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 60
- Downloads 0
Study of fractures of the distal end of humerus in adults
Background: Distal humerus fractures occur in the younger age group due to high energy trauma and in elderly woman as a result of relatively low energy trauma. The treatment process consists of determining the injury mec...
Comparison of sensitivity and specificity of ultrasound scan and magnetic resonance imaging in diagnosing full thickness and partial thickness rotator cuff tear in patients with shoulder trauma
Introduction: The shoulder joint stability is given predominantly by soft tissue structures. Correspondingly, correct diagnosis and treatment of diseases of the soft tissue structures around the glenohumeral joint are of...
A study of single extra articular humerus plating and bipillar plating for distal humerus fracture at tertiary health care centre
Background: The management of distal humeral fractures has evolved over the last few years. Various modalities of treatment are non surgical and surgical methods. In this study we compared single extra articular humerus...
Shaft Humerus Fractures Treated with Interlocking Nails Vs Dynamic Compression Plate - A Comparative Study
Background: Fractures of shaft humerus are very common. This study was conducted to assess the outcome of this fracture by two most common mode of treatment that is open reduction internal fixation with DCP and Close Hum...
Results of radical posteromedial release (RPMR) in neglected CTEV: A prospective clinical study
Objective: The aims of treatment are to give supple, flexible, pliable and cosmetically acceptable plantigrade foot in patients of neglected ctev with minimum complications by RPMR. The objectives are to find the correla...