Online ISSN: 2515-8260

Keywords : hip fracture


De-rotation boot cast and traction in intertrochanteric fracture hip: An implant guy’s envy and a government surgeon’s pride

Bheemsingh Samorekar, Ravikumar Naganur, Vijaykumar Angadi, Yogesh Kadam

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 267-273

Introduction: In this genre of AO principles, most of the fractures are fixed surgically unless it's a
hairline fracture or a very high risk patient with co-morbidities.
Material & methods: Our study involves 23 patients visiting a remote government medical college
with hip intertrochanteric fracture (IT) which were managed non-operatively due to co-morbidities
and/or patients not willing for operative management. All those patients were applied de-rotation boot
cast and applied 10% traction of their body weight over it. Clinical and functional outcome was
measured by Harris hip score at admission, 6, 12 and 18 months follow-up. Radiological evaluation
done by radiographs of hip-AP and lateral views.
Results: Statistical analysis was done using SPSS software for descriptive data. Paired ‘t’ test was
applied to see improvement in functional & clinical outcome (Harris hip score), first between 6 month
follow up and 12 month follow up & 18 month follow up and results were tabulated. The ‘p’ value was
< 0.01 for Harris hip scores analysis by ‘t’ pair test between 6, 12 and 18 months follow-ups and was
significant.
Conclusion: Operative treatment of intertrochanteric fractures though gives early mobilization and less
hospital stay, after one year of injury both non-operative and operative management are of less
significance with respect to mortality, functional outcome and medical complications.

Incidence and Risk factors for deep vein thrombosis of lower limbs after major orthopaedic surgeries in Indian patients

Dr. Vikas Mehta, Dr. SK Saidapur, Dr. Gangadhar Bhuti, Dr. Madhusudhan Khompi, Prof. RB Uppin, Prof. RS Jatti

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2708-2713

Introduction: Venous thrombo-embolism (VTE), which consists of deep vein thrombosis (DVT) and pulmonary embolism, is a potentially fatal condition. According to Western literature, DVT of lower limb veins is one of the most common complications following surgeries for lower limb. Few studies have been published from India on the subject and little is known about the true incidence of the DVT. Complications of DVT carry high mortality and morbidity. Thus, it is important to understand every aspect of DVT for which it is advisable to determine incidence of DVT by using proper diagnostic tools which have high sensitivity and specificity.
Materials and Methods: A hospital based observational study was conducted in the department of orthopaedics after approval from the ethical committee. Data was collected from the admitted patients who were willing to take part in study according to selection criteria and willing to undergo colour Doppler evaluation for fractured lower limb. 42 subjects were included in the study. Pre-operative and post-operative venous colour Doppler was done on 5th post-op day for fractured lower limb.
Results: In the study there were 42 subjects, with average age of 51.12±20.09 years. There were 15 females and 27 males in the study. Post operatively 9 subjects had DVT. Incidence of DVT after major orthopaedic surgeries was observed as 21.4%. Diabetes, alcohol intake, smoking and obesity were independent risk factors for development of DVT.

Experience In The Treatment Of The Elderly And Additional Patients With Fractures Of The Femoral Neck With Account Of Comorbidal Pathology

Valiev Erkin Yuldashevich; Valiev Odil Erkinovich; Azizov Abror Mirxakimovich; Tilyakov Hasan Azizovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 5170-5179

Damage to the bone structures in the area of the hip joint refers to severe injuries of the musculoskeletal system for the elderly and senile, usually leading to an unfavorable outcome. One of the important problems of geriatric practice is comorbidity, which affects the prognosis for life, increases the likelihood of death.The aim of the work was to study the factors influencing the choice of tactics and methods of treatment of fractures of the femoral neck in elderly and senile people, taking into account the level and severity of comorbid pathology. The analysis of the incidence and level of comorbidity in 201 patients with fractures of the femoral neck was carried out, the mean age was 71.4 ± 7.1 g. The results of evaluating the comorbidity indices revealed its high rates, for example, the Charleston index averaged 9.12 ± 1.05 points, the CIRS index was 16.2 ± 3.9 points. The main contingent of treated patients - 147 (73.1%) - were people with a high level of physical activity.