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Goyal, Tanay
- Functional Outcome in Intertrochanteric Femur Fracture Fixation using Proximal Femur Nail
Abstract Views :125 |
PDF Views:127
Authors
Deepak Kumar Singh
1,
Rajesh Sonawane
2,
Sandeep Pangavane
3,
Nitin Wagh
4,
Satyen Joshi
4,
Pranit Sonawane
5,
Ashutosh Ushir
2,
Ajit Jangle
5,
Tanay Goyal
1
Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
3 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
4 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
5 Senior Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
3 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
4 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
5 Senior Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 78-85Abstract
Background: This study was conducted to assess the functional outcome of Proximal Femoral Nailing in fixation of Intertrochanteric fractures of Femur. Methods: After obtaining written consent, this prospective study was conducted among 127 patients (age group>18 years) who had inter-trochanteric fracture with or without subtrochanteric extension fixed using proximal femoral nail. Mobilisation was started between first week to 6th week of fracture fixation depending on the rigidity of fixation and pain tolerance of the patient. Patients were followed up at 6th week, 3rd month and 6th month after operative fixation. Functional outcome was assessed using a physician based scoring system i.e. Harris Hip Score at every follow up. Scores were tabulated and assessment was done. Results: The present study included, 54 females (42.5%) and 73 males (57.5%) in the age group of 28 years to 94 years with the mean age of 67.7 years. Unstable inter-trochanteric fractures were seen in 106 cases (83.5%) ‘Fair’ results were seen in 17(13.4%), ‘Good’ results seen in 61(48.0%), ‘Excellent’ results were seen in 37(29.1%) patients at the end of 6 months follow up. Intraoperative complications were seen in 4 patients and late complications seen in 13 patients. Conclusion: From this study, we consider that PFN is an excellent implant for the treatment of intertrochanteric fractures. With a proper technique, PFN gives excellent clinical results with fewer failure rates and complications.Keywords
Harris Hip Score, Intertrochanteric Fractures, Proximal Femur NailReferences
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- Functional Outcome of Joshi External Stabilisation System for Proximal Humerus Fractures in Tertiary Care Centre
Abstract Views :129 |
PDF Views:93
Authors
Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
2 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
3 Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
4 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
2 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
3 Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
4 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon Nashik, Nashik – 422003, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 94-98Abstract
Background: Proximal humerus fractures account for 4-5% of all fractures. The treatment options for fractures of proximal humerus includes transosseous suture fixation, intramedullary nailing, open reduction and internal fixation using plate and percutaneous pinning. The ideal treatment of displaced proximal humeral fracture is still the centre of scientific debate. Various minimally invasive modalities have been on the rise for the past 10/15 years. This minimally invasive fixation method allows preservation of blood supply of the humeral head. The smaller K-wires used in JESS have lesser risk of soft tissue, neural, and vascular injury. Aim and Objective: To find the functional Outcome of JESS fixation for proximal humerus fracture in 33 patients. Materials and Methods: 33 patients with proximal humerus fracture were treated by JESS fixator and their functional outcome was studied. Results and Conclusion: The mean Constant Murley Score preoperatively was 29.09 which raise to 60.39 at 4 weeks post operatively, 69.97 at 8 weeks post operatively and 79.64 at 12 weeks post-operative. Thus JESS fixator is an affordable, cost effective alternative treatment option for proximal humerus fracture with minimal complications.Keywords
Constant Murley Score, Functional Outcome, Joshi’s External Stablisation System (JESS)References
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