Online ISSN: 2515-8260

Keywords : plate

Surgical management of displaced calcaneum fractures by plating

Dr. H Manjunath, Dr. Ullas Mahesh, Dr. Sharat Balemane, Dr. Anil Patil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1558-1562

Introduction: Calcaneal fractures are comparatively rare injuries, which occur in 2% of all fractures According to the recent literature, 60% to 75% of these fractures are considered to be displaced and intraarticular, which evidences the difficulty of the treatment. This type of injury is more common in men compared to women because it commonly occurs as occupation associated.
Methodology: In this study of prospective design 40 patients with calcaneum fracture treated by ORIF with plates between JAN 2019 to DEC 2021 were reviewed at a tertiary centre. The
patients were called for a final follow up evaluation and the latest functional outcome assessed as for the AOFAS score and results were analysed.
Results: Young patients showed significantly better outcome with ORIF with plating. The timing of the surgery is the most important detriment for the outcome. The final functional outcome assessed with AOFAs score is encouraging with 77.1%.
Conclusion: Operatively treated calcaneum fractures with ORIF with plates gives a good functional outcome when surgical principle are strictly adhered to, proper patient selection, appropriate timing for surgery, strict asepsis, proper approach for rising full thickness flaps, accurate anatomic reduction and proper post-operative protocol with follow up which minimizes complications.

A prospective functional outcome study of Volar locking plates versus K-wire fixation of dorsally displaced distal radius fractures

Dr. Hem Raj, Dr. Punit Tiwari, Dr. Sandeep Singh Jaura, Dr. Gagan Khanna and Dr. RK Arora

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11993-12002

Introduction: Fractures of the distal end radius are the most common fractures of the upper extremity, encountered in practice and constitute 17% of all fractures and 75% of all forearm fractures. The fundamental principle of fracture treatment is to obtain accurate fracture reduction and then use an immobilization method that will maintain and hold that reduction. The most common surgical treatment of closed distal radius fractures is by Kirschner-wires (K-wires) or volar locking plates, with the latter gaining popularity these days. In this study, we compared functional outcomes of K-wires with those of volar locking plates.
Methods: A prospective comparative study of 50 patients with dorsally displaced distal radius fractures treated with K-wiring and volar locking plates (25 cases in each group) was performed. An initial clinical evaluation was done pre-operatively followed by fracture fixation and was further evaluated functionally and radiologically post-operatively. Functional results were analyzed by the modified Demerit point system of Gartland and Werley, anatomical results were analyzed by Sarmiento’s modification of Lindstrom criteria, and radiological assessment was done as per criteria given by NANA et al.
Results: Radiologically and anatomically volar plate had better results as compared to k-wire, during the initial follow-up of fractures of the distal radius. The volar plate also dominated over k-wires in terms of functional results but at 6 months there was very little difference seen functionally. Both techniques provide great clinical results, without a clear superiority of either fixation method for the surgical management of distal radius fractures.
Conclusion: We conclude that locking plates offer no functional advantage over the older and economical method of Kirschner wire fixation for patients with displaced fractures of the distal radius.

About Research Of Spectra Of Own Oscillations Thin-Wall Plates In Magnetic Fields

Safarov Ismail Ibrahimovich; Esanov Nuriddin Kurbonovich; Almuratov Shavkat Narpulatovich; Safarov Ismail Ibragimovich; Esanov Nuriddin Qurbanovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 1109-1116

The paper considers the problems of natural vibrations of viscoelastic plates with different boundary conditions in magnetic fields.
The aim of the work is to study the oscillations of thin-walled structural elements in a magnetic field: to calculate the spectra of natural frequencies and vibration damping coefficients of rectangular viscoelastic plates with different conditions for fixing the edges, as well as to study the effect of the transverse and longitudinal magnetic field induction on the values of natural frequencies and damping coefficients, as well as their distribution. The validity and reliability of the results of the work is ensured by the correct statement of the problems, the use of applied mathematics metathemes, modern software and the comparison of the results with the results given in scientific publications. For calculations, mathematical packages MATLAB, software environment MAPLE-18 are used.
The paper first obtained analytical solutions for calculating the complex vibration frequencies of viscoelastic plates with a different combination of boundary conditions. A numerical analysis of the oscillations of rectangular viscoelastic plates with different conditions for fixing the edges is carried out, the influence of the transverse and longitudinal magnetic fields on the spectrum of complex frequencies is studied. New effects that the magnetic field exerts on the distribution of natural frequencies and the damping coefficient of the plate element structures are found.