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Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip

Volume 9 | Issue 1 | January-April 2023 | Page: 21-25 | Abdus Sami, Anil Agarwal, Lokesh Sharma., Yogesh Patel, Varun Garg DOI- https://doi.org/10.13107/ijpo.2023.v09.i01.151 Authors: Abdus Sami [1] MS Orth., Anil Agarwal [1] MS Orth., Lokesh Sharma [1] MS Orth., Yogesh Patel [1] MS Orth., Varun Garg [1] MS Orth. [1] Department of Paediatric Orthopaedics, […]

Results of Antegrade Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children

Volume 9 | Issue 1 | January-April 2023 | Page: 26-32 |Piyush Gadegone, Wasudeo Gadegone, Vijayanand Lokhande DOI- https://doi.org/10.13107/ijpo.2023.v09.i01.152 Authors: Piyush Gadegone [1] MS Orth., DNB Orth., Wasudeo Gadegone [1] MS Gen. Surg., MS Orth., MNAMS Orth., SICOT (Fellow), Vijayanand Lokhande [1] MS Orth., DNB Orth. [1] Trauma and Orthopaedics Hospital, Chandrapur, Maharashtra, India. Address […]

Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip

Results of Antegrade Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children

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Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip

Volume 9 | Issue 1 | January-April 2023 | Page: 21-25 | Abdus Sami, Anil Agarwal, Lokesh Sharma., Yogesh Patel, Varun Garg

DOI- https://doi.org/10.13107/ijpo.2023.v09.i01.151

Authors: Abdus Sami [1] MS Orth., Anil Agarwal [1] MS Orth., Lokesh Sharma [1] MS Orth., Yogesh Patel [1] MS Orth., Varun Garg [1] MS Orth.

[1] Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Address of Correspondence

Dr. Anil Agarwal,
Specialist, Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.
E-mail: anilrachna@gmail.com

Abstract

Purpose: We assessed the functional and radiological outcomes of children with sequelae of bilateral septic hips. Additionally, we attempted to determine the impact of radiological unstable hips on clinical functionality of the child.
Material and methods: The retrospective case series included 9 children minimum 2 years post infection. The functional outcomes were assessed using Lower Extremity Function Score (LEFS) and Children Health Assessment Questionnaire (CHAQ). Follow up hip radiographs were classified according to the Choi’s classification. We labelled the patient as having instability if either hip had a Choi type >3A.
Results: The mean age at final follow-up was 7.6 years. Five patients had multiple joints affection. The mean LEFS score was 62.7 and CHAQ-DI 0.2. The mean LEFS values for radiological stable hips (n= 5 patients) was 66 ± 19.4 and 58.5 ± 15.3 for unstable hips (p=0.5487) while corresponding CHAQ-DI scores were 0.12 ± 0.13 and 0.27 ± 0.12 respectively (p=0.1098) indicating poor relatability between functional capabilities of the child and the radiological appearances of the hips. A strong negative correlation however existed between LEFS/ CHAQ-DI values (R= -0.897; p=0.001).
Conclusions: Septic hip sequelae in children leads to various degrees of functional limitations and patients with multiple joint involvement have worse outcomes. The hip radiological findings do not relate with the overall functional status of the child.
Keywords: Functional outcome, Disability, Hip, Sepsis, Child

References

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How to Cite this Article: Sami A, Agarwal A, Sharma L, Patel Y, Garg V | Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip | International Journal of Paediatric Orthopaedics| January-April 2023; 9(1): 21-25 | https://doi.org/10.13107/ijpo.2023.v09.i01.151

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Results of Antegrade Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children

Volume 9 | Issue 1 | January-April 2023 | Page: 26-32 |Piyush Gadegone, Wasudeo Gadegone, Vijayanand Lokhande

DOI- https://doi.org/10.13107/ijpo.2023.v09.i01.152

Authors: Piyush Gadegone [1] MS Orth., DNB Orth., Wasudeo Gadegone [1] MS Gen. Surg., MS Orth., MNAMS Orth., SICOT (Fellow), Vijayanand Lokhande [1] MS Orth., DNB Orth.

[1] Trauma and Orthopaedics Hospital, Chandrapur, Maharashtra, India.

Address of Correspondence

Dr. Wasudeo Gadegone
Consultant Orthopaedic Surgeon, Trauma and Orthopaedics Hospital, Chandrapur, Maharashtra, India.
E-mail: gadegone123@yahoo.co.in

Abstract

Objective: The objective of this study is to present a new method of Antegrade elastic wires, which is a minimally invasive surgical approach to treat displaced fractures in the distal radial metaphyseal and dia-metaphyseal fractures in children.
Materials and Methods: We conducted a retrospective analysis of 18 patients who received antegrade elastic wires treatment for distal radial fractures from January 2019 to January 2023. The surgical indications encompassed closed, significantly displaced, and unstable fractures located in the metaphysis or diaphyseo-metaphyseal region of the radius. The fractures were stabilized using two prebent short elastic nails that were introduced from the diaphysis to the metaphysis. In instances when an ulnar fracture was present, a traditional anterograde nailing procedure was also carried out. A long or short arm plaster cast was administered for a duration of 3 weeks.
Results: The group consisted of 15 boys and 3 girls, with an average age of 10.8 years (ranging from 7 to 16 years). The right hand was implicated in 12 instances, whereas the left hand was implicated in 6 instances. The mean duration of follow-up was 7.8 months, with a range of 4 to 28 months. Out of the 18 patients, 2 individuals experienced skin irritations, which were resolved after the removal of the radial nails. All patients had complete restoration of their range of motion and experienced successful bone healing without any problems.
Conclusions: An antegrade elastic wire fixation is a very efficient, secure, and readily replicable technique for treating unstable fractures of the distal radius, while also preventing harm to the physeal plate. It successfully attains favorable functional and radiological outcomes and allows early mobilization.
Keywords: Distal radius, Metaphyseal fracture, dia-metaphyseal fractures, Elastic wires, Antegrade.

References

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How to Cite this Article: Gadegone P, Gadegone W, Lokhande V Results of Antegrade | Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children | International Journal of Paediatric Orthopaedics | January-April 2023; 9(1): 26-32 | https://doi.org/10.13107/ijpo.2023.v09.i01.152

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip

Results of Antegrade Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children

Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip

Results of Antegrade Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children

Full Sized Blog Element (Big Preview Pic)

Functionality Against Odds: Lower Extremity Functional Scale and Children Health Assessment Questionnaire in Children with Bilateral Septic Sequelae of Hip

Authors: Abdus Sami [1] MS Orth., Anil Agarwal [1] MS Orth., Lokesh Sharma [1] MS Orth., Yogesh Patel [1] MS Orth., Varun Garg [1] MS Orth.

Abstract

(Article Text HTML) (Full Text PDF)

Results of Antegrade Intramedullary Elastic Wires for Severely Displaced Distal Radial Fractures in Children

Authors: Piyush Gadegone [1] MS Orth., DNB Orth., Wasudeo Gadegone [1] MS Gen. Surg., MS Orth., MNAMS Orth., SICOT (Fellow), Vijayanand Lokhande [1] MS Orth., DNB Orth.

Abstract

(Article Text HTML) (Full Text PDF)

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