INTRODUCTION Forearm fractures accounts for one of the commonest fractures in the children, and t... more INTRODUCTION Forearm fractures accounts for one of the commonest fractures in the children, and the distal radius being the commonest site affected accounting for 25-27% of these fractures. The most common site for fracture in forearm is metaphyseal region followed by diaphysis and least common site is epiphysis fracture. 1 Eighty-one percent occur in kids who are older than five years, with a peak incidence of distal forearm fractures occurring between ages 12-14 in boys and 10-12 in girls. The standard mechanism of injury is a direct fall in or around the house. 1 Traditionally, most of the fractures have been treated by a decent closed anatomical reduction and immobilisation in a cast. Conservative methods still play a major role in treatment and 85% of these fractures achieved satisfactory results with these methods. 2 Fracture healing is fast, and also the fractures have an excellent capacity to spontaneously correct residual axial deformities throughout the growing years; nevertheless, even though several studies have shown that complete remodelling does not always occur, this is especially very true in children who are older than 8 to 10 years of age. Maintaining acceptable reduction isn't always possible ABSTRACT Background: Distal end radius (DER) fractures represents one of the common fractures in the paediatric age group. Most of this injury are managed by closed reduction and casting. We investigated the degree to which the clinical and radiographic follow-ups reveal complications that lead to a change in management of the un-manipulated distal radius fractures in children less than 14 years of age. We determined the frequency and type of complications registered during treatment, and assessed the stability of the different fracture types. Methods: Study includes examination of 30 patients with closed DER fractures who were admitted in tertiary care centre between August 2016 to April 2018. Results: Closed reduction and casting was modality of treatment in 40%, casting was done in 33.3% and closed reduction and k wire were done in 26.7%. In patients with closed reduction and k wire slab was given. Gartland and Werley's scoring system was used and found that 60% patients have 0 score, 30% have 1 score, 6.7% have 2 score and 3.3% have 3 score. 29 patients had excellent result and 1 patient had fair result. Conclusions: In this study of management of DER fracture in children with different modality of treatment, we noted that if it is an undisplaced fracture, can be managed with casting. If it is displaced fracture and reduction is achieved then closed reduction and casting can be done. If displacement is more than 50% of bone diameter then closed reduction and k wire can be done.
Background: Total knee arthroplasty (TKA) is one of the most effective surgical interventions for... more Background: Total knee arthroplasty (TKA) is one of the most effective surgical interventions for pain relief and functional recovery in young patients with rheumatoid arthritis, ankylosing spondylitis, traumatic arthritis, osteoarthritis knee, hampering the daily activities in life. The encouraging TKA results have prompted a growth in TKA utilisation, particularly in younger patients and a move away from procedures such as osteotomy and UKA which have been associated with higher re-operation rates. Over the last 2 decades there has been an increasing tendency toward the use of TKA in young adults, with some countries reporting a 5-fold increase in the last 10 years. Material and Method: This study was done on the patients who underwent total knee arthroplasty (37) at MGM medical college and hospital, Kamothe, Navi Mumbai. Out of 37 patients, 6 patients did not followed up at regular interval. Only 31 patients were included in the study (18 females and 13 males) fulfilling the inclusion and exclusion criteria. Total 50 knee were included in this study. Results: This study includes 31 cases fulfilling the inclusion and exclusion criteria with total 50 knees undergoing TKA. The mean age was 46.5 years. The functional outcome was calculated using knee society score. The average knee society score was 70.5 after 6 month post TKA while it was 80.5 after 1 year with reduced pain upto 6 month and almost no pain after 1 year. Three patients were seen with MRSA positive results and were operated after been treated with mupirocin. Two patients showed superficial skin infection following TKA. Conclusions: The total knee arthroplasty is one of the most successful and patient satisfactory surgical procedure in young patients relieving pain and daily activities in life as compared to old age patients undergoing TKA. In our study we have seen that it had provided the stability and promising result, by providing back the ability to carried out daily activities by own self after undergoing TKA in young patients who were facing problems in carrying out their daily activities by providing good outcomes as measured by knee society score as compared to older patients undergoing TKA.
Background :Normal femoral anteversion contributes to
stability of hip, maintaining normal femora... more Background :Normal femoral anteversion contributes to stability of hip, maintaining normal femoral version in association with acetabular version allows the hip stability and unimpeded functional range of motion. The aim was to evaluate excess anteversion in post Total Hip Arthroplasty patients. Materials And Methods: This study was conducted on patients who were admitted in Orthopaedic ward and underwent Total Hip Arthroplasty in MGM medical college and hospital , Kamothe , Navi Mumbai. 15 patients were taken up for the study. Patients were followed up for a period of 6weeks , 2months , 3months at each visit. Patients were assessed by HARRIS HIP SCORE. Results :This study was conducted on patients who were admitted in Orthopaedic ward and underwent Total Hip Arthroplasty in MGM medical college and hospital , Kamothe , Navi Mumbai. Out of 15 Patients, 13 were male and 2 female. The mean age was 44.06 years. The mean Harris hip score was calculated pre-operatively and at 6weeks, 2months and 3 months and was found to be 46.04, 75.2, 85.9, 89.9 respectively Conclusion: Patients with excessive anteversion can have significant internal rotation of the hip and may have anterior pain with instability testing and posterior pain with posterior impingement testing. Keywords : Hip Arthroplasty, Hip Avascular Necrosis, Femoral Anteversion
INTRODUCTION Forearm fractures accounts for one of the commonest fractures in the children, and t... more INTRODUCTION Forearm fractures accounts for one of the commonest fractures in the children, and the distal radius being the commonest site affected accounting for 25-27% of these fractures. The most common site for fracture in forearm is metaphyseal region followed by diaphysis and least common site is epiphysis fracture. 1 Eighty-one percent occur in kids who are older than five years, with a peak incidence of distal forearm fractures occurring between ages 12-14 in boys and 10-12 in girls. The standard mechanism of injury is a direct fall in or around the house. 1 Traditionally, most of the fractures have been treated by a decent closed anatomical reduction and immobilisation in a cast. Conservative methods still play a major role in treatment and 85% of these fractures achieved satisfactory results with these methods. 2 Fracture healing is fast, and also the fractures have an excellent capacity to spontaneously correct residual axial deformities throughout the growing years; nevertheless, even though several studies have shown that complete remodelling does not always occur, this is especially very true in children who are older than 8 to 10 years of age. Maintaining acceptable reduction isn't always possible ABSTRACT Background: Distal end radius (DER) fractures represents one of the common fractures in the paediatric age group. Most of this injury are managed by closed reduction and casting. We investigated the degree to which the clinical and radiographic follow-ups reveal complications that lead to a change in management of the un-manipulated distal radius fractures in children less than 14 years of age. We determined the frequency and type of complications registered during treatment, and assessed the stability of the different fracture types. Methods: Study includes examination of 30 patients with closed DER fractures who were admitted in tertiary care centre between August 2016 to April 2018. Results: Closed reduction and casting was modality of treatment in 40%, casting was done in 33.3% and closed reduction and k wire were done in 26.7%. In patients with closed reduction and k wire slab was given. Gartland and Werley's scoring system was used and found that 60% patients have 0 score, 30% have 1 score, 6.7% have 2 score and 3.3% have 3 score. 29 patients had excellent result and 1 patient had fair result. Conclusions: In this study of management of DER fracture in children with different modality of treatment, we noted that if it is an undisplaced fracture, can be managed with casting. If it is displaced fracture and reduction is achieved then closed reduction and casting can be done. If displacement is more than 50% of bone diameter then closed reduction and k wire can be done.
Background: Total knee arthroplasty (TKA) is one of the most effective surgical interventions for... more Background: Total knee arthroplasty (TKA) is one of the most effective surgical interventions for pain relief and functional recovery in young patients with rheumatoid arthritis, ankylosing spondylitis, traumatic arthritis, osteoarthritis knee, hampering the daily activities in life. The encouraging TKA results have prompted a growth in TKA utilisation, particularly in younger patients and a move away from procedures such as osteotomy and UKA which have been associated with higher re-operation rates. Over the last 2 decades there has been an increasing tendency toward the use of TKA in young adults, with some countries reporting a 5-fold increase in the last 10 years. Material and Method: This study was done on the patients who underwent total knee arthroplasty (37) at MGM medical college and hospital, Kamothe, Navi Mumbai. Out of 37 patients, 6 patients did not followed up at regular interval. Only 31 patients were included in the study (18 females and 13 males) fulfilling the inclusion and exclusion criteria. Total 50 knee were included in this study. Results: This study includes 31 cases fulfilling the inclusion and exclusion criteria with total 50 knees undergoing TKA. The mean age was 46.5 years. The functional outcome was calculated using knee society score. The average knee society score was 70.5 after 6 month post TKA while it was 80.5 after 1 year with reduced pain upto 6 month and almost no pain after 1 year. Three patients were seen with MRSA positive results and were operated after been treated with mupirocin. Two patients showed superficial skin infection following TKA. Conclusions: The total knee arthroplasty is one of the most successful and patient satisfactory surgical procedure in young patients relieving pain and daily activities in life as compared to old age patients undergoing TKA. In our study we have seen that it had provided the stability and promising result, by providing back the ability to carried out daily activities by own self after undergoing TKA in young patients who were facing problems in carrying out their daily activities by providing good outcomes as measured by knee society score as compared to older patients undergoing TKA.
Background :Normal femoral anteversion contributes to
stability of hip, maintaining normal femora... more Background :Normal femoral anteversion contributes to stability of hip, maintaining normal femoral version in association with acetabular version allows the hip stability and unimpeded functional range of motion. The aim was to evaluate excess anteversion in post Total Hip Arthroplasty patients. Materials And Methods: This study was conducted on patients who were admitted in Orthopaedic ward and underwent Total Hip Arthroplasty in MGM medical college and hospital , Kamothe , Navi Mumbai. 15 patients were taken up for the study. Patients were followed up for a period of 6weeks , 2months , 3months at each visit. Patients were assessed by HARRIS HIP SCORE. Results :This study was conducted on patients who were admitted in Orthopaedic ward and underwent Total Hip Arthroplasty in MGM medical college and hospital , Kamothe , Navi Mumbai. Out of 15 Patients, 13 were male and 2 female. The mean age was 44.06 years. The mean Harris hip score was calculated pre-operatively and at 6weeks, 2months and 3 months and was found to be 46.04, 75.2, 85.9, 89.9 respectively Conclusion: Patients with excessive anteversion can have significant internal rotation of the hip and may have anterior pain with instability testing and posterior pain with posterior impingement testing. Keywords : Hip Arthroplasty, Hip Avascular Necrosis, Femoral Anteversion
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stability of hip, maintaining normal femoral version in
association with acetabular version allows the hip stability
and unimpeded functional range of motion. The aim was
to evaluate excess anteversion in post Total Hip
Arthroplasty patients.
Materials And Methods: This study was conducted on
patients who were admitted in Orthopaedic ward and
underwent Total Hip Arthroplasty in MGM medical
college and hospital , Kamothe , Navi Mumbai. 15
patients were taken up for the study. Patients were
followed up for a period of 6weeks , 2months , 3months at
each visit. Patients were assessed by HARRIS HIP
SCORE.
Results :This study was conducted on patients who were
admitted in Orthopaedic ward and underwent Total Hip
Arthroplasty in MGM medical college and hospital ,
Kamothe , Navi Mumbai. Out of 15 Patients, 13 were
male and 2 female. The mean age was 44.06 years. The
mean Harris hip score was calculated pre-operatively and
at 6weeks, 2months and 3 months and was found to be
46.04, 75.2, 85.9, 89.9 respectively
Conclusion: Patients with excessive anteversion can have
significant internal rotation of the hip and may have
anterior pain with instability testing and posterior pain
with posterior impingement testing.
Keywords : Hip Arthroplasty, Hip Avascular Necrosis,
Femoral Anteversion
stability of hip, maintaining normal femoral version in
association with acetabular version allows the hip stability
and unimpeded functional range of motion. The aim was
to evaluate excess anteversion in post Total Hip
Arthroplasty patients.
Materials And Methods: This study was conducted on
patients who were admitted in Orthopaedic ward and
underwent Total Hip Arthroplasty in MGM medical
college and hospital , Kamothe , Navi Mumbai. 15
patients were taken up for the study. Patients were
followed up for a period of 6weeks , 2months , 3months at
each visit. Patients were assessed by HARRIS HIP
SCORE.
Results :This study was conducted on patients who were
admitted in Orthopaedic ward and underwent Total Hip
Arthroplasty in MGM medical college and hospital ,
Kamothe , Navi Mumbai. Out of 15 Patients, 13 were
male and 2 female. The mean age was 44.06 years. The
mean Harris hip score was calculated pre-operatively and
at 6weeks, 2months and 3 months and was found to be
46.04, 75.2, 85.9, 89.9 respectively
Conclusion: Patients with excessive anteversion can have
significant internal rotation of the hip and may have
anterior pain with instability testing and posterior pain
with posterior impingement testing.
Keywords : Hip Arthroplasty, Hip Avascular Necrosis,
Femoral Anteversion