Browsing by Author "Ranabhat, A"
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Publication Bilateral Clavicular Fracture with Unilateral Scapular Fracture(Kathmandu University, 2018) Ranabhat, A; Yang, C; Guo, ZPABSTRACT The aim of this report is to present a rare case of bilateral clavicular fracture with a unilateral scapular fracture of a young patient following high-velocity trauma without any comorbidity. Clavicle fracture is common however, simultaneously, both clavicle and scapular fracture is a rare entity. The incidence of bilateral clavicle fracture is 0.43% of clavicle fractures with an overall incidence of between 0.011 and 0.017%. According to our knowledge, no similar case has been reported. We present a case of 35 years old male who encountered a high energy trauma with a resulting right-sided comminuted midshaft clavicle fracture with the ipsilateral displaced scapular body fracture and left-sided midshaft clavicular fracture. He underwent open reduction and internal fixation. The range of movements of both acrominoclavicular joints was satisfactory after three months of follow-up. Open reduction and internal fixation resulted in a good outcome. KEY WORDS Bilateral clavicle, Fracture, ORIF, ScapulaPublication Clinical and Functional Outcome of Schatzker Type V and VI Tibial Plateau Fracture Treated by Open Reduction and Internal Fixation(Kathmandu University, 2024) Ranabhat, A; Yang, C; Zhanpeng, GABSTRACT Background One of the most challenging intra-articular fractures to treat is tibial plateau fracture type V and VI because of its controversial treatment protocol. Surgical intervention is the most compatible modality to achieve stable internal fixation and early joint movements. Although the soft tissue is compromised and chance of infection is high due to long exposure time, but the outcome is good after surgery. Objective To evaluate the clinical and functional outcome treated with open reduction and internal fixation (ORIF) and factors effecting the outcome of the patients. Method We treated 52 cases of Schatzker type V and VI tibial plateau fracture from April 2018 to May 2020. All of them were managed surgically and the outcomes were evaluated with regular follow ups using oxford knee scoring (OKS) criteria. Result Forty-three cases (82.7%) had excellent Oxford Knee Scoring (OKS). Wound infections were seen in 5 cases resulting poor outcome (Mean 24.0 compared to 44.7, p = 0.007). Female patients had better outcome in comparison to male patients (Mean 45.0 compared to 41.5, p = 0.041). Older patients had poor outcomes with negative correlation of 0.371, p = 0.007. Conclusion Open Reduction and Internal fixation in Schatzker type V and VI tibial plateau fractures is an excellent treatment option to achieve good clinical and functional outcome within short period of time interval with very minimum chance of malunion and other complications improving the patients’ quality of life. Age, gender and infection are some of the factors that alters the outcome. KEY WORDS Open reduction and internal fixation, Outcome, Tibial plateau fracture