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Das, Chinmoy
- Trochanteric Fractures Treated with PFLCP Versus DHS
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PDF Views:75
Authors
Affiliations
1 Department of Orthopaedics, Tezpur Medical College and Hospital, Tezpur, Assam, IN
2 BGS Global Institute of Medical Sciences, Bangalore, Karnataka, IN
3 Sanjeevini Hospital, Mysore, Karnataka, IN
1 Department of Orthopaedics, Tezpur Medical College and Hospital, Tezpur, Assam, IN
2 BGS Global Institute of Medical Sciences, Bangalore, Karnataka, IN
3 Sanjeevini Hospital, Mysore, Karnataka, IN
Source
International Journal of Health Research and Medico Legal Practice, Vol 3, No 1 (2017), Pagination: 73-76Abstract
Background: Trochanteric fractures can be treated successfully with conventional implants, such as sliding hip screws, cephalomedullary nails, angular blade plates, and rarely by a primary hip arthroplasty. The Dynamic Hip Screw (DHS) is one of the most widely used implant for stabilization of intertrochanteric fractures. The Proximal Femoral Locking Compression Plate (PFLCP) is a relatively newly introduced implant for trochanter fractures, and there is no sufficient literature comparing DHS and PFLCP. Objective: (1) Compare the operative differences, clinical and radiological outcomes between the trochanter fractures treated by DHS with those treated by PFLCP. Methods: We studied 52 patients admitted and followed up at GMCH. 26 patients with trochanter fractures were treated with DHS, and 26 patients with PFLCP. Results: The mean operative time and average intra-operative blood loss was more in the PFLCP group when compared with DHS group and it was found to be statistically significant (p<0.05). DHS group had marginally better functional results than PFLCP group. There was no difference in the radiological outcome between two groups. Conclusions: In trochanteric fractures of femur, both PFLCP and DHS provide excellent results. Functional outcome is more influenced by quality of fracture reduction, rather than the type of implant used.Keywords
Trochanteric Fractures, PFLCP, DHS, Implants.References
- Kyle RF, Gustillo RB, Premer RF. Analysis of six hundred and twenty two intertrochanteric hip fractures. J Bone J Surg 1979;61-A:216.
- Hasenboehler EA, Agudelo JF, Morgan SJ, Smith WR, Hak DJ, Stahel PF. Treatment of complex proximal femoral fractures with the proximal femur locking compression plate 2007 Aug;30(8):618-23.
- Bridle SH, Patel AD, Bircher M, Calvert PT. Fixation of intertrochanteric fractures of the femur- A randomized properctive comparison of the Gamma nail and the Dynamic hip screw. JBJS 1991;73-B:330-334.
- O’Brien PJ, Meek RN, Blachut PA, Broekhuyse HM, Sabharwal S. Fixation of intertrochanteric hip fractures-gamma nail versus dynamic hip screw, a randomized prospective study. Canad Jr Surg 1995;38(6):516-520.
- Little NJ, Verma V, Fernando C, Elliott DS, Khaleel A. A prospective trial comparing the Holland nail with dynamic hip screw in the treatment of intertrochanteric fractures of the hip. JBJS 2008;90 –B(8):1073-1078.
- Guo-Chun Zha a,b, Ze-Lin Chen b, Xiao-Bo Qi b, Jun-Ying Sun. Treatment of pertrochanteric fractures with a proximal femur locking compression plate. Injury, Int J Care Injured 2011;42:1294–1299.
- Butt MS, Krikler SJ, Ali MS. Comparison of dynamic hip screw and gamma nail-a prospective randomized controlled trial. Injury 1995;26(9):615-618.
- Nakata K, Ohzono K, Hiroshima K, Toge K. Serial change of sliding in intertrochanteric femoral fractures treated with sliding screw system. Arch Orthop Trauma Surg 1995;113:276-280.
- Boldin C, Seibert FJ, Fankhauser F, Peicha G, Grechenig W, Szyszkowitz R. Actra Orthop Scand 2003;74(1):53-8.
- Tyllianakis M, Panagopoulos A, Papadopoulos A, Papasimos S, Mousafiris K. Treatment of extracapsular hip fractures with the proximal femoral nail (PFN): long term results in 45 patients. Acta Orthop Belg 2004;70(5):444-54.
- Fogagnolo F, Kfuri M, Paccola CA. Intramedullary fixation of pertrochanreic hip fractures with short AO-ASIF proximal femoral nail. Arch Ortop Trauma Surg 2004;124(1):31-7.
- Gadegone W, Salphale Y. Proximal femoral nail- an analysis of 100 cases of proximal femoral fracture with an average follow up of 1 year. Int Orthop 2007;31(3):403-408.
- Nordin Bin Simbak..Mechanical failure of DHS fixation in intertrochanteric fracture of the femur.Medical Journal of Malaysia 2007;56 Suppl D12-7.
- Sudhir S Babhulkar. Management of trochanteric fractures. Indian Journal of Orthopaedics 2006;40(4):210-218.
- P Niemeyer. Principles and clinical application of the Locking Compression Plate(LCP). Acta Chirurgiae Orthopaedicae 2006;73:221-228.
- Khaldoun Sinno. The effectiveness of primary bipolar arthroplasty in treatment of unstable intertrochanteric fractures in elderly patients. North American Journal of Medical Sciences 2007;2(12): 561-568
- A Comparative Study of MRI and Arthroscopic Findings in Shoulder Pathologies
Abstract Views :433 |
PDF Views:94
Authors
Affiliations
1 Dept. of Orthopaedics, Tezpur Medical College and Hospital, Tezpur, IN
1 Dept. of Orthopaedics, Tezpur Medical College and Hospital, Tezpur, IN
Source
International Journal of Health Research and Medico Legal Practice, Vol 4, No 1 (2018), Pagination: 94-97Abstract
Background: Correct diagnosis of shoulder pathology is essential to start treatment immediately and avoid complications. MRI is an important imaging tool, however, arthroscopy remains the reference standard in diagnosing shoulder pathologies against which alternative diagnostic modality should be compared. This study seeks to compare to what extent MRI findings are accurate, with arthroscopic findings, as the “gold standard” in shoulder pathologies. Methods: This was a prospective study of 22 patients with various shoulder pathologies apart from recent fracture, tumor. Both sexes within age group 18-60 years were included in the study. The patients were first examined clinically, followed by 1.5 tesla MRI scan and finally arthroscopically. The findings of MRI were correlated with diagnostic arthroscopy. Sensitivity, specificity, positive predictive value, negative predictive value of MRI findings was calculated to correlate with arthroscopic findings. Results: MRI had a significant statistic correlation (P<0.05) with various lesions of shoulder. Conclusion: By analysing the results of this study, we conclude that Magnetic Resonance imaging is accurate, practical, efficient, non-invasive, acceptable diagnostic modality in shoulder pathologies especially in condition like full-thickness supraspinatus tear, impingement syndrome, Hill-Sachs lesion and Bank art’s lesion. However, statistically significant correlation was not found in SLAP lesions and subscapular is tear.Keywords
SLAP Lesions, Subscapular is Tear, Bursoscopy, Diagnosis.References
- Hazleman B. Shoulder problems in general practice. In: Adebajo AO, Dickson J, editor. Collected reports on the rheumatic disease.2005 series 4 (revised). Arthritis research campaign; 2000 May (reviewed 2003). Report no 2.
- Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain diagnosis and management in primary care. BMJ 2005;331:1124-8.
- Stephen J Snyder. Shoulder arthroscopy. 2nd ed. Philadelphia:Lippincott Williams and Wilkins; 2003. p. 22-38.
- Stephen J Snyder. Shoulder arthroscopy. 2nd ed. Philadelphia: Lippincott Williams and Wilkins; 2003. p. 39-45.
- Parsons S, Breen A, Foster NE, Letley L, Pincus T, Vogel S, et al. Prevalence and comparative troublesomeness by age of musculoskeletal pain in different body locations. Fam Pract 2007;24(4):308–16.
- JJ Halma, R Eshuis, YMJ Krebbers, T Weits, Ade Gast. Interdisciplinary inter-observer agreement and accuracy of Mr imaging of the shoulder with arthroscopic correlation. Arch Orthop Trauma Surg 2012;132:311–20.
- Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg 1956;38:957-77.
- Rowe CR. Anterior dislocations of the shoulder prognosis and treatment. Surg Clin North Am 1963 Dec;43:1609-14.
- Iannotti JP, Zlatkin MB, Esterhai JL. Magnetic resonance imaging of the shoulder sensitivity, specify, and predictive value. J bone Joint Surg Am 1991;73:17.
- AM Malhi, R Khan. Correlation between clinical diagnosis and arthroscopic findings of the shoulder. Postgrad Med J 2005;81:657–9.
- Smith TO, Daniell H, Geere JA. The diagnostic accuracy of MRI for the detection of partial- and full-thickness rotator cuff tears in adults. MRI 2012;30:336–46.
- Dinnes J, Loveman E, McIntyre L, Waugh N. The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess 2003;7(29):1-166.
- Lenza M, Buchbinder R, TakwoingiY, Johnston RV, Hanchard NC, Faloppa F. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered. Cochrane Database System 2013 Sep 24;9:009-020.
- Jean-Sebastien Roy, Caroline Braen, Jean Leblond, François Desmeules, Clermont E Dionne, Joy C MacDermid, Nathalie J Bureau, Pierre Fremont. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders a meta-analysis. Br J Sports Med 2015;0:1–15.
- Traughter PD, Goodwin TE. Shoulder MRI arthroscopic correlation with emphasis on partial tears. J Computer Assists 1992 Jan-Feb;16(1):129-33.
- Marcello Henrique Nogueira-Barbosa, Jose Batista Volpon, Jorge Elias Jr and Gerson Muccillo. Diagnostic imaging of shoulder rotator cuff lesions. Actaortop Bras 2002;10(4):31-9.
- Motamedi, AR Urrea LH, Hancock, RE Hawkins, RJ et al. Accuracy of MRI in determining the presence and size of recurrent rotator cuff tears. J Shoulder Elbow Surg 2002;11(1):6-10.
- LoefflerB, Brown S, D Alessandro F, Fleischli E, Connor P. Incidence of false positive rotator cuff pathology in MRIS. Orthopaedics 2011;34(5):362.
- Guido Garavaglia, Henri Ufenast, EttoreTaverna.The frequency of subscapular is tears in arthroscopic rotator cuff repair a retrospective study comparing magnetic resonance imaging and arthroscopic findings. Int J Shoulder Surge 2011 Oct-Dec;5(4):90–94.
- Hayes ML, Collins MS et al. Efficacy of diagnostic magnetic resonance imaging for articular cartilage lesions of the glenohumeral joint in patients with instability. Skeletal Radiol 2010 Dec;39(12):1199-204.
- Kautzner J, Smetana P, Krótká I, Kos P, Frei R, Trc T. Shoulder joint disorder correlation of findings by arthroscopy and magnetic resonance imaging. Acta Chir Orthop Traumatol Cech 2008 Jun;75(3):190-5.
- Jung JY, Jee WH, Chun HJ, Kim YS, Chung YG, Kim JM. Adhesive capsulitis of the shoulder evaluation with MR arthrography. Eur Radiol 2006;16(4):791–6.
- Berjano P, Gonzalez BG, Olmedo JF. Complications in arthroscopic shoulder surgery. Arthroscopy 1998;14:785–8.