Original Article

Outcome of Fibular Strut Graft in Neglected Neck of Femur Fracture

Hidayat Ullah, Rofaq Ali, Muhammad Zahid Shah, Muhammad Shoaib Khan


Objective: To evaluate the role of fibular strut graft for neglected neck of femur fracture via functional and radiological outcome.

Methods: This descriptive study was carried out from January 2013 to July 2015. Data including age, gender, duration of fracture, complications during surgery and final outcome in terms of functional and radiological was documented on preformed proforma. SPSS 18 was used for data analysis . 

Management of Gap Nonunion Tibia by Ilizarov Ring Frame

Zamir Soomro, Zulfiqar Soomro, Azizullah, Rashid Muhammad, Saeed Samo


Objective: To determine the effectiveness of Ilizarov circular frame in the management of gap nonunion of tibia.

Methods: This is descriptive study conducted from July 2008 to May 2015. Patients of either gender with age ranging from 15 to 65 years, having nonunion (clean and infected nonunion) in tibia with defect of 3.5 to 18cm due to trauma or firearm injury were included. Outcome was assessed using ASAMI (Association for the Study and Application of the Methods of Ilizarov) criteria.

Epidemiology and In-Hospital Clinical Outcome of Post Traumatic Limb Amputations in Lady Reading Hospital Peshawar

Mian Amjad Ali, Faaiz Ali Shah, Naeemullah, Afsar Khan, Abdul Rehman Qureshi


Objective: To find out the epidemiology and in-hospital clinical outcome of post traumatic major limb amputations.

Methods: This descriptive case series study was carried from February 2014 to June 2016. Life saving major limb amputations were performed in Accident and emergency Department (A & E) in patients of both gender and any age fulfilling the inclusion criteria. The demographic data and clinical data of mechanism of injury, level of amputation, associated injuries, Mangled Extremity Severity Score (MESS), postoperative stump wound infection, length of hospital stay and mortality were recorded. Patients were followed up till discharge from hospital.

Epidemiology of Orthopedic Trauma in The Geriatric Population of Karachi, Pakistan

Mansoor Kanaan, Saba Shahnawaz, Ranjeet Kumar, Ali Ahmad, Anisuddin Bhatti


Objective: To study the etiology, various mechanisms of injury and outcome of orthopedic trauma in elderly patients presenting to the Emergency Department of a tertiary care hospital.

Methods: The data was prospectively collected over a period of 1 year (Jan 2015-Dec 2015) at the Jinnah Postgraduate Medical Centre’s orthopaedic bay in the Emergency Department. 692 elderly trauma-patients above 65 years were included. The doctors on duty filled out a simple questionnaire for every patient that presented with orthopedic injury. Statistical analysis was done using SPSS version 20.


Objective: To compare mean anterior knee pain score on cyclical kneeling at 12 weeks from intramedullary nailing for tibia shaft fractures with paratendinous approach versus transtendinous approach at a tertiary health care centre.

Methods: 157 patients admitted with tibia diaphyseal fractures who subsequently underwent antegrade tibia nail insertion were enrolled in the study. The patients were divided in two groups. Group A consisted of patients underwent antegrade nail insertion using transtendinous approach and Group B underwent nail insertion using paratendinous approach. A standard study proforma was used to collect patient’s data and to record pain on kneeling on ground using a 100 mm Visual Analog Score (VAS). The assessment for pain was performed by a physician who wasblinded for the type of surgical approach that was used for nailing of tibia.

Percutaneous Pinning in Gartland Type-II and III Supracondylar Fractures

Anwar ul Haq, Syed Muhammed Ali, Imtiaz Ahmed Tago, Siraj Ahmed Butt


Objective: To explore the safety and effectiveness of the percutaneous pinning technique in the management of Gartland type-II and III supracondylar humerus fractures.

Methods: This study was carried out during January 2012 to March 2013. 30 children with age range 5-12 years with supracondylar fracture (Gartland type II & III) were included while others were excluded. Closed reduction and percutaneous pinning were performed after taking informed consent. Outcomes were recorded according to Flynn’s criteria, that is loss of elbow motion & carrying angle.

Role of Elastic Intramedullary Nail for the Treatment of Femur Shaft Fractures in Children

Syed Kamran Ali Shah, Asif Peracha, Muhammad Arsalan Ghazi, Nouman Memon, Kazim Rahim Najjad, Sajid Younus


Objective: To demonstrate the effectiveness of intramedullary fixation of femur shaft fracture in children using elastic intramedullary nails. Method: This prospective observational study was performed from January 2014 to December2016. 26 patients admitted with femur diaphyseal fractures with mean age from 6 to 12 years, who subsequently underwent femur elastic intramadullary nail insertion in retrograde fashion for the treatment of femoral shaft fractures were enrolled in the study. Patients were in regular follow up till radiological union achieved. Flynn scoring criteria is used to assess the functional outcomes at 6 months follow up.