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 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

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 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

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

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 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

Treatment of humerus fracture with wise-lock implants

Background: Humerus fracture is a common fracture in aging population mainly occurring due to fall, high energy trauma and sports injury. Locking plate treatment is showing good results in stabilization of the fracture. The purpose of this study is to showcase the surgical treatment and results by using Auxein locking implants for the treatment of proximal humeral fracture.Methods: Prospectively 13 patients were treated with ORIF treatment (6 males, 7 females with an average age of 43.6years). Fracture type is classified as per the Muller AO classification of fracture, 6 patients had type 11-A1 and 7 patients had type 11-A2. 1 patient were felt under American Society of Anesthesiologists grade 2 have mild systemic disease. Clinical outcomes were assessed at 1year follow-up with visual analogue scale score at 4 week, 16 week, 24 week and 1 year.Results: The follow-up of patients was taken at 4th, 16th, 24th and 1 year bearing good clinical results. 2 patients were encountered with pain, these were elderly patients of the age 58 and 62 and had a history of other medical commodities. One patient reported of less weigh bearing ability which was relieved with physiotherapy.Conclusions: Open reduction internal fixation treatment with Pheelos 3.5 mm wise lock proximal humerus plate showed good results with improved performance and negligible complications.

Clinical treatment of femoral head using Thompson hip prosthesis

Background: Hip prosthesis is a successful surgical technique the treatment of hip joint fracture. Thompson hip prosthesis is commonly used treatment of femoral head fracture. It is designed for non-union of fracture neck of femur when there is no neck available.Methods: In this retrospective study, examined the results of patients with Thompson hip prosthesis (cemented and uncemented). This examination has been done from August 2014 to February 2016. 50 Patients were enrolled in this study with mean age of 70 years in which the ratio of number of females more than the number of males. AO classification was used to categorize the hip fracture type. Patient physical fitness was obtained through visual analog scale. Thompson hip prosthesis has been used to treatment of femoral head fracture, manufactured at Auxein Medical Pvt. Ltd., Sonipat, Haryana, India.Results: Patients were follow-up on six week and three-month after discharge from hospital. 90% patients have excellent or pain-free results. There is no implant related complication has been found such as Loosening, prosthesis related size. The overall performance of hip prosthesis was very good.Conclusions: Present guideline strongly favor of hip prosthesis. After clinical study, we can conclude that the Thompson hip prosthesis is the best technique to treatment of femoral head fracture. Thompson is also a quick, simple, palliative solution to early mobility

Clinical outcomes in the treatment of femoral fracture by using intramedullary femur nailing system

Background: Femoral fractures are frequently occurring fractures that are caused due to large force impaction. The purpose of this study was to clinically evaluate the outcomes of treating femoral fractures with the use of the intramedullary femoral nailing system.Methods: This retrospective clinical trial consists of 32 patients with femoral fracture and are treated by using an intramedullary femoral nailing system which consists of retrograde femoral nail, gamma nails, expert femoral nail, universal intramedullary cannulated femoral nails that are manufactured by Auxein medical Pvt. Ltd. Sonipat, Haryana, India. There were 32 patients from two different hospitals i.e., first hospital group consist of 15 patients (8 male and 7 female) with mean age of 32 years and the second hospital group consist of 17 patients (9 male and 8 female). The fracture categorization was done on the basis of AO Classification of fracture and physical fitness was categorized by American society of anaesthesiologists. VAS score and HHS was used as a criterion for assessing the clinical outcomes of the patients.Results: There were 32 patients to whom surgery was performed and follow up time was 1 month, 3 months, 6 months and 12 months. After the final follow up no patient in any group complaint about the complications or any hardware related problem, there were perfect bone union in every patient. Radiological outcomes also showed proper union at 6 months follow up.Conclusions: For femoral fractures, intramedullary femoral nail gives a better result with high union rate and post-operative composure