Management of distal femoral fractures treated with locking compression plate: a prospective study

Background: Distal femoral fractures are extremely common and represent 6-8% of all the femoral fractures treated by orthopaedic surgeons. Near anatomical reduction is most important in these fractures to obtain near good functional results. A variety of treatment options are proposed for distal femoral fractures of the treatment with distal femoral LCP has yielded good results. In this study we did a prospective study of 30 patients treated with locking compression plates.Methods: There were 30 patients both male and female of different age groups treated by plate. All the patients were followed up in orthopaedic department prospectively for 12 months between November 2017 to November 2018. The functional and radiological outcomes were assessed.Results: The study included 30 patients both male and female in age group between 20 and above 60. Average follow up was 12 months using Neer’s scoring system we had excellent 60%, good 26.6%, fair 6.7%, poor 6.7%.Conclusions: The locking compression plate along with active physiotherapy proved to be better for distal femoral fractures

Management of adhesive capsulitis of shoulder joint with arthroscopic release vs. manipulation under anaesthesia: a comparative study

Background: Shoulder stiffness is a manifestation of various pathologies or clinical scenarios variously described as scapula humeral periarthritis, frozen shoulder and adhesive capsulitis. Frozen shoulder is characterized by significant restriction of active and passive motion of the shoulder that occurs due to unknown factors. Adhesive capsulitis causes contracted, thickened joint capsule that seemed to be drawn tightly around the humeral head with a relative absence of synovial fluid and chronic inflammatory changes within the subsynovial layer of the capsule. In this study we did a comparison of 30 patients treated with arthroscopic release and manipulation under anesthesia. Methods: There were 30 patients in this study with 15 patients in each group of different age groups. All the patients were studied for a period of one year between July 2021 to July 2022. The functional outcomes were assessed using dash scoring system. Results: in this study of 30 patients with different age groups followed for 12 months and assessed by DASH scoring system. We had excellent results in arthroscopic group with postop dash score standard deviation is 5.87. Conclusions: The arthroscopic capsular release of shoulder joint in adhesive capsulitis was found to have a better functional outcome as compared to the manipulation of shoulder joint under anaesthesia. Currently no treatment protocols are universally effective which needs more and more research and developments for proper treatment strategies. Morbidity with this condition has caused significant loss both economically and psychologically