Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2c.3371
Shubham Gupta, A. Bhandari
Background: The angle between femur neck and the long axis of shaft is known as neck shaft angle which plays vital role in stability, control of lateral balance, walking and hip movements. The main goal was to compare the NSA in intertrochanteric fracture of femur immediately after the surgical fixation using either Dynamic Hip Screw or Proximal Femoral Nail. In the elderly among all of the hip fractures approximately half are intertrochanteric fractures and out of which approximately 50% of fractures are unstable. Method: X-ray of pelvis with both hips was taken prior to fixation and after fixation, done either with PFN or DHS and morphometric measurements were taken. Result: The mean neck shaft angle restored after fixation with PFN (131.10±7.24 degree) was almost similar to that of normal side (129.58±5.79degree) whereas it was more with DHS (141.65±9.78 degree). Conclusion: Restoration of Anatomical NSA is more achievable with PFN as compared to NSA.
{"title":"Evaluation of neck shaft angle achieved immediately after surgical fixation of intertrochanteric fracture","authors":"Shubham Gupta, A. Bhandari","doi":"10.22271/ortho.2023.v9.i2c.3371","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3371","url":null,"abstract":"Background: The angle between femur neck and the long axis of shaft is known as neck shaft angle which plays vital role in stability, control of lateral balance, walking and hip movements. The main goal was to compare the NSA in intertrochanteric fracture of femur immediately after the surgical fixation using either Dynamic Hip Screw or Proximal Femoral Nail. In the elderly among all of the hip fractures approximately half are intertrochanteric fractures and out of which approximately 50% of fractures are unstable. Method: X-ray of pelvis with both hips was taken prior to fixation and after fixation, done either with PFN or DHS and morphometric measurements were taken. Result: The mean neck shaft angle restored after fixation with PFN (131.10±7.24 degree) was almost similar to that of normal side (129.58±5.79degree) whereas it was more with DHS (141.65±9.78 degree). Conclusion: Restoration of Anatomical NSA is more achievable with PFN as compared to NSA.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81371517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2b.3357
Dr. Pravishi Pingle, D. R. Shukla, Dr. Pravee Jain, Dr. Srajan Jain
Introduction: Tip Apex Distance (TAD) is well established method of prediction of outcome in intertrochanteric fractures managed by Dynamic Hip Screw. This retrospective study was done to assess the significance of Tip Apex Distance in the management of the intertrochanteric fractures by proximal femoral nail. Methodology: Selection of Cases-An informed written consent will be taken from all the patient/relatives/guardian after the approval of Institutional Ethics Committee. Source of Data: Patients admitted to Sri Aurobindo Medical College and PG Institute, Indore for fracture proximal humerus in adult patients. Conclusion: This study indicates that the Tip Apex Distance can be used as a useful predictor of the outcome of the proximal femoral nail in intertrochanteric
Tip - Apex Distance (TAD)是一种公认的预测股骨粗隆间骨折动态髋螺钉治疗结果的方法。本回顾性研究旨在评估股骨近端钉在股骨粗隆间骨折治疗中的意义。方法:病例选择——经机构伦理委员会批准后，所有患者/亲属/监护人均需知情书面同意。数据来源:因成人肱骨近端骨折而入住印度室利阿罗频多医学院和PG研究所的患者。结论:本研究表明，股骨近端钉距可作为股骨粗隆间内固定结果的有效预测指标
{"title":"To study correlation between the tip apex distance and the functional outcome of fracture intertrochanteric femur treated with trochanteric femoral nail","authors":"Dr. Pravishi Pingle, D. R. Shukla, Dr. Pravee Jain, Dr. Srajan Jain","doi":"10.22271/ortho.2023.v9.i2b.3357","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2b.3357","url":null,"abstract":"Introduction: Tip Apex Distance (TAD) is well established method of prediction of outcome in intertrochanteric fractures managed by Dynamic Hip Screw. This retrospective study was done to assess the significance of Tip Apex Distance in the management of the intertrochanteric fractures by proximal femoral nail. Methodology: Selection of Cases-An informed written consent will be taken from all the patient/relatives/guardian after the approval of Institutional Ethics Committee. Source of Data: Patients admitted to Sri Aurobindo Medical College and PG Institute, Indore for fracture proximal humerus in adult patients. Conclusion: This study indicates that the Tip Apex Distance can be used as a useful predictor of the outcome of the proximal femoral nail in intertrochanteric","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79253807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2c.3367
Dr. Vishanth Rai, D. Tm, Dr. Rathin Shetty
Introduction: With the increasing incidence of trauma worldwide there has been an increase in the incidence of fractures involving the long bones globally as compared to the past (1, 2). There are a variety of associated injuries that occur along with the complex fractures in cases of trauma. Materials and Methods: The study was conducted after institutional research board clearance and after approval from the human ethics committee. All patients fulfilling the inclusion and exclusion criteria admitted at A.J.I.M.S. will be considered for the study after obtaining informed written consent. Once the patient was fit for surgery patient were operated by senior staff. Preoperatively the urine was sent for detection of fat globulin and Postoperatively the urine was sent for detection of fat globulin evaluation within 3 hours of surgery. The collected data was analysed by SPSS 17.0 version software. Observations and Results: Males were 88% p =0.008, left side 52% p =0.078. 33% were admitted within 4-5 Among all bones tibia was the commonest of the bone fracture involved 67 cases, combination of tibia and fibula was the commonest seen in 44.00%.The examination of urine for fat globulin post operatively was negative in all 100 of the cases. The examination of urine for fat globulin pre operatively was positive in 2% of the cases. Conclusion: 1 The present study we found that urine fat globulins in fractures involving the long bone are present in two percent of cases. In both cases the patients had sustained multiple bone fractures. There was a delay in presentation to the hospital of more than 4 hours in both cases. Both patients had an elevated BMI fat in urine in fractures involving the long bone have no correlation to complications.
导论:随着世界范围内创伤发生率的增加，与过去相比，全球范围内涉及长骨的骨折发生率也有所增加(1,2)。在创伤病例中，伴随复杂骨折发生的还有各种相关损伤。材料和方法:本研究是在机构研究委员会批准和人类伦理委员会批准后进行的。在获得知情的书面同意后，所有符合A.J.I.M.S.纳入和排除标准的患者将被考虑纳入研究。一旦病人适合手术，病人就由资深工作人员进行手术。术前送尿进行脂肪球蛋白检测，术后3小时内送尿进行脂肪球蛋白评价检测。采用SPSS 17.0软件对收集的数据进行分析。观察与结果:男性88% p =0.008，左侧52% p =0.078。4 ~ 5例骨折中以胫骨骨折最常见，胫腓骨合并骨折67例，占44.00%。100例患者术后尿脂球蛋白检查均为阴性。术前尿脂肪球蛋白检查阳性占2%。结论:1本研究发现，2%的长骨骨折患者存在尿脂球蛋白。两例患者均有多处骨折。在这两起病例中，向医院报告的时间都延误了4个多小时。两例患者均有BMI升高，且骨折累及长骨，与并发症无相关性。
{"title":"Urine for fat globulin levels in long bone fractures","authors":"Dr. Vishanth Rai, D. Tm, Dr. Rathin Shetty","doi":"10.22271/ortho.2023.v9.i2c.3367","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3367","url":null,"abstract":"Introduction: With the increasing incidence of trauma worldwide there has been an increase in the incidence of fractures involving the long bones globally as compared to the past (1, 2). There are a variety of associated injuries that occur along with the complex fractures in cases of trauma. Materials and Methods: The study was conducted after institutional research board clearance and after approval from the human ethics committee. All patients fulfilling the inclusion and exclusion criteria admitted at A.J.I.M.S. will be considered for the study after obtaining informed written consent. Once the patient was fit for surgery patient were operated by senior staff. Preoperatively the urine was sent for detection of fat globulin and Postoperatively the urine was sent for detection of fat globulin evaluation within 3 hours of surgery. The collected data was analysed by SPSS 17.0 version software. Observations and Results: Males were 88% p =0.008, left side 52% p =0.078. 33% were admitted within 4-5 Among all bones tibia was the commonest of the bone fracture involved 67 cases, combination of tibia and fibula was the commonest seen in 44.00%.The examination of urine for fat globulin post operatively was negative in all 100 of the cases. The examination of urine for fat globulin pre operatively was positive in 2% of the cases. Conclusion: 1 The present study we found that urine fat globulins in fractures involving the long bone are present in two percent of cases. In both cases the patients had sustained multiple bone fractures. There was a delay in presentation to the hospital of more than 4 hours in both cases. Both patients had an elevated BMI fat in urine in fractures involving the long bone have no correlation to complications.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73281827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2c.3373
Dr. Ismail Pandor, Dr. Mohit Nadkarni, Dr. Prateek Agrawal, Dr. Swapnil Chitnavis, Dr. Aloukika Patil
INTRODUCTION:intra-articular fractures of the lower limb are one of the most common fractures associated with knee stiffness. Even after an adequate and rigid fracture fixation early rehabilitation is necessary to drastically improve the outcome and reduce stiffness. Lack of effective pain control postoperatively can significantly reduce participation in therapy regimens and thus contribute to reaccumulation of fibrotic tissue in the joint after artholysis. Hence, epidural anaesthesia through a lumbar epidural catheter is an established procedure to reduce post operative pain. 1 gm preservative free morphine and 2ml of 0.5 % Bupivacaine diluted with normal saline to make a total of 10 ml is the most commonly used protocol in top up after surgery for post operative analgesia. MATERIALS AND METHODS:This is a prospective study. A total of 40 patients with peri-articular of distal femur and proximal tibia were included in the study. Patients were randomised into 2 groups. Group A was given spinal anaesthesia for surgery and Group B was given combined spinal plus epidural anaesthesia with a lumbar epidural catheter. DISCUSSION: Main aim of medical science is to balance the wanted and unwanted effect optimally to provide patient safety as well as comfort and to facilitate rapid recovery and rehabilitation
{"title":"Role of epidural analgesia in improving post-operative rehabilitation after primary definitive fixation of periarticular knee fractures followed by orthopaedic trauma","authors":"Dr. Ismail Pandor, Dr. Mohit Nadkarni, Dr. Prateek Agrawal, Dr. Swapnil Chitnavis, Dr. Aloukika Patil","doi":"10.22271/ortho.2023.v9.i2c.3373","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3373","url":null,"abstract":"INTRODUCTION:intra-articular fractures of the lower limb are one of the most common fractures associated with knee stiffness. Even after an adequate and rigid fracture fixation early rehabilitation is necessary to drastically improve the outcome and reduce stiffness. Lack of effective pain control postoperatively can significantly reduce participation in therapy regimens and thus contribute to reaccumulation of fibrotic tissue in the joint after artholysis. Hence, epidural anaesthesia through a lumbar epidural catheter is an established procedure to reduce post operative pain. 1 gm preservative free morphine and 2ml of 0.5 % Bupivacaine diluted with normal saline to make a total of 10 ml is the most commonly used protocol in top up after surgery for post operative analgesia. MATERIALS AND METHODS:This is a prospective study. A total of 40 patients with peri-articular of distal femur and proximal tibia were included in the study. Patients were randomised into 2 groups. Group A was given spinal anaesthesia for surgery and Group B was given combined spinal plus epidural anaesthesia with a lumbar epidural catheter. DISCUSSION: Main aim of medical science is to balance the wanted and unwanted effect optimally to provide patient safety as well as comfort and to facilitate rapid recovery and rehabilitation","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86052879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2c.3374
Raghavendra Y. Srinivas, Srikanth Kn
{"title":"Hip instability following Arthroplasty, is it related to ASA grading?","authors":"Raghavendra Y. Srinivas, Srikanth Kn","doi":"10.22271/ortho.2023.v9.i2c.3374","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3374","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86964583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2c.3370
Dr. Sivaraman B, Dr. Manu Mathew, D. Loganathan, D. Ss
This paper, describes a novel technique of graft harvest from the drill site during plate osteosynthesis of fractures of upper limb. The grafts harvested are corticocancellous chips which we prefer to name as 'Drill dust'. This drill dust usually goes wasted as surgeons tend to ignore to collect the drilled out bone which is usually washed out during or after the procedure. We decided to collect these drilled out bone in a meticulous and systematic manner and found that they form a significant amount of bone to be used as a graft at the fracture site which can potentially enhance fracture union. We did a study utilising our technique assessing clinical and radiological union in a subset of patients undergoing upper limb fracture plate osteosynthesis between July 2018 to Jun 2019. We found that there was an enhanced radiological and clinical union in all 28 of our cases where this technique was used. There were no complications noted with the procedure.
{"title":"Autologous drill dust bone graft a novel technique of bone graft harvesting","authors":"Dr. Sivaraman B, Dr. Manu Mathew, D. Loganathan, D. Ss","doi":"10.22271/ortho.2023.v9.i2c.3370","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3370","url":null,"abstract":"This paper, describes a novel technique of graft harvest from the drill site during plate osteosynthesis of fractures of upper limb. The grafts harvested are corticocancellous chips which we prefer to name as 'Drill dust'. This drill dust usually goes wasted as surgeons tend to ignore to collect the drilled out bone which is usually washed out during or after the procedure. We decided to collect these drilled out bone in a meticulous and systematic manner and found that they form a significant amount of bone to be used as a graft at the fracture site which can potentially enhance fracture union. We did a study utilising our technique assessing clinical and radiological union in a subset of patients undergoing upper limb fracture plate osteosynthesis between July 2018 to Jun 2019. We found that there was an enhanced radiological and clinical union in all 28 of our cases where this technique was used. There were no complications noted with the procedure.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90098636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2b.3361
Dr. Adarsh U Thuppad, D. Br, Dr. Shashiraj K Shetty, Dr. Edward L Nazareth, D. Ks
{"title":"Dynamic Suzuki frame for the interphalangeal joint fracture: A case report","authors":"Dr. Adarsh U Thuppad, D. Br, Dr. Shashiraj K Shetty, Dr. Edward L Nazareth, D. Ks","doi":"10.22271/ortho.2023.v9.i2b.3361","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2b.3361","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74429876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.22271/ortho.2023.v9.i2d.3384
Dr. Parvez Ahmed, Dr. Azad Khan, Dr. Rahul Gupta, D. N. Singh
Aim: This study evaluates the functional outcome in patients with active tuberculosis of hip treated with total hip replacement. Material and Methods: 15 patients were analyzed having unilateral babhulkar and pande stage 2, 3 and 4 hip tuberculosis and with regular antituberculosis treatment for more than 4 weeks before surgery treated by total hip replacement. Result: There was a consistent rise in the mean value of the Harris Hip Score which was 33.47 at the time of preoperative assessment and at the 6 months it got raised to 87.93, the comparison between the mean values of the intra group also came up with a significant P value of 0.01 for each and every segment and the mean values of Hip Harris Score was also noticed to be significant as well along with the competition of the same across the intra group. Conclusion: Finally, it can be concluded from the study that total hip replacement for arthritis following the tuberculosis of the hip acts as a proper method for the patients who suffer from tuberculosis and restores them back to a good function that helps them to get back to their daily life. But a proper intraoperative workup is also very much necessary for ruling out if any residual disease is left, with proper follow up of the patience to identify if there is any recurrence. Sometimes a chance for recurrence remains during the first-year post completion of the surgery despite complete resolution of the radiological sign. But that can be taken care of with the help advanced antitubercular regimen therapy.
{"title":"Total hip replacement in tuberculosis of hip: A retrospective and prospective study","authors":"Dr. Parvez Ahmed, Dr. Azad Khan, Dr. Rahul Gupta, D. N. Singh","doi":"10.22271/ortho.2023.v9.i2d.3384","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2d.3384","url":null,"abstract":"Aim: This study evaluates the functional outcome in patients with active tuberculosis of hip treated with total hip replacement. Material and Methods: 15 patients were analyzed having unilateral babhulkar and pande stage 2, 3 and 4 hip tuberculosis and with regular antituberculosis treatment for more than 4 weeks before surgery treated by total hip replacement. Result: There was a consistent rise in the mean value of the Harris Hip Score which was 33.47 at the time of preoperative assessment and at the 6 months it got raised to 87.93, the comparison between the mean values of the intra group also came up with a significant P value of 0.01 for each and every segment and the mean values of Hip Harris Score was also noticed to be significant as well along with the competition of the same across the intra group. Conclusion: Finally, it can be concluded from the study that total hip replacement for arthritis following the tuberculosis of the hip acts as a proper method for the patients who suffer from tuberculosis and restores them back to a good function that helps them to get back to their daily life. But a proper intraoperative workup is also very much necessary for ruling out if any residual disease is left, with proper follow up of the patience to identify if there is any recurrence. Sometimes a chance for recurrence remains during the first-year post completion of the surgery despite complete resolution of the radiological sign. But that can be taken care of with the help advanced antitubercular regimen therapy.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73222788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.22271/ortho.2023.v9.i2e.3388
Dr. Yogesh C Patel, Dr. Jaydeep S Kansara, Dr. Ravikumar N Desai
Aim: The aim of this study was to assess the effectiveness of surgical treatment by open reduction and internal fixation of Monteggia fracture dislocation and evaluate the union of fracture, complications encountered during treatment and assess the functional outcome of the results. Methods: The present study consists of 20 cases of Monteggia fracture dislocation in adults treated by 3.5mm Dynamic compression plate/Locking Compression plates/Buttress plates and screws in the Department of Orthopaedics, SSG Hospital, Govt. Medical College, Baroda over the period of 1 year (2019-2020). There were fifteen male patients and five female patients who underwent surgery. Results: In our study patients are of age group between 19-59 years. Majority of our patients belonged to 21-40 age group. The ratio between Male to Female is 3:1. In our study labourers (manual & farm) were 13 (65%). Most of patients had sustained fracture with fall. 16 (80%) patients had Monteggia fracture with anterior radial head dislocation (Type 1). 1(5%) patient had Monteggia fracture with posterior radial head dislocation (Type 2). 1(5%) patient had Monteggia fracture with lateral radial head dislocation (Type 3). 2(10%) patients had Monteggia fracture with upper third radius fracture (Type 4). Both infections were superficial and healed eventually. 1(5%) patient went under non-union. Majority of patients are having excellent results 10 (50%). 9 patients had good result (45%). 1 patient had poor result (5%). Conclusion: The treatment plan in Monteggia Fracture dislocation depends on fracture pattern, soft tissue injury, patient co-morbidity, fixation resources. Fracture pattern, condition of soft tissue are important factors to be considered before selection of fixation method. The present case series showed that open reduction and internal fixation with DCP/Locking Plate is an effective treatment method in terms of better fixation with better outcome in terms of union time and complications rate.
{"title":"Study of monteggia fracture and dislocation and its treatment with plating","authors":"Dr. Yogesh C Patel, Dr. Jaydeep S Kansara, Dr. Ravikumar N Desai","doi":"10.22271/ortho.2023.v9.i2e.3388","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2e.3388","url":null,"abstract":"Aim: The aim of this study was to assess the effectiveness of surgical treatment by open reduction and internal fixation of Monteggia fracture dislocation and evaluate the union of fracture, complications encountered during treatment and assess the functional outcome of the results. Methods: The present study consists of 20 cases of Monteggia fracture dislocation in adults treated by 3.5mm Dynamic compression plate/Locking Compression plates/Buttress plates and screws in the Department of Orthopaedics, SSG Hospital, Govt. Medical College, Baroda over the period of 1 year (2019-2020). There were fifteen male patients and five female patients who underwent surgery. Results: In our study patients are of age group between 19-59 years. Majority of our patients belonged to 21-40 age group. The ratio between Male to Female is 3:1. In our study labourers (manual & farm) were 13 (65%). Most of patients had sustained fracture with fall. 16 (80%) patients had Monteggia fracture with anterior radial head dislocation (Type 1). 1(5%) patient had Monteggia fracture with posterior radial head dislocation (Type 2). 1(5%) patient had Monteggia fracture with lateral radial head dislocation (Type 3). 2(10%) patients had Monteggia fracture with upper third radius fracture (Type 4). Both infections were superficial and healed eventually. 1(5%) patient went under non-union. Majority of patients are having excellent results 10 (50%). 9 patients had good result (45%). 1 patient had poor result (5%). Conclusion: The treatment plan in Monteggia Fracture dislocation depends on fracture pattern, soft tissue injury, patient co-morbidity, fixation resources. Fracture pattern, condition of soft tissue are important factors to be considered before selection of fixation method. The present case series showed that open reduction and internal fixation with DCP/Locking Plate is an effective treatment method in terms of better fixation with better outcome in terms of union time and complications rate.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"356 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76498848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.22271/ortho.2023.v9.i2c.3368
Deya Alwadi, Ahmad K. Almigdad
{"title":"Usage of elastic intramedullary nailing in highly unstable pediatric femur shaft fracture: A case report","authors":"Deya Alwadi, Ahmad K. Almigdad","doi":"10.22271/ortho.2023.v9.i2c.3368","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3368","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"304 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73627319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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