Objectives: Comparison of operative management and functional outcome of femoral intertrochanteric fractures by dynamic hip screw v/s proximal femoral nail implants. Materials and Methods: During 2013 to 2016, 50 patients with intertrochanteric femur fracture were prospectively studied. Fractures included were AO type 31 A1 & A2. 25 patients each were taken in two groups DHS & PFN. These groups were compared for functional outcomes based on parameters: Harris hip score, operative time, radiation exposure, blood loss and postoperative rate of union. Results: The age group in both groups was comparable with mean of 72.9 years. Domestic fall was found to be the most common cause of intertrochanteric fracture femur. Among the patients, 12 had A1 type fracture while 38 of them had A2 type fracture. PFN had the mean blood loss of 111.8ml as compared to 325.6 ml in DHS group. Radiation exposure was greater in PFN than DHS surgery. PFN had the mean operating time of 116.4 min and DHS had 106.4 min. Among the DHS treated group one case had superficial infection while two cases went into non union. Of the PFN treated group Z effect was observed in one case. Although the PFN treated patients showed a better Harris Hip Score on the initial 3 month follow up, both the implants DHS & PFN had a similar functional outcome on long term follow up. Conclusion: Any patient with intertrochanteric femur fracture AO type 31A1 & A2 treated with good surgical skill and reduction of fracture was achieved has similar results with DHS or PFN.

The purpose of this study was to evaluate the result of lateral retinacular release in patellar compression syndrome, which is a painful compression syndrome arthropathy of the lateral facet of the patella.187 knees of 120 patients, were included in this study. The criteria for inclusion were the presence of complaints of anterior knee pain without instability. Clinical signs pointing to lateral retinacular tightness and radiological evidence of lateral patellar tilt with minimal subluxation in 187 knees of 120 patients,130 knees were treated conservatively and 56 knees of 33 patients operatively by lateral retinacular release, those patients were selected after they failed to respond to a minimum of 3 months of conservative treatment that entailed isometric quadriceps strengthening exercises, restrictions of activities that requires prolonged knee flexion and administration of antiinflammatory agents the lateral retinacular release was performed through a 3 centimeter skin incision. A satisfactory result was achieved in over75% cases. The complication rate was low or negligible. No complications of haemarthroses w as found postoperatively. The data indicated that better results can be achieved in patients who have patellar tightness, lateral Para patellar tenderness, a positive medial patellar glide test and positive medial apprehension test. Poor results are to be expected in patients with severe arthritic changes involving the lateral patellar facet.

No abstract

No abstract

No abstract