Results of distraction compression and compression distraction in segmental defects of tibia with the use of Ilizarov's external fixator

To compare the results of distraction-compression and compression-distraction in segmental loss of tibia by Ilizarov extent fixator and to see the functional end results of each procedure. Comparative study. This study was carried out in the Department of Orthopaedic, Nishtar Hospital, Multan from April 2008 to March 2010. A total of 30 cases were included in the study. Gap non-union in tibia is a frequently encountered problem in open tibial injuries. Their treatment have been unsatisfactory until the introduction of distraction histeogenesis by Ilizarov, before the end results were often amputation. Gap non-union of up to 5 cm can be managed by initial compression, later on the LLD is addressed and distraction histeognesis whereas gap of >5 cm are amicably managed by segment transport i.e. distraction and later compression between the transported segment to other end of the fracture. Both methods are excellent if the limitations and principles are followed. Our recommendations are gaps of < 5 cm to be managed and compression-distraction of gaps of >5 cm to be managed with distraction compression mode of treatment

Intracapsular fracture neck of femur

To evaluate these methods of treatment, in search of providing patients a better quality of life. This prospective study was carried out on fifty patients of displaced femoral neck fractures admitted in Orthopaedic Department, Nishtar Hospital, Multan during period November 1991 to December 1993. Fifty non-pathological displaced femoral neck fracture in patients above forty years were treated either with Austin Moore hemiarthroplasty or internal fixation with DHS, Cancellous screws or Moor's pins. Weight-bearing was allowed after two weeks in hemianhroplasty group and after 6 weeks in internal fixation group. After two -years follow up, there was no significant difference in mortality in two groups. Early [Technical] complications were more with internal fixation. [25% compared to 6.6% with Moore hemiarthroplasty]. Reoperation rate within the first year was significantly high for internal fixation i.e. 45% compared with 6.6%. It was concluded that endoprosthetic replacement in displaced femoral neck fractures in elderly patients is a reliable treatment method for selected indications, and gives good short to medium term functional results when employed with careful preoperative technique and proper postoperative care and rehabilitation