ABSTRACT
Supracondylar humerus fractures with intercondylar extension are uncommon injuries in adults. The present study was conducted to assess supracondylar fractures of humerous in patients. Methods: The present retrospective study was conducted on 70 cases of supracondylar fractures reported to the department of both genders. In all patients, reason of fracture and type were recorded. Results: Gartland type II was seen in 19 males and 14 females and Gartland type III in 21 males and 16 females. The difference was non- significant (P> 0.05). Common reason for fractures was road side accidents seen in 35, domestic violence in 25 and fall in 10. The difference was significant (P< 0.05). Conclusion: Supracondylar humerous fractures are common in adults. The most common reason was road side accidents.
ABSTRACT
Purpose: To demonstrate the effectiveness of intramedullaryfixation of displaced long bones shaft fractures in skeletallyimmature children using the elastic stable intramedullary nails.Patients and Methods: The case records of 20 children whounderwent fixation with titanium intramedulary nails because oflong bones fractures were reviewed. There were 2 humeral, 3forearm, 10 femoral and 5 tibial fractures. The average age ofthe patients was 11 years, and they were followed-upto 20months. Subjective satisfaction was assessed.Results: All patients achieved complete healing at a mean of7.5 weeks. Complications observed in patients were: oneneuropraxia, six entry site skin irritations, two protrusions of thewires through the skin and two skin infections at the entry site.In a subjective measure of outcome at follow-up, 89% ofpatients were very satisfied while 11% were satisfied. Therewas no report of patient’s unsatisfaction. The implants wereremoved at a median time of six months from the indexoperation.Conclusion: Elastic Stable Intra-medullary Nailing isthe method of choice for the pediatric patients, because it isminimally invasive and shows very good functional andcosmetic results. It allows an early functional and cast-freefollow-up with a quick pain reduction.
ABSTRACT
Background: The aim of the study is to find correlationbetween photography and Delmingo scoring in the clubfeetmanaged by Ponseti technique.Methods & Materials: Total 30 subjects (42 club feet) werestudied, which were corrected by Ponseti technique. Thesubjects are evaluated photographically and clinically(Delmingo Scoring) both before and after the correction.Results: Severity of the deformities and clinical correction wasassessed by Delmingo Scoring and simultaneously byphotographs. All patients achieved good clinical results. Thepre and post correction difference in photographically wasstatistically significant.Conclusion: 4 photographic views proved as cost effectiveanalysis of its result. Various reported scores for congenitalTalipes Equinovarus are presented with observer variationsand lack in objective evidence of severity of deformity andcorrection was correlated and compared with Pirani scores 0.5-2, 2.5-4, 4.5-6 as grouped I to III for mean and StandardDeviation in 42 club feet in 30 children. Photography gives anobjective assessment of the severity of deformity and can beused as objective evidence of improvement/deterioration ofdeformity.