ABSTRACT
OBJECTIVE: To analyze and determine anatomical restoration by using percutaneous cross pinning v/s two lateral pinning, functional outcome in these modalities, assess the complications in these methods of treatment and compare patient acceptance of each method
METHODOLOGY: This was a comparative cross sectional study carried out in the department of Orthopeadic Unit-I, Liaquat University Hospital [LUH] Hyderabad from 01-11-2010 to 31-10-2012
This study consisted of 40 patients admitted through the out patient department as well as casuality department. Detailed clinical examination of the patient was done and recorded in proforma
All patients underwent base line and specific investigations especially x-ray
RESULTS: In this study percutaneous cross pinning group 17[85%] were male and 3[15%] female
In two lateral pinning group 18[90 %] were male and 2[10 %] female. There was wide variation of age ranging from a minimum of 3 years to 13 years in both groups. The mean age was 7.25+3.22 years. The major cause of fracture in this study was fall while playing in 21 patients [52.5%], followed by fall from bicycle in 11 patients [27.5%] and in 8 patients [20%] were due to fall from tree [5 to 7 feets height]. In our study, we have 26[65%] patients with postero-medial displacement and 14 [35%] patients with postero-lateral displacement. The complications were seen Superficial pin tract infection [0%] patients in Percutaneous Cross Pinning VS 1[05%] patients in Two Lateral Pinning group, Non Union 1[05%] patients in Percutaneous Cross pinning VS 2[10%] patients in Two Lateral Pinning group group], K-wire migration 1[05%] patients in Per Cutaneous Cross pinning VS 2 [10%] patients in Two Lateral Pinning group group]. Outcome according to flynn criteria were seen in this study, carrying angle loss 2[10%] patients in Per Cutaneous Cross pinning VS 4[20%] patients in Two Lateral Pinning group] and loss of motion 3[15%] patients in Per Cutaneous Cross pinning VS 5[25%] patients in Two Lateral Pinning group
CONCLUSION: The management with percutaneous cross pinning is better method of treating Supra-condylar fractures of humerus and more predictable as compare to that of two lateral pinning
ABSTRACT
OBJECTIVES: To compare the functional outcome and the complications of plaster cast and orthofix in the management of distal radius fracture
SETTING: Department of orthopaedic surgery and truamatology [DOST] Liaquat University of Medical and Health Sciences [LUMHS] Jamshoro
STUDY DESIGN: Comparative Study
DURATION OF STUDY: 18 months from 2[nd] March 2012 to 1[st] September 2013
MATERIAL and METHODS: A total of 40 patients fulfilled the inclusion criteria were included in this study. Patients were randomized allocating to either treatment with conventional closed method [group I] or orthofix [group II]. After one week of the initial treatment, patients of either group were followed in the orthopaedic wards and OPD. Clinical and radiological assessment was carried out and recorded. Subsequently, patients were advised for follow up for six weeks
After removal of either plaster or orthofix; patient was reviewed at monthly interval to access the wrist function. Data was collected on Performa
RESULTS: There were statistically significant differences between the orthofix group and plaster cast group on the average, regarding radial length, radial angle, palmar tilt, p value was calculated 0.05, 0.004 and 0.0005 respectively
All patients in orthofix group achieved union and maintained good reduction after closed reduction of the fracture. Complications were seen among both the groups; Mal-union, Stiff hand and Non union, Pressure sore, Shoulder stiffness were not significant between groups
CONCLUSION: it is concluded from this study that external fixator one of the best tool have over edge on plaster cast in the treatment of distal radius fracture Department of Orthopedic