Sreesobh KV

Abstract

Introduction: With changing trends in the treatment of displaced mid-third clavicle fractures, more and more fractures are treated surgically. Even though plating remains the gold standard, minimally invasive technique with Titanium Elastic Nail (TEN) is gaining popularity. In this paper, we are assessing the functional outcome of mid third clavicle fracture treated with TEN. Materials and Methods: Thirty patients with midclavicular fractures were treated with TEN. Functional and radiological results were evaluated at 3, 6 and 12 months. Implant was removed in all cases after union. Results: All cases united without any infection and constant scores were 91.3, 96.3 and 98.7 at 3, 6 and 12 months respectively. 46% complained of prominent implant medially and in three patients we had to trim the medial end of implant. Clavicular shortening observed were also in acceptable limits. Conclusion: Titanium elastic nailing is a simple, safe, cosmetically preferred and minimally invasive technique for midclavicular fractures with good functional outcome and fewer complications. Keywords: Midclavicular fractures, Titanium elastic nailing (TEN).

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Abstract

Intracapsular femoral neck fractures are seen commonly in elderly people following a low energy trauma. 2-3% of all femoral neck fractures occurs in adults younger than 50 years and is often the result of high-energy trauma. Femoral neck fracture continues to be considered as an unsolved fracture in view of poor prognosis and variable outcome reported after different procedures. In developing countries the fracture often remains untreated as the patients do not seek treatment due to non availability of treatment facility or may be treated primarily by osteopaths or operated under suboptimal theatre conditions with poor quality implants. We prospectively studied the outcome of 54 patients managed with non vascularised fibular graft and cancellous screws between 2010-2015. ANOVA test was used as a test of significance and functional results were assessed by Modified Askin and Bryan criteria. To conclude, in patients younger than 60 years of age with neglected femoral neck fracture, non vascularised fibular graft acts as a reliable biological implant for revascularisation and gives excellent functional outcome. Keywords: Neglected neck, Femur fracture.

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