Treatment of comminuted subtrochanteric fractures by dynamic hip screw

Twenty four cases of fracture of the proximal femoral shaft treated with dynamic hip screw fixation are included. All had severe comminution with subtrochanteric extensions. Dynamic hip screw provided stable osteosynthesis and helped to achieve bone union within 18 weeks in 19 of 21 followed-up cases. The anatomical configuration of the femur was maintained with minimal limb length discrepancy in one case and knee flexion of more than 110 degrees in all. Weight bearing was achieved after a mean period of 7.5 weeks post-fixation. Complications of treatment are also presented. Different implants are used to treat this injury with variable results. Dynamic hip screw system is a satisfactory implant for internal fixation in patients with these difficult fractures

Nerve injuries associated with Supracondylar fracture of the humerus in children

Vascular complications associated with supracondylar fracture of humerus are well recognised. Less well recognised are neurological injuries associated with this fracture. A prospective study was conducted to explore the role of open reduction and internal flxation of this fracture. The article presents the incidence of nerve lesions in 46 cases of supracondylar fracture of humerous; review of pertinent literature is also included

Fractures of the distal femur in adults

Nineteen adults sustaining 20 distal femoral fractures were followed for 18 months. Majority [70%] of the patients were males between the ages of 17 to 70 years and 68% sustained other injuries too. Fractures were classified by AO classification; most of them were intrarticular C1 type. Open reduction and internal fixation was carried out in 60% cases. Assessment of results taking into consideration the parameters of pain, deformity and range of movement were compared with the conservatively treated group

Nailing versus plating for biomechanically stable mid shaft femoral fractures

Fifty cases of biomechanically stable fractures of the femoral midshaft, divided equally between two groups, were treated by i.m. nailing or DC plating. The results were assessed as regards pain, weight bearing, walking ability, quadriceps function, knee motion, union alignment and occurrence of infection. The final results were satisfactory in 88% of the nailed group and in 80% of the plated one