A prospective study for the treatment of femur bone fracture following femur plate fixation with a screws to achieve initial stability and early mobilization

Background: Fractures of the femur are relatively common, most often is caused by high-energy trauma in young and low-energy trauma in older persons. Femur fractures were classified according to Arbeitsgemeinschaft für Osteosynthesefragen system which included proximal, diaphyseal and distal.Methods: 30 patients prospective data was collected with a year of follow up. Clinical and radiological follow-ups were conducted at four weeks, twenty-four week, and forty-eight week after the discharge to check the bone union and implant-related complications. Three different plates were used for the treatment of fracture as per the fracture type (4.5/5.0 mm wise-lock distal femur plate, 4.5/5.0 mm wise-lock proximal femoral plate, 4.5/5.0 mm wise-lock proximal lateral femur plate (type II), 4.5/5.0mm wise-lock osteotomy medial distal femur plate). The patient's health status was evaluated by American Society of Anesthesiologists grade and the visual analog score (VSA) was also obtained.Results: The gradual decrease of the VSA score showed the results of the good significance related to pain management. The continued Physiotherapy under the supervisor of physiotherapists in all patients after discharge helps in good recovery and earlier mobilization. In the series of our 30 patients, no biomechanical complication was observed related to implant plate and screw-like loosening, bend, corrosion, etc.Conclusions: Femoral system (Auxein Medical Private Limited, India) is effective as a treatment for femur bone union. Definitive treatment of femur bone fracture fixation with Femoral System have good rate of success of mobilization and bone union in this study

Clinical outcome of proximal tibia plates in extra-articular proximal tibia fractures: a retrospective study

Background: Tibial fractures, which account for 2.2% of all intra-articular fractures, are frequent. These fractures are prevalent in two age groups: younger patients experience higher-energy fractures, whereas elderly patients experience lower-energy fractures as a result of osteopenia. These injuries are linked to a higher frequency of complications such as non-union, infection, mobility limitation, and post-traumatic arthritis in the younger population. The study's primary objective was to assess the results of proximal tibial fracture treated with a locking plate.Methods: Thirty patients with proximal tibia fractures are included in this retrospective clinical study. They are all treated with a tibia plate system made by Kaulmed private limited in Sonipat, Haryana, India.  Thirty patients consisting of 18 males and 12 females, with average age of 42 years. Fractures categorized based on AO classification and type of soft tissue injury. Patients assessed clinically, radiologically, functionally using VAS, post-op radiographs and ROM.Results: All 30 cases that were chosen were monitored for 6 months. The average time for fracture union was 21 weeks, with a range of 18 to 24 weeks. No delayed union and non-union was observed. Infection, valgus, Knee stiffness were the complication that was observed. Two patients complained about the mild pain on the post-operative visit. Acceptable knee ROM of angle >120° was achieved and all patients were satisfied at their last visit based on parameters of pain, ADLs, aesthetics and full weight bearing.Conclusions: Excellent results were achieved in the surgical treatment of proximal tibia fractures by MIPO (minimal invasive plate osteosynthesis) and ORIF (Open reduction and internal fixation) using proximal tibia plate technique. Optimum knee function is achieved with reduction, rigid fixation to restore articular fragments, and early mobility. preventing osteoarthritis following trauma

A retrospective study of intramedullary tibia nailing system intended for tibia fracture

Background: The aim of the study was to investigate the performance of the intramedullary tibia nail in the treatment of tibia fractures, mostly shaft fractures. The objective of this study was to assess the post-operative complication due to the treatment involving tibia nails.Methods: This was a retrospective study to study the results obtained after tibia nail surgery. A total of 32 patients were selected based on inclusion and exclusion criteria (25 males and 7 females; average age- 37 years). The fracture was classified according to AO classification, the nailing device is intended for 41-A1/A2, 42 and 43-A1/A2/A3 types of fractures. The patients with at least three visits within 180 days were selected for data collection.Results: The clinical outcomes include pain scale assessment from the baseline/enrolment to the last follow up which shows no pain (93.7%) and mild pain (6.7%) after 180 days. No implant-related problems like implant loosening.Conclusions: For the treatment of tibia shaft fracture which can either be closed or open, intramedullary tibia nailing devices like KN-2T and KN-5T have been concluded to be the good approach

Clinical treatment of humerus fracture using intramedullary humerus nailing system

Background: The clinical results of intramedullary humerus nailing system of humeral fracture is controversial variation in implants, and follow up factor and operative technical studies. Humerus fracture is the third long fracture after femoral and tibia bone fracture.Methods: In this prospective study, 45 patients (24 female and 21 male) between the age group of 18-75 years with humerus fracture were taken who did not get conservative management. Type of fracture was categorized according to AO classification. Intramedullary humeral nailing system (compression intramedullary humerus nail, reconstruction nail and reconstruction intramedullary humerus nail) manufactured at Auxein Medical Pvt. Ltd., was used to treatment of humerus fracture. Patient physical fitness was observed according to American Society of Anesthesiologist. Pain scale and outcomes was record from the patients using visual analog scale. Follow up of the patients were taken on 3-week, 8-week, 16-week, 1-year and 2-year.Results: At 2 years follow up, bone consolidation was present in 44 cases. Only one case has reported of mortality but that was not due to implant related. No clinical and biomechanical complications were reported.  Proper healing of implant was achieved.Conclusions: Intramedullary humeral nailing system is the best treatment option to treat the humerus fracture. Compression intramedullary humerus nail can minimize the gap and increase the biomechanical stiffness

Clinical outcomes of intramedullary femoral nailing system to treat femoral fracture

Background: Femoral fractures are bone fracture involve femur, common injuries in adults. Intramedullary femoral nailing system is the recommended solution or treatment for fractures due to its high union rates.Methods: In this clinical inspection 30 patients were selected with bone fracture of femur, and treated by using intramedullary femoral nailing system (universal intramedullary cannulated femoral nail, expert femoral nail, gamma nail and retrograde femoral nail) manufactured by Auxein Medical Private Limited, Sonepat, Haryana, India. There are two types of patients used in this study, one is male (n=18) and another female (n=12). Patients physical fitness was also observed through American Society of Anesthesiologist.Results: Outcomes record from the patients using visual analog scale. Follow up of the patients were taken on 1st month, 6th month, and 12 months. Post-operative outcomes were good with none of the patients showing non-union of fracture site. There were no complications noticed related to intramedullary femoral nailing system in this study and hardware related complications were not encountered in this study also.Conclusions: Intramedullary nailing system provide excellent outcomes with high union and low complication rates in the management of bone fracture involve femoral in patients

Clinical outcomes of the intramedullary femoral nailing system in the treatment of femoral fractures

Background: Femoral fractures are a common type of fracture brought on by large force impaction. This study's objective was to clinically assess the results of using an intramedullary femoral nailing system to treat femoral fractures.Methods: 32 patients with femoral fractures are included in this retrospective clinical trial. They are all treated with an intramedullary femoral nailing system made by Kaulmed private limited in Sonipat, Haryana, India. This system includes KN-1 advance nails (PFNA), KN-6 femur nails (retrograde Nails), KN-3 nails type II (gamma nails), KN-2F femur nails (expert femoral nails), and KN-5F universal intramedullary cannulated femoral nails. There were 32 patients, with 15 from one hospital and 17 from the other. The first hospital group consisted of 8 men and 7 women, with an average age of 32 years and the second hospital group consisted of 9 male and 8 female with mean age of 40.5 years. The fractures were categorized based on AO classification and pre-operative fitness was assessed using American society of anaesthesiologist (ASA Grade). The clinical effectiveness was evaluated using the VAS score and anatomical results.Results: Surgery was performed on 32 patients with at-least three post-operative follow-up visits in 180 days. No patient in any group complained after the final follow up about complications or hardware problems, and every patient's bone union was achieved successfully. Radiological outcomes also showed proper union at 6 months. Conclusions: In femoral fractures, the intramedullary femoral nail provides better results with a high rate of union and postoperative composure

Management of distal unstable radius fractures with locking distal radius plates: a retrospective study

Background: Distal radius fractures that are unstable are challenging to treat. The locking distal radius plate screws is a superior alternative to the other forms of treatment (external fixator and K pin). The purpose of this study was to provide the radiographic and functional clinical outcomes of patients who had locking distal radius plate screws treatment. This study's objective was to clinically assess the results of using a locking distal radius plate system to treat radius fractures.Methods: 31 patients with radius fractures are included in this retrospective clinical trial. They are all treated with a locking distal radius system made by Kaulmed Private Limited in Sonipat, Haryana, India. The patients were treated with variable angle locking distal radius plates that includes 2.4 mm KL-8 variable angle two column volar distal radius plates and 2.4 mm KL-8 variable angle volar rim distal radius plates. There were 31 patients consisting of 24 male and 07 female, with an average age of 44 years. The fractures were categorized based on AO classification and pre-operative fitness was assessed using American society of anaesthesiologist (ASA grade). The patients were assessed clinically, radiologically and functionally using visual analogue scale (VAS), post-operative radiographs and measuring grip strength and weight bearing respectively.Results: Surgery was performed on 31 patients with at-least three post-operative follow-up visits in 180 days. No patient in any group complained after the final follow up about any major complications or hardware problems, and every patient's bone union was achieved successfully. Radiological outcomes also showed proper union in 6-7 weeks.Conclusions: Distal radius volar locking plates provide effective results in correcting distal radius anatomy

Clinical effectiveness of anterior cervical discectomy and fusion to treat cervical spondylosis using anterior cervical system

Background: Age related problems in the spinal segment bring about a degenerative course known as spondylosis. Hereditary, condition, and word related impacts may play a role. These spondylosis changes may bring about direct compressive and ischemic dysfunction of the spinal cord known as cervical spondylosis.Methods: In this examination 30 patients were selected with cervical spondylosis with, in the fundamental, myelography includes, and treated by anterior cervical discectomy and fusion using anterior cervical system (Apex plate) provided by Auxein Medical Pvt. Ltd. These patients are separated in two gatherings, one is male (12) and another female (18).  Functional outcome of the patients was assessed by the visual analogue scale score at post-operative follow up at 1months, 3 months, 6 months, 9 months and 1 year.Results: The after effects of this clinically treatment have by and large been great and this is especially so in old patients with an alternate injury, for example, C1-C2, C2-C3, C3-C4, C4-C5, C5-C6 and C6-C7.Conclusions: The finish of this examination is that the cervical spondylosis patients might be oversees effectively with anterior cervical discectomy and fusion utilizing anterior cervical system. Effectively clinical outcomes in regards to indications improvement and general fulfillment with the surgery were excellent with low rate of complications

Clinical performance of intramedullary nailing system for tibia fractures: a retrospective study

Background: In this study, we aimed to investigate the performance of the intramedullary tibia nailing system while treating the tibia fracture fixation.Methods: In this retrospective study, studied the results of intramedullary tibia nail in treatment of tibia fracture. A total of 25 consecutive patients were included in this study (11 male, 14 female and average age 42.9 years). Fracture type was classified as per the Muller AO classification of fracture.Results: The outcomes of clinical treatment were obtained in our study; no pain (92%), mild pain (8%) after 2 year follow up. The follow up of patients were taken on 1 month, 6 months, 1 year and 2 years according to visual analog scale (VAS) score. Paired t test was performed for statistical data analysis using minitab and values of p<0.05 were taken to indicate significant value with confidence interval of 95%. No implant related problem have been found like loosening, bending and corrosion.Conclusions: Our outcomes with interlocking cannulated and expert tibial interlocking nailing are empowering and exhibit the advantages of new nailing framework. It has been concluded that intramedullary tibia nailing system is best method for treatment of tibia fracture with good results and outcomes

Open reduction and internal fixation treatment of distal tibia fracture with Wise lock plate followed by two year follow up

Background: Distal tibial fractures are high energy injuries with high complication rate. The objective of this study was to reduce the postoperative complications of distal tibial fracture by using indigenously manufactured implants (plates and screws).Methods: This was a prospective study of 10 patients (6 patients had 43-B1 fracture, 4 patients had 43-B2 fracture) with two year follow up period followed by physical exercises after one month of the surgery. The fractures were treated with 3.5 mm Wise lock medial distal tibia plate. X-ray was used to check the union, non-union. Functional outcomes were assessed with visual analog scale (VAS) score.Results: X-ray was showing good results. Average VAS score was 1.5 (90%) 9 patients and 2.5 (10%) in 1 patient. At the end of the first year VAS score is 2 for one patient with 9 others having 1 and at the end of the second year the VAS score is 0 for 9 patients and 1 for one patient.Conclusions: Treatment of distal tibial fracture with 3.5 mm Wise lock medial distal tibia plate shows good outcomes with less complications.