A comparative study of conservative functional treatment versus acute ligamentous repair in simple dislocation of the elbow at tertiary health care center
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 9, Issue 2
Abstract
Background: The anatomy of the elbow is complex. Sufficient stability is essential to elbow functionality and is provided by soft tissue structures as well as bony structures. Aims and Objectives: To study conservative functional treatment versus acute ligamentous repair in simple dislocation of the elbow at tertiary health care center. Methodology: This was a cross-sectional study carried out in the department of Orthopedics at tertiary health care centre during the one year period i.e. January 2017 to January 2018 , there were 46 patients admitted with dislocation of the elbow , with the written and explained consent all of them enrolled to Surgical Treatment Group (ST) (n=23) and Conservative treatment Group (CT) (n=23) randomly, all of them assessed in the subsequent visits by MEPS (Mayo Elbow Performance Score) , the statistical analysis was done by un-paired t-test, and chi-square test and analyzed by SPSS 19 version software .Result :In our study we have seen that The mean age of in ST group was 45± 4.52 Yrs. and in CT group was 43 ± 4.72 Yrs. was comparable (t = 1.4677, df = 44 ,p>0.05).The male to female ratio in both the groups was 1.09 and 1.3 was comparable with each other (X2=0.34,df=1,P>0.05) , By MEPS Majority of the patients in ST groups were having Excellent Outcomes i.e. 75.00% as compared to 25.00%, Good -57.14% and 42.86%, Fair- 33.33% and 66.67%; Poor-10.00% and 90.00% , this observed difference was statistically significant (X2=11.71,df=3,p>0.008). Conclusion: It can be concluded from our study that outcome of conservative surgery were better as compared to surgical methods.
Authors and Affiliations
Rajkumar Indrasen Suryawanshi, Amol Khairnar, Vijay Kamble
Keywords
Related Articles
- EP ID EP539140
- DOI 10.26611/1020926
- Views 45
- Downloads 0
Study of proximal femoral nail v/s dynamic hip screw in inter-trochantric fractures treated at Pravara Rural Hospital, Loni, Maharashtra, India
Background: This is the commonest injury seen in patients above 50 yrs of age, with more incidences in women. Multiple factors like aging, osteoporosis, anatomy of inter trochatric region, predispose to this type of inju...
A study of role of arthroscopy in diagnosis and therapeutic intervention at tertiary health care centre Rajkumar Indrasen
Background: Arthroscopy (also called arthroscopic or keyhole surgery) is a minimally invasive surgical procedure on a joint in which an examination and sometimes treatment of damage is performed using an arthroscope. Aim...
Is fibula plating mandatory in distal third both bone legfracture tibia treated with nailing?
Background: Fibular fixation in extra-articular distal third tibia fracture has increased potential for soft tissue-related complications and delayed union or non-union. The aim of this study is to assess whether fibula...
Dynamic hip screw fixation of intertrochanteric fractures of femur: A comparison of outcome with and without using traction table
Intertrochanteric fracture of the femur is one of the common fractures in the elderly. Dynamic Hip Screw (DHS) fixation is the gold standard for treatment of intertrochanteric femoral fracture. Conventional methods of ac...
Functional outcome of proximal femoral plating in unstable trochanteric and sub-trochanteric fractures
The occurrence of proximal Femoral fractures in our elderly population is increasing with rise in life expectancy. Newer implants and advanced techniques for treating such fractures elevate the level confidence of the Su...