Online ISSN: 2515-8260

Keywords : internal fixation


A Study of Efficacy of Internal Fixation of Calcaneum Fractures

Mrunal Chakravarthy Goutham, Anil Kumar Mettu, Mangalapuri Rajesh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1787-1794

Background: Aim & Objective: The purpose of the present study is to verify the
functional outcome of the internal fixation, in calcaneum fractures.
Materials and Methods: Our study included patients reporting to Osmania General
Hospital, Hyderabad from June 2017 to October 2019 treated by internal fixation using
various modalities and those who were available for follow up. All patients above
l8years of age with communitedcalcaneum fractures, Fresh fractures and Patients
should be walking prior to the fracture.
Results: Thirty patients with comminuted calcaneal fractures were operated from June
2017 till October 2019 Of the 30 patients 28 were male 2, were female with a mean age
of 37 years, 2 patients had bilateral fractures.18 had left sided fractures while 12 had
right sided fractures and mode of injury for the 23 patients was fall from a height and
RTA for 67patients.20 patients had SANDERS type 3 fracture and 10 patients had
SANDERS type 2 fractures. Days of hospital stay varied from 14 to 22 days {mean 16.04
days}. Post operatively 14 patients had swelling and 6 patients had persistent pain,2 had
superficial infection and one had deep infection. The infections have healed with
antibiotics and regular dressing. Of the 30 patients, 9 had excellent results, 15 had good
results, 4 had fair results, 2 had poor results. Hence we concluded from the above
findings the internal fixation helps in improving the functional outcome of the patients
in view of their physical and radiological findings.
Conclusion: The technique of plate fixation with a lateral approach is good with regards
to fracture union and functional outcome. It also shows that anotomical reduction in
terms of the correction in BOHLER'S and GISSANE'S angle plays an important role in
determining the good functional outcome.

AN EVALUATION OF OUTCOME OF SURGICAL MANAGEMENT OF UNSTABLE COMMINUTED FRACTURE OF DISTAL RADIUS USING EXTERNAL AND INTERNAL FIXATION

Dr. Anilkumar T Bennur, Dr. Tulaja Prasad PV, Niraj A Bennur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2029-2033

Introduction: The goal of treatment of distal fracture of radius is restoration of normal function and prevention of complication like malunion, joint stiffness and deformity but achievement of desired outcome is always a challenge in fracture of distal end of radius.
Materials and Methods: Patients with unstable comminuted fracture of distal radius admitted in the department of orthopedics and enrolled for this study based on inclusion and inclusion criteria. For functional assessment of outcome, we used DASH (Disability of the Arm, shoulder and hand) Method.
Result: The mean of DASH score was16.24±4.62 in external fixation group and 14.65±3.98 in internal fixation group. Both groups are comparable to each other as it is not statistically significant (P˃ .05). There is no incidence of compressive neuropathy, Sudeck’s osteodystrophy, iatrogenic rupture and nerve injury.
Conclusion: DASH score was less in internal fixation group. Post-operative infection was high in internal fixation group. Functional outcome was better in internal fixation group.
                                           

Open Reduction and Internal Fixation of Ipsilateral Fracture of Acetabulum and Fracture Femur through One Approach

Fadhlullah Ali Mansour, Yousuf Mohamed Khira, Waleed Mohammed Nafea, Ahmed Mashhour Gaber

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3361-3368

Background: Major and unstable pelvic fractures as ipsilateral fractures of the
femur and acetabulum are likely to cause severe pain and shock. Poly trauma
management proceeds in line with ATLS protocol and Patients may require
lifesaving surgeries. The study aimed to assess outcome of open reduction and
internal fixation of psilateral fracture of acetabulum and fracture femur through
one approach as the effect way of treatment. Patients and methods: A prospective
study included 18 patients were presented with posterior wall acetabular fracture
with ipsilateral femoral fracture. Patients admitted Orthopedic surgery Department
of Zagazig University hospitals for fracture surgical fixations. Full history, clinical
examination and radiological assessment and Majeed Score were performed for all
patients. Follow up X rays were done in the 1st day postoperative, after two weeks,
3months , 6 months. Results: the healing time of femoral fracture ranged from 14
weeks up to 33 weeks with mean of 21.78 ± 5.9 and healing time of acetabular
fracture was 17.22 ± 4.1 weeks. 55.6% of studied group gave excellent Majeed score
of hip function, while only 16.7% were fair. Conclusion: Ipsilateral fractures of the
femur and acetabulum treated simultaneousness using Kocher-Langenbeck
approach did not demonstrate an increased risk of wound complications, and not
contraindicated to antegrade femoral nailing.

Open Reduction and Internal Fixation of Capitellar Fracture through Anterolateral Approach with Headless Double Threaded Compression Screws

Ahmed Mohammed Ali Almazouq, Mohammed Othman Mohammed, Adel Abd- Elzim Ahmed Salem , Ahmed El-Sayed El-Malt

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4097-4105

Background: Injuries to the humeral capitellum are usually a result of axial
loading of the capitellum by forces transmitted through the radial head, the lateral
trochlear ridge and the lateral half of the trochlea due to falling on an outstretched
hand or flexed elbow. The aim of this study to evaluate the results of patients
suffering from capitellar fracture treated by open reduction and internal fixation
through anterolateral approach with headless double threaded compression screws.
Patients and Methods: This study included 12 capitellar fractures; the radiological
x-ray was done for planning the fixation technique. All fractures were treated with
headless double threaded compression screws using anterolateral approach, over
the period from March 2020 to February 2021 at Zagazig university hospital, with
the mean follow up period 8 months ± 1.95 ranged from six to 11 months. Results:
The present study showed the pain score was 45 points. At end of the follow up
period 9 patient had no pain (75 %) and 3 patient had mild pain (25 %). Eight
patients had active flexion above 100º (66.7 %) and 4 patients had active flexion
from 50º to 100º (33.3 %). Eight cases were excellent score with (66.7 %), three
cases good score (25%), and only one was satisfactory score with (8.3%).
Conclusion: Headless double threaded compression screws has a good clinical
result in Capitellar fracture because these screws have the advantage of excellent
compression at the small fracture fragments, stable fixation, and non-prominence
of the implants intraarticular.