Blog Elements – Page 42 – Trauma International

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 31-34 | Aditya K. Agrawal Author: Aditya K. Agrawal [1]. [1]Dept of Orthopaedics, Dhiraj Hospital, SBKS MIRC, SumandeepVidyapeeth, Waghodia, Vadodara, Gujarat, 391760 India. Address of Correspondence Dr. Aditya K. Agrawal Dept of Orthopaedics, Dhiraj Hospital, SBKS MIRC, SumandeepVidyapeeth, Waghodia, Vadodara, Gujarat, 391760 India. Email: […]

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 25-27 | Vinod Nair, Amit Chaudhary, Clevio Desouza, Harshal Hurkat, Shiju George Author: Vinod Nair [1], Amit Chaudhary [1], Clevio Desouza [1], Harshal Hurkat [1], Shiju George [1]. [1]Department Of Orthopaedics, Dr D.Y.Patil Hospital, Pune, Maharashtra, India. Address of Correspondence Dr. Clevio Desouza D. […]

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Full Sized Blog Element (Big Preview Pic)

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 31-34 | Aditya K. Agrawal

Author: Aditya K. Agrawal [1].

[1]Dept of Orthopaedics, Dhiraj Hospital, SBKS MIRC, SumandeepVidyapeeth, Waghodia, Vadodara, Gujarat, 391760 India.

Address of Correspondence
Dr. Aditya K. Agrawal
Dept of Orthopaedics, Dhiraj Hospital,
SBKS MIRC, SumandeepVidyapeeth, Waghodia,
Vadodara, Gujarat, 391760 India.
Email: adityagrawal83@gmail.com

Abstract

Purpose: A classification is considered as good classification if it describes the particularregion of bone, type of fracture, personality of fracture in either planes and helps in selectionof implant and most importantly easy to understand by an orthopedic surgeon. Classification becomes more complicated when there is double region involvement with comminution,or distal fracture is in shaft leading to segmental fracture.
Materials and Methods: There are numerous classification systems available in the presentliterature for peri-trochanteric femur fractures. These include Evan’s, Tronzo, and Boyd andGriffin, OTA classifications for peri-trochanteric region, Seinsheimer’s and Fieldingclassifications for sub-trochanteric region. AO classification which is widely acceptedcritically defines peri-trochanteric, head and neck region of fracture femur.
Results: Drawbacks of existing classifications are that they are based on fractureconfiguration in sagittal plane only except Seinsheimer’s classification which is based oncoronal plane fracture morphology. Furthermore, double regions/ multiple regions arenot properly defined in these classification systems. If the proper classification system is not followed, it will lead to the selection of wrong implants which thereby leads to complications.
Discussion: Advantages of our new classification system are that it is easy to understand; allregions of peri-trochanteric femur are covered, and in the selection of proper implant.Hence, intra-operative complications can be avoided with proper pre-operative planning.
Conclusion: Thus, we hope that our new comprehensive classification of peri-trochantericfemur may help to solve the mysteries surrounding the understanding, classifying, and treating the fractures of peri-trochanteric femur.
Keywords: Classification, comprehensive, femur, fracture, peri-trochanteric.

References

1. Marks R. Hip fracture epidemiological trends, outcomes, and risk factors, 1970-2009. Int J Gen Med 2010;3:1-17.
2. Chang KP, Center JR, NguyenTV, Eisman JA. Incidence of hip and other osteoporotic fractures in elderly men andwomen: Dubbo osteoporosis epidemiology study. J Bone Miner Res 2004;19:532-6.
3. Saudan M, Lubbeke A, Sadowskil C, Riand N, Stern R, Hoffmeyer P,.“Per-trochanteric fractures: Is there an advantage to an intramedullary nail: A randomized prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail,”. JOrthopTrauma, 2002; 16,386-93.
4. Pajarinen J,Lindahl J, Michelsson O, Savolainen V, Hirvensalo E. Pertrochanteric femoralfractures treated with a dynamic hip screw or a proximal femoral nail. A randomised study comparing post-operative rehabilitation. J Bone Joint Surg Br 2005;87:76-81.
5. Baumgaertner MR, Curtin SL, Lindskog DM. Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures. Clin OrthopRelat Res 1998;348:87-94.
6. DavisTR, Sher JL, Horsman A, Simpson M, Porter BB, Checketts RG. Intertrochanteric femoral fractures. Mechanical failure after internal fixation. J Bone Joint Surg Br 1990;72:26-31.
7. Adams C.I, Robinson C. M, Court-Brown C.M, and Mcqueen M.M. “Prospective randomized controlled trail of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur,.” JOrthopTrauma, 2001; 15, 394-400.
8. Gadegone WM, Salphale YS. Proximal femoral nail-an analysis of 100 cases of proximal femoral fractures with an average follow up of 1 year. IntOrthop 2007;31:403-8.
9. Ballal MS, Emms N,Thomas G. Proximal femoral nail failures in extracapsular fractures of the hip. JOrthopSurg (Hong Kong) 2008;16:146-9.
10. Flores LA, Harrington IJ, Heller M.The stability of intertrochanteric fractures treated with a sliding screw-plate. J BoneJoint Surg Br 1990;72:37-40.
11. Bridle S.H, Patel A.D, Bircher M,. (1991) “Fixation of intertrochantericfractures of the femur: A randomized prospective comparison of the gamma nail anddynamic hip screw,”.J Bone Joint Surg, 1991; 73,330-4.
12. Halder SC.The Gamma nail for peritrochanteric fractures. J Bone Joint Surg Br 1992;74:340-4.
13. Schipper IB, Steyerberg EW, Castelein RM, van der HeijdenFH, den Hoed PT, Kerver AJ, et al. Treatment of unstable trochanteric fractures.Randomised comparison of the gamma nail and the proximal femoral nail. J BoneJoint Surg Br 2004;86:86-94.
14. Morihara T, Arai Y,Tokugawa S, Fujita S, Chatani K, Kubo T. Proximal femoral nail for treatment oftrochanteric femoral fractures. J OrthopSurg (Hong Kong) 2007;15:273-7.

How to Cite this article: Agrawal A. K. New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures. Trauma International Sep-Dec 2017;3(2):31-34.

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

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

December 10, 2017/in Volume 3 | Issue 2 | Sep-Dec

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 25-27 | Vinod Nair, Amit Chaudhary, Clevio Desouza, Harshal Hurkat, Shiju George

Author: Vinod Nair [1], Amit Chaudhary [1], Clevio Desouza [1], Harshal Hurkat [1], Shiju George [1].

[1]Department Of Orthopaedics, Dr D.Y.Patil Hospital, Pune, Maharashtra, India.

Address of Correspondence
Dr. Clevio Desouza
D. Y. Patil Medical College, Pimpri, Pune ,Maharashtra

Email: cleviod@yahoo.com

Learning Points for this Article: This articles shows us that although in its initial stages percutaneous release of trigger finger is a safe and cost effective procedure.

Abstract

Introduction: Trigger finger is a common cause of pain and disability of the hand. Trigger finger (or thumb) arises either from thickening of the flexor tendon sheath (which occurs following tenosynovitis of infective, traumatic or rheumatolgical origin) or from nodular thickening of the flexor tendon itself which may be congenital. Percutaneous release results in earlier functional recovery and patient satisfaction. This is a cost-effective and rapid method which saves a surgical procedure and results in a better functional outcome.
KeyWords: Trigger finger, percutaneous release, outpatient treatment, cost-benefit analysis.

References

1. Makkouk AH, OetgenME, Swigart CR, Dodds SD. Trigger finger: Etiology, evaluation, and treatment. Curr Rev Musculoskelet Med 2008;1(2):92-96.
2. Sato ES, Gomes Dos Santos JB, Belloti JC, Albertoni WM, Faloppa F. Treatment of trigger finger: Randomized clinical trial comparing the methods of corticosteroid injection, percutaneous release and open surgery. Rheumatology (Oxford)2012;51:93-99.
3. Drossos K, Remmelink M, Nagy N, de Maertelaer V, Pasteels JL, Schuind F. Correlations between clinical presentations of adult trigger digits and histologic aspects of the A1 pulley. J Hand Surg Am 2009;34(8):1429-1435.
4. Findings P. Trigger Finger. Lippincott’s Primary Care Orthopaedics. Philadelphia: Lippincott Williams & Wilkins; 2008: 273.
5. Cederlund RI, Thomsen N, Thrainsdottir S, Eriksson KF, Sundkvist G, Dahlin LB. Hand disorders, hand function, and activities of daily living in elderly men with Type 2 diabetes. J Diabetes Complications 2009;23(1):32-39.
6. Allan CH. Flexor tendons: Anatomy and surgical approaches. Hand Clin 2005;21(2):151-157.
7 Saldana MJ. Trigger digits: Diagnosis and treatment. J Am AcadOrthopSurg 2001;9(4):246-252.
8. Marcus AM, Culver JE Jr, Hunt TR 3rd. Treating trigger finger in diabetics using excision of the ulnar slip of the flexor digitorumsuperficialis with or without A1 pulley release. Hand (N Y)2007;2(4):227-231.
9. Ballantyne J, Hooper G. The hand and diabetes. Curr Orthop. 2004; 18(2): 118-25.
10. Fitzgerald B, Setty A, Mudgal C. Gout Affecting the Hand and Wrist. J Am Acad Orthop Surg. 2007; 15(10): 625.
11. Goldfarb C. Green’s Operative Hand Surgery. J Bone Joint Surg Am. 2005; 87(12): 2842.
12. Cebesoy O, Kose KC, Baltaci ET, Isik M. Percutaneous release of the trigger thumb: Is it safe, cheap and effective? IntOrthop 2007;31(3):345-349.
13. Fleisch SB, Spindler KP, Lee DH. Corticosteroid injections in the treatment of trigger finger: A level I and II systematic review. J Am AcadOrthopSurg 2007;15(3):166-171.
14. Colbourn J, Heath N, Manary S, Pacifico D. Effectiveness of splinting for the treatment of trigger finger. J Hand Ther 2008;21:336-343.
15. Slesarenko YA, Mallo G, Hurst LC, Sampson SP, Serra-Hsu F. Percutaneous release of A1 pulley. Tech Hand Up ExtremSurg 2006;10(1):54-56.
16. Kerrigan CL, Stanwix MG. Using evidence to minimize the cost of trigger finger care. J Hand Surg Am 2009;34(6):997-1005.
17. Webb JA, Stothard J. Cost minimisation using clinic-based treatment for common hand conditions-a prospective economic analysis. Ann R CollSurgEngl 2009;91(2):135-139.
18. Sahu R, Gupta P. Experience of percutaneous trigger finger release under local anesthesia in the medical college of Mullana, Ambala, Haryana. Ann Med Health Sci Res 2014;4(5):806-809.
19 Lalonde D, Martin A. Epinephrine in local anesthesia in finger and hand surgery: The case for wide-awake anesthesia. J Am AcadOrthopSurg 2013;21:443-447.
20. Eastwood DM, Gupta KJ, Johnson DP. Percutaneous release of the trigger finger: An office procedure. J Hand Surg Am 1992;17(1):114-117.
21. Elsayed MM. Percutaneous release of trigger finger. Egypt Orthop J. 2013; 48(3): 277.
22. Diab RA. Percutaneous release of trigger finger. J Orthop Surg (Hong Kong). 2015; 23(2): 241-242.
23. Pope DF, Wolfe SW. Safety and efficacy of percutaneous trigger finger release. J Hand Surg Am 1995;20(2):280-283.
24. Guler F, Kose O, Ercan EC, Turan A, Canbora K. Open versus percutaneous release for the treatment of trigger thumb. Orthopedics 2013;36(10):e1290-e1294.

How to Cite this article: Nair V, Chaudhary A , Desouz C, Hurkat H, George S. Percutaneous Release of Trigger Finger: A Safe and Cost effective Procedure. Trauma International Sep-Dec 2017;3(2):25-27.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

Full Sized Blog Element (Big Preview Pic)

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

Author: Aditya K. Agrawal [1].

Abstract

References

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

Percutaneous Release of Trigger Finger: A Safe And Cost effective Procedure

Author: Vinod Nair [1], Amit Chaudhary [1], Clevio Desouza [1], Harshal Hurkat [1], Shiju George [1].

Abstract

References

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

Contact

Important Links

LICENSE