Femoral neck fracture; outcome of unipolar hemiarthoplasty in elderly patients

Objective of this study determines the outcome of unipolar hemiarthoplasty in elderly patients with femoral neck fracture at Liaquat University Hospital Hyderabad/ Jamshoro. Total 50 elderly patients were included in the study with femoral neck fracture and all the cases were selected from accident, emergency and OPD. All the patients with the history of pregnancy, those patients who were unfit for anesthesia, malignancy, neurological deficits of lower extremity, rheumatoid arthritis and Parkinson's disease regarding with systemically disease were excluded from the study. All the patients under went surgical hemiarthoplasty treatment with Austin moor-femoral head prosthesia. In the last all postoperative complications, functional outcome and mortality were noted on proforma. Total 50 patients were included in the study. Mean age of this study was mean +/- SD 64.98 +/- 4.13. Females were found in majority with male/ female ratio 1:1.27. Post operative pain was noted in the 50% of the cases and out of them severe pain was noted only in 4% of the cases. Superficial infection was seen in 4% of the cases and deep infection was not found in the cases and death was occurred in 10% of the patients. On the outcome, excellent results were found in the 44.44% of the study participants, good and fair results were seen in 26.66% and 20% respectively, while poor results were seen in 8.88% of the patients. It is concluded that unipolar hemiarthoplasty is of the reliable procedure by use of Austin-moor femoral head prosthesia for the treatment of femoral neck fracture in elderly

Outcome of the closed diaphyseal humeral fracture treated with dynamic compression plate

To determine the treatment outcome of the closed diaphyseal humeral fracture treated with dynamic compression plate at Liaquat university hospital Hyderabad. Total 30 patients having displaced diaphyseal humeral fracture were included in the study. All the patients having fracture of less than 10 days and between the ages 15 - 45 years were selected. All the patients selected after counseling and diagnosed as a case of closed diaphyseal humeral shaft fracture on the basis of clinical examination and X-rays. In this study dynamic compression plates [DCP] were used for stabilization of humeral shaft fracture as assessed by pre operative workup, operative findings and outcomes were recorded with postoperative complications. To avoid the radial nerve palsy it is isolated during operative procedure. Present study was comprises of 30 patients with humeral fracture with the mean age of 30.29 +/- 8.92 years and male/ female ratio of 7:3. On the radiological findings most common type of fracture was oblique in 54%. From the complications, postoperative pain was found in 6.6% of the cases along with postoperative Infections in 10%. 90% fractures united while 10% fractures found with non union. Excellent result were seen in 60% of the cases, while 30% cases were noted with satisfied results and very poor results were found in 10% of the cases. It is concluded that DCP is the good option for the fixation of diaphyseal humerus fracture. Radial nerve palsy is less likely if isolated during operation