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Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:22-25 – Ajay Surwade, Yashwant Mahale, Vikram Kadu Author: Ajay Surwade [1], Yashwant Mahale [2], Vikram Kadu [3]. [1] Department of Orthopaedics, GMCH, Gondia, Maharashtra, India.[2] Department of Orthopaedics, ACPMMC, Dhule, Maharashtra, India.[3] Kadu Hospital, Katol, Maharashtra, India. Address of CorrespondenceDr. Vikram Kadu, Consultant Orthopaedic Surgeon, […]

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:17-21 – Tejas Tribhuwan, Chetan Pradhan, Atul Patil, Chetan Puram, Dheeraj Attarde, Parag Sancheti, Ashok Shyam Author: Tejas Tribhuwan [1], Chetan Pradhan [1], Atul Patil [1], Chetan Puram [1], Dheeraj Attarde [1], Parag Sancheti [1], Ashok Shyam [1,2]. [1] Sancheti Institute of Orthopaedics and Rehabilitation, Pune, […]

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

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Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:22-25 – Ajay Surwade, Yashwant Mahale, Vikram Kadu

Author: Ajay Surwade [1], Yashwant Mahale [2], Vikram Kadu [3].

[1] Department of Orthopaedics, GMCH, Gondia, Maharashtra, India.
[2] Department of Orthopaedics, ACPMMC, Dhule, Maharashtra, India.
[3] Kadu Hospital, Katol, Maharashtra, India.

Address of Correspondence
Dr. Vikram Kadu,
Consultant Orthopaedic Surgeon, Kadu Hospital, Katol, Maharashtra, India.
E-mail: vikram1065@gmail.com

Abstract

Background: Intertrochanteric fractures remains the common type of injuries amongst hip fracture. There are different types of classifications systems and different modalities for fixation available. Surgical treatment represents the optimal strategy for managing intertrochanteric fractures. It allows early mobilization rehabilitation and functional recovery and reduces the risk of postoperative complications.
Material and methods: Our study consisted of forty two cases of intertrochanteric fracture of femur treated surgically with BIAXIAL PLATE SYSTEM at our institute between July 2012- Dec 2014. Two patients were died within six months of operation so 40 patients were available for follow up. So anatomical and functional assessment of forty patients done.
Results: Anatomical results were assessed by presence or absence of shortening, deformity and range of movement. 95 % cases had good results and 5% cases had poor results with shortening more than 1cm in one case and limited hip movement in another case. Functional assessment of 40 patients were done by Harris hip score system and we got excellent result were noted in 12 cases, good in 23 cases, fair in 05 cases and none had poor results.
Conclusion: Osteosynthesis with Biaxial Plate offers the advantage of high rotational stability of the head-neck fragment. The advantage of fixation in two axis is, Increased torsional strength 10 times than DHS. Decreases coring out and loosening. Increased axial deforming strength 3 times than DHS. Decreases posterior and superior cut out.
Keywords: Intertrochanteric fracture; Biaxial plate system; Osteosynthesis; Indiginous implant.

References

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How to Cite this article: Surwade A, Mahale Y, Kadu V | Prospective Study Of Inter-trochanteric Fractures Of Femur Treated With Biaxial Plate Fixation (hip Screw And Derotation Screw) With Indiginous Implant | Trauma International | January-June 2020; 6(1):22-25.

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A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

January 10, 2020/in Jan. - Jun 2020 | Volume 6 | Issue 1

Vol 6 | Issue 1 | Jan-Jun 2020 | page:17-21 – Tejas Tribhuwan, Chetan Pradhan, Atul Patil, Chetan Puram, Dheeraj Attarde, Parag Sancheti, Ashok Shyam

Author: Tejas Tribhuwan [1], Chetan Pradhan [1], Atul Patil [1], Chetan Puram [1], Dheeraj Attarde [1], Parag Sancheti [1], Ashok Shyam [1,2].

[1] Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.
[2] Indian Orthopaedic research group, Thane, India.

Address of Correspondence
Dr. Dheeraj Attarde,
Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.
E-mail: dheerajattarde@yahoo.in

Abstract

Introduction: Multiple treatment modalities have been described for distal tibia metaphyseal fractures but there is no consensus regarding optimal treatment. The purpose of this study was to compare the management of these fractures by intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO) technique by assessing the functional and radiological outcomes and complications.
Methods: 50 patients having distal tibia fractures were studied and divided into two equal groups of IMN and MIPO with a follow-up period of one year. Functional assessment was done using SF-36, LEFS and VAS scores; radiological assessment was done by evaluating the union type and radiological deformity, and complications in both procedures were studied. Various fracture patterns were also considered.
Results: SF-36 showed no statistical significance with regard to treatment mode and fracture type. LEFS score reduced with increase in complexity of fracture and also indicated that both IMN and MIPO groups regained comparable functional capacity after a year. IMN cases (96%) showed better chances of primary union than MIPO cases (72%), after a year. Varus was found in 16% and valgus in 20% of plating cases. AO Type fractures 43 A1 and 43 A2 were preferably treated with nailing whereas 43 A3, with plating.
Conclusion: While union time is shorter for IMN cases, there is a greater occurrence of deformity in MIPO patients. We concluded that both the techniques can provide a similar return of functional capabilities but as the complexity of the fracture increases, nail becomes difficult to use than a plate.
Keywords: IMN; Distal tibia metaphyseal; MIPO; Distal third tibia fractures.

References

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How to Cite this article: Tribhuwan T, Pradhan C, Patil A, Puram C, Attarde D, Sancheti P, Shyam A | A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) VS Minimally Invasive Plate Osteosynthesis (MIPO)| Trauma International | January-June 2020; 6(1):17-21.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

Full Sized Blog Element (Big Preview Pic)

Prospective Study of Inter-Trochanteric Fractures of Femur Treated with Biaxial Plate Fixation (Hip Screw and Derotation Screw) with Indiginous Implant

Author: Ajay Surwade [1], Yashwant Mahale [2], Vikram Kadu [3].

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

A Comparative Study of Distal Tibia Metaphyseal Fractures in a Series of 50 Patients: Intramedullary Nailing (IMN) Vs Minimally Invasive Plate Osteosynthesis (MIPO)

Author: Tejas Tribhuwan [1], Chetan Pradhan [1], Atul Patil [1], Chetan Puram [1], Dheeraj Attarde [1], Parag Sancheti [1], Ashok Shyam [1,2].

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

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