CALL FOR PAPERS

CERTIFICATE

IMPACT FACTOR 2018

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

Evaluation of clinico- radiological outcomes of treating unstable Intertrochanteric fractures using Dynamic Hip Screw (DHS) with Trochanteric Stabilisation Plate (TSP) versus Proximal Femoral Nailing (PFN)

Author: 
Jagan Mohan, Reddy Karnati, Monappa A Naik and Sharath K Rao
Subject Area: 
Health Sciences
Abstract: 

Back ground: Unstable intertrochanteric fractures which lack either posteromedial buttress, lateral buttress, or both, after stabilization with a dynamic hip screw (DHS), these fractures tend to have excessive fracture collapse, with significant limb shortening and occasionally fixation failure. In general for treatment of unstable intertrochanteric fractures, two options exist: extra medullary or intramedullary stabilization. Currently controversies still exist about a suitable device for an unstable intertrochanteric fracture. Materials & Methods: Study was undertaken in Department of Orthopaedics, KMC, Manipal between August 2012 and July 2014. A total of 70 cases of unstable intertrochanteric fractures (AO 31 2.2 and above) were randomized into two groups (one group treated with (Dynamic Hip Screw and Trochanteric stabilization plate (DHS+TSP) and other with Proximal Femoral Nailing (PFN) ) as per computer generated randomised table at the time of first presentation to hospital, followed up both clinically and Radiologically. Clinical variables assessed were limp, limb shortening, range of motion, Salvati wilson hip score, Hip abductor power. Radiologically variables like progress of union, varus collapse, and screw cut out were analysed at 6 weeks, 3 months, 6 months and at 1 year Results: 20 cases were lost to follow-up. Remainder study group comprised of 32 males and 18 females with mean age of 68.3 years. All fractures united at mean 16.3 weeks in TSP group and 15.4 weeks for PFN group. There was 1 lag screw back out in TSP group & 2 in PFN group at 6 month follow up. None of the patient required revision surgery. At the end of one year, clinical variables (Limp (P value<0.08), Hip Movements, Hip Score (0.087), limb shortening (P value<0.11), Abductor power) and radiological variables (Varus collapse (P value<0.8)) showed no statistical significance. Statistical data was evaluated with the help of SPSS 21 software using Independent T test. Conclusions: In treatment of unstable trochanteric fractures, DHS+TSP and PFN have comparable clinic-radiological outcomes at the end of one year. However, further studies are required with large sample size and comparable groups.

PDF file: 

IJMCE RECOMMENDATION

ONLINE PAYPAL PAYMENT

CURRENT ISSUE

NEWS

CHIEF EDITOR

Rosane Cavalcante Fragoso, Brasil

ASSOCIATE CHIEF EDITOR

   

Jean-Marc SABATIER
Chief Scientific Officer and Head of a Research Group
France

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

EDITORIAL BOARD

Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran