12) by CCS. All the cases were followed up and the results were analysed by using a Mayo Elbow Performance Index. The mean operation time in group Awas 46.63 minutes and 35.40 minutes in group B .The mean fracture union time in group A was 15.62 weeks (range 8–24 weeks), and 14.24 weeks in group B. Excellent results were achieved with 6.5mm CCS in 8(66.6%) patients while with TBW K wire 7(53.8%) patients, good results were achieved with 6.5mm CCS with Washer in 3(25%) patients while with TBW K wire 4(30.7%) patients fair results were achieved 6.5mm CCS in 1(8.33%) patients while with TBWK wire 2(15.38%) patients. The technique of close reduction and internal xation with CCS is as effective as open reduction and internal xation with T

scholarly journals SUPRACONDYLAR HUMERUS FRACTURES;

2019 ◽  
Vol 26 (04) ◽  
Author(s):  
Fayyaz Ahmad Orfi ◽  
Asrar Ahmad ◽  
Irum Saleem ◽  
Maheen Orfi
Keyword(s):  
Functional Outcome ◽  
Posterior Approach ◽  
Operative Time ◽  
Lateral Approach ◽  
P Value ◽  
Supracondylar Fractures ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Approach Group

Objectives: To compare lateral versus posterior approach in the management of supracondylar fractures of humerus in children in terms of functional outcome. Study Design: Retrospective Comparative study. Place and Duration of Study: This retrospective study was carried out over a period of seven years from Oct 2009 to Oct 2016, at Combined Military Hospitals Kharian, Malir and Nowshera. Patients and Methods: All the children having supracondylar fracture (Gartland Type-II and III) who underwent surgical intervention either by posterior or lateral approach were included in the study. In Group-A children operated by posterior approach were placed while in Group-B children were operated by posterior approach. They were followed up in OPD after 6 months. The final functional and cosmetic outcome was assessed by using Flynn’s criteria. Data was analysed by using SPSS version -20. A p-value of less than 0.05 was considered as statistically significant. Results: A total of 104 cases were operated during this study period. Fifty-four cases were done by posterior approach (Group-A), while 50 cases were operated by lateral approach (Group-B). In Group-A the mean age was 6.1 years while in Group-B, mean age was 6.6 years. In Group-A the male to female ratio was 72:28 while in Group-B it was 64:36. The mean weight in Group-A was 19.81Kgs (SD: ±4.53) while in Group-B it was 20.44 Kgs (SD:± 3.97). The mean operative time in Group-A was 36.30 minutes (SD: ±3.32) and in Group-B it was 23.58 minutes (SD: ±2.12). The functional outcome at six months follow-up was excellent in 35 (65%), good in 8 (15%), fair in 7 (13%) and poor in 4(7%) cases in Group-A while in Group-B it was excellent in 35 (70%), good in 10 (20%), fair in 4 (8%) and poor in only one case (2%). This difference was not significant at a p-value of 0.441. Conclusion: Though lateral approach required less operative time but there was no statistically significant difference from the posterior approach comparing the functional outcome in the management of paediatric supracondylar fractures of humerus.

scholarly journals A CASE–CONTROL STUDY TO ASSESS AND COMPARE THE EFFICACY OF 0.2% CHLORHEXIDINE AND 0.25% SODIUM HYPOCHLORITE MOUTHWASH IN TREATMENT OF CHRONIC GINGIVITIS

2018 ◽  
Vol 11 (5) ◽  
pp. 313 ◽  
Author(s):  
Kaavya Shanker ◽  
Girish Suragimath ◽  
Sameer A Zope ◽  
Siddhartha A Varma ◽  
Ashwinirani Sr
Keyword(s):  
Sodium Hypochlorite ◽  
Case Control Study ◽  
Study Groups ◽  
Gingival Index ◽  
Gingival Inflammation ◽  
Intergroup Comparison ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Control Study

Objective: The objective of present study was to compare the efficacy of 0.2% chlorhexidine and 0.25% sodium hypochlorite as a mouthwash in controlling chronic gingivitis.Methods: A total of 80 patients suffering from chronic marginal gingivitis were recruited for the study. Non-surgical periodontal therapy was completed for all the patients to bring the gingival status to healthy levels. The patients were divided into two study groups with 40 patients in each group, Group A patients were asked to use 0.2% chlorhexidine mouthwash, and Group B patients used 0.25% sodium hypochlorite mouthwash as an adjunct to brushing twice daily for 2 weeks. After a period of 2 weeks, the gingival status was recorded using the oral hygiene index simplified (OHIS), plaque index (PI), and modified gingival index (MGI) and compared between the two groups.Results: The mean OHIS score for Group A was 1.38 and for Group B it was 1.05. The mean PI for Group A and B was 3.62 and 2.32, respectively. The mean MGI score for Group A was 1.22 and for Group B was 1.20. Group B showed better results than Group A. Intergroup comparison of OHIS and PI revealed significantly better results in Group B than Group A while MGI did not show any statistical difference on comparison.Conclusion: Nearly 0.25% sodium hypochlorite was more effective than 0.2% chlorhexidine in reducing the gingival inflammation. Thus, 0.25% sodium hypochlorite may represent an efficacious, safe and affordable antimicrobial agent in the prevention and treatment of gingival disease.

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.

scholarly journals DISTAL FEMORAL SHAFT FRACTURES

2018 ◽  
Vol 25 (03) ◽  
pp. 359-363
Author(s):  
Tawfeeq Safi Sarraj ◽  
Jehan Zaib Shah
Keyword(s):  
Functional Outcome ◽  
Case Series ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Femur Fractures ◽  
Supracondylar Femoral Fractures ◽  
The Mean ◽  
Prospective Case Series ◽  
Mean Time ◽  
Supracondylar Femur Fractures

Objectives: To assess the functional outcome in supracondylar femur fracturesfixed with intramedullary tibial nail. Study Design: Prospective case series. Setting: Al Noorspecialist hospital, Makkah, Saudi Arabia. Period: Four years (2009-2013). Methods: 25patients with closed supracondylar femoral fractures operated with tibial intramedullary nail. Thefunctional outcome was measured by Tegner Lysholm criteria during and after 4 years. Results:Out of 25 patients 20 were male and 5 were female. The mean time of healing was 15.80(2.646)weeks. 6(24%) patients showed excellent results, 12(48%) patients showed good results and7(28%) patients showed fair results. There were no poor results in our study. Conclusions:Retrograde tibial nails are cheaper, convenient and lead to good functional outcome in patientswith supracondylar femur fractures.

scholarly journals Comparative study between conventional adenoidectomy and adenoidectomy using micro-debrider

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Essam A. Abo Elmagd ◽  
Mahmoud S. Khalifa ◽  
Beshoy K. Abeskharoon ◽  
Abdelrahman A. El Tahan
Keyword(s):  
Pain Score ◽  
Operative Time ◽  
Recovery Period ◽  
Study Groups ◽  
Average Amount ◽  
Left Behind ◽  
Adenoid Tissue ◽  
Group A ◽  
The Mean ◽  
Group B

Abstract Background Adenoidectomy is a common ENT procedure. This article aims to evaluate micro-debrider-assisted adenoidectomy as a substitute for the conventional curettage method. Results The study aimed to compare between two study groups: micro-debrider-assisted adenoidectomy (group A) and conventional adenoidectomy (group B). The average time needed in group A was 34.1 min while it was 22.83 min in group B (p<0.001). The average amount of blood lost in group A was 29.57 ml and 16.67 ml in group B (p<0.001). The resection was nearly complete in group A, while in group B, five (16.66%) cases had more than 50% of the adenoid tissue left behind. Four cases in group B had damage to collaterals while in group A no major injuries were noted. Postoperative pain has only been studied in cases where adenoidectomy solely was done. Candidates in group A (n=8) reported a pain score of 3.5-3.09 whereas candidates in group B (n=11) reported a pain score of 2.75-2.55. The mean recovery time was 2.8 days in group A and 8.23 days in group B (p<0.001). Conclusions Endoscopic adenoidectomy using micro-debrider is both an effective and safe adenoidectomy tool. The strengths of this technique include resection completeness, precise resection under vision, minor damage to collaterals, and a more rapid recovery period. Conventional adenoidectomy, however, scored better regarding lesser operative time and bleeding intraoperatively.

scholarly journals The Accuracy of Computer-Assisted Implant Surgery Performed Using Fully Guided Templates versus Pilot-Drill Guided Templates

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Daniele De Santis ◽  
Luciano Malchiodi ◽  
Alessandro Cucchi ◽  
Adam Cybulski ◽  
Giuseppe Verlato ◽  
...  
Keyword(s):  
Safety Margin ◽  
Study Groups ◽  
Computer Assisted ◽  
Implant Surgery ◽  
Guided Surgery ◽  
Implant Placement ◽  
Cad Cam ◽  
Group A ◽  
The Mean ◽  
Group B

Purpose. Computer-assisted stereolithographically guided surgery allows an ideal implant placement for prosthetic restoration. Two types of stereolithographic templates are currently available: a fully guided template and a pilot-drill guided template. The purpose of this study was (i) to evaluate the accuracy of implant insertion using these types of surgical templates and (ii) to define parameters influencing accuracy. Materials and Methods. 20 patients were enrolled and divided into 2 study groups: in group A, implants were placed using CAD-CAM templates with fully guided sleeves; in group B, implants were placed with a template with only pilot-drill guided sleeves. Pre- and postoperative computed tomographies were used to measure differences between final positions of implants and virtually planned positions. Three linear discrepancies (coronal, apical, and depth) and two angular ones (buccolingual and mesiodistal) were measured. Correlations between accuracy and jaws of interest, implant length and diameters, and type of edentulism were also analysed. Results. A total of 50 implants were inserted in 15 patients using CAD-CAM templates: 23 implants in group A and 27 in group B. The mean coronal deviations were 1.16 and 1.11 mm (P = 0.35), respectively; the mean apical deviations were 1.65 and 1.71 mm (P = 0.22); the mean depth deviations were 0.95 and −0.68 mm (P = 0.032); the mean buccolingual angular deviations were 4.16° and 6.72° (P = 0.042); and the mean mesiodistal ones were 2.81° and 5.61° (P = 0.029). In addition, the accuracy was statistically influenced only by implant diameter for coronal discrepancy (P = 0.035) and by jaw of interest for mesiodistal angulation (P = 0.045). Conclusion. Fully guided implant surgery was more accurate than pilot-drill guided surgery for different parameters. For both types of surgery, a safety margin of at least 2mm should be preserved during implant planning to prevent damage to nearby anatomical structures.

scholarly journals Functional Outcomes of Surgery in Cervical Spondylotic Radiculopathy versus Myelopathy: A Comparative Study

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
F. Omidi-Kashani ◽  
E. G. Hasankhani ◽  
M. F. Vavsari ◽  
S. Afsari ◽  
F. Golhasani-Keshtan
Keyword(s):  
Functional Outcome ◽  
Neck Disability Index ◽  
Functional Results ◽  
Patient’S Satisfaction ◽  
Cervical Spondylotic Radiculopathy ◽  
Signal Change ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Neck Disability

Background. Cervical spondylosis can cause three different categories of symptoms and signs with possible overlap in the affected patients. Aim. We aim to compare functional outcome of surgery in the patients with cervical spondylotic radiculopathy and myelopathy, regardless of their surgical type and approach. Materials and Methods. We retrospectively reviewed 140 patients with cervical spondylotic radiculopathy and myelopathy who had been operated from August 2006 to January 2011, as Group A (68 cases) and Group B (72 cases), respectively. The mean age was 48.2 and 55.7 years, while the mean followup was 38.9 and 37.3 months, respectively. Functional outcome of the patients was assessed by neck disability index (NDI) and patient satisfaction with surgery. Results. Only in Group A, the longer delay caused a worse surgical outcome (NDI). In addition, in Group B, there was no significant relationship between imaging signal change of the spinal cord and our surgical outcomes. Improvement in NDI and final satisfaction rate in both groups are comparable. Conclusions. Surgery was associated with an improvement in NDI in both groups (P<0.001). The functional results in both groups were similar and comparable, regarding this index and patient's satisfaction score.

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