Raghvendra Raghuvanshi - Academia.edu (original) (raw)
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Background: There is much debate regarding the optimal treatment of shaft of femur fractures. Loc... more Background: There is much debate regarding the optimal treatment of shaft of femur fractures. Locking compression plating is a safe procedure for complex distal third fractures can be operated upon by direct visualisation without the use of IITV. Objectives: The purpose of the study was to evaluate the anatomical and functional outcome of internal fixation with locking compression plate in adults with fracture shaft of femur. Methods: This is a prospective study in which 30 patients with fracture shaft of femur, between the ages of 17 and 67 years who provided written informed consent to participate in the study were included, and were treated using locking compression plating technique from September 2012 to August 2014. Outcome measures included radiological and clinical union parameters, and functional outcome was assessed by Modified Sanders criteria. Results: Clinical union was seen at a mean time of 16.1 weeks. The mean time to complete radiological union was 18.3 weeks .For s...
Background: There is much debate regarding the optimal treatment of displaced, unstable distal ra... more Background: There is much debate regarding the optimal treatment of displaced, unstable distal radial fractures and there has been a trend toward open reduction and internal fixation of these fractures. Objectives: The purpose of this study was to evaluate the efficacy of a fixed-angle locking plate applied through a single incision volar approach in maintaining the radiographic alignment and functional outcome of unstable distal radius fractures. Methods: This is a prospective study in which 30 patients with persistent displacement of distal radius fractures after an initial attempt at reduction, between the ages of twenty and seventy years who provided written informed consent to participate in the study were included, and were treated using the fixed-angle volar plate through a single incision volar approach from September 2012 to August 2014. Outcome measures included radiographic parameters, wrist range of motion, Disability Arm Shoulder and Hand (DASH) questionnaire and Modifi...
Background: Bone marrow contains osteoprogenitor cells that can be obtained with aspiration and a... more Background: Bone marrow contains osteoprogenitor cells that can be obtained with aspiration and appear to arise from a population of pluripotential connective-tissue stem cells. Objectives: The purpose of the study was to evaluate the efficacy of autologous bone marrow injection in the treatment of delayed union and non union of long bones. Methods: Thirty patients, twenty five delayed union and five non union of long bones were treated with this procedure. Of these, 23 had fracture tibia, 4 fracture ulna, 2 fracture humerus and 1 fracture femur. The average time duration between injury and procedure was 25.53±10.75 weeks (range 14 to 46 weeks). The bone marrow was aspirated from the anterior iliac crest and injected percutaneously in the fracture site under guidance of II tv. Results: Union was achieved in 26(86.67%) out of 30 cases. The average time of clinical union was 11.31±4.52 weeks and radiological union was 14.92±4.62 weeks. Conclusion: Bone marrow injection technique is si...
Background: There is much debate regarding the optimal treatment of shaft of femur fractures. Loc... more Background: There is much debate regarding the optimal treatment of shaft of femur fractures. Locking compression plating is a safe procedure for complex distal third fractures can be operated upon by direct visualisation without the use of IITV. Objectives: The purpose of the study was to evaluate the anatomical and functional outcome of internal fixation with locking compression plate in adults with fracture shaft of femur. Methods: This is a prospective study in which 30 patients with fracture shaft of femur, between the ages of 17 and 67 years who provided written informed consent to participate in the study were included, and were treated using locking compression plating technique from September 2012 to August 2014. Outcome measures included radiological and clinical union parameters, and functional outcome was assessed by Modified Sanders criteria. Results: Clinical union was seen at a mean time of 16.1 weeks. The mean time to complete radiological union was 18.3 weeks .For s...
Background: There is much debate regarding the optimal treatment of displaced, unstable distal ra... more Background: There is much debate regarding the optimal treatment of displaced, unstable distal radial fractures and there has been a trend toward open reduction and internal fixation of these fractures. Objectives: The purpose of this study was to evaluate the efficacy of a fixed-angle locking plate applied through a single incision volar approach in maintaining the radiographic alignment and functional outcome of unstable distal radius fractures. Methods: This is a prospective study in which 30 patients with persistent displacement of distal radius fractures after an initial attempt at reduction, between the ages of twenty and seventy years who provided written informed consent to participate in the study were included, and were treated using the fixed-angle volar plate through a single incision volar approach from September 2012 to August 2014. Outcome measures included radiographic parameters, wrist range of motion, Disability Arm Shoulder and Hand (DASH) questionnaire and Modifi...
Background: Bone marrow contains osteoprogenitor cells that can be obtained with aspiration and a... more Background: Bone marrow contains osteoprogenitor cells that can be obtained with aspiration and appear to arise from a population of pluripotential connective-tissue stem cells. Objectives: The purpose of the study was to evaluate the efficacy of autologous bone marrow injection in the treatment of delayed union and non union of long bones. Methods: Thirty patients, twenty five delayed union and five non union of long bones were treated with this procedure. Of these, 23 had fracture tibia, 4 fracture ulna, 2 fracture humerus and 1 fracture femur. The average time duration between injury and procedure was 25.53±10.75 weeks (range 14 to 46 weeks). The bone marrow was aspirated from the anterior iliac crest and injected percutaneously in the fracture site under guidance of II tv. Results: Union was achieved in 26(86.67%) out of 30 cases. The average time of clinical union was 11.31±4.52 weeks and radiological union was 14.92±4.62 weeks. Conclusion: Bone marrow injection technique is si...