Online ISSN: 2515-8260

Keywords : modified harris hip score

Prospective study of functional outcome of total hip replacement at VIMS, Ballari

Dr. Shiva Naik R, Dr. Veeresh Gourshetty, Dr. Vinay Reddy S, Dr. Shivaji

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2128-2140

Purpose: To study the functional outcome of Total Hip Replacement in primary and secondary osteoarthritis of hip.
Materials and methods: The study consisted of 20 patients with diseased hips treated with total hip replacement operated in the Department of Orthopaedics, Vijayanagar Institute of Medical Sciences, Ballari from August 2020 to August 2022. Information of the patients was compiled from clinical details, case files and operation theatre records. This was a prospective study. The patient follow up was for a minimum of 6 months to maximum of 24 months (2 years). Modified Harris hip score was used for evaluation of functional outcome.
Results: Functional outcome of the procedure was done by following Modified Harris hip score. The results showed excellent results in 10 (50%) diseased hips, good in 06(30%) hips, fair 04(20%) hips. No poor outcome was noted in the study.
Conclusion: Our study demonstrated that total hip replacement provides an overall satisfactory functional and clinical outcome. Even though the study was not free of complications, the overall functional and radiological outcome showed excellent results.

Comparative study of functional and radiological outcome in unstable intertrochanteric fracture treated by augmentation of proximal femoral nail versus non-augmentation

Dr. M Ayyub Khan, Dr. Ajay VM, Dr. Nilay Saha

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2673-2680

Unstable intertrochanteric fracture continues to be a challenge for orthopaedic surgeons. Despite high union rate, the functional outcome still tends to be disappointing. Intact lateral wall plays a key role in stabilization of unstable trochanteric fracture by providing a lateral buttress for proximal fragment and its deficiency leads to excessive collapse and varus malpositioning. Patients admitted in with unstable intertrochanteric fractures satisfying the inclusion criteria will be included in the study and will be alternatively allocated into two groups i.e. Group A (will contain patients treated with proximal femoral nail without any augmentation,) Group B (will contain patient treated with proximal femoral nail augmented with additional screw or encerclage wire). In our study, in augmentation group According to Harris Hip scoring system (Modified), excellent results are seen in 10(66.7%), we had good results in 1(7.7%), Fair in 4(26.7%) and no case with poor results. Our results are comparable with other studies.
In our study in Control group According to Modified Harris Hip Score excellent result are seen in 6(40%), we had good result in 7(46.7%), Fair in 2(13.3%) and no case with poor results.

A Prospective Study of Clinico-radiological Outcome Assessment in Proximal Femoral Fractures treated with Proximal Femoral Nail

Dr Rameez R Bukhari; Dr Ratnakar Ambade; Dr. Prachi Palsodkar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1861-1867

Introduction: Fractures of the proximal femur including the intertrochanteric and subtrochanteric region which are commonly encountered in Orthopaedics especially in elderly population having porotic and weak bones. In elderly these occur even with minimal or trivial trauma ,whereas in the younger population these result from high velocity trauma. These injuries are in association with a high incidence of mortality and morbidity. These injuries were treated conservatively prior to the early 1970’s and are now treated totally surgically now. The goal of any treatment in fracture is stable fixation, 
ultimately leading to early mobilization and decreased incidence of morbidity and mortality. Many surgical interventions like Gamma Nail, Jewet Nail, Condylar plates had been tried but the outcomes were not very satisfactory, so we conducted a study to determine the clinical and radiological outcome in treating such fractures with PFN.
Aim of the Study: Clinical And Radiological Outcome Analysis of Proximal Fractures of femur when Treated with Proximal Femoral Nail
Materials and Methods: A prospective study done in the Department of Orthopaedics at Jawaharlal Nehru Medical College And Acharya Vinoba Bhave Rural Hospital , Datta Meghe Institute Of Medical Sciences ,Sawangi. Patients with Proximal femoral fractures managed with PFN and subsequent follow up at regular intervals for a duration of 1 year.
ExpectedResults:The functional assessment shall be done on the basis of Modified Harris Hip scoring, and at subsequent followed up radiologically with serial X-rays.
These patients with proximal femoral fractures that include intertrochanteric and subtrochanteric fractures, treated with Proximal Femoral Nail are expected to have a shorter incision and subsequently less intraoperative blood loss than the previously used implants. Patients are expected to bear weight earlier.