Online ISSN: 2515-8260

Keywords : soft tissue


ANALYSIS OF FUNCTIONAL OUTCOME OF TIBIAL PILON FRACTURES TREATED BY PLATE OSTEOSYNTHESIS – A RETROSPECTIVE STUDY

N. Nandha Kumar, R.Sakthivel, B.Manimaran, K.A.P.Rameshraju

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 1, Pages 4498-4514

Surgeons still have a lot of difficulties when it comes to reducing and fixing pilon fractures. Aim is to analyses the functional outcome of Tibial pilon fractures treated by plate osteosynthesis and to assess the soft tissue status, fracture pattern, treatment and complications of pilon fractures Materials and Methods: This study was conducted retrospectively between January 2010 and January 2013. After receiving their informed written consent, a total of 20 patients with Tibial Pilon Fractures (including fourteen men and six women) admitted to the Government Erode Medical College and Hospital, Perundurai, Tamil Nadu were used for this study. Results: At the conclusion of the 12th and 24th month of follow-up, the functional result was evaluated using the Subjective and Objective criteria of Burwell and Charnley. One patient sustained a head injury out of the 20 participants in our study. Twelve patients had a fractured fibula that was associated. open fractures in 3 patients. Seven patients got a third Tubular plate fixation and five underwent a Rush nail for the 12 related fibula fractures. Conclusion: It took an average of 16 weeks for all the fractures to heal. 80% of the 20 patients in the current study who had pilon fractures treated with plate osteosynthesis had positive outcomes. A better prognosis will result from careful evaluation of the mechanism of injury and effective preoperative planning for the joint reconstruction.

Outcome following open reduction and internal fixation of intra artucular calcaneum fractures in terms of complications: A prospective study

Dr. Shekar M, Dr. Vivekananda BR, Dr. Gaurav Sen, Dr. Syed Farhan Bukhari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2770-2787

Background: Intraarticular fractures account for approximately 75% of calcaneal fractures and historically have been associated with poor functional outcome. The management of intra articular calcaneal fractures remains a controversy with strong arguments supporting both conservative & operative managements. Significant controversy remains over the results of nonoperative versus operative treatment. Lack of standardization of results has made it difficult to compare studies that have evaluated outcomes (1).
Aims and Objective: To evaluate the functional and radiological outcome of intra-articular calcaneal fractures managed surgically with a plate in terms of Bohler’s and Gissane’s angle, rate of radiological union and AOFAS score.
Methods: A prospective study including 25 patients with intra-articular calcaneal fracture who met the inclusion criteria was conducted in SGITO, Bangalore, between November 2019 and November 2020. Patients were managed surgically with plate fixation and were followed up regularly at 6 weeks, 12 weeks, 24 weeks and 1 year. Radiological outcome and functional outcome evaluated using AOFAS score.
Results: Mean age of the patients was 33.6 years. Mean time duration between injury and surgery was 7.8 days. The mean time for fracture union was 13.64±2.56 weeks. The difference between pre and post-operative mean Bohler’s and Gissane’s angle was statistically significant with p value <0.01. Out of 25 patients 4 patients (16%) had excellent, 16 patients (64%) had good, 4 patients (16%) had fair and 1 patient (4%) had poor outcome.
Conclusion: We conclude that with proper pre-operative planning, timing of surgery, intra-operative expertise of the surgeon and post-operative care, surgical management of intra-articular fracture using locking plate, gives a better outcome and minimal complications.

EVALUATION OF CORRELATION FOR ALL 4 EXTRACTIONS IN ORTHODONTIC PRACTICE IN CASE OF DISHED IN FACES: AN ORIGINAL RESEARCH

Dr. Afreen Kauser; Dr. Hitesh Ramdas Sawant; Dr. Sayali Jain; Dr. R. Arvinth Vishnu; Dr. Monal Nandkumar Karkar; Dr. Swati Kapoor

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 6599-6605

Aim: Purpose of our research was to assess the outcome as well as correlation after extraction of four premolar teeth for orthodontic treatment and will it result in dished in facial profile. Methodology: Pretreatment and posttreatment records of 73 patients were chosen at random from completed cases in the practice of one experienced orthodontist. Eighteen involved the extraction of upper first premolars, and 55 involved the extraction of upper second premolars. Of these 55, 29 involved the extraction of upper first premolars and 26 involved the extraction of upper second premolars. In the upper first premolar group, however, all 18 involved the extraction of upper first premolars. Pretreatment factors that recommended a foundation for the extraction
option in this group of patients who had incisal overjet, molar relationship, and fundamental upright facial outline.