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Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation with Intra-articular K-wire Fixation

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

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 21-24 | Biswajit Sahu, Ranajit Panigrahi, Nishit Palo, Ashok Priyadarshi, Saswat Samant Author: Biswajit Sahu [1], Ranajit Panigrahi [2], Nishit Palo [3], Ashok Priyadarshi [4], Saswat Samant [5]. [1] Department of Orthopaedics, VSS Medical College. [2] Department of orthopedics, Hi-Tech Medical College [3] Department […]

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: […]

Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation with Intra-articular K-wire Fixation

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

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

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

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Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation with Intra-articular K-wire Fixation

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

Vol 3 | Issue 2 | Sep – Dec 2017 | page: 21-24 | Biswajit Sahu, Ranajit Panigrahi, Nishit Palo, Ashok Priyadarshi, Saswat Samant

Author: Biswajit Sahu [1], Ranajit Panigrahi [2], Nishit Palo [3], Ashok Priyadarshi [4], Saswat Samant [5].

[1] Department of Orthopaedics, VSS Medical College.
[2] Department of orthopedics, Hi-Tech Medical College
[3] Department of Orthopaedics, Santosh Medical College,Ghaziabad, UP.
[4] Department of orthopedics, Hi-Tech Medical College, Bhubaneswar

Address of Correspondence
Dr Saswat Samant
Department of Orthopaedics, Hi-tech Medical College
Bhubaneswar.
Email: Saswatsamant135@gmail.com

Learning Points for this Article: Isolated intra-articular K-wire fixation also fails to provide the required stability to the injured joint, especially in developing countries, where patients fail to adhere to the rehabilitation protocol. Thus, combining both, the intra-articular and coracoclavicular fixations seem to be a promising modality in terms of stability and secure fixation. Combining the intra- and extra-articular techniques significantly decreases the complication rates as seen with the isolated fixation techniques.

Abstract

The AC joint is commonly involved in traumatic injuries that affect the shoulder.Treatment of these injuries has been controversial and continues to evolve to this day ranging from conservative management and k-wire fixations to screw fixation, and more recently, arthroscopically assisted ligament reconstructions with no definite consensus about the ideal method of treatment.Each modality has its own advantages and disadvantages. In this prospective therapeutic multicenter study, we compared combined intra-articular fixation and screw coracoclavicular repair versus the intra-articular fixation with k-wires alone to assess the stability, failure rates, and outcomes of combining the two methods of fixation versus isolated intra-articular fixation.combining both, the intra-articular and coracoclavicular fixations seem to be a promising modality in terms of stability and secure fixation. Combining the intra- and extra-articular techniques significantly decreases the complication rates as seen with the isolated fixation techniques.
Keywords: Acromioclavicular dislocations, intra-articular, multicenter.

References

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How to Cite this article: Sahu B, Panigrahi R, Palo N, Priyadarshi A, Samant S. Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation With Intra-articular K-wire FixationTrauma International Sep-Dec 2017;3(2):21-24.

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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

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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.
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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.
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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.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation with Intra-articular K-wire Fixation

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation with Intra-articular K-wire Fixation

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

Full Sized Blog Element (Big Preview Pic)

Acute Complete Acromioclavicular Dislocations: A Prospective Multicenter Therapeutic Study Comparing Combined Intra-articular and Extra-articular Fixation with Intra-articular K-wire Fixation

Author: Biswajit Sahu [1], Ranajit Panigrahi [2], Nishit Palo [3], Ashok Priyadarshi [4], Saswat Samant [5].

Abstract

References

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

New Comprehensive Classification Systems for Peri-trochanteric Femur Fractures

Author: Aditya K. Agrawal [1].

Abstract

References

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

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