Aimal Satar, Muhammad Inam, Inam Ulllah Khan, Abdul Waheed, Javed Iqbal.
Functional outcome in closed comminuted subtrochantaric fracture of femur in adults using dynamic condylar screw.
Rawal Med J Jan ;44(2):338-40.

Objective: To evaluate the functional outcome of Dynamic Condylar Screw (DCS) fixation for closed comminuted subtrochantaric fracture of femur in adults. Methodology: This cross sectional study was performed in the Department of Orthopedic and Trauma, Lady Reading Hospital Peshawar from December 2014 to June 2016. It included 197 patients with closed comminuted subtrochantaric fracture of femur. The fracture was reduced on a standard orthopedic traction table under C-arm guidance and was followed by open reduction and stabilization with DCS and side plate. Functional outcomes were assessed using the Harris hip score at 6th and 12th month after surgery. Results: Mean age was 52. Objective: To determine the effects of eccentric and concentric muscle energy techniques (MET) on hamstring length in healthy population. Methodology: This randomized control trial was conducted at the Physio Rehabilitation Center, Multan, from November 1, 2017 to January 31, 2018 and screened 105 asymptomatic healthy individuals. Sixty were randomly divided into 2 groups by lottery method. Concentric muscle energy treatment technique was applied in group A and eccentric muscle energy technique in group B with 3 sessions/week for 4 weeks. Oswestry Disability Questionnaire (ODI) and Goniometry for hamstring length were used as outcome measures at baseline and at 4th week. Results: Out of 60 patients, 60% were females and 40% males with the mean age of 27.3+-4.19 years. The group A had improvement in right SLR (pre 60.50 +- 31.22, post 90 +- 31.22), left SLR (pre 61.50 +- 30.02, post 90 +- 30.98) and ODI (pre 8 +- 34.67, post 4 +- 34.67), as compared with group B with right SLR (pre 61 +- 29.78, post 90 +- 29.78), left SLR (65 +- 30.98, post +- 88.5 +- 30.08) and ODI (pre 13 +- 26.33, post 3 +- 26.33). Conclusion: Both techniques were effective in improving muscle length and flexibility with no significant difference.8.45 years. Out of 197 patients, 72% were male while 28% female. Seventy two percent patients had acceptable outcome while 28% patients had not acceptable outcome. 43(22%) patients had excellent functional outcome with Harris Hip Score 90-100, 99(50%) had good functional outcome with Harris Hip Score 80-89, 39(20%) had fair functional outcome with Harris hip score 70-79 while 16(8%) had poor functional outcome with Harris Hip Score

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