Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric commin...Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric comminution and coronal split. This study is to evaluate the results of Trochanteric Buttress Plate (TBP) combined with PFN in an unstable IT fractures for buttressing lateral wall and reinforcing fixation. Materials and Methods: We carried out a consecutive study of 32 patients of Unstable intertrochanteric fracture femur with lateral wall comminution. It was studied at Ashwini Sahakari Rugnalaya and Sanshodhan Kendra Solapur India and Government medical college Chandrapur India from April-2015 to December-2017 using innovative Trochanteric buttress plate along with PFN. Eighteen male and fourteen female in the age group of 55 to 80 years were included in the study. There were 26 cases of A3 and six cases of A2 were fixed by PFN combined with trochanteric buttress plate to augment the comminuted lateral wall. Results: The bone healing is observed in all the cases in the mean period of 12.6 weeks. Four patients developed complications, including lateral migration of neck screws (n = 2), superficial infection (n = 2). Patients were followed up for a mean of 10.6 months. At the end of follow-up the Salvati and Wilson hip function was 36 (out of 40) in 87.5% of patients [twenty eight patients]. The clinical, radiological and functional outcomes were found to be satisfactory. Conclusion: The stabilization of lateral trochanteric wall with trochanteric buttress plate restores anatomy, increases the stability of construct and prevents inherent complication of screw migration and cutout.展开更多
We describe patterns of buttress formation and development in eleven tree species at Lawachara National Park, Bangladesh. Forty-five percent of trees of these 11 species had buttresses. Artocarpus chaplasha Roxb. show...We describe patterns of buttress formation and development in eleven tree species at Lawachara National Park, Bangladesh. Forty-five percent of trees of these 11 species had buttresses. Artocarpus chaplasha Roxb. showed maximum （87%） buttress formation, whereas Alstonia scholaris （L.） R. Br. did not show any buttress. Buttresses were recorded in 20%-40% of trees of six species and 40%-60% of trees in three species. Mean length and height of buttress varied among the species and ranged from 0.37-4.37 m and 0.71-2.13 m, respectively. Buttress height, mean buttress length, total buttress length, and total length plus length of secondaries increased with DBH （diameter at breast height） and tree height. Buttress number did not increase with DBH or tree height. Under-storey and mid-canopy trees produced less developed buttresses than did emergent trees （p〈0.01）. Wood density showed moderate effects on buttress characters （p〈0.05）, while the slope of the land did not. Canopy category was a primary regulating factor for tree buttressing, suggesting that buttresses are mechanical adaptations of trees to counter physical stresses.展开更多
To assess the effect of using buttress plate associated with antografting of fibula and iliac bone for the treatment of distal femoral C3 type fracture.Methods Seventeen cases of distal femoral C3 type fracture usin...To assess the effect of using buttress plate associated with antografting of fibula and iliac bone for the treatment of distal femoral C3 type fracture.Methods Seventeen cases of distal femoral C3 type fracture using buttress plate associated with antografting of fibula and iliac bone were analyzed retrospectively.Results All cases were followed up for an average of 24 months（8～55 months）.The average time of octets bridge forming were 4 months（3～5 months） while the average time for bone union were 8 months （6～14 months）.According to Shelbourne rating system,result of all 18 cases were excellent and no malunion,infection were found.Conclusion Buttress plate associated with antografting of fibula and iliac bone is an effective alternative for the treatment of distal femoral C3 type fracture.It can provide more stable fixation to the bone and earlier functional exercises can be achieved.5 refs,3 figs,1 tab.展开更多
文摘Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric comminution and coronal split. This study is to evaluate the results of Trochanteric Buttress Plate (TBP) combined with PFN in an unstable IT fractures for buttressing lateral wall and reinforcing fixation. Materials and Methods: We carried out a consecutive study of 32 patients of Unstable intertrochanteric fracture femur with lateral wall comminution. It was studied at Ashwini Sahakari Rugnalaya and Sanshodhan Kendra Solapur India and Government medical college Chandrapur India from April-2015 to December-2017 using innovative Trochanteric buttress plate along with PFN. Eighteen male and fourteen female in the age group of 55 to 80 years were included in the study. There were 26 cases of A3 and six cases of A2 were fixed by PFN combined with trochanteric buttress plate to augment the comminuted lateral wall. Results: The bone healing is observed in all the cases in the mean period of 12.6 weeks. Four patients developed complications, including lateral migration of neck screws (n = 2), superficial infection (n = 2). Patients were followed up for a mean of 10.6 months. At the end of follow-up the Salvati and Wilson hip function was 36 (out of 40) in 87.5% of patients [twenty eight patients]. The clinical, radiological and functional outcomes were found to be satisfactory. Conclusion: The stabilization of lateral trochanteric wall with trochanteric buttress plate restores anatomy, increases the stability of construct and prevents inherent complication of screw migration and cutout.
文摘We describe patterns of buttress formation and development in eleven tree species at Lawachara National Park, Bangladesh. Forty-five percent of trees of these 11 species had buttresses. Artocarpus chaplasha Roxb. showed maximum （87%） buttress formation, whereas Alstonia scholaris （L.） R. Br. did not show any buttress. Buttresses were recorded in 20%-40% of trees of six species and 40%-60% of trees in three species. Mean length and height of buttress varied among the species and ranged from 0.37-4.37 m and 0.71-2.13 m, respectively. Buttress height, mean buttress length, total buttress length, and total length plus length of secondaries increased with DBH （diameter at breast height） and tree height. Buttress number did not increase with DBH or tree height. Under-storey and mid-canopy trees produced less developed buttresses than did emergent trees （p〈0.01）. Wood density showed moderate effects on buttress characters （p〈0.05）, while the slope of the land did not. Canopy category was a primary regulating factor for tree buttressing, suggesting that buttresses are mechanical adaptations of trees to counter physical stresses.
文摘To assess the effect of using buttress plate associated with antografting of fibula and iliac bone for the treatment of distal femoral C3 type fracture.Methods Seventeen cases of distal femoral C3 type fracture using buttress plate associated with antografting of fibula and iliac bone were analyzed retrospectively.Results All cases were followed up for an average of 24 months（8～55 months）.The average time of octets bridge forming were 4 months（3～5 months） while the average time for bone union were 8 months （6～14 months）.According to Shelbourne rating system,result of all 18 cases were excellent and no malunion,infection were found.Conclusion Buttress plate associated with antografting of fibula and iliac bone is an effective alternative for the treatment of distal femoral C3 type fracture.It can provide more stable fixation to the bone and earlier functional exercises can be achieved.5 refs,3 figs,1 tab.
