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A Study about the Relationship between Vitamin D Level and Hip Fractures

January 10, 2019/in Jan. - April 2019 | Volume 5 | Issue 1

Vol 5 | Issue 1 | Jan-April 2019 | page: 7-9 |Albert Naveen Anthony, Joe Joseph Cherian, M J Saji. Author: Albert Naveen Anthony [1], Joe Joseph Cherian [1], M. J Saji [2]. [1] Department of Orthopaedics, St. John’s Medical College Hospital, Sarjapur Road Koramangala, Bangalore. India. [2] Department of Orthopaedics, Narayana Hridalaya Hospital, H.S.R. […]

Complicated Tibial Plateau Fractures in Young Patients: Functional Outcome with Dual Plating through two Incision Technique

January 10, 2019/in Jan. - April 2019 | Volume 5 | Issue 1

Vol 5 | Issue 1 | Jan-April 2019 | page: 28-31 |Abdul Qadir, Muhammad Muzzammil, Muhammad Tahir Lakho, Maratib Ali. Author: Abdul Qadir [1],Muhammad Muzzammil [1], Muhammad Tahir Lakho [1], Maratib Ali [2] 1 Dept. Of orthopaedic surgery, Dr. Ruth K.M Pfau Civil Hospital Karachi – Pakistan. 2 Dept. Of orthopaedic surgery, Jinnah Postgraduate Medical […]

A Study about the Relationship between Vitamin D Level and Hip Fractures

January 10, 2019/in Jan. - April 2019 | Volume 5 | Issue 1

Complicated Tibial Plateau Fractures in Young Patients: Functional Outcome with Dual Plating through two Incision Technique

January 10, 2019/in Jan. - April 2019 | Volume 5 | Issue 1

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A Study about the Relationship between Vitamin D Level and Hip Fractures

January 10, 2019/in Jan. - April 2019 | Volume 5 | Issue 1

Vol 5 | Issue 1 | Jan-April 2019 | page: 7-9 |Albert Naveen Anthony, Joe Joseph Cherian, M J Saji.

Author: Albert Naveen Anthony [1], Joe Joseph Cherian [1], M. J Saji [2].

[1] Department of Orthopaedics, St. John’s Medical College Hospital, Sarjapur Road Koramangala, Bangalore. India.
[2] Department of Orthopaedics, Narayana Hridalaya Hospital, H.S.R. Layout, Bangalore.

Address of Correspondence
Dr. Joe Joseph Cherian,
Dept. of Orthopaedics, St. John’s Medical College Hospital, Sarjapur Road, Koramangala,
Bangalore – 560034 Karnataka State. India.
E-mail- cherianjoe71@gmail.com

Abstract

Introduction: Hip fractures are devastating injuries that most often affect the elderly and have a tremendous impact on both the healthcare system and society in general. The role of calcium and Vitamin D deficiency in bone metabolism is known and hence the necessity for further evaluation and studies to check its influence in hip fractures.
Method: A descriptive type of study was conducted between October 2012 and July 2014 in St. John’s Medical College and Hospital. Patients who fulfilled the inclusion criteria were included in the study. Once the diagnosis of hip fractures was made then following tests were done on day 1 of admission – Vitamin D (CLIA method), calcium, phosphate, and alkaline phosphatase.
Results: The study also showed that the incidence of the neck of femur fracture was comparable with intertrochanteric fractures. While neck of femur fractures was more common in female patients, while intertrochanteric fracture was common in male patients. These fractures were mainly seen in the age group between 61 and 70 years of age. The overall Vitamin D deficiency was 76% among all patients, with more predominance (84.6%) in female patients. Increased grades of fracture injury were seen in both fracture neck of femur and intertrochanteric fractures, when Vitamin D level was below 20 ng/ml
Conclusion: The prevalence of Vitamin D deficiency among hip fractures necessitates correction of its serum value in the body. The treatment of Vitamin D deficiency may decrease the incidence of hip fractures and result in milder grades of fractures. This may help in better management of hip fractures and reduce the financial burden of healthcare costs.
Keywords: Vitamin D, Vitamin D deficiency, Hip fractures

References

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How to Cite this article: Anthony A B, Cherian J J, Saji M J. A Study about the Relationship between Vitamin D Level and Hip Fractures. Trauma International JanAprl 2018;5(1):7-9

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Complicated Tibial Plateau Fractures in Young Patients: Functional Outcome with Dual Plating through two Incision Technique

January 10, 2019/in Jan. - April 2019 | Volume 5 | Issue 1

Vol 5 | Issue 1 | Jan-April 2019 | page: 28-31 |Abdul Qadir, Muhammad Muzzammil, Muhammad Tahir Lakho, Maratib Ali.

Author: Abdul Qadir [1],Muhammad Muzzammil [1], Muhammad Tahir Lakho [1], Maratib Ali [2]

1 Dept. Of orthopaedic surgery, Dr. Ruth K.M Pfau Civil Hospital Karachi – Pakistan.

2 Dept. Of orthopaedic surgery, Jinnah Postgraduate Medical Center, Karachi Pakistan.

Address of Correspondence

Dr. Abdul Qadir

Orthopedic surgeon

Dr. Ruth K.M Pfau civil hospital

Dow university of health sciences

Karachi pakistan

Email : capricorncious1@hotmail.com

Abstract

Objective: Motorbike accidents contribute one of the most important factors of tibial plateau fracture among young populations in Karachi Pakistan. Most surgeons feel challenging to treatment complicated bicondylar fractures of the tibial plateau.This prospective study was designed to evaluate the functional outcomes of dual plating through a two-incisions technique for the fixation of complicated bicondylar tibial plateau fractures in young patients in Karachi Pakistan.

Methods: This prospective study includes 94 cases of Type V and VI tibial plateau fractures of young patient’s age range from 15 to 45 years, operated between January 2014 and December 2016 conducted in two public sector hospital of Karachi Pakistan (Jinnah Post Graduate Medical Center, Civil Hospital Karachi). Exclusion criteria include patients with multiple fractures on the same side or same bone, age >45 years, open contaminated fracture, open fracture,and patients with head injuries. All cases were operated either by lateral locking plate fixation by anterolateral approach or dual plating through double incisions. These all cases were followed for a minimum of 24 months radiologically and clinically. The statistical analysis was performed using software SPSS 20.0 to analyze the data.

Results: A total of 94 patients (45 Single Plating and 49 Dual Plating)were operated during the study period of 2 years. However, four patients (4 single plating and 0 dual plating) were lost during follow-up who could not be tracked. Both groups were somewhat similar in relation to the age, mechanism of injury, fracture pattern, and soft tissue injury. Preoperatively, there was a significant increase in surgical time with the dual plating group; however, the mean time of reduction between the two groups was not significant. The decision to put bone graft was at the choice of the operating surgeon and was an intra operative decision with 74 (78.7%) patients receiving the bone graft. Post-operatively, there was no immediate difference in between the groups considering thermal alignment and reduction. It took approximately 4–5 months for the fractures to get united. There was normal union,non union or implant failure seen among those patients. There were 10 cases with superficial infection in wounds of dual plating group which were treated with culture sensitive antibiotics for average 2 weeks, healed subsequently. There were three patients found having an incidence of deep infection in a double plating group, wherein 2 patients were positive with Staphylococcus aureus and 1 patient with Escherichia coli was isolated. Extensive wound irrigation and lavage with antibiotic cement beads were given. Repeated irrigation and lavage were done again after 2 weeks with the removal of beads followed by prolonged course of antibiotic therapy for 6 weeks after which the infection resolved.A total of 38 (77%) patients in a double plating group regained full flexion (135°) and full extension (0°) with a good alignment and no pain and instability as compared to single plating group, seen in 30 (66%) patients at follow-up.

Conclusion: Dual plating by two-incision method resulted in better functional outcome regarding limb alignment and range of movements at knee joint with an acceptable soft tissue complication rate in young patients.

Keywords: Complicated tibial plateau fracture, Young patients, Double incision, Dual plating.

References

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15. Barei DP, Nork SE, Mills WJ, Henley MB, Benirschke SK. Complications associated with internal fixation of high-energy bicondylar tibial plateau fractures utilizing a two-incision technique. J Orthop Trauma 2004;18:649-57.

16. Papagelopoulos PJ, Partsinevelos AA, Themistocleous GS, Mavrogenis AF, Korres DS, Soucacos PN, et al. Complications after tibia plateau fracture surgery. Injury 2006;37:475-84.

17. Yoo BJ, Beingessner DM, Barei DP. Stabilization of the posteromedial fragment in bicondylar tibial plateau fractures: A mechanical comparison of locking and nonlocking single and dual plating methods. J Trauma 2010;69:148-55.

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How to Cite this article: Qadir A, Muzzammil M, Lakho M T, Ali M. Complicated Tibial Plateau Fractures in Young Patients: Functional Outcome with Dual Plating through two Incision Technique. Trauma International Jan-Aprl 2019;5(1):28-31.

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A Study about the Relationship between Vitamin D Level and Hip Fractures

Complicated Tibial Plateau Fractures in Young Patients: Functional Outcome with Dual Plating through two Incision Technique

A Study about the Relationship between Vitamin D Level and Hip Fractures

Complicated Tibial Plateau Fractures in Young Patients: Functional Outcome with Dual Plating through two Incision Technique

Full Sized Blog Element (Big Preview Pic)

A Study about the Relationship between Vitamin D Level and Hip Fractures

Author: Albert Naveen Anthony [1], Joe Joseph Cherian [1], M. J Saji [2].

Abstract

References

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

Complicated Tibial Plateau Fractures in Young Patients: Functional Outcome with Dual Plating through two Incision Technique

Author: Abdul Qadir [1],Muhammad Muzzammil [1], Muhammad Tahir Lakho [1], Maratib Ali [2]

Abstract

References

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

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