Online ISSN: 2515-8260

Keywords : DASH score


CLINICAL STUDY OF SURGICAL MANAGEMENT OF FRACTURE OF LOWER ONE THIRD OF HUMERUS BY EXTRA ARTICULAR PLATING IN ADULTS

J. Rajesh, B.M. Chandrashekar, Sudheer Kumar Dachepally, Uma Durga Vinod

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2055-2066

Background: To study the surgical management of fractures of lower one third of humerus by Extra articular distal humerus locking compression plate in adults.
Materials and Methods: The present study was done in Govt Medical College /Hospital, Suryapet from December 2021 to May 2022. 20 cases of lower one third humerus shaft fractures were treated with open reduction and internal fixation with Extra Articular Distal Humerus Locking Compression Plates (EADHP).
Results: 6 patients were (30%) in the age group of 18-35 yrs & 51-65 yrs each. 14(70%) were Male patients. 13(65%) Left side involved patients. 16(80%) patients sustained injury due to road traffic accident. 12 B1 Type was most common pattern. 18(90%) were closed fractures. 3(15%) were associated with multiple injuries Mean of time for Fracture union in 18 patients (90%) was 13.9 weeks. 3(15%) patients developed post-operative complications. Radial nerve neuropraxia 2(10%) cases and Superficial infection 1(5%) case. Average DASH score was 17.6 with range 12.5 to 33.5 points. Functional outcome as per Mayo Elbow Performance Score was excellent in 18(90%) cases; good in 2(10%) cases.
Conclusion: We conclude as per AO principles that early operative intervention with Extrarticular Distal Humerus Locking Compression Plating (EADHP) on postero- lateral column of humerus for these fractures will result in excellent functional outcome.

Role of platelet rich plasma in patients with periarthritis shoulder

Dr. Rahul, Dr. Devendrappa H, Dr. Raghavendra, Dr. Yugandhar S

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2404-2414

Introduction: Pain and decreased ROM is a common presenting condition to orthopaedic outpatient department. Primary Frozen shoulder is estimated to affect 3 to 5% of the general population since PRP is an autologous biologic material, it involves a minimum risk of Immune reactions and transmission of infectious and contagious disease. With this we need assess the efficacy of PRP Shoulder.
Aim and Objective: To assess the efficacy of Platelet Rich plasma in periarthritis shoulder.
Methods: This study included 50 patients diagnosed with periarthritis shoulder and were recruited from the outpatient department of orthopaedics, VIMS, Bellary from the period between November 2018 -2020. The study included both sexes. All patients were injected intraarticularly with PRP. They were evaluated by visual Analogue scale (VAS) for pain and a shortened version of disabilities of arm, shoulder and hand using DASH score for function.
Results: Descriptive and inferential statistical analysis has been carried out in the present study Descriptive and inferential statistical analysis has been carried out in the present study using Student ‘t’ test (two tailed, dependent & independent) and Fisher test. The improvement in VAS score and DASH scores at 3rd, 6th and 12th week follow up in patients who received PRP injections was statistically more significant compared to scores at the time of admission as inferred by p value of <0.05. Using Student ‘t’ test (two tailed, dependent & independent) and Fisher test. The improvement in VAS score and DASH scores at 3rd, 6th and 12th week follow up in patients who received PRP injections was statistically more significant compared to scores at the time of admission as inferred by p value of <0.05.
Interpretation & Conclusion: Our study concludes that the efficacy of single injection of platelet rich plasma to relieve the pain of Periarthritis shoulder is effective less-invasive lines of treatment over a short term follow up period. However more studies are required to evaluate the efficacy of PRP over long term with multi centric study & comparison with the current available treatment options.

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.