International Journal of Orthopaedics Sciences, 2019
AbstractBackground: Outcomes of management of high energy distal third tibial fractures ... more AbstractBackground: Outcomes of management of high energy distal third tibial fractures are not satisfactory and associated with complications. So use of external fixator is increased in recent years for distal third tibia fractures. We intend to study the utility of external fixators in high energy distal third tibial fractures.Materials and Methods: This is retrospective observational study included 38 patients who underwent close reduction and external fixation with Augmented Wagners externalfixator or Aesculap external fixator(unilateral) or Hybrid external fixator for lower third tibial fractures in between 2009 and 2015.Results: The Olerud C and Molander H ankle score was excellent in 44.73%(n=17), good in 31.57% (n=12), fair in 15.78% (n=6) and poor in 7.89% (n=3). The ankle range of movement was near normal in 94.73% cases except in 2 patients where stiffness was encountered. The average duration ofunion was6months and 89%(n=34) of fractures united within 7 months. P value <0.05(0.066) was not considered significant. Conclusion: External Fixators with or without limited percutaneous internal fixation is a reliable method for stabilization of highenergy (Tscherne 2 and 3, compound) lower third tibial fractures. It’s a good alternative to other methods of fixation in lower third tibia fracture.
PURPOSE: Evaluate results of External fixators in high energy proximal tibia fractures. METHODS :... more PURPOSE: Evaluate results of External fixators in high energy proximal tibia fractures. METHODS : irty four patients were included in this retrospective study RESULTS : e IOWA knee score was excellent in 67.64 % (n=23), good in 20.58% (n=7), fair in 5.88% (n=2) and poor in 5.88% (n=2).Mean IOWA SCORE was 92. e knee range of motion was >120 degree in 82% and >100 degree in 94%. e rate of union is 100%. CONCLUSION: External Fixator is a reliable method for stabilization of high energy proximal tibial fractures. It's a good alternative to other methods of fixation in proximal tibia fracture.
Background: The management of complex proximal humerus fractures (Neer's type III , IV and fractu... more Background: The management of complex proximal humerus fractures (Neer's type III , IV and fracture dislocation) is complicated. There are various treatment modalities available for proximal humerus fractures. We have designed and indigenously manufactured new plate called " SINGLE TINE PROXIMAL HUMERAL T-PLATE (3.5 mm) " for fractures of proximal humerus .The aim of this study was to examine the clinical outcome of complex proximal humeral fractures treated surgically with single tine T-plate. Materials and Methods: This is retrospective observational study included 25 patients who underwent open reduction and internal fixation with single tine T plate for proximal humerus fractures in between 2010 and 2013.. All patients were evaluated using point system of Neer's shoulder evaluation system. Results: Mean age of the patient 47.12 years (range 22-60 years). All the fractures united with a mean duration of 14 weeks (range 10 weeks to 18 weeks). As per Neer " s score we achieved excellent or satisfactory results in 21 out of 25 i.e. 84%. The mean Neer " s score was 85.2 (range 64-94). We had unsatisfactory to poor result in 4 out of 25 cases (16%). (Table 1) Complications were seen in 3 cases (12%). One case of superficial wound infection and two cases of screw loosening. Conclusion: Single tine T-plate is a good alternative implant for treating complex fracture and fracture dislocation of proximal humerus. It is cost effective, and easy to use. The single tine T-plate offers good support against varus mal-reduction. Primary bone grafting is a powerful tool in managing complex fractures/ fracture-dislocation of proximal humerus.
International Journal of Orthopaedics Sciences, 2019
AbstractBackground: Outcomes of management of high energy distal third tibial fractures ... more AbstractBackground: Outcomes of management of high energy distal third tibial fractures are not satisfactory and associated with complications. So use of external fixator is increased in recent years for distal third tibia fractures. We intend to study the utility of external fixators in high energy distal third tibial fractures.Materials and Methods: This is retrospective observational study included 38 patients who underwent close reduction and external fixation with Augmented Wagners externalfixator or Aesculap external fixator(unilateral) or Hybrid external fixator for lower third tibial fractures in between 2009 and 2015.Results: The Olerud C and Molander H ankle score was excellent in 44.73%(n=17), good in 31.57% (n=12), fair in 15.78% (n=6) and poor in 7.89% (n=3). The ankle range of movement was near normal in 94.73% cases except in 2 patients where stiffness was encountered. The average duration ofunion was6months and 89%(n=34) of fractures united within 7 months. P value <0.05(0.066) was not considered significant. Conclusion: External Fixators with or without limited percutaneous internal fixation is a reliable method for stabilization of highenergy (Tscherne 2 and 3, compound) lower third tibial fractures. It’s a good alternative to other methods of fixation in lower third tibia fracture.
PURPOSE: Evaluate results of External fixators in high energy proximal tibia fractures. METHODS :... more PURPOSE: Evaluate results of External fixators in high energy proximal tibia fractures. METHODS : irty four patients were included in this retrospective study RESULTS : e IOWA knee score was excellent in 67.64 % (n=23), good in 20.58% (n=7), fair in 5.88% (n=2) and poor in 5.88% (n=2).Mean IOWA SCORE was 92. e knee range of motion was >120 degree in 82% and >100 degree in 94%. e rate of union is 100%. CONCLUSION: External Fixator is a reliable method for stabilization of high energy proximal tibial fractures. It's a good alternative to other methods of fixation in proximal tibia fracture.
Background: The management of complex proximal humerus fractures (Neer's type III , IV and fractu... more Background: The management of complex proximal humerus fractures (Neer's type III , IV and fracture dislocation) is complicated. There are various treatment modalities available for proximal humerus fractures. We have designed and indigenously manufactured new plate called " SINGLE TINE PROXIMAL HUMERAL T-PLATE (3.5 mm) " for fractures of proximal humerus .The aim of this study was to examine the clinical outcome of complex proximal humeral fractures treated surgically with single tine T-plate. Materials and Methods: This is retrospective observational study included 25 patients who underwent open reduction and internal fixation with single tine T plate for proximal humerus fractures in between 2010 and 2013.. All patients were evaluated using point system of Neer's shoulder evaluation system. Results: Mean age of the patient 47.12 years (range 22-60 years). All the fractures united with a mean duration of 14 weeks (range 10 weeks to 18 weeks). As per Neer " s score we achieved excellent or satisfactory results in 21 out of 25 i.e. 84%. The mean Neer " s score was 85.2 (range 64-94). We had unsatisfactory to poor result in 4 out of 25 cases (16%). (Table 1) Complications were seen in 3 cases (12%). One case of superficial wound infection and two cases of screw loosening. Conclusion: Single tine T-plate is a good alternative implant for treating complex fracture and fracture dislocation of proximal humerus. It is cost effective, and easy to use. The single tine T-plate offers good support against varus mal-reduction. Primary bone grafting is a powerful tool in managing complex fractures/ fracture-dislocation of proximal humerus.
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Conclusion: External Fixators with or without limited percutaneous internal fixation is a reliable method for stabilization of highenergy (Tscherne 2 and 3, compound) lower third tibial fractures. It’s a good alternative to other methods of fixation in lower third tibia fracture.
Conclusion: External Fixators with or without limited percutaneous internal fixation is a reliable method for stabilization of highenergy (Tscherne 2 and 3, compound) lower third tibial fractures. It’s a good alternative to other methods of fixation in lower third tibia fracture.