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Rps Boparai - One of the best experts on this subject based on the ideXlab platform.
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role of Ligamentotaxis in management of comminuted intra juxta articular fractures
Indian Journal of Orthopaedics, 2006Co-Authors: Rps Boparai, Rajesh Kapila, Dilbans Singh PandherAbstract:Background : Comminuted intra/juxta-articular fractures are the most difficult one's to treat in orthopaedics as far as functional & cosmetic results are concerned. The basic aim of our study was to analyse the efficacy of distractors / external fixator in various forms using principle of Ligamentotaxis to achieve a high degree of functional & cosmetic results in these fractures. Methods : This consecutive prospective study comprised of thirty cases of comminuted intra/juxta-articular fractures, varying from grade 0 to grade III B Gustilo & Anderson classification, treated by the principle of Ligamentotaxis using distracter / ex fix in its various forms. Results : Average time of union varied from 3 weeks to 20 weeks depending upon the bone involved. Commonest complication was pin tract infection (13), while delayed union (3) and malunion (one) was also observed. Good range of motion at the involved joint was observed in majority of the cases. As per modified clinical scoring system of Green and O'Brien (1978) excellent to good results were seen in 73.34% cases and fair to poor results in 26.66%. Conclusion : Thus we conclude that Ligamentotaxis is an excellent method for the management of comminuted intra/juxta articular fractures. It not only obviates the need of ORIF and/or POP cast but also gives better functional results. It is very useful in compound comminuted fractures around joints where other methods are contraindicated.
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Role of Ligamentotaxis in management of comminuted intra/juxta articular fractures
Indian Journal of Orthopaedics, 2006Co-Authors: Rps Boparai, Rajesh Kapila, Dilbans Singh PandherAbstract:Background : Comminuted intra/juxta-articular fractures are the most difficult one's to treat in orthopaedics as far as functional & cosmetic results are concerned. The basic aim of our study was to analyse the efficacy of distractors / external fixator in various forms using principle of Ligamentotaxis to achieve a high degree of functional & cosmetic results in these fractures. Methods : This consecutive prospective study comprised of thirty cases of comminuted intra/juxta-articular fractures, varying from grade 0 to grade III B Gustilo & Anderson classification, treated by the principle of Ligamentotaxis using distracter / ex fix in its various forms. Results : Average time of union varied from 3 weeks to 20 weeks depending upon the bone involved. Commonest complication was pin tract infection (13), while delayed union (3) and malunion (one) was also observed. Good range of motion at the involved joint was observed in majority of the cases. As per modified clinical scoring system of Green and O'Brien (1978) excellent to good results were seen in 73.34% cases and fair to poor results in 26.66%. Conclusion : Thus we conclude that Ligamentotaxis is an excellent method for the management of comminuted intra/juxta articular fractures. It not only obviates the need of ORIF and/or POP cast but also gives better functional results. It is very useful in compound comminuted fractures around joints where other methods are contraindicated.
Wael Kandil - One of the best experts on this subject based on the ideXlab platform.
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management of comminuted tibial plateau fractures with external fixator using Ligamentotaxis principle
The Egyptian Orthopaedic Journal, 2014Co-Authors: Amr S Elgazzar, Elsayed M Mohamady, Wael KandilAbstract:Background The treatment of proximal tibial fractures is often challenging, and internal fixation is occasionally associated with problems in wound healing due to frequently coexisting soft tissue injuries. Objective This study evaluated the performance of an external fixator in the treatment of different types of proximal tibial fractures by Ligamentotaxis principle. Materials and methods Between March 2002 and June 2007, 50 proximal tibial fractures in 48 patients were treated with Ilizarov external fixator in Benha University and health insurance hospitals. The mean age was 39 years (range 19-57 years), and the mean follow-up period was 36.5 months (range 24-50 months). Fracture categorization was performed according to AO/ASIF; closed reduction was performed most often by closed means in 26% of cases or through miniopen incision in 74% of cases. Clinical and functional evaluation of patients in the tibial plateau group was performed using the Knee Society clinical rating score. Results The overall functional outcome of treatment of comminuted tibial plateau fractures treated by indirect reduction and ring fixator in this study was excellent in 18 cases, good in 22, fair in eight cases, and poor in two cases. All fractures in this series eventually healed. Conclusion Ring frames provide mechanical stability of the comminuted tibial plateau fracture. The excellent stabilization of fracture allows early ambulation of the patient with partial weight bearing; even in comminuted fractures, there is beneficial biologic influence of the early weight bearing on osseous healing.
Dilbans Singh Pandher - One of the best experts on this subject based on the ideXlab platform.
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role of Ligamentotaxis in management of comminuted intra juxta articular fractures
Indian Journal of Orthopaedics, 2006Co-Authors: Rps Boparai, Rajesh Kapila, Dilbans Singh PandherAbstract:Background : Comminuted intra/juxta-articular fractures are the most difficult one's to treat in orthopaedics as far as functional & cosmetic results are concerned. The basic aim of our study was to analyse the efficacy of distractors / external fixator in various forms using principle of Ligamentotaxis to achieve a high degree of functional & cosmetic results in these fractures. Methods : This consecutive prospective study comprised of thirty cases of comminuted intra/juxta-articular fractures, varying from grade 0 to grade III B Gustilo & Anderson classification, treated by the principle of Ligamentotaxis using distracter / ex fix in its various forms. Results : Average time of union varied from 3 weeks to 20 weeks depending upon the bone involved. Commonest complication was pin tract infection (13), while delayed union (3) and malunion (one) was also observed. Good range of motion at the involved joint was observed in majority of the cases. As per modified clinical scoring system of Green and O'Brien (1978) excellent to good results were seen in 73.34% cases and fair to poor results in 26.66%. Conclusion : Thus we conclude that Ligamentotaxis is an excellent method for the management of comminuted intra/juxta articular fractures. It not only obviates the need of ORIF and/or POP cast but also gives better functional results. It is very useful in compound comminuted fractures around joints where other methods are contraindicated.
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Role of Ligamentotaxis in management of comminuted intra/juxta articular fractures
Indian Journal of Orthopaedics, 2006Co-Authors: Rps Boparai, Rajesh Kapila, Dilbans Singh PandherAbstract:Background : Comminuted intra/juxta-articular fractures are the most difficult one's to treat in orthopaedics as far as functional & cosmetic results are concerned. The basic aim of our study was to analyse the efficacy of distractors / external fixator in various forms using principle of Ligamentotaxis to achieve a high degree of functional & cosmetic results in these fractures. Methods : This consecutive prospective study comprised of thirty cases of comminuted intra/juxta-articular fractures, varying from grade 0 to grade III B Gustilo & Anderson classification, treated by the principle of Ligamentotaxis using distracter / ex fix in its various forms. Results : Average time of union varied from 3 weeks to 20 weeks depending upon the bone involved. Commonest complication was pin tract infection (13), while delayed union (3) and malunion (one) was also observed. Good range of motion at the involved joint was observed in majority of the cases. As per modified clinical scoring system of Green and O'Brien (1978) excellent to good results were seen in 73.34% cases and fair to poor results in 26.66%. Conclusion : Thus we conclude that Ligamentotaxis is an excellent method for the management of comminuted intra/juxta articular fractures. It not only obviates the need of ORIF and/or POP cast but also gives better functional results. It is very useful in compound comminuted fractures around joints where other methods are contraindicated.
Daniel Brown - One of the best experts on this subject based on the ideXlab platform.
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treatment of fracture subluxations of the proximal interphalangeal joint using a Ligamentotaxis device a multidisciplinary approach
Journal of Hand Surgery (European Volume), 2015Co-Authors: R J Macfarlane, S Gillespie, F Cashin, A Mahmood, Graham Cheung, Daniel BrownAbstract:Complex fracture subluxations of the proximal interphalangeal joint are often difficult to treat and their outcome variable. A number of methods for treatment of these injuries have been described. We have used a Ligamentotaxis device (Ligamentotaxor, Arex, Palaiseau Cedex, France) since 2008. We performed 28 operations in 28 patients with complex proximal interphalangeal joint injuries over a 3-year period. Patients followed a standardized postoperative rehabilitation regime, including fixator adjustment as necessary. The mean age was 33 years (range 18–67). The mean time to surgery was 7 days. At final follow-up (mean 22 months, range 6–52) the mean proximal interphalangeal joint range of motion was 85° (range 60°–110°). The mean QuickDASH functional outcome score was 4.8 (range 0–36.4). Our results compare favourably with other devices reported in the literature.
Asif Hanif - One of the best experts on this subject based on the ideXlab platform.
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Evaluation of Ligamentotaxis in Management of Comminuted Intra-articular Fractures of Distal Radius Using Spanning Naseer–Awais (NA) External Fixator
Annals of King Edward Medical University, 2020Co-Authors: Mohammed Iqbal, Abdul Latif Sami, Muhammad Akram, Faisal Masood, Syed Muhammad Awais, Asif HanifAbstract:Abstract Background: Comminuted intra-articular distal ra-dius fractures are the most common amongst the frac-tures of the upper limb. There are various methods of management of comminuted intra-articular fractures of distal radius published in the orthopaedic literature, these are closed reduction and plaster cast application, closed reduction and percutaneous pin fixation, closed reduction percutaneous pin fixation with plaster cast application, Ligamentotaxis with application of exter-nal fixation across the wrist joint and open reduction and internal fixation. Objective: Objectives of this study were to evaluate the Ligamentotaxis for the treatment of comminuted intra-articular fractures of distal radius and compare the prescribed data for comparison with similar series in the orthopaedic literature. Methodology: During this study 30 skeletally mature patients with comminuted intra-articular fractures of distal radius attending outpatient department or ortho-paedic emergency of Lahore General Hospital, Lahore, with less than one week duration were admitted in the hospital. They were examined clinically. Radiographs were taken and diagnosis was confirmed. Patients with open fractures or with multiple injuries were excluded from the study. Patients were administered general anesthesia. Skin distal to the elbow was prepared with antiseptic iodine solution and draping was done. Clo-sed reduction of the fracture was done and N. A exter-nal fixator was applied across the wrist joint. Distrac-tion force was applied across the fracture site by elon-gation of threaded rod of external fixator. This distrac-tion force was maintained till union of the fracture according to the principle of Ligamentotaxis. All the patients were examined in outpatient department at regular intervals. Data of this study was recorded for comparison of similar series in recent orthopaedic lite-rature. Results: There were no serious complications in our study. Six patients (20%) developed mild pin tract in-fections these were treated by oral antibiotic therapy. One patient (3.3%) developed aseptic loosening of external fixator after three weeks. In this patient exter-nal fixator was replaced by plaster cast. One patient (3.3%) lost the reduction in which revision of external fixation was carried out. After removal of external fixator / plaster cast, a supervised programme of phy-siotherapy was started for restoration of the wrist and hand functions. Twenty two (73.3%) patients required physiotherapy for 1 week, 5 (16.7%) required for 2 weeks and 3 patient (10%) did not require it at all. Conclusion: We conclude that Ligamentotaxis is an excellent method for the management of comminuted intraarticular fractures of distal end of radius. It obvi-ates the need of plaster cast application or open reduc-tion and internal fixation of the fracture and result of this study are comparable with similar series published in the orthopaedic literature. Keywords: Ligmaentotaxis distal radius fracture.
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evaluation of Ligamentotaxis in management of comminuted intra articular fractures of distal radius using spanning naseerâ awais na external fixator
Annals of King Edward Medical University, 2011Co-Authors: Mohammed Iqbal, Abdul Latif Sami, Muhammad Akram, Faisal Masood, Syed Muhammad Awais, Asif HanifAbstract:Abstract Background: Comminuted intra-articular distal ra-dius fractures are the most common amongst the frac-tures of the upper limb. There are various methods of management of comminuted intra-articular fractures of distal radius published in the orthopaedic literature, these are closed reduction and plaster cast application, closed reduction and percutaneous pin fixation, closed reduction percutaneous pin fixation with plaster cast application, Ligamentotaxis with application of exter-nal fixation across the wrist joint and open reduction and internal fixation. Objective: Objectives of this study were to evaluate the Ligamentotaxis for the treatment of comminuted intra-articular fractures of distal radius and compare the prescribed data for comparison with similar series in the orthopaedic literature. Methodology: During this study 30 skeletally mature patients with comminuted intra-articular fractures of distal radius attending outpatient department or ortho-paedic emergency of Lahore General Hospital, Lahore, with less than one week duration were admitted in the hospital. They were examined clinically. Radiographs were taken and diagnosis was confirmed. Patients with open fractures or with multiple injuries were excluded from the study. Patients were administered general anesthesia. Skin distal to the elbow was prepared with antiseptic iodine solution and draping was done. Clo-sed reduction of the fracture was done and N. A exter-nal fixator was applied across the wrist joint. Distrac-tion force was applied across the fracture site by elon-gation of threaded rod of external fixator. This distrac-tion force was maintained till union of the fracture according to the principle of Ligamentotaxis. All the patients were examined in outpatient department at regular intervals. Data of this study was recorded for comparison of similar series in recent orthopaedic lite-rature. Results: There were no serious complications in our study. Six patients (20%) developed mild pin tract in-fections these were treated by oral antibiotic therapy. One patient (3.3%) developed aseptic loosening of external fixator after three weeks. In this patient exter-nal fixator was replaced by plaster cast. One patient (3.3%) lost the reduction in which revision of external fixation was carried out. After removal of external fixator / plaster cast, a supervised programme of phy-siotherapy was started for restoration of the wrist and hand functions. Twenty two (73.3%) patients required physiotherapy for 1 week, 5 (16.7%) required for 2 weeks and 3 patient (10%) did not require it at all. Conclusion: We conclude that Ligamentotaxis is an excellent method for the management of comminuted intraarticular fractures of distal end of radius. It obvi-ates the need of plaster cast application or open reduc-tion and internal fixation of the fracture and result of this study are comparable with similar series published in the orthopaedic literature. Keywords: Ligmaentotaxis distal radius fracture.