Fixation Device For Treatment Research Articles

To compare the clinicoradiological outcome of various operative techniques and fixation devices in treatment of subtrochanteric fractures

Background: There are various operative techniques and fixation devices in treatment of subtrochanteric fractures. The objective of treatment is restoration of optimal functions in the shortest possible time by the safest and most dependable method of treatment. Aim: To compare the clinicoradiological outcome of various operative techniques and fixation devices in treatment of subtrochanteric fractures and its variants. To compare the efficacy of various operative techniques in management of subtrochanteric fractures and its variants. To assess efficiency of various fixation devices in different (A-O) types of subtrochanteric fractrues and to compare our results with those available in literature. Methods: This prospective study was conducted in department of orthopedic surgery, in a span of two years. 38 Cases of subtrochanteric fractures and two types of extensions of subtrochanteric fractures admitted in orthopedics wards and treated by various operative methods were included in the study. Results: Malunion was seen in 3 cases and infection in 2 cases. Excellent and good results were seen in most of the cases fixed with intramedullary devices 35% & 39% respectively) and these using closed techniques (38% & 43% respectively). Majority of excellent result (52%) were seen in cases fixed with Proximal Femoral Nail. Most of the cases fixed using Dynamic Condylar Screw and Dynamic Hip Screw had fair to good results. Conclusion: Successful management of a case of subtrochanteric fracture is an exercise in balancing mechanical and biological consideration in maximize the likelihood of rapid healing and full restoration of function with minimal risk of complications at the least cost to the patient and society

Comparison between Functional Outcome of 95° Dynamic Condylar Screw versus Proximal Femoral Nail in Treatment of Subtrochanteric Femur Fracture

Objective: Study was done to compare results between the Proximal Femoral Nail (PFN) and 95° Dynamic Condylar Screw (DCS) in Subtrochanteric femur fracture. Hypothesis was made that outcome of PFN technique is comparable to 95° DCS. Materials and Methods: 60 patients were taken in study out of which PFN technique performed on 30 patients and on remaining 30 patients 95° DCS technique was used in a tertiary care Centre. Both technique were compared on basis of time of injury to surgery, operation time, blood loss, hospital stay, blood transfusion, implant related complication, healing time, Harris Hip score and union time. Results: There was remarkable difference in Harris Hip score, fracture union, mean operative time, blood loss, wound healing. Complications such as pressure sore, pulmonary embolism etc. were found to be higher in 95° DCS group as compared to PFN group. Conclusion: PFN is found to better internal fixation device in treatment of subtrochanteric femur fracture.

Use of anchor fixation devices in treatment of patients with an injury of the acromioclavicular joint

Data of treatment of 12 patients with fresh injuries of ligaments of their acromioclavicular joint are presented. In order to reveal the type of each injury, Rockwood’s classification was used. Strengthening of the coracoclavicular ligament with a titanium anchor fixation device, which had 2 nonabsorbable sutures, was the method of choice. The results showed that the use of the above technique made it possible to decrease the operation traumatism, reduce terms of immobilization and restore the whole range of all movements in the shoulder joint.

External fixation device in treatment of the upper third femoral open fractures caused by firearms

Seventeen patients with open fractures of the upper third of the femur were treated using a pelvifemoral external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Sciatic nerve injury was present in five (29.4%); abdominal viscera and thoracic wall injuries were present in two patients (11.8%). There were no major arterial injuries. Full weight bearing was allowed after clinical and radiological bone healing (average 11.5 months). Chronic osteitis with fistula and sequestra developed in two (11.8%) patients. There were no nonunions and no refractures. Minor painless limitation of hip motion persisted in all patients. Upper-third femoral open fractures due to firearms are a unique type of open fractures. They are usually highly comminuted; therefore, stable fixation is difficult or impossible to achieve using external fixation with transfixation of the fracture site. On the other hand, the risk of infection is high following intramedullary nailing. Pelvifemoral external fixation allows adequate management of the soft tissue wounds, provides stable bone fixation and allows early patient mobilization.

大腿骨外か冠状面骨折の一例

We reported a case of a coronal fracture of the lateral femoral condyle.The patient, a 42-year-old male, injured his left knee in a motor cycle accident. Radiographic examination revaled a posterior dislocation of the knee with an osteochondral fragment of the lateral femoral condyle. We performed an open reduction and internal fixation with two cannulated Herbert bone screws which gave excellent fixation. Nine months after surgery, the patient had an excellent range of knee movement with a unied fracture.Cannulated Herbert bone screws seem to be a useful fixation device in treatment of this fracture.

A Consideration for Metallic Failure of internal Fixation Devices in Treatment of Long Bone Fractres

A Consideration for Metallic Failure of internal Fixation Devices in Treatment of Long Bone Fractres