Outcome of femural neck fracture treated by austin -moor hemiarthroplasty in elderly patients

To determine postoperative complications including with ambulation improvement and condition in elderly patients with fracture neck of femur treated by Austin-Moore hemiarthroplasty during 6 months period postoperatively at Peoples medical university Hospital Nawabshah. Descriptive case series study. This study was carried out at Peoples Medical University Hospital Nawabshah and Liaquat University Hospital Hyderabad from July 2012 to July 2014. Total 100 elderly patients with femoral neck fracture with the age of above 60 years were included in the study. The patients were followed for a period of 6 months postoperatively and all the postoperative complications were documented in the proforma. This study was contains total of 100 elder patients with femur neck fracture majority of male 72%. Most common 69% age group of the elder patients was 60 - 69, years of the age. Fractures were present 55% on the left sides while 45%. Majority of the cases were found with co morbidies 58%, and according to the post operative complications wound problem was found most common 21% along with implant infection 9%, 2[nd] most common complication was bed sore 11%. On the outcome excellent results were found 32.60%, good results were 42.70%, while fair and poor results were as 16.30% and 8.40% respectively. While 17%, death was recorded during 6 month of postoperative time. Austen Moor Hemiarthoplasty is the good surgical technique of the management for the fracture of the femur. It is very cost effect treatment along with very small amount of morbidity and mortality

Current pattern and outcome of closed diaphyseal humeral fracture treated with intramedullary interlocking nail

To determine the current pattern and outcome of the closed diaphyseal humeral fracture treated with intramedullary interlocking nail. Descriptive study. This study was carried out at Orthopedic Department of Liaquat University Hospital Hyderabad and PUMHS Benazirabad Nawabshah from March 2011 to February 2012. All the 40 patients with closed diaphyseal humeral shaft fracture between the ages 15-45 years were included in the study. All the patients after counseling and diagnosed as case with closed diaphyseal humeral shaft fracture on the basis of clinical examination and X-rays. Closed intramedullary nailing management procedure was used for closed diaphyseal humeral shaft fracture regarding with clinical presentation, preoperative findings and functional outcomes were documented including postoperative complications. Total 40 patients were selected in this study with humeral fracture. Male were found in majority. From types of fractures transverse fractures were most common 45% and road accidents were seen in majority. Most common complication was post operative pain in 40% of cases; Excellent results were found in the 55% of the cases while good in 20%, fair in 10% and 5% results were noted poor in the patients. In the conclusion of this study the closed intramedullary interlocking nailing procedure is the very good method for treatment of fracture shaft of humerus including with very good outcome