Blog Elements – Page 33 – Trauma International

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate Retrospective study

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

Vol 5 | Issue 1 | Jan-April 2019 | page:3-6 – Raviraj Shinde, Tanvi Shinde, Ajit Shinde Author: Raviraj Shinde[1], Tanvi Shinde[1], Ajit Shinde[2] 1Department of Orthopaedics, Grant Medical College and Sir.J.J. Group of Hospitals, Mumbai. 2Shree AnnasahebShindeMhaishalkar Charitable Trust, Post Graduate Institute, Ambedkar road, civil hospital chowk, sangli Address of Correspondence Dr Raviraj Ajit […]

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. […]

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate Retrospective study

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

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

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

Full Sized Blog Element (Big Preview Pic)

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate Retrospective study

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

Vol 5 | Issue 1 | Jan-April 2019 | page:3-6 – Raviraj Shinde, Tanvi Shinde, Ajit Shinde

Author: Raviraj Shinde[1], Tanvi Shinde[1], Ajit Shinde[2]

1Department of Orthopaedics, Grant Medical College and Sir.J.J. Group of Hospitals, Mumbai.
2Shree AnnasahebShindeMhaishalkar Charitable Trust, Post Graduate Institute, Ambedkar road, civil hospital chowk, sangli

Address of Correspondence
Dr Raviraj Ajit shinde
Department of Orthopaedics, Grant Medical College and Sir.J.J. Group of Hospitals, Mumbai
Email Id : drravirajshinde@gmail.com

Abstract

Introduction: The overall incidence of distal femur fractures is approximately 37 per 100,000 person-years.1 These fractures are either caused by high energy trauma in younger group or low energy falls in elderly population typically older women. As these fractures can lead to long term disability managing them is challenging task. Operative treatment for fracture fixation is recommended for optimal outcome. Although different modes of fracture fixation has evolved and no single method is uniformly successful. In our study we have compared fixation of distal femur fracture using locking plate and intramedullary nail.
Materials and Methods: Retrospectively collected data of operated distal femur fracture of 60 patients was included. Out of these 30 patients were operated with retrograde distal femoral nail and 30 were operated with locking distal femur plate. Patients were assessed with plain radiographs and CT scan was done for complex and intra articular fractures. AO ( Muller) classification was used to classify the fracture type. Postoperative functional results were evaluated using Schatzker and Lambert critera at 1 year follow up.
Results: Mean age of the patients in the study was 45 yrs. with 73.33 % male and 26.67 % female patients. There were 41 extra articular fractures (type A) while 19 were intrarticular fractures (type C). 22 type A and 8 type C fractures were treated with retrograde nailing while 19 type A fractures and 11 type C fractures were treated with locking plate. In LCP group 28.57% cases had excellent result while 42.86% cases had good result while in retrograde supracondylar nail 13.33% had excellent result and 23.33 % had good result. There were 2 cases of infection, one in each group and 3 cases of malunion, which were managed with nail. Delayed union was encountered in 3 patients, two of them were managed with LCP.
Conclusion: Open reduction and internal fixation of distal femur has achieved excellent to good functional results with locking plate construct in all types of fractures while retrograde supracondylar nail can achieve comparable results when used in simple extraarticular fractures.For other fractures it is difficult to maintain length, alignment and rotation with retrograde nail.
Keywords: distal femur fracture, Retrograde intramedullary nail, locking distal femur plate, minimally invasive plating technique, Schatzker and Lambert criteria

References

1. J Arneson, T & Melton, Joel & G Lewallen, D & M O’Fallon, W. (1988). Epidemiology of diaphyseal and distal femoral fractures in
Rochester, Minnesota, 1965-1984. Clinical orthopaedics and related research. 234. 188-94.
2. Kolmert L, Wulff K. Epidemiology and treatment of distal femoral fractures in adults.ActaOrthop Scand. 1982 Dec;53(6):957-62.
3. Elsoe R, Ceccotti AA, Larsen P. Population-based epidemiology and incidence of distal femur fractures.IntOrthop. 2018 Jan; 42(1):191- 196. doi: 10.1007/s00264-017-3665-1. Epub 2017 Nov 7.
4. Cambell’s operative orthopedics,11th edition, Vol.3,pg-2805.
5. Schatzker J. Lambert DC: Supradondylar fracture of the femur; Clin. Orthop 138: 77, 1979.
6. Krishna C et al : Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate IntSurg J. 2016 Aug;3(3):1356-1359
7. El Moumni M, Schraven P, ten Duis HJ, Wendt K: Persistent knee complaints after retrograde unreamed nailing of femoral shaft fractures. ActaOrthopBelg 2010;76:219–225.
8. Ricci WM, Loftus T, Cox C, Borrelli J. Locked plates combined with minimally invasive insertion technique for the treatment of periprosthetic supracondylar femur fractures above a total knee arthroplasty. J Orthop Trauma 2006 ; 20 : 190-196.
9. Krishna C et al : Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate IntSurg J. 2016 Aug;3(3):1356-1359
10. Gupta SKV, Govindappa CVS, Yalamanchili RK. Outcome of retrograde intramedullary nailing and locking compression plating of distal femoral fractures in adults. OA Orthopaedics 2013 Nov 01;1(3):23.
11. Hierholzer C, von Ruden C, Potzel T, Woltmann A, BuhrenV:Outcome analysis of retrograde nailing and less invasive stabilization system in distal femoral fracture: a retrospective analysis. Indian J Orthop. 2011;45:243-50.

How to Cite this article: Shinde R, Shinde T, Shinde A. Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate; Retrospective study. Trauma International Jan-Apr 2019;5(1):3-6

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

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

1. Hektoen LF, Saltvedt I, Sletvold O, Helbostad JL, Lurås H, Halsteinli V, et al. One-year health and care costs after hip fracture for homedwelling elderly patients in Norway: Results from the trondheim hip fracture trial. Scand J Public Health 2016;44:791-8.

2. Laird E, Ward M, McSorley E, Strain JJ, Wallace J. Vitamin D and bone health: Potential mechanisms. Nutrients 2010;2:693-724.

3. Bikle DD. Vitamin D and bone. Curr Osteoporos Rep 2012;10:151-9.

4. Jackson RD, LaCroix AZ, Gass M, Wallace RB, Robbins J, Lewis CE, et al. Calcium plus Vitamin D supplementation and the risk of fractures. N Engl J Med 2006;354:669-83.

5. Shinkov A, Borissova AM, Dakovska L, Vlahov J, Kassabova L, Svinarov D, et al. Differences in the prevalence of Vitamin D deficiency and hip fractures in nursing home residents and independently living elderly. Arch Endocrinol Metab 2016;60:217-22.

6. Gorter EA, Hamdy NA, Appelman-Dijkstra NM, Schipper IB. The role of Vitamin D in human fracture healing: A systematic review of the literature. Bone 2014;64:288-97.

7. Lv QB, Gao X, Liu X, Shao ZX, Xu QH, Tang L, et al. The serum 25hydroxyvitamin D levels and hip fracture risk: A meta-analysis of prospective cohort studies. Oncotarget 2017;8:39849-58.

8. Ramason R, Selvaganapathi N, Ismail NH, Wong WC, Rajamoney GN, Chong MS, et al. Prevalence of Vitamin D deficiency in patients with hip fracture seen in an orthogeriatric service in sunny Singapore. Geriatr Orthop Surg Rehabil 2014;5:82-6.

9. de Jong A, Woods K, Suresh M, Porteous M. Vitamin D levels in hip fractures: Rationale and guidelines for rapid substitution therapy. ??? 2012;43:1624.

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

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate Retrospective study

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

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate Retrospective study

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

Full Sized Blog Element (Big Preview Pic)

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate Retrospective study

Author: Raviraj Shinde[1], Tanvi Shinde[1], Ajit Shinde[2]

Abstract

References

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

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)

Contact

Important Links

LICENSE