P128: Effects of serum iron markers on functional outcomes in sarcopenic elderly. A cross-sectional study

Background: Fractures of the distal radius continue to be the one of the most common skeletal injuries treated by an orthopaedic surgeon. They are the most common fractures of the upper extremity and account for 15-20% of all fractures. All intra articular fractures need good reduction for better functional outcome. There are multiple treatment methods from casting to arthroscopic surgeries. This study has been undertaken to study the functional outcomes of distal radius intra-articular fractures managed by ligamentotaxis. The objective of the present study was to evaluate the functional outcomes of distal radial intra-articular fractures treated by ligamentotaxis.Methods: This cross sectional study was conducted in Orthopaedic department of Kilpauk Medical College between April 2017 to April 2019 on 60 patients with fracture of the distal end of radius, with comminuted fracture, who fulfilled the inclusion and exclusion criteria were included in the study. All fractures were managed by ligamentotaxis and were followed regularly and assessed after four months for their functional outcomes.Results: 80% of the study population were males. Around 67% of the study population had type III or type IV fracture according to Frykman’s classification. 84% of the study population had better prognosis with ligamentotaxis. The difference between mean Mayo wrist score between affected side and normal side was not statistically significant.Conclusions: Ligamentotaxis, external fixation for comminuted intra articular distal radius fractures is safe and effective treatment. It is also cost effective.

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Analysis of radiological alignment and functional outcomes of pediatric patients after surgery with displaced supracondylar humerus fracture: A cross-sectional study

International Journal of Surgery Open ◽

10.1016/j.ijso.2020.05.011 ◽

2020 ◽

Vol 24 ◽

pp. 136-142

Author(s):

Muh Ihsan Kitta ◽

Yoyos Dias Ismiarto ◽

M. Ruksal Saleh ◽

Muhammad Sakti ◽

Moh Asri Abidin ◽

...

Keyword(s):

Functional Outcomes ◽

Pediatric Patients ◽

Cross Sectional Study ◽

Humerus Fracture ◽

Sectional Study ◽

Supracondylar Humerus Fracture ◽

Cross Sectional

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Predictors of functioning and clinical outcomes in inpatient with schizophrenia on clozapine augmented with antipsychotics

Australasian Psychiatry ◽

10.1177/10398562211037339 ◽

2021 ◽

pp. 103985622110373

Author(s):

Hindol Mukherjee ◽

Vladimir Sazhin

Keyword(s):

Functional Outcomes ◽

Daily Living ◽

Female Gender ◽

Cross Sectional Study ◽

Sectional Study ◽

Treatment Resistant ◽

Cross Sectional ◽

Symptom Scores ◽

Potential Benefits ◽

Cognitive Problems

Objective: We aimed at exploring predictors of improvement in clinical and functional outcomes of patients on clozapine with chronic treatment-resistant schizophrenia admitted into rehabilitation wards. Method In a cross-sectional study of 62 patients on clozapine augmented with oral and parenteral antipsychotics, predictors of HoNOS (Health of the Nation Outcome Scales) scores were analysed using ordinal logistic regression. Result: Augmentation with parenteral antipsychotics was associated with lower psychotic symptom scores (OR 0.38 [95%CI 0.15, 0.99]) and activity of daily living scores (OR 0.36 [95%CI, 0.13, 0.96]) compared with oral antipsychotics. Increased age was a predictor of behavioural disturbances, physical illness and cognitive problems for all clozapine patients, and female gender was associated with the increase in depression scores. Conclusion: The addition of parental antipsychotics to clozapine in patients with treatment-resistant schizophrenia might have potential benefits for clinical and functional outcomes and needs a further investigation.

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Primary Fixation of AO Type-C Fracture of the Distal Radius with Volar Locking Plates. A Cross-Sectional Study of Patient Rated Outcomes at Hospital Tengku Ampuan Afzan

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v13i2.471 ◽

2020 ◽

Vol 13 (2) ◽

Author(s):

Mohd Sallehuddin H ◽

Zamzuri Z ◽

Ariff MS ◽

Mohd Shukrimi A ◽

Mohamed Azril MA ◽

...

Keyword(s):

Grip Strength ◽

Distal Radius ◽

Functional Outcomes ◽

Cross Sectional Study ◽

Dash Score ◽

Sectional Study ◽

Cross Sectional ◽

Radial Inclination ◽

Type C ◽

One Year

Introduction: This is a cross-sectional study of 37 patients with AO type C (complete intra-articular) fractures of the distal radius, evaluating the functional, anatomical, and patient rated outcomes one year after primary fixation with a volar locking plate. Methods: Functional outcomes were assessed based on the grip strength, and the range of motion of forearm and wrist. Anatomical outcomes were assessed based on the radial inclination, radial height, volar tilt, and articular step or gap. Patient rated outcome was measured with a Disability of arm, shoulder and hand (DASH) questionnaire. Results: One year after surgery, 24 (64%) patients achieved good and excellent anatomical results, and DASH scores were acceptable in 73% of patients. Most of the patients had achieved 80% of their grip strength. The mean DASH score of 12.3 was comparable with other studies. Grip strength, radial inclination and volar tilt had a significant correlation with the DASH score. Conclusion: Volar locking plates can be used to achieve optimal reduction in all three parameters in the treatment of AO type C fractures of the distal radius. Versatile fracture fragment reduction and angular stability enable rehabilitation hence obtaining good functional outcomes.

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Influence of body mass index on psychological and functional outcomes in patients with multiple sclerosis: a cross-sectional study

Nutritional Neuroscience ◽

10.1179/1476830514y.0000000156 ◽

2014 ◽

Vol 19 (2) ◽

pp. 79-85 ◽

Cited By ~ 5

Author(s):

Jacobo Cambil-Martín ◽

Noelia Galiano-Castillo ◽

Elena Muñoz-Hellín ◽

Lourdes Díaz-Rodríguez ◽

Sofía Laguarta-Val ◽

...

Keyword(s):

Multiple Sclerosis ◽

Body Mass Index ◽

Body Mass ◽

Functional Outcomes ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Study the iron status in children with febrile seizures: a hospital based cross sectional study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20203640 ◽

2020 ◽

Vol 7 (9) ◽

pp. 1844

Author(s):

Rajat Goyal ◽

Alpa Gupta ◽

Neerul Pandita ◽

Anita Sharma

Keyword(s):

Febrile Seizure ◽

Serum Iron ◽

Iron Status ◽

Febrile Seizures ◽

Cross Sectional Study ◽

Iron Level ◽

Sectional Study ◽

Serum Iron Level ◽

Cross Sectional ◽

Group I

Background: Febrile seizures are most common among childhood seizures, accounts to 2% to 5% in children below 5 years of age. Iron deficiency can cause many neurological deficits and may lower the seizure threshold. The present study was conducted to determine the iron status in children with febrile seizures.Methods: The present cross-sectional study was conducted in the Department of Pediatrics, HIMS, Dehradun, over a period of 12 month from January 2018 to December 2018. A total of 105 children of age group 6 month to 5 years, coming to pediatrics department were included in the study. Total study subjects were divided into two groups, Group I (febrile seizure) and Group II (other than febrile seizure). A consecutive sampling method was done for selection of study subjects.Results: In Group I (febrile seizure), the number of males were 71.7% while females were 28.3% with male: female ratio of 2.5:1. In Group I (febrile seizure), 61.7% of subjects had deficient iron level while 38.3% of subjects had normal serum iron level. Our study shows significantly low mean serum ferritin and mean serum iron level in subjects with febrile seizures.Conclusions: We concluded that iron deficiency is more common in febrile seizures and there is a positive association between serum iron level and febrile seizures.

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Functional Outcome Estimation of Bimalleolar Ankle Fractures Treated by Open Reduction and Internal Fixation at a Tertiary Care Center: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5532 ◽

2020 ◽

Vol 58 (230) ◽

Author(s):

Rajeev Dwivedi ◽

Ankit Karki ◽

Roshan Bhattarai ◽

Badri Rijal

Keyword(s):

Internal Fixation ◽

Functional Outcomes ◽

Open Reduction ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Ankle Fractures ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional

Introduction: Ankle fractures account for about 9% of all fractures in adults. Open reduction and internal fixation is the preferred treatment for such injuries. However, surgery is not free of complications, and outcomes following surgery are not always satisfactory. Therefore, this study aimed to estimate the functional outcomes of bimalleolar ankle fractures treated by open reduction and internal fixation. Methods: This descriptive, cross-sectional study was carried out at a tertiary care center in the western region of Nepal among the patients with bimalleolar ankle fractures from March 2017 to August 2020 after approval from the Institutional review committee. Convenience sampling was done to reach the sample size. Twenty-nine cases were included in the study. Data were recorded in proforma and data analysis was done in the statistical package for social sciences (SPSS 16.0). The American Orthopedic Foot and Ankle Society (AOFAS) ankle-handfoot score was used to assess the final outcome. Results: At the final evaluation mean AOFAS ankle-handfoot score score was 89.86 (±7.95). According to the AOFAS ankle-hindfoot score, there were 19 excellent (65.51%), six good (20.68%), and four fair (13.79%) results. Complications in the form of superficial infection were seen in four (13.79%) cases. Conclusions: Functional outcomes following surgical treatment of bimalleolar ankle fractures are mostly excellent to good and complications following surgery are few, therefore, surgery is a better option of treatment in bimalleolar ankle fractures.

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