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Safety, efficacy, and functional outcome of elastic stable intramedullary nailing in unstable fractures of both bones of forearm in children

Volume 4 | Issue 1 | January-June 2018 | Page: 29-33 | Deeptiman James, Vrisha Madhuri DOI- 10.13107/ijpo.2018.v04i01.007 Authors: Deeptiman James, Vrisha Madhuri Paediatric Orthopaedics Unit, Christian Medical College, Vellore, Tamil Nadu, India Address of Correspondence Dr. Vrisha Madhuri, Professor and Head, Paediatric Orthopaedics Unit, Christian Medical College, Vellore – 632 004, Tamil Nadu, […]

Treatment of unstable hips in children with Ilizarov hip reconstruction: A retrospective analysis of six cases

Volume 4 | Issue 1 | January-June 2018 | Page: 23-28 | Bipin Ghanghurde, Mandar Agashe, Tarush Rustagi [1], Chasanal Rathod [2], Rujuta Mehta, Dominic D’Silva, Alaric Aroojis DOI- 10.13107/ijpo.2018.v04i01.006 Authors: Bipin Ghanghurde, Mandar Agashe, Tarush Rustagi [1], Chasanal Rathod [2], Rujuta Mehta, Dominic D’Silva, Alaric Aroojis Bai Jerbai Wadia Hospital for Children, Mumbai, […]

Safety, efficacy, and functional outcome of elastic stable intramedullary nailing in unstable fractures of both bones of forearm in children

Treatment of unstable hips in children with Ilizarov hip reconstruction: A retrospective analysis of six cases

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Safety, efficacy, and functional outcome of elastic stable intramedullary nailing in unstable fractures of both bones of forearm in children

Volume 4 | Issue 1 | January-June 2018 | Page: 29-33 | Deeptiman James, Vrisha Madhuri

DOI- 10.13107/ijpo.2018.v04i01.007

Authors: Deeptiman James, Vrisha Madhuri

Paediatric Orthopaedics Unit, Christian Medical College, Vellore, Tamil Nadu, India

Address of Correspondence
Dr. Vrisha Madhuri,
Professor and Head, Paediatric Orthopaedics Unit, Christian Medical College, Vellore – 632 004, Tamil Nadu, India.
E-mail: madhuriwalter@cmcvellore.ac.in

Abstract

Aims: To determine the clinical profile and clinical, functional, and radiological outcomes and complications in children who underwent elastic stable intramedullary nailing (ESIN) for unstable fractures of both bones of forearm. Materials and Methods: A retrospective observational study was conducted in the Paediatric Orthopaedic Unit of the institution. Children with forearm fractures, who underwent ESIN of both the bones with titanium nails from January 2004 to June 2010, were included in the study. Clinical evaluation for deformity, range of motion at wrist and elbow, Daruwalla’s grading for forearm fractures, and radiological evaluation for bony union, malalignment, and radial bow were done. Paediatric Outcomes Data Collection Instrument (PODCI) questionnaire was used to assess functional outcome.
Results: Twenty-six patients were followed up for a mean of 2.14 years. These included one primary internal fixation for unstable injury in a 15-year old, 10 open fractures, and 15 with malalignment after closed reduction. Age ranged from 5 to 15 years (mean of 11.39). Average time to bony union was 6 weeks. Twelve children had excellent, 12 good, and two fair outcomes according to Daruwalla’s grade. Average PODCI score was 50.78 (standardized range is minimum of −140 to maximum of 53). There were no major complications related to ESIN. Three patients had paraesthesia over superficial radial nerve distribution, three patients had hypertrophied scars, and one patient had superficial wound infection. One child had distal radial physeal arrest following inadvertent physeal injury during implant removal.
Conclusion: ESIN is safe and effective for internal fixation of unstable forearm fractures.
Keywords: ESIN, Paediatric both bones forearm fractures, PODCI questionnaire

References

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How to Cite this Article: James D, Madhuri V | Safety, efficacy, and functional outcome of elastic stable intramedullary nailing in unstable fractures of both bones of forearm in children | January-June 2018; 4(1): 29-33.

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Treatment of unstable hips in children with Ilizarov hip reconstruction: A retrospective analysis of six cases

Volume 4 | Issue 1 | January-June 2018 | Page: 23-28 | Bipin Ghanghurde, Mandar Agashe, Tarush Rustagi [1], Chasanal Rathod [2], Rujuta Mehta, Dominic D’Silva, Alaric Aroojis

DOI- 10.13107/ijpo.2018.v04i01.006

Authors: Bipin Ghanghurde, Mandar Agashe, Tarush Rustagi [1], Chasanal Rathod [2], Rujuta Mehta, Dominic D’Silva, Alaric Aroojis

Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, 1Indian Spinal Injuries Centre, New Delhi, 2Seven Hills Hospital, Mumbai, Maharashtra, India

Address of Correspondence
Dr. Alaric Aroojis, Bai Jerbai Wadia Hospital for Children, Parel, Mumbai – 400 012, Maharashtra, India.
E-mail: aaroojis@gmail.com

Abstract

Introduction: Hip instability in older children and adolescents is mainly because of the loss of bone in the proximal femur or conditions that cause loss of the fulcrum. These may be related to infantile septic hip sequelae or neglected developmental dysplasia of the hip.
Materials and Methods: We retrospectively analyzed six patients with hip instability treated by Ilizarov hip reconstruction from 2004 to 2007 at our institute. The mean age of the patients was 10 years (range 7–14 years). Results: The etiology was septic hip sequelae (Choi type IV) in four patients and neglected developmental dysplasia of hip in two patients. The fixator was kept for an average of 7 months (range 6–8 months). The average follow-up was 3 years. The visual analog score for pain improved from a preoperative mean of 8 to 2 postoperatively. The gait improved in all the patients and the leg length discrepancy improved from a preoperative mean of 5 to 1 cm postoperatively. All the limbs were aligned to a satisfactory level with the mean mechanical axis deviation of 3 mm (laterally) and pelvic mechanical axis of 90°. The Harris hip score improved from 41 preoperatively to 84 postoperatively (P < 0.0001).
Conclusion: Ilizarov Hip Reconstruction is an excellent salvage procedure for adolescent patients with unstable hips, giving good results in the short-term.
Keywords: Ilizarov hip reconstruction, Neglected developmental dysplasia of the hip, Postseptic sequelae, Unstable hip

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How to Cite this Article: Ghanghurde B, Agashe M, Rustagi T, Rathod C, Mehta R, D’Silva D, Aroojis | A Treatment of unstable hips in children with Ilizarov hip reconstruction: A retrospective analysis of six cases | January-June 2018; 4(1): 23-28.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Safety, efficacy, and functional outcome of elastic stable intramedullary nailing in unstable fractures of both bones of forearm in children

Treatment of unstable hips in children with Ilizarov hip reconstruction: A retrospective analysis of six cases

Safety, efficacy, and functional outcome of elastic stable intramedullary nailing in unstable fractures of both bones of forearm in children

Treatment of unstable hips in children with Ilizarov hip reconstruction: A retrospective analysis of six cases

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Safety, efficacy, and functional outcome of elastic stable intramedullary nailing in unstable fractures of both bones of forearm in children

Authors: Deeptiman James, Vrisha Madhuri

Abstract

References

(Article Text HTML) (Download PDF)

Treatment of unstable hips in children with Ilizarov hip reconstruction: A retrospective analysis of six cases

Authors: Bipin Ghanghurde, Mandar Agashe, Tarush Rustagi [1], Chasanal Rathod [2], Rujuta Mehta, Dominic D’Silva, Alaric Aroojis

Abstract

References

(Article Text HTML) (Download PDF)

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