ABSTRACT
Abstracts: Background This study compares the results of two commonly used methods of internal fixation for transverse fracture of patella namely modified tension band wiring (TBW) and cannulated cancellous screw fixation. Methodology: The study consists of 20 cases treated at BRIMS hospital , Bidar with modified tension band wiring with K-wires and cannulated cancellous screws with a follow up of 1 year. Out of 20 cases, Group A consists of 10 patients treated for tension band wiring and Group B of 10 cases treated for cannulated cancellous screws. Results: Union was achieved in all 20 cases. Group A treated 9 out of 10 had excellent to good results with knee flexion more than 120° and Group B, had 8 out of 10 with excellent to good results with knee flexion more than 120°. In all the 20 cases Quadriceps wasting was severe but less in Group A. Discussion: Although the modified tension band technique (eg. tension band supplemented by longitudinal Krischner wires) has long been the mainstay for fixation of transverse fractures of patella. It has shortcomings, such as bad reduction, loosening of implants, and skin irritation. It was found that modified tension band wiring showed better results than cannulated cancellous screws as stability of implants is better in transverse fracture patella and post operative rehabilitation is faster. Conclusion The modified tension band wiring is better than that of Cannulated cancellous screw transverse fractures of patella probably because of good stability of implant and easier postoperative rehabilitation. [
ABSTRACT
Abstracts: Background: Hip fractures are devastating injuries that most commonly affect the elderly and have a tremendous impact on both the health care system and society. It is now accepted universally that internal fixation is the best method of treatment of intracapsular fracture as it allows early stabilization and patient mobility.1 Methodology: This study consists of 20 cases of intertrochanteric fracture treated with dynamic hip screw and plate. Results: In our study most of the fractures were Boyd and Griffin type II fracture with 14 patients (70%) and type I were 6 patients (30%). In the study trochanteric fracture was common in old age group and were treated with Dynamic Hip screw, because of its sliding mechanism which gives compression at the fracture site. Discussion: The average time of consolidation of fracture in our study was 20 weeks. It was 9 months in conservative method with deformity as seen by Frew.2 So, dynamic hip screw is a better implant for the treatment of trochanteric fracture. This is because of sliding screw, which gives compression at the fracture site. Due to its sliding mechanism, the fracture union rate and movement at hip joint were good in most of our cases. Due to its sliding mechanism the fracture union rate and movement at the joint were good in most of the cases. Conclusion: DHS is a good modality of treatment for internal fixation of intertrochanteric fractures Boyd and Graffin’s type I & II. However good medial cortical opposition either by close reduction or open reduction with/without medial displacement of distal femoral fragment is mandatory for good result.