Blog Elements – Page 34 – Trauma International

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 25-28 | Ninad Ashok Godghate, Neha Ninad Godghate, Krishnamohan Ananda Saindane, Shriniwas Yemul, Shivraj Suryawanshi. doi-10.13107/ti.2018.v04i01.062 Author: Ninad Ashok Godghate [1] , Neha Ninad Godghate [1], Krishnamohan Ananda Saindane [2], Shriniwas Yemul [3], Shivraj Suryawanshi [4]. [1] Consultant Grace Ortho Clinic Rajiv Nagar T-Point […]

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 22-24 | Yashwant J. Mahale, Vikram V. Kadu. doi-10.13107/ti.2018.v04i01.061 Author: Yashwant J. Mahale [1], Vikram V. Kadu [1]. [1] ACPM Medical College , Dhule – 424001 , Maharashtra India. [2] Mahale Accident Hospital , Dhule, Maharashtra India. Address of Correspondence Dr. Vikram V Kadu, […]

Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Full Sized Blog Element (Big Preview Pic)

Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 25-28 | Ninad Ashok Godghate, Neha Ninad Godghate, Krishnamohan Ananda Saindane, Shriniwas Yemul, Shivraj Suryawanshi.

doi-10.13107/ti.2018.v04i01.062

Author: Ninad Ashok Godghate [1] , Neha Ninad Godghate [1], Krishnamohan Ananda Saindane [2], Shriniwas Yemul [3], Shivraj Suryawanshi [4].

[1] Consultant Grace Ortho Clinic Rajiv Nagar T-Point Wardha Road, Nagpur.
[2] FICS, Consultant, Suyog Hospital, Sakri road, Dhule.
[3] Ashwini Rural Medical College and Research Centre, Kumbhari, Solapur
[4] Consultant Orthopaedic Surgeon, Alexis Hospital Nagpur

Address of Correspondence
Dr. Ninad Godghate,
1, Satpute Layout, Somalwada, Wardha Road, Nagpur-440025
E-mail: drninadgodghate@gmail.com

Abstract

Introduction: Inspite of routine encounters, hip fractures have the capacity to perplex even experienced orthopaedic surgeons at times. Management of these fractures has evolved with time and soft tissue preserving techniques have gained importance. Through this study we have attempted to analyse the results of traditional dynamic condylar screw plate construct used in a biological manner for treatment of peritrochanteric hip fractures.
Material & Methods: 18 patients in the age group of 22 to 78 years with post traumatic unstable intertrochanteric or subtrochanteric fractures in a pre-operative normal limb were included. All cases were operated within 5 days of trauma and were advised non weight bearing mobilisation for 6 weeks.
Results: Union was achieved in all cases with average duration of 14.6 weeks. 14 patients regained pre-fracture activities.
0.5 cm lengthening was seen in 2 cases.
Conclusion: Biological plating with dynamic condylar screw plate construct is a good modality for treatment of peritrochanteric hip fractures. There is a learning curve like any other surgical technique and results can be improved over time with proper patient selection and planning.
Keywords: Biological, Dynamic condylar screw, unstable, Peritrochanteric fractures

References

1. Rohilla R, Singh R, Magu NK, Siwach RC, Sangwan SS. Mini-incision dynamic condylar screw fixation for comminuted subtrochanteric hip frcatures. Journal of orthopaedic surgery 2008; 16(2):150-5.
2. Saini P, Kumar R, Shekhawat V, Joshi N, Bansal M, Kumar S. Biological fixation of comminuted subtrochanteric fractures with proximal femur locking compression plate. Injury 2013; 44:226-31.
3. Vaidya SV, Dholakia DB, Chatterjee A. The use of dynamic condylar screw and biological reduction techniques for subtrochanteric femur fracture. Injury 2003; 34:123-8.
4. Boldin C, Seibert FJ, Fankhauser F, Peicha G, Grechenig W, Szyszkowitz R. The proximal femoral nail (PFN) – a minimal invasive treatment of unstable proximal femoral fractures: a prospective study of 55 patients with a follow-up of 15 months. Acta Orthop Scand 2003;74:53-8
5. Garnavos C, Peterman A, Howard PW. The treatment of difficult proximal femoral fractures with the Russell- Taylor reconstruction nail. Injury 1999;30:407-15
6. Palm H, Jacobsen S, Sonne-Holm S, Gebuhr P; Hip fracture study group. Integrity of the lateral femoral wall in intertrochanteric hip fratures: an important predictor of a reoperation. JBJS Am 2007 Mar; 89(3):470-5.
7. Krettek C, Schandelmaier P, Miclau T, Tscherne H. Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures. Injury Supplement 1997; 28(1):20-30.
8. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969 Jun;51(4):737-55
9. Siebenrock KA, Muller U, Ganz R, Indirect reduction with condylar blade plate for osteosynthesis of subtrochanteric femoral fractures. Injury 1998; 29(Suppl 3):C7-15
10. Cooper C, Campion G, Melton LJ. Hip fractures in the elderly: a world-wide projection. Osteoporos Int. 1992; 2:285-9
11. Johnell O, Kanis JA. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int. 2004;15:897-902
12. Kulkarni GS, Limaye R, Kulkarni M, Kulkarni S. Current concept review Intertrochanteric fractures. Indian Journal of orthopaedics 2006; 40(1):16-23.
13. Pilson H, Carol E. Biological basis of minimally invasive osteosynthesis. In Tornetta P, editor. Minimally invasive orthopaedic trauma. Philadelphia: Wolters Kluwer; 2014, p. 1-10.
14. Morshed S, Lin C, Krettek C, Miclau T III. Biological basis of minimally invasive osteosynthesis. In Tornetta P, editor. Minimally invasive orthopaedic trauma. Philadelphia: Wolters Kluwer; 2014, p. 11-23.
15. Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P. The topography of the perforators of the deep femoral artery: a cadaver injection study. Orthopaedic trauma association (OTA), annual meeting Boston 1996; Abstract book 133-134
16. Schemitsch E., Turchin D., Kowalski M., Swiontkowski M. Quantitative assessment of bone injury and repair after reamed and unreamed locked intramedullary nailing. The journal of trauma: Injury, Infection and Critical care. 1998; 45:250-55
17. Leunig M, Hertel R, Siebenrock KA, Ballmer FT, Mast JW, Ganz R. The evolution of indirect reduction techniques for the treatment of fractures. Clin Orthop Relat Res. 2000;375:7-14
18. Perren SM. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: Choosing a new balance between stability and biology. J Bone Joint Surg Br 2002;84:1093-110
19. Steven P, Wade G, Allan SL. Subtrochanteric fractures. In Mohit Bhandari, editor. Evidence based Orthopaedics Vol.II. Wiley Blackwell; 2012: p 502
20. Kinast C, Bolhofner BR, Mast JW, Ganz R. Subtrochanteric fractures of the femur. Results of treatment with the 95 degrees condylar blade plate. Clin Orthop Relat Res 1989; 238:122-30.
21. Kulkarni SS, Moran CG. Results of dynamic condylar screw for subtrochanteric fractures. Injury 2003; 34:117-22.
22. Nungu KS, Olerud C, Rehenberg L. Treatment of subtrochanteric fractures with the AO dynamic condylar screw. Injury 1993; 24:90-2
23. Arrington, Edward D, Smith, William J, Chambers, Henry G, Bucknell, Allan L, Davino, Nelson A. Complications of iliac crest bone graft harvesting. Clin Orthop Relat Res. 1996; 329:300-09
24. Appelt A, Suhm N, Baier M, Meeder PJ. Complications after intramedullary stabilization of proximal femur fractures: a retrospective analysis of 178 patients. Eur J Trauma and Emerg Surg 2007; 33:262-7.
25. Windolf J, Hollander D, Hakimi M, Linhart W. Pitfalls and complications in the use of the proximal femoral nail. Langenbecks Arch Surg 2005; 390:59-65.
26. Gotfred Y. The lateral trochanteric wall. Clin Orthop. 2004; 425:82-86.
27. Antonini G, Giancola R, Berruti D, Blanchietti E, Pecchia P, Francione V, Greco P, Russo TC, Pietrogrande L. Clinical and functional outcomes of PCCP study:a multicentre prospective study in Italy. Strat Traum Limb Recon. 2013; 8:13-20
28. Pai CH. Dynamic condylar screw for subtrochanteric fractures with greater trochanteric extension. J. Orthop. Trauma, 1996; 10:317-22
29. Sanders R, Regazzoni P. Treatment of subtrochanteric fractures using the dynamic condylar screw. J. Orthop Trauma. 1989; 3:206-13

How to Cite this article: Godghate NA , Godghate NN, Saindane KA, Yemul S, Suryawanshi S. Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures. Trauma International May -Aug 2018;4(1):25-28.

(Abstract Text HTML) (Download PDF)

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 22-24 | Yashwant J. Mahale, Vikram V. Kadu.

doi-10.13107/ti.2018.v04i01.061

Author: Yashwant J. Mahale [1], Vikram V. Kadu [1].

[1] ACPM Medical College , Dhule – 424001 , Maharashtra India.
[2] Mahale Accident Hospital , Dhule, Maharashtra India.

Address of Correspondence
Dr. Vikram V Kadu,
C/O Vilas Shamrao Kadu, Plot no. 20, Kadu House, Barde layout, Katol Road, Nagpur – 440013
Email: vikram1065@gmail.com

Abstract

Introduction: Inter-trochanteric fractures are disabling injuries that most commonly affect the elderly
population. These fractures have a tremendous impact on both the health care system and society in general. These fractures can be managed by conservative methods, but mal-union and complications of prolonged immobilization is the result. Thus, surgery by internal fixation is the ideal choice. DHS was the gold standard treatment for inter trochanteric fractures before intra-medullary devices were developed. These devices have the advantage of shorter lever arm causing less tensile strain on the implant, controlled fracture impaction due to incorporation of sliding hip screw, shorter operative duration and less soft tissue dissection. In view of these considerations, present study is taken up to assess the outcome in terms of adequacy of fixation and results.
Methods: This is a retrospective study including 40 patients of unstable inter-trochanteric fracture treated with trochanteric fixation nail. Mean age group of patient was 61.78 years.
Results: Functional results were assessed in all 40 cases at follow up. Excellent results were noted in 27 cases, good in 10, fair in 3 and none had poor result. Anatomical results were assessed by presence or absence of shortening and range of movements.
Conclusion: The trochanteric fixation nail is a good minimally invasive implant for unstable inter-trochanteric fracture with less blood loss and soft tissue damage.
Keywords: Unstable inter-trochanteric fractures, shortening, trochanteric fixation nail.

References

1. Robert W Bucholz, James D Heckman, Charles M Court-Brown, Rockwood and Greens volume 2, 6th edition; pages 1827-44
2. GS kulkarni, Rajiv Limaye, Milind Kulkarni, ‘ intertrochanteric fractures- Current concept review’ Ind J Orth, 2006, vol 40, 16-23
3. Boldin, Christia, Seibert, Franz J, Fankhauser, Wolfgang, Szyszkowitz, Rudolf (2003) et al. Acta Orthopaedics, 74:1, 53-58
4. Ganz R, Thomas R.J, Hammerle CP. Clin Orthop 1979; 138:30-40
5. Cleveland, m. Bosworth, D. M and Thompson, F.R. JBJS, 29:1049-67, 1947
6. Mulley G and Espley, A. J. Postgrad Med. J, 55:264-265, 1979
7. Evans EM. JBJS 1949; 31B: 190-203
8. Wolfgang GL. Clinical Orthopaedics and related research 1982; 163: 148-158
9. Sarmeinto, A. Clin.Orthop, 53:47-59, 1967.
10. Wei-Chao Sheng, Jia-Zhen Li, Sheng-Hua Chen and Shi-Zen Zhong. International orthopaedics, vol 33, number 2, 537-42
11. Patil Suresh S, Panghate Atul. J orthopaedics 2008, 5(3) E7.

How to Cite this article: Mahale YJ, Kadu V. Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail.. Trauma International May-Aug 2018;4(1):22-24.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

Full Sized Blog Element (Big Preview Pic)

Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures

Author: Ninad Ashok Godghate [1] , Neha Ninad Godghate [1], Krishnamohan Ananda Saindane [2], Shriniwas Yemul [3], Shivraj Suryawanshi [4].

Abstract

References

(Abstract Text HTML) (Download PDF)

Functional outcome of Unstable Inter-trochanteric femur fracture patients treated with Trochanteric fixation nail

Author: Yashwant J. Mahale [1], Vikram V. Kadu [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

Contact

Important Links

LICENSE