Outcome Analysis in Ipsilateral Proximal Femur and Femoral Shaft Fractures treated by Intramedullary Nail and Plate Combinations: A Comparative study

Sivaraj, S (2017) Outcome Analysis in Ipsilateral Proximal Femur and Femoral Shaft Fractures treated by Intramedullary Nail and Plate Combinations: A Comparative study. Masters thesis, Madras Medical College, Chennai.

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Abstract

INTRODUCTION: Ipsilateral proximal femur and femoral shaft fractures are uncommon injuries encountered following high energy trauma. Despite availability of various treatment modalities, controversy exists regarding the optimal management of these fractures. This study compares the intramedullary nailing technique (reconstruction type or long proximal femur nail type) and various plate combinations type (dynamic hip screw with long side plate or combination of dynamic hip screw and compression plate) on the clinical, radiological and functional outcome in patients with these fractures. AIM OF THE STUDY: To study & compare the Clinical, Radiological and Functional outcome of Ipsilateral proximal femur and femoral shaft fractures treated by two methods nailing/plating in our Institute of Orthopaedics and Traumatology, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai during the period of March 2016 to September 2016. OBJECTIVES: 1. To assess and study ipsilateral proximal femur and femoral shaft fractures with special reference to fracture anatomy and stability. 2. To assess the results obtained in the treatment of these fracture with intramedullary nail or extra medullary screw plate devices and to compare the results with previously done studies. 3. To evaluate the status of this technique and method with special emphasis on: a. Time for union, b. Assessment of complications, c. Functional outcome, d. Recovery duration after surgery. METHODS: 20 patients with Ipsilateral proximal femur and femoral shaft fractures were operated by one of the two methods- Intramedullary nailing (Group I, 10 patients) and plate combinations (Group II, 10 patients) according to surgeon’s preference. The functional results of the patients were assessed with the system used by Friedman and Wyman. Radiological and functional assessment was done. RESULTS: The mean age was 49 years in group I and 38 years in group II. The average follow up was 14 months. The average union time in group I and group II for proximal femur fracture was 3.78 and 3.80 weeks and for femoral shaft fracture was 8.00 and 11.22 months respectively. 8 patients in group I and 7 patients in group II showed good functional results. Two patients needed re-surgery in group I and 3 patients in group II. CONCLUSION: Ipsilateral proximal femur and femoral shaft fractures can be treated satisfactorily either with intramedullary nailing or plate combinations with similar outcome.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Ipsilateral proximal femur, Shaft of femur fracture, Reconstruction nail, Long proximal femur nail, Dynamic hip screw, compression plate.
Subjects: MEDICAL > Orthopaedics
Depositing User: Devi S
Date Deposited: 19 Mar 2020 07:45
Last Modified: 19 Mar 2020 07:45
URI: http://repository-tnmgrmu.ac.in/id/eprint/12351

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