Prathyush Chitithoti

Abstract

Aim: Preventing infection, restoring normal anatomy, and early full functional ROM. Materials and Methods: The Masquelet technique is a staged procedure in which a temporary skeletal stabilization is paired with implantation of an antibiotic spacer and left in place for 6–8 weeks, during which a “pseudo-membrane” form around the cemented spacer. During the second stage, the membrane is incised, and the antibiotic spacer is removed, and a bone graft is placed. In our case where a significant segmental femur loss in opting for limb salvage. In our study term between 2018 to 2021, we have considered grade II and Grade III compound injuries with significant bone loss and with no Distal Neuro Vascular Defiscities with proper follow-up. Reselt: All the cases operated developed full range of motion over the knee and started weight-bearing from the 8 month of initial surgery with no limb length discrepancy. Conclusion: Dual plating method with the Masquelet technique showed promising output for the grade II & grade III b supracondylar fractures with significant bone loss. however, it depends on the co-morbidities and the lifestyle of the individual to get adequate output. Keywords : Dual plating, Masquelet technique.

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Abstract

Background: New bone formation in the periarticular regions of large joints is the main character of Heterotopic ossification (HO), most commonly seen in or after spinal cord injury, traumatic injury to brain, burn. It is rare as the complication incidence is less than 1% or less. Case Reports: This study reports an unusual presentations of HO in a 50 year-old male with right hemiplegia due to subarachnoid bleeding developed HO on all the major joints bilaterally both in effected and non effected side after 7 months. In this case spasticity around hip flexors, adductors along with knee extensors, along with reduced range of motion associated with pain was present. Evaluation was done with Xray and CT. After rehabilitation, the joints motion improved upto 10?. Conclusions: Keeping in mind by seeing the present case, HO should always be kept in mind as a differential diagnosis in all the stroke patients who present with spontaneous joint pains. Both affected and unaffected sides may develop which has to be always kept in mind and proper early treatment has to be given. Keywords: Heterotopic ossification.

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Abstract

Background: head of femur fractures along with a hip dislocation is a rare & most probably has a poor outcome. Materials and Methods: In the taken period of 1 yr, we came across nearly twenty cases of Pipkin fracture type I. Through Medical and radiographs evaluation was done and recorded. The followup was done for these selected patients for a period of 12 months. Merle d’Aubigne-Postel score was the score used and recorded the functional outcome of each patient in the study and analized. Results: the cases selected were Pipkin type 1 fracture with dislocation. The time interval between the incident and the successful reduction in the hospital was about 5.6 hrs avg among all the cases. The outcome of the surgically treated cases 8 of them out of 10 showed excellent results clinically and functionally. No complications like AVN and HO or neuro vascular injury was noted in any cases. In our study surgically treated cases showed better results than treated conservatively Conclusion: Anatomic reduction is must with marginal soft tissue injury. This type I Pipkin fracture better treat surgically than conservative. Keywords: Pipkin fractures.

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