scholarly journals Comparison of Harris Hip Score functional outcome proximal femur fracture fixation with open reduction internal fixation (ORIF) and hemiarthroplasty

2018 ◽  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Proximal Femur ◽  
Fracture Fixation ◽  
Open Reduction ◽  
Femur Fracture ◽  
Open Reduction Internal Fixation ◽  
Harris Hip Score ◽  
Proximal Femur Fracture

scholarly journals Functional Outcome of Traumatic Acetabulum Fractures : A 6 Months Comprehensive Follow Up Following Open Reduction Internal Fixation Surgery at Saiful Anwar General Hospital Malang

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0003
Author(s):  
DP Putra ◽  
AS Pradana ◽  
KY Phatama ◽  
E Mustamsir ◽  
M Hidayat
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
General Hospital ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Harris Hip Score ◽  
Acetabular Fractures ◽  
Acetabulum Fractures ◽  
Harris Score ◽  
The Mean

Acetabular fractures commonly occurred in young adult patient who suffered from high impact trauma which often associated with life threatening injuries. Displaced acetabular fractures lead to abnormal distribution on joint cartilage pressures. It produces early cartilage disruption and development of premature osteoarthritis at the hip. Anatomical reduction and fixation operation in acetabulum fractures still a major challenges due to its complications such as poor functional outcome after surgery. Despite its difficulty to predict the outcomes of acetabular fractures surgeries, functional outcomes scoring such as Oxford Hip Score (OHS) and Harris score may help surgeon to measure long term outcome following acetabular fractures. A total of 13 patients were treated over period of January 2018 until March 2019 in Saiful Anwar General Hospital Malang. The mean age of patients in this serial case is 37 years old and were operated within 2 weeks of injury. All the patients undergone an ORIF (Open Reduction Internal Fixation) operation and observed for the OHS and also Harris score 6 months following surgeries to measure functional outcome of the patients. The mean score of OHS in this serial case is 41 (satisfactory joint function) and the mean score of harris hip score is 91 (excellent). Some patients experience pain during activities, tingling sensation after standing in some periods of time, and heaviness when taking stairs 6 months after operation. This results conclude that the preoperative, operative and post operative management of patient with acetabular fracture in Saiful Anwar Hospital has satisfactory results.

scholarly journals Short term Functional outcome of Harris HIP Score from Open Reduction Internal Fixation action (ORIF Intertrochanter)

2020 ◽  
Vol 13 (2) ◽  
pp. 35-39
Author(s):  
Charles Meliala ◽  
Pranajaya Dharma Kadar ◽  
Husnul Fuad Akbar
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Femur Fracture ◽  
Open Reduction Internal Fixation ◽  
Harris Hip Score ◽  
Control Group ◽  
Functional Evaluation ◽  
Fracture Femur ◽  
Femur Fractures ◽  
Healthy Side

Background- Intertrochanter fracture is commonly found in geriatric and young active patient and it can affects the overall health system. The death rate of intertrochanter fracture has increased by 1 person in 1 year with mortality rate of around 14-36%.Objective- To find out the functional evaluation by Harris hip score from the action of open reduction internal fixation (ORIF) on the intertrochanter femur fractures. Material and Methods-A total of 42subjects were used in the study. The study wasanobservationalanalytic study with no retrospective pairing and with a crossectional approach, whichaimedtoanalyzetheclinical outcomeoftheHarris HipScore after performed ORIF intertrochanter femurfracture. In thiscase, the control group are healthy femur from the same patient. Unpaired T-Test is use if normal distributed data aquired, otherwise Mann-Whitney is the option. The affordable populationofthe study waspatientswho were operated using internal fixation due to intertrochanter femur fracture measures in January 2012 - June 2018.Results-In this case the distribution of the number of intertrochanter femur fracture samples was 42 subjects with 14 women (33.3%) and 28 men (66.7%). The youngest age of the study subjects was 17 years and the oldest age of the research subjects was 82 years with a mean and standard deviation of 60.77 ± 18.23 years, there were significant differences in outcomes of the clinical score of the hip score of the action Open reduction internal fixation (ORIF ) in the case of intertrochanter fracture femur, with a significance value of 0.0001 (<0.05).Conclusion-From the results of the statistical analysis of the outcome of the clinical hip score score of ORIF compared to the healthy side in the case of intertrochanter femur fractures, there is a significant result (15.1%) between ORIF actions compared to the healthy side in the case of intertrochanter fracture femur, with p value <0,0001.

scholarly journals Patient Positioning for Proximal Femur Fracture Fixation: a Review of Best Practices

2021 ◽  
Author(s):  
Khushdeep S. Vig ◽  
Curtis Adams ◽  
Joseph R. Young ◽  
Eric Perloff ◽  
Casey M. O’Connor ◽  
...  
Keyword(s):  
Best Practices ◽  
Proximal Femur ◽  
Fracture Fixation ◽  
Femur Fracture ◽  
Patient Positioning ◽  
Proximal Femur Fracture

Functional Outcome of Patients Following Open Reduction Internal Fixation for Bilateral Calcaneus Fractures

2002 ◽  
Vol 23 (10) ◽  
pp. 917-921 ◽  
Author(s):  
Matthew G. Zmurko ◽  
David E. Karges
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Work Capacity ◽  
Nonoperative Treatment ◽  
Open Reduction Internal Fixation ◽  
Functional Evaluation ◽  
American Orthopaedic ◽  
Improved Function ◽  
Calcaneus Fractures

Treatment of displaced intra-articular calcaneus fractures has historically been controversial, but recent developments have led to resurgence in open reduction internal fixation (ORIF) for displaced calcaneus fractures. Recent functional outcome studies comparing operative to nonoperative treatment of unilateral calcaneus fractures has shown a trend towards improved function with ORIF. No studies have investigated the functional outcome of patients who have required operative treatment of bilateral displaced calcaneus fractures. The purpose of this study was to review our operative experience with bilateral displaced intra-articular calcaneal fractures. A retrospective review of medical charts indicated 13 patients had undergone ORIF for bilateral calcaneus fractures. Nine patients could be contacted and brought to the clinic for functional evaluation and radiographic CT studies. Functional outcome was assessed by the Musculoskeletal Functional Assessment Score (MFA) and the American Orthopaedic Foot and Ankle Hindfoot Score (AOFAS). The average follow-up was 56 months. Over half of the patients required additional surgeries. The average MFA and AOFAS scores were 31.1 and 71.8, respectively. Functional outcome decreased for patients with multiple traumatic fractures and surgical procedures of the calcaneus. Our results show a diminished functional outcome for patients sustaining bilateral calcaneus fractures treated with ORIF when compared to patients managed surgically for unilateral calcaneus fractures, but better functional outcomes than patients who do not undergo ORIF for unilateral calcaneus fractures. This diminished function limits work capacity and ability to perform daily activities that require standing.

Orthogonal Plating of Vancouver B1 and C-Type Periprosthetic Femur Fracture Nonunions

2017 ◽  
Vol 27 (6) ◽  
pp. 578-583 ◽  
Author(s):  
Christopher E. Birch ◽  
Michael Blankstein ◽  
Jesse D. Chlebeck ◽  
Craig S. Bartlett 3rd
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Femur Fracture ◽  
Plate Osteosynthesis ◽  
Perioperative Complications ◽  
Femoral Shaft ◽  
Open Reduction Internal Fixation ◽  
Fixation Method ◽  
Periprosthetic Femur Fracture ◽  
Fracture Nonunions

Background Periprosthetic femoral shaft fractures are a significant complication after total hip arthroplasty (THA). Plate osteosynthesis has been the mainstay of treatment around well-fixed stems. Nonunions are a rare and challenging complication of this fixation method. We report the outcomes of a novel orthogonal plating surgical technique for Vancouver B1 and C-type periprosthetic fractures that previously failed open reduction internal fixation (ORIF). Methods A retrospective review identified all patients with Vancouver B1/C THA periprosthetic femoral nonunions from 2010 to 2015. Exclusion criteria included open fractures and periprosthetic infections. The technique utilised a mechanobiologic strategy of atraumatic exposure, resection of necrotic tissue, bone grafting with adjuvant bone morphogenetic protein (BMP) and revision open reduction internal fixation with orthogonal plate osteosynthesis. Results 6 Vancouver B1/C periprosthetic femoral nonunions were treated. 5 patients were female with an average age of 80.3 years (range 72-91 years). The fractures occurred at a mean of 5.8 years (range 1-10 years) from their initial arthroplasty procedure. No patients underwent further revision surgery; there were no perioperative complications. All patients had a minimum of 11 months follow-up (mean 18.6, range 11-36 months). All fractures achieved osseous union, defined as solid bridging callus over at least 2 cortices and pain free, independent ambulation, at an average of 24.4 weeks (range 6.1-39.7 weeks). Conclusions This is the 1st series describing orthogonal locked compression plating using modern implants for periprosthetic femoral nonunions. This technique should be considered in periprosthetic femur fracture nonunions around a well-fixed stem.

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