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Orthopaedic Proceedings
Vol. 90-B, Issue SUPP_III | Pages 545 - 545
1 Aug 2008
Ponnuru R Shetty A Binns M
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Introduction: Cementing technique is one of the important factors which determines the longevity of cemented joint replacements. There are a number of variables which determine good cementation. We hope to standardise one of the variable which is cement working and setting time.

Methods: Cement was stored in a controlled temperature refrigerators at 20 degree centigrade and brought out just before mixing.

Theatre temperature, cement mixing start time and time at which cement was set were recorded for 20 hip and knee replacements. These recordings were also done for 20 hip and knee replacements where cement was stored in the theatre and was used as a control.

Results: Cement stored in the controlled temperature refrigerator had a more predictable working and setting time as opposed to controls.

Discussion: Cement stored in the controlled temperature refrigerator eliminates one of the variables in cemented arthroplasty and may prevent complication which could occur if cement sets unpredictably.


Orthopaedic Proceedings
Vol. 88-B, Issue SUPP_II | Pages 276 - 276
1 May 2006
Gella S Ponnuru R Wells G Tulwa N
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Purpose Of Study: To evaluate the results and functional outcome of use of three lateral K wires in supracondylar fracture fixation in children.

Methods And Results: It is a prospective study of 25 cases of supracondylar fractures over a period of three years from 2001, in children between 2 to 9 years, comprising of closed manipulation and percutaneous fixation with 3 lateral K wires, all done by the same surgeon.

Patients were immobilised for 3 weeks and K wires removed at that time. They were followed up till they regained full range of movements in the elbow.

Of the 25 cases, 2 were previously fixed with crossed K wires and were revised because of displacement . One patient had a delayed fixation because of gross swelling and was initially managed with traction.

Pin tract infection was noted in one case and responded to antibiotic therapy.

All the patients regained full range of movements and no angulatory deformity or loss of fixation was noted at the end of follow up.

Conclusion: Fixation with three lateral K wires is an excellent technique in treating displaced supracondylar fractures in children.