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Harkar, Vishal
- Functional Outcomes of Intra Articular Distal End Femur Fractures Treated with Locking Compression Plating
Abstract Views :164 |
PDF Views:90
Authors
Shubham Siddheshwar Zade
1,
Rajesh Sonawane2
2,
Sandeep Pangavane
3,
Vishal Harkar
1,
Kaustubh Devasthali
1,
Vishwesh D. Chudasama
1
Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003
3 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003
3 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 199-208Abstract
Background: Distal femur fractures represent 4-6% of all the femoral fractures and they occur within the 9 terminal centimeters. Most distal femur fractures are the result of a severe axial load with a varus, valgus or rotational force. Though various treatment options are available for the management of these injuries with their own advantages and disadvantages, treatment of these fractures with the angle stable constructs using Locking compression plating remains the most desirable treatment option. Objectives: To study the functional outcomes and complications of intra-articular distal end femur fractures treated with Locking Compression Plating. Materials and Methods: A prospective observational study was conducted over a period of 3 years on 47 patients requiring operational intervention for distal end femur fractures. Results: We studied different parameters like age of the patients, mode of injury, type of injury according to AO classification, duration of hospitalization, movement of knee after operation, Neer’s score results, union or non-union and compared our studies with other studies we find satisfactory results in our study in outcome of the patient As per the Neer’s knee score, excellent and good outcome was seen in 48.9% and 38.3% cases while fair and poor outcome was seen in 8.5% and 4.3% cases respectively. Conclusion: From our study we concluded that Distal femoral-LCP, the “internal fixator” was a safe and reliable implant although careful preoperative planning and case selection were important factors which determine the final outcome.Keywords
Distal Femur Fracture, Locking PlateFull Text
References
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- To Study Functional Outcome of Humeral Shaft Fractures Treated by Intramedullary Nailing Versus Dynamic Compression Plating at a Tertiary Health Care Centre
Abstract Views :136 |
PDF Views:91
Authors
Vishwesh Devendrasinh Chudsasama
1,
Sandeep Pangavane
2,
Kaustubh Satish Devasthali
1,
Sameer Nandkumar Shelavale
3,
Shubham Zade
1,
Vishal Harkar
1
Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
2 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Nashik – 422203, Maharashtra, IN
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
2 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Nashik – 422203, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 306–312Abstract
Background: The proportion of humeral shaft fractures being treated conservatively reportedly varies from 33% to 95%. Nonsurgical treatment results in higher incidence of union and fewer complications than open reduction and internal fixation. Aims and Objectives: To study and compare the functional outcome of Dynamic Compression Plating and Interlock Nailing for humeral shaft fractures. Material and Methods: After taking approval of ethics committee of our institute, we studied a total of sixty cases over a span of 36 months – October 2018 to December 2020. Study was carried out on cases of humeral shaft fractures requiring operational intervention in department of orthopaedics of tertiary care centre in Maharashtra. Results: A total of 76.7% cases in plating group had excellent outcome as compared to 56.7% in nailing group. Also poor to fair outcome was noted more in nailing group (13.4% vs 10%). Conclusion: Statistically comparable results have been observed for patients undergoing surgical intervention for humeral shaft fractures among locking plating and intramedullary nailing. Both provide excellent and favourable results in terms of union and function, however a higher rate of excellent results and tendency for union was seen with dynamic compression plating groupKeywords
Dynamic Compression Plating, Humeral Shaft Fracture, Intramedullary Nailing, Open Reduction Internal FixationFull Text
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