Online ISSN: 2515-8260

Keywords : Open Reduction


Management of Avulsion Fracture Tibial Spine by Open Reduction and Endobutton Fixation

Dr. Sanjeev Kumar Rakesh, Dr. Kumar Nitesh, Dr. Indrajeet Kumar, Dr. Gangdayal Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1741-1745

Aim: The aim of the present study evaluates the management of Avulsion Fracture Tibial
Spine by Open Reduction and endobutton Fixation.
Methods: Total 18 cases of Tibial spine avulsion were included in this study. A final
intraoperative radiograph of the knee is taken to ensure that the tibial spine avulsion remains
anatomically reduced. The wounds are then closed in the standard fashion. The knee is placed
in a functional brace locked in extension and Static quadriceps exercises started from 2nd
day. Sutures will be removed on 12th -15th post-operative day. The brace is worn for a total
of 8 weeks and held in extension during first two weeks, with gradually increased range of
motion. Weight- bearing is recommended after suture removal postoperatively. Partial weight
bearing recommended after suture removal and full weight bearing after 4 weeks
postoperatively with knee brace on. Regular follow up of all cases was done at 6 weeks, 3
months, 6 months, 9 months and one year.
Results: 18 patients were included in this study. The study sample included 20 males
(90.9%) and 2 females (9.1%). The median age of patients was 31 years (range 21–52 years).
77.27% cases (17) had mode of injury road traffic accidents, 22.72% (5) cases are due to
sports injury. 66.67% of the patients show excellent results followed by good outcome
27.78% and one patient show fair result and none of patients under poor outcome.
Conclusion: Open reduction of displaced tibial spine avulsion fractures using an endobutton
provides a satisfactory functional outcome. This procedure does not require implant removal
and allows early weight bearing and rehabilitation.

Open Reduction and Internal Fixation of Ipsilateral Fracture of Acetabulum and Fracture Femur through One Approach

Fadhlullah Ali Mansour, Yousuf Mohamed Khira, Waleed Mohammed Nafea, Ahmed Mashhour Gaber

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3361-3368

Background: Major and unstable pelvic fractures as ipsilateral fractures of the
femur and acetabulum are likely to cause severe pain and shock. Poly trauma
management proceeds in line with ATLS protocol and Patients may require
lifesaving surgeries. The study aimed to assess outcome of open reduction and
internal fixation of psilateral fracture of acetabulum and fracture femur through
one approach as the effect way of treatment. Patients and methods: A prospective
study included 18 patients were presented with posterior wall acetabular fracture
with ipsilateral femoral fracture. Patients admitted Orthopedic surgery Department
of Zagazig University hospitals for fracture surgical fixations. Full history, clinical
examination and radiological assessment and Majeed Score were performed for all
patients. Follow up X rays were done in the 1st day postoperative, after two weeks,
3months , 6 months. Results: the healing time of femoral fracture ranged from 14
weeks up to 33 weeks with mean of 21.78 ± 5.9 and healing time of acetabular
fracture was 17.22 ± 4.1 weeks. 55.6% of studied group gave excellent Majeed score
of hip function, while only 16.7% were fair. Conclusion: Ipsilateral fractures of the
femur and acetabulum treated simultaneousness using Kocher-Langenbeck
approach did not demonstrate an increased risk of wound complications, and not
contraindicated to antegrade femoral nailing.

MANAGEMENT OF LE FORT II FRACTURE FRACTURE – A CASE REPORT

Dr. Vijay Ebenezer; Dr. Shanmuga priyan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 4, Pages 1559-1564

Lefort classification is the historic classification which is widely used to classify mid facial fractures. The lefort classification was given by Rene Lefort ,who classified mid facial fracture into Lefort I , II and III. Lefort 2 fracture is referred as ‘ PYRAMIDAL or SUBZYGOMATIC FRACTURE .’ Lefort 2 is a floating maxilla which runs from the thin middle area of the nasal bones down either side , crossing the frontal processes of the maxilla into the medial wall of each orbit . Within the orbit , the fracture line runs across the lacrimal bone behind the lacrimal sac to cross the infra orbital margin medial to or through the infra orbital foramen . Extends downwards & backwards across the lateral wall of the antrum below the zygomaticomaxillary suture & divides the ptyergyoid laminae .Le fort fractures are blunt trauma facial fractures which involves specific pattern of facial bones injury. Pterygoid process of sphenoid bones is involved in all Le fort fractures. Lefort fractures are classified further depending upon the involvement of zygomatic, nasal and maxillary bones. Blunt facial traumas due to motor vehicle collision, assault, falls or sports injury are the most common causes. In our case, Le fort 2 fracture resulted from motor vehicle collision.