Functional and radiological outcome of percutaneous pinning for fractures of distal radius

To evaluate functional and radiological outcome of close reduction and percutaneous pinning and plaster for fractures of distal radius. This was prospective study was carried out at Department of Orthopedics surgery at Mercy teaching Hospital ,Peshawar Medical College and Hayatabad Medical Complex, Peshawar, KPK, Pakistan from June 2010 to April 2012. It included 50 patients of age more than 15 years with AO type A and C1 and Fernandez type I and III distal radius fracture. After close manipulation and percutaneous K wiring, plaster cast was applied for 6 weeks. Immediate postoperative and at 6th week X ray of wrist taken for measurement of radial height and volar tilt. Subjective satisfaction of every patient according to Saito chart was evaluated after 6 months. Data was analyzed with SPSS v14. Out of 50 patients, 34 [68%] were males and 16 [32%] females. Mean age was 36.46 years [range 17-60 years]. Immediate postoperative radiographs showed that the average radial height was 10.80 mm [range = 8-14 mm] and volar tilt was 4.50 [degree sign] [range = ?411[degree sign]]. At the time of removal of pin-in-plaster and percutaneous K-wires, the average radial height was 10.00 mm [range = 7-13 mm], and the volar tilt was 4.32[degree sign] [range = ?411[degree sign]]. Subjective satisfaction frequency was excellent in 44[88%] cases and good and fair in 6 [12%]. Pin and plaster is good minimal invasive technique for close reduction and its maintenance during healing process with excellent functional outcome

Treatment of nonunion of long bone fractures with surgical implant generation network nail

To evaluate the efficacy of surgical implant generation network [SIGN] nail in treatment of nonunion of long bone fractures. Descriptive case series. Orthopedics Unit Mercy Teaching Hospital, Peshawar Medical College Peshawar, from June 2009 to December 2011. The study included 50 patients of age 15 year to 70 year of either sex and established nonunion after either surgical or nonsurgical intervention. All patients were managed by reamed SIGN nail and bone graft was performed. The follow up was done for the union. The data was analyzed with SPSS version 14. There were a total 50 patients with 46 [92%] males and 4 [08%] females. Mean age was 34.84 year. Average duration of nonunion was 16.16 months [range 06-48 months]. Among 50 cases tibia was involved in 30 [60%], femur in 16 [32%] and humerus in 4 [08%]. Thirty- eight [76%] cases were operated before SIGN nailing, with 16 [32%] having external fixator, 14 [28%] intramedullary nailing and 8 [16%] DCP. Twelve [24%] cases were managed conservatively. Average follow up was 21.12 [range 6-31] months. Forty-six [92%] cases were united fully in follow up, 2 [4%] were infected, 1[2%] had broken implant and 1[2%] was persistent nonunion case. Results of reamed solid intramedullary nail were good in terms of union and stability