Functional Outcome of Midclavicular Fracture Fixation Utilising a Reconstruction Plate

Background: Several studies have reported on potential negative predictive factors of functional outcomes after ankle fracture fixation. However, there is minimal patient-reported data on long-term outcomes. This study aimed to evaluate potential risk factors leading to a poor patient-reported functional outcome at 2 and 5 years following ankle fracture fixation. Methods: We conducted a prospective cohort study over a 5-year period on patients undergoing open reduction and internal fixation for unstable ankle fractures. Patient demographics, medical comorbidities, fracture pattern, and fixation quality were recorded and analyzed. Patients were followed up at 2 and 5 years. Data collected include the Olerud-Molander Ankle Score (OMAS), Lower Extremity Functional Scale (LEFS), ongoing issues, and the need for further intervention. A P value <.05 was considered statistically significant. Results: Out of 180 patients, follow-up data were available for 82 (46%) patients at 2 years and 94 (52%) patients at 5 years. At 2 years, age ≥60 years was a predictor of worse LEFS, while a body mass index ≥30 was a predictor of worse OMAS. Severely deformed ankle at presentation showed worse OMAS and LEFS score. However, these predictive factors were not significant at 5 years. An anatomically reduced ankle fracture fixation was more likely to have a better functional outcome at the 2- and 5-year follow-ups. A reduction in OMAS at 2 years was predictive of possible ongoing issues following surgery, which in turn increased the odds of worsening OMAS at 5 years. Conclusion: Achieving adequate fracture reduction during fixation is crucial for better ankle functional recovery postinjury. In this cohort, we found that patients who undergo ankle fracture fixation will have an ongoing negative impact on their functional and physical capacity at both 2 and 5 years postoperatively. Appropriate patient counseling is necessary to prepare them for the expected functional outcomes. Level of Evidence: Level II, prognostic.

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FUNCTIONAL OUTCOME OF COMMINUTED INTRAARTICULAR DISTAL RADIUS FRACTURES TREATED WITH FRAGMENT SPECIFIC FRACTURE FIXATION

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2018/156 ◽

2018 ◽

Vol 7 (05) ◽

pp. 690-696

Author(s):

Mohan Ganesan ◽

Nirmal Mohan

Keyword(s):

Functional Outcome ◽

Distal Radius ◽

Fracture Fixation ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Specific Fracture

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Evaluation of functional outcome of tibial plateau fractures managed by different surgical modalities

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20160709 ◽

2016 ◽

Vol 2 (1) ◽

pp. 5 ◽

Cited By ~ 2

Author(s):

Ravi kant Jain ◽

Rajeev Shukla ◽

Mudit Baxi ◽

Utkarsh Agarwal ◽

Sankalp Yadav

Keyword(s):

Functional Outcome ◽

Fracture Fixation ◽

Traffic Accidents ◽

Tibial Plateau ◽

Road Traffic ◽

Wide Spectrum ◽

Weight Bearing ◽

Age Groups ◽

Fracture Morphology ◽

Tibial Plateau Fractures

Background: Tibial plateau makes up one of the most important weight bearing surface. Its fractures are commonly faced entity encompassing a wide spectrum of injuries of variable fracture morphology. Due to in-crease in incidence of high velocity trauma and higher functional demands of patients, surgery is warranted in most of the cases. Although, there is advancement in fracture fixation methods, apt treatment of tibial plateau fractures still remains controversial.Methods: In our series, we analyzed the functional outcomes of 58 of surgically treated tibial plateau fractures. Fractures were classified with Schatzker’s classification. Various fixation modalities of fixation were employed. Functional outcome was evaluated with modified Rasmussen’s criteria.Results: Most of the patient’s belonged to younger age groups (58.62%) and males (79.31%) were predominately involved. Road traffic accidents were the most common etiological factor (70.69%). Schatzker types I (29.31%) and II (27.59%) were the most common observed fracture type. The majority of the patients had a complication free recovery (81.03%). Infection was reported in only one case (1.72%). Similarly, malunion was noticed in only in one case (1.72%). None of the patients had complications like nonunion or neurovascular damage. The functional outcome assessment according to Modified Rasmussen’s criteria at the end of 12 months showed the excellent functional outcome in 41 (70.68%), good in eight (13.79%), fair in five (10.34%) and poor in four (6.9%) patients.Conclusions: Surgical treatment of tibial plateau fractures is challenging, yet it helps in achieving excellent anatomical restoration and rigid fracture fixation enabling in the restoration of articular congruity and facilitation of early knee motion thus achieving optimal knee function.

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FUNCTIONAL OUTCOME OF DISPLACED MIDSHAFT FRACTURE OF CLAVICLE USING LCP RECONSTRUCTION PLATE 3.5

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2019/303 ◽

2019 ◽

Vol 8 (17) ◽

pp. 1362-1367

Author(s):

Shantikumar Singh H. ◽

Guneshwar Singh O. ◽

Nickson Maku

Keyword(s):

Functional Outcome ◽

Reconstruction Plate ◽

Midshaft Fracture

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Five year functional outcome analysis of ankle fracture fixation

Injury Extra ◽

10.1016/j.injury.2006.06.062 ◽

2007 ◽

Vol 38 (1) ◽

pp. 15

Author(s):

N.H. Shah ◽

R.O. Sundaram ◽

A. Velusamy ◽

I.J. Braithwaite

Keyword(s):

Functional Outcome ◽

Fracture Fixation ◽

Ankle Fracture ◽

Outcome Analysis ◽

Functional Outcome Analysis

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Traumatic Floating Knee: A Review of a Multi-Centric Series of 172 Cases in Adult

The Open Orthopaedics Journal ◽

10.2174/1874325001509010356 ◽

2015 ◽

Vol Suppl 1 (1) ◽

pp. 356-360 ◽

Cited By ~ 9

Author(s):

J.-M. Feron ◽

P. Bonnevialle ◽

G. Pietu ◽

F. Jacquot1

Keyword(s):

Functional Outcome ◽

Fracture Fixation ◽

Cruciate Ligament ◽

Knee Injuries ◽

High Energy ◽

X Rays ◽

Fixation Devices ◽

Logistic Regression Method ◽

Fixation Techniques ◽

Level I

The traumatic floating knee in adults (FK) is a combined injury of the lower limb defined by ipsilateral fractures of the tibia and femur. The first publications emphasized the severity of injuries, the bad results after conservative treatment, the most severe functional outcome in case of articular fracture and the frequency of associated cruciate ligament injuries. The surgical management of FK has been highly modified according the improvement of the fracture fixation devices and the operative techniques. This retrospective multicentric observational study included 172 adults with a FK injury admitted in emergency in 5 different level I or II trauma centers. All the patients data were collected on an anonymized database. Results were evaluated by the overall clinical Karlström’s score at latest follow-up. Fracture union was assessed on X-rays when at least 3 out of 4 cortices were in continuity in two different radiological planes. A statistical analysis was performed by a logistic regression method. Despite some limitations, this study confirms the general and local severity of this high-energy trauma, mainly occurring in young people around the third decade. A special effort should lead to a better initial diagnosis of associated ligamentous injury: a tear of PCL can be suspected on a lateral-ray view and a testing of the knee should be systematically performed after fixation of the fracture under anesthesia. Secondary MRI assessment is sometimes difficult to interpret because of hardware artifacts. The timing of fracture fixation is discussed on a case by case basis. However, a first femoral fixation is recommended except in cases of tibia fracture with major soft tissue lesion or leg ischemia requiring the tibia fixation first. Also a tibia stabilized facilitates the reduction and fixation of a complex distal femur fracture. The dual nailing remains so far for us the best treatment in Fraser I FK. Further prospective studies are needed to validate treatment algorithms, best fixation techniques in order to decrease the rate of complication and improve the functional outcome of floating knee injuries.

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