A study of the advantages of the new device for percutaneous entry point in greater trochanter for any intra medullary fixation of the femur compared to the conventional methods
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 10, Issue 2
Abstract
Background:In the past the most common surgery around the hip was DHS and Barrel plate for any trochanteric fractures. Of late the commonest surgeries done on the Femur are Proximal Femoral Nail (PFN) or the Interlocking Nailing for the fractures of the Femur or supracondylar nailing of the Femur. Aim:To study the advantages of the new device for percutaneous entry point in Greater Trochanter for any intra medullary fixation of the Femur compared to the conventional methods.Objectives: To access advantages of this new device over the conventional device used for the intramedullary femur entry point. The following intraoperative characteristics were compared by usage of new device and conventional device.1)C-Arm exposure time, 2)Technical difficulties during surgery along with complications, 3)Duration of surgery, 4)Blood loss, Materials and Methods:A total of sixty four cases are being treated from November 2017 to October 2018 at Bhaskar Medical College and Bhaskar General Hospital Yenkapally,thirty two cases each by this method of percutaneous entry point in the Trochanter using this new device and conventional device respectively for the Trochanteric fractures and for the fractures of shaft of the Femur.The device is designed by the author and his team indigenously in the work shop of the Mechanical engineering of Joginpally Institute of Engineering and Technology.All the patients gave the informed consent for inclusion into study and the study was authorized by the local ethical committee.Results:We have done this study in 64 patients, 32 patients each by new device and conventional device respectively. With the use of new device, there was ease getting into the exact point of entry in the Trochanter, the comfort of getting both AP and Lateral views of the C- arm pictures with avoidances of unnecessary exposure to radiation and minimal blood loss compared to the use of conventional device.Conclusion:The study has found that the new device is very effective and advantageous compared to the conventional device for percutaneous entry point in Greater Trochanter for any intra medullary fixation of the Femur
Authors and Affiliations
VS Ravindranath, BSreekanth Rao
Keywords
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- EP ID EP617241
- DOI 10.26611/10201028
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