International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
logo
slider
slider
slider
slider
Bootstrap Slider

Indexed and Abstracted in: Crossref, CAS Abstracts, Publons, Google Scholar, Open J-Gate, ROAD, Indian Citation Index (ICI), ResearchGATE, Ulrich's Periodicals Directory, WorldCat (World's largest network of library content and services)

Search Articles

Track manuscript

Full Html

IJCRR - 9(9), May, 2017

Pages: 14-19

Date of Publication: 15-May-2017


Print Article   Download XML  Download PDF

Management of Subtrochanteric Fractures with Long PFN: Union Rates and Functional Results

Author: Shakeel Ahmad, Rajinder Singh, Abdul Ghani, Khalid Muzaffar, Omeshwar Singh

Category: Healthcare

Abstract:Introduction: The treatment of subtrochanteric fractures has evolved over a period of time, from conservative to extramedullary fixation to intramedullary fixation. The management of these fractures poses a significant challenge, the criteria for functional recovery becoming more and more exacting.
Aim of study: To assess union rates and functional status after long PFN in subtrochanteric fractures.
Material & Methods: A prospective study on adult patients with a follow up of 6 months was conducted at Orthopaedic department of Govt. Medical College Hospital, Jammu between June 2014 and May 2016. 40 patients above the age of 18 years with subtrochanteric fractures were included in the study. Patients were assessed clinically and radiologically on the 2nd postoperative day, at 4 weeks, 12 weeks and then between 6 months to 1 year depending upon the fracture union. At each follow up, functional evaluation of the patient was done.
Results: Majority of fractures(72.5%) united within 14 weeks.Full weight bearing was allowed by 12th week in majority (57.5%) of cases.Salwati & Wilson hip function score improved from 16 at discharge to 36 at 6 month follow up. As per Kyle's criteria, results achieved were Excellent/Good in 95% of cases.
Conclusion: Proximal femoral nail is an efficient device for the treatment of subtrochanteric fractures with high rate of bony union. The great majority of patients were provided with stable fixation, early mobilization, early rehabilitation and return to pre-fracture status.

Keywords: Subtrochanteric fractures, Long PFN, Union rates, Kyle’s criteria

Full Text:

INTRODUCTION

The treatment of subtrochanteric fractures has evolved over a period of time, from conservative to extramedullary fixation to intramedullary fixation. The high incidence of delayed union, malunion and nonunion of fractures in this region has left conservative treatment; as advocated by DeLee et al1 abolished in modern trauma care. This evolution in treatment modalities is due to unsatisfactory results achieved in these fracturesdue to medial comminution, high tensile forces active in this region2 and various muscular deforming forces acting on the fracture fragments3thus leading to high incidence of malunion and nonunion in these fractures and mechanical failure of the implant4,5. The appropriate implant for the internal fixation of subtrochanteric fractures remains debatable; and a multitude of different intra- and extramedullary devices for their surgical fixation have been advocated6- 10. The advantage of closed reduction over open reduction cannot be over emphasized. Open reduction increases the risk of infection, soft-tissue devitalisation, and non-union and thus, poor functional results. Up to one half of the patients with subtrochanteric fractures may not regain their pre-fracture walking capacity, and independent living may no longer be possible11. The management of these fractures poses a significant challenge, the criteria for functional recovery becoming more and more exacting. Subtrochanteric fractures are predisposed to complications from loss of position including coxa vara, rotational deformity or shortening, non-union due to implant breakage or failure of bone substance and migration of fixation components12.

We now report the results of clinical and radiographic follow-up of a series of subtrochanteric fractures treated with long proximal femoral nail (PFN – AO type design).

AIM OF STUDY

  • To study union rates after long PFN in subtrochanteric fractures
  • To assess functional status using Salwati & Wilson hip function scoring system after PFN in subtrochanteric fractures

MATERIAL AND METHODS

A prospective study on adult patients of both sexes with a follow up of 6 months was conducted at Orthopaedic department of Govt. Medical College Hospital, Jammu between June 2014 and May 2016.40 patients above the age of 18 years with subtrochanteric fractures were included in the study. After clinical assessment and haemodynamic stabilization, patients were subjected for radiographs of Pelvis with both hips-AP view and full length thigh-AP and lateral views. Patients selected for study include:

Age - above 18 years

Sex - both males and females.

Patients with Seinsheimer types I –IV subtrochanteric fractures

Patients excluded from study include:

Polytrauma

Old complicated fractures.

Pathological fractures.

Seinsheimer type V subtrochanteric fractures.

Subtrochanteric fractures with associated neck/intertrochanteric/shaft fractures.

Patients with any contraindication for anaesthesia or surgery

All the patients were operated on a fracture table in supine position under image intensifier control using standard techniques. Patients were assessed clinically and radiologically on the 2nd postoperative day, at 4 weeks, 12 weeks and then between 6 months to 1 year depending upon the fracture union.At each follow up, functional evaluation of the patient was done to note the range of movements at the hip and knee, ability to walk, any pain, limp, residual shortening, deformities, wound condition and any residual complaint. Healing was judged by both clinical (pain & motion at fracture site) and radiological (bridging callus filling the fracture site or trabeculations across the fracture site) criteria and functional outcome was reviewed according to the Salwati and Wilson hip function scoring system.

The final assessment was carried out at 24 weeks on the basis of radiological union and Salwati and Wilson hip scoring system.

Radiological assessment:-

All radiologically ununited fractures were graded as poor results.

Salwati and Wilson hip scoring system:-

The evaluation of results was based on following 4 parameters as Pain, Walking, Muscle power& motion, and Function. The results were classified as Excellent when the sum of scores was 32 or more, Good when it is 24 to 31, Fair when it is 16 to 23 and Poor when the score is 15 or less.

Pain

0 –Constant and unreliable, frequent strong analgesia

2 – Constant but bearable, occasional strong analgesia.

4 – Nil or little at rest, pain on activity.

6 – Little pain at rest, pain on activity.

8 – Occasional slight pain.

10 – No pain.

Walking

0 – Bed ridden

2 – Wheel chair

4 – Walking frame

6 – One stick, distance limited up to 400 yards

8 – One stick, long distance

10 – Unaided and unrestricted

Muscle power and Motion

0 – Ankylosing and deformity

2 – Ankylosing with good functional position

4 – Poor muscle power, flexion less than 60 degrees, abduction less than 10 degrees

6 – Fair muscle power, flexion 60 – 90 degrees, abduction 10 – 20 degrees.

8 – Good muscle power, flexion more than 90 degrees, abduction more than 20 degrees.

10 – Normal muscle power, full range motion

Function

0 – Bed ridden

2 – House bound

4 – Limited house work

6 – Most house work

8 – Very little restriction

10– Normal activity.

RESULTS

Total no. of patients in our study were 40; of which 25 were males and 15 females. Most of the patients belonged to age group of 41 – 50 years. The fractures were classified according to Seinsheimer classification13 (type II- 22 cases, type III – 14 cases, type IV – 4). In most of the cases(n = 23), the mechanism of trauma was a Road traffic accident, while as, in rest of cases(n = 17), Fall from height was responsible for trauma. 50% cases had associated injuries like fracture distal end radius, fracture calcaneum etc. Other characteristics noted are as mentioned below:

From the chart, it is clear that majority of cases were managed by closed reduction (87%). 8 % cases required mini-open reduction.

In 92% of cases, reduction achieved was anatomical to acceptable. Whereas, in 8% of cases, reduction was not acceptable

NEED FOR BONE GRAFTING

None of the cases required bone grafting in our series. All fractures united spontaneously.

Table 1 shows that majority of fractures united within 14 weeks(72.5%).

Table 2 shows that in 75% of cases, we started toe touch weight bearing within 4 days.

Table 3 shows that partial weight bearing was started at 4th week in majority of cases (40%).

Table 4 shows that we had allowed full weight bearing by 12th week in majority (57.5%) of cases.

 Table 5 shows that excellent/good range of movement was achieved in majority (80%) of cases.

Table 6 shows that good range of movement was achieved in 85% of cases.

Table 7 shows that 80% of cases reported no pain at 24 week follow up.

Table 8 shows that 95% of patients attained good/normal muscle power by 6 months.

Table 9 shows that 90% of patients had attained normal walking ability.


Table 10 shows that we achieved Excellent/Good results in 95% of cases.


Pre-operative and Post-operative radiograph of40 year old patient. Patient is shown as sitting cross legged at 6 month follow up.

DISCUSSION

Subtrochanteric fractures of the femur have peculiar anatomic and mechanical characteristics which poses problems in their management. Extramedullary fixation with plating has the potential disadvantages of extensive surgical exposure, severe soft tissue damage and blood loss, thus leading to problems of fracture union and implant failure. In addition, the eccentric plating is prone to fatigue breakage due to their mechanical load-sharing effect14. Allowing a minimally open approach, intramedullary nailing is closely linked to “biological internal fixation”, in addition to its mechanical benefits over plate fixation15.

The result of the reduction was considered acceptable in 55% of the patients and anatomical in 37% of patients. Poor reduction was noted in 8% of patients and it was associated with poor outcome. In SCHIPPER et alstudy16, reduction was good to acceptable in 96.2% of their patients and poor reduction was seen only in 2.9% of their patients.

Most of the cases in our series were managed by close reduction. However, in 8% of cases, mini-open reduction was required. Here, a small incision was made over the fracture site without extensive soft tissue dissection and using bone levers or bone clamps, fragments were held in reduced position till nailing was done. This is comparable with the studies of Boldin et al17(90.90% Close Reduction) and other studies done elsewhere.

Varus malreduction was the most common complication noticed in our series. This can be attributed to initial malreduction in which proximal fragment remained abducted. It is important that fracture should be reduced first, even if open reduction is required, before intramedullary nailing.

In this study, clinical union was achieved within 14 weeks in 72.5% of cases which is comparable to Smith et al series, who reported clinical union in 10.5 weeks and to Domingo et al series who reported union in 12 weeks. In our study, one patient had iatrogenic femoral shaft fracture which took24 weeks to unite. In other series, the rate of fixation failure, femoral shaft fracture, and re-operation rate is high18 (12 %).

               The mobilization strategy followed; touch down weight bearing was allowed within 4 days in 75 % of cases in whom there was little or no cortical comminution pre-operatively and in whom solid fixation was achieved, whereas it was allowed on 5th or 6th day in 20% of cases and after 6th day in 5% of cases where the fixation was not solid or there was gross comminution or due to iatrogenic fracture. This is consistent with the study of Smith et al, who allowed touch down weight bearing on 2nd postoperative day in 71.5% of cases and delayed in 28% of cases.

In our series, average time to full weight bearing was 14 weeks in 87.5% of cases which is late as compared to the series by Smith et al who started full weight bearing by 6.7 weeks.Walking and squatting ability was completely restored in each case at follow-up examination 6 months postoperatively.

 

References:

  1. DeLee JC, Clanton TO, Rockwood CA Jr. Closed treatment of subtrochanteric fractures of the femur in a modified cast-brace. J Bone Joint Surg Am 1981;63:773-9.
  2. Koch JC. The laws of Bone architecture. Am j anat 1917; 2:177.
  3. Campbell’s operative orthopaedics. 12th edition, Vol 3, 2751 – 2752, 2013.
  4. Haidukewych GJ, Berry DJ. Non-union of fractures of the Subtrochanteric region of the femur. Clin Orthop Relat Res 2004;419:185-8
  5. Broos PL, Reynders P. The use of the unreamed AO femoral intramedullary nail with spiral blade in nonpathologic fractures of the femur: experiences with eighty consecutive cases. J Orthop Trauma 2002;16:150-4.
  6. Blatter G, Janssen M. Treatment of subtrochanteric fractures of the femur: reduction on the traction table and fixation with dynamic condylar screw. Arch Orthop Trauma Surg 1994;113:138-41.
  7. Hotz TK, Zelweger R, Kach KP. Minimal invasive treatment of proximal femur fractures with the long gamma nail: indication, technique, results. J Trauma 1999;47:942-5
  8. Tornetta P III. Subtrochanteric femur fracture. J Orthop Trauma 2002;16:280-3
  9. Siebenrock KA, Muller U, Ganz R. Indirect reduction with a condylar blade plate for osteosynthesis of subtrochanteric fractures. Injury 1998;29Suppl 3:C7-C15.
  10. Ruff ME, Lubbers LM. Treatment of subtrochanteric fractures with a sliding screw-plate device. J Trauma 1986;26:75-80.
  11. Koval KJ, Skovron ML, Aharonoff GB, Zuckerman JD. Ambulatory ability after hip fracture. A prospective study on geriatric patients. Clin OrthopRelat Res.1995;310:150-9
  12. Roberto U, Velasco, MD; and Thomas H. Comfort, MD. Analysis of treatment problems in sub-trochanteric fracturesof the femur: The Journal of Trauma, Vol. 18, No. 7, 513 – 523, 1978.
  13. Seinsheimer, F., III: Subtrochanteric fractures of the femur. J.Bone Jt. Surg., 60-A: 300-306, 1978.
  14. Lunsjo K, Ceder L, Thorngren KG, Skytting B, Tidermark J, Burntson PO. Extramedullary fixation of 569 unstable intertrochanteric fractures. Acta Orthop Scand 2001;72:133-40.
  15. Brien WW, Weiss DA, Becker V Jr, Lehman T. Subtrochanteric femur fractures: a comparison of the Zickel nail, 95-degree blade plate, and interlocking nail. J Orthop Trauma 1991;5:458-64
  16. Schipper I B et al Treatment of Unstable trochanteric fractures :JBJS 2004; 86 B : 86 – 94
  17. Christian Boldin, Franz J Seibert, Florian Fankhauser: "The proximal femoral nail (PFN)—-a minimal invasive treatment of unstable proximal femoral fractures. Acta Orthop Scand 2003; 74(1): 53 - 58.
  18. Menezes DF, Gamulin A, Noesberger B. Is the proximal femoral nail a suitable implant for treatment of all trochanteric fractures? Clin Orthop Relat Res 2005; 439:221–7.
  19. Charnley J. The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br 1972;54:61-76
  20. Strömberg L, Lindgren U, Nordin C, Ohlen G, Svensson O. The appearance and disappearance of cognitive impairment in elderly patientsduring treatment for hip fracture. Scand J Caring Sci 1997;11:167-75.
  21. Huusko TM, Karppi P, Avikainen V, Kautiainen H, Sulkava R. Randomised, clinically controlled trial of intensive geriatric rehabilitation in patients with hip fracture: subgroup analysis of patients with dementia. Bmj 2000;321:1107-11.
  22. Svensson O, Strömberg L, Ohlen G, Lindgren U. Prediction of the outcome after hip fracture in elderly patients. J Bone Joint Surg Br 1996;78:115-8.

Announcements

Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

COPE guidelines for Reviewers

SCOPUS indexing: 2014, 2019 to 2021


Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A study by Dorothy Ebere Adimora et al. entitled \"Remediation for Effects of Domestic Violence on Psychological well-being, Depression and Suicide among Women During COVID-19 Pandemic: A Cross-cultural Study of Nigeria and Spain\" is awarded Best Article of Vol 14 issue 23
A study by Muhas C. et al. entitled \"Study on Knowledge & Awareness About Pharmacovigilance Among Pharmacists in South India\" is awarded Best article for Vol 14 issue 22
A study by Saurabh Suvidha entitled \"A Case of Mucoid Degeneration of Uterine Fibroid with Hydrosalphinx and Ovarian Cyst\" is awarded Best article of Vol 14 issue 21
A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
A study by Ali Nawaz et al. entitled \"A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) \? A Randomized Controlled Study\" is awarded Best Article for Vol 14 issue 16.
A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


RSS feed

Indexed and Abstracted in


Antiplagiarism Policy: IJCRR strongly condemn and discourage practice of plagiarism. All received manuscripts have to pass through "Plagiarism Detection Software" test before Toto Macau forwarding for peer review. We consider "Plagiarism is a crime"

IJCRR Code of Conduct: To achieve a high standard of publication, we adopt Good Publishing Practices (updated in 2022) which are inspired by guidelines provided by Committee on Publication Ethics (COPE), Open Access Scholarly Publishers Association (OASPA) and International Committee of Medical Journal Editors (ICMJE)

Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.



ABOUT US

International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

Contact

148, IMSR Building, Ayurvedic Layout,
        Near NIT Complex, Sakkardara,
        Nagpur-24, Maharashtra State, India

editor@ijcrr.com

editor.ijcrr@gmail.com


Copyright © 2024 IJCRR. Specialized online journals by ubijournal .Website by Ubitech solutions