Outcome of Conservative Management of Spiral/Long Oblique Fractures of the Metacarpal Shaft of the Fingers Using a Palmar Wrist Splint and Immediate Mobilisation of the Fingers

2008 ◽  
Vol 33 (6) ◽  
pp. 723-727 ◽  
Author(s):  
M. M. AL-QATTAN
Keyword(s):  
Prospective Study ◽  
Grip Strength ◽  
Conservative Management ◽  
Finger Joints ◽  
Metacarpal Shaft ◽  
Contralateral Hand ◽  
A Prospective Study ◽  
Wrist Splint

Conservative management of spiral/long oblique fractures of the shaft of the metacarpal almost always results in shortening and hence these fractures have the reputation of ending up with an extension lag and reduced grip strength. In a prospective study, 42 patients with 54 fractures were treated with a palmar wrist splint and immediate mobilisation of all finger joints. All fractures united. Extension lag of fractured fingers was initially seen in all fingers, but eventually recovered. Grip strength progressively increased to reach a mean of 94% of the contralateral hand by 1 year after injury.

scholarly journals A prospective study on appendicular mass

2021 ◽  
Vol 8 (4) ◽  
pp. 1114
Author(s):  
K. Ravichandran ◽  
R. Jayaraman ◽  
K. Nithya
Keyword(s):  
Prospective Study ◽  
Conservative Management ◽  
Enterocutaneous Fistula ◽  
Wound Dehiscence ◽  
Final Diagnosis ◽  
College Hospital ◽  
Duration Of Surgery ◽  
Interval Appendicectomy ◽  
A Prospective Study ◽  
Appendicular Mass

Background: The immediate management of appendicular mass have always been controversial. Early appendicectomy (within 72 hours of presentation) is preferred in some cases, while in others non operative conservative management is advocated. Usually successful conservative management (Ochsner Sherren regimen) is followed by interval appendicectomy (6-8 weeks later). This study determines the outcome of different modalities of intervention in patients with appendicular mass.Methods: A prospective study was conducted in Rajah Muthiah medical college hospital in department of general surgery from June 2018 to December 2020, in cases diagnosed to have appendicular mass. A total of 116 patients were included. After taking detailed history and clinical examination, relevant blood and radiological investigations, were done to achieve the final diagnosis. Presentation, examination findings, investigations, type of surgery, duration of surgery, post-operative complications and duration of hospital stay were studied. Data was collected, compiled, tabulated and analysed.Results: Conservative management followed by interval appendicectomy had lesser incidence of complications like Intraoperative adhesions, surgical site infection, wound dehiscence and enterocutaneous fistula. It also had relatively lesser operative time and lesser period of hospital stay.Conclusions: On comparing the different modalities of intervention, conservative management followed by interval appendicectomy is quite effective and safe method of treatment, with less operative difficulties and better outcome.

scholarly journals A prospective study on outcome of function after proximal row carpectomy

2019 ◽  
Vol 6 (1) ◽  
pp. 44
Author(s):  
Chaitanya Gadi ◽  
S. M. Venugopal ◽  
Bhaskaranand Kumar ◽  
Karthik Gudaru
Keyword(s):  
Prospective Study ◽  
Grip Strength ◽  
Neuromuscular Disorders ◽  
Wrist Flexion ◽  
Proximal Row Carpectomy ◽  
Significant Difference ◽  
Post Traumatic ◽  
A Prospective Study ◽  
Traumatic Arthritis

<p class="abstract"><strong>Background:</strong> Proximal row carpectomy (PRC) is a procedure with varied indications. The purpose of this study was to evaluate functional outcomes with PRC in wrist flexion deformities, neuromuscular disorders and also post-traumatic wrist arthritis.</p><p class="abstract"><strong>Methods:</strong> A prospective study was performed on all patients who underwent PRC between April 2015 and December 2017, in BIRRD (T) hospital, Tirupati, Andhra Pradesh with a minimum follow up of 6 months. Outcome was assessed in terms of range of motion (ROM), grip strength, quick disabilities of the arm, shoulder, and hand (QDASH) score and pain score. Data was analyzed using the Student t-test.<strong></strong></p><p class="abstract"><strong>Results:</strong> Thirty-two patients underwent PRC of which 12 are neuromuscular disorders, 10 are wrist flexion deformities, 10 are post-traumatic wrist arthritis. On the final follow-up, significant improvement in ROM was observed in wrist flexion deformities and neuromuscular disorders, whereas grip strength and QDASH scores showed a significant difference in post-traumatic wrist arthritis. Pain was studied only in post-traumatic wrist arthritis, all were very much pleased with pain reduction.</p><p class="abstract"><strong>Conclusions:</strong> PRC is fairly a reliable procedure for all the indications in our study. We consider that PRC is a promising procedure in correcting wrist flexion deformities. Though there has been significant improvement in all the parameters for all the cases, we consider this procedure is best suited for post-traumatic arthritis group.</p>

scholarly journals OC03.04: Conservative management of adnexal masses classified as benign by IOTA ADNEX model: a prospective study

2020 ◽  
Vol 56 (S1) ◽  
pp. 9-9
Author(s):  
M.E. Brito ◽  
P. Pinto ◽  
S. Rodrigues ◽  
A. Borges ◽  
J. Aquino ◽  
...  
Keyword(s):  
Prospective Study ◽  
Conservative Management ◽  
Adnexal Masses ◽  
A Prospective Study

OUTCOMES OF OPEN CARPAL TUNNEL RELEASES AND ITS PREDICTORS: A PROSPECTIVE STUDY

Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 341-345 ◽  
Author(s):  
Jacqueline Siau Woon Tan ◽  
Agnes Beng-Hoi Tan
Keyword(s):  
Prospective Study ◽  
Grip Strength ◽  
Carpal Tunnel ◽  
Symptom Severity ◽  
Symptomatic Relief ◽  
Preoperative Symptom ◽  
Severity Scores ◽  
A Prospective Study ◽  
And Function

A prospective study of 74 patients who underwent open carpal tunnel releases was conducted, with a follow-up period of six months. We analyzed multiple preoperative variables in order to identify factors that might predict outcomes. These outcomes included improvement in symptom severity and functional severity scores, grip strength as well as patient satisfaction. All the patients showed improvement in symptoms with 72% showing complete symptomatic relief, 74% showing improvement in function and 66% showing improvement in grip strength, and 82% were either completely or very satisfied with the results of surgery. Older patients and patients with weakness were associated with poorer outcomes. Higher preoperative symptom severity and functional severity scores were also associated with less improvement in symptoms and function, respectively. This information would benefit the surgeons and patients during preoperative counseling and help facilitate the decision-making process for both parties.

scholarly journals A prospective study of cases of intestinal obstruction and role of conservative expectant management

2018 ◽  
Vol 5 (6) ◽  
pp. 2191 ◽  
Author(s):  
Yuktansh Pandey
Keyword(s):  
Intestinal Obstruction ◽  
Prospective Study ◽  
Conservative Management ◽  
Expectant Management ◽  
Abdominal Tuberculosis ◽  
Acute Intestinal Obstruction ◽  
Age Group ◽  
Abdominal Adhesions ◽  
Tract Infections ◽  
A Prospective Study

Background: Intestinal obstruction continues to be a common surgical emergency throughout the world and its management protocol has evolved over years.  In our study we aimed to provide a complete epidemiological description of intestinal obstruction in adult age group patients in a tertiary care hospital in Northern India.Methods: This is a prospective study of patients belonging to age group more than 12 years admitted in our unit with clinical features suggestive of intestinal obstruction from September 2011 to December 2013 at R. N. T. Medical College, Udaipur. The study comprised of 134 patients.Results: Intestinal obstruction contributed to 6.5% of all surgical admissions. It was nearly twice more common in males. 43% patients presented with features of acute intestinal obstruction in comparison to 57% who presented with features of sub-acute intestinal obstruction. Most common cause observed was obstruction due to intra-abdominal adhesions followed by abdominal tuberculosis 48 and 29 percent respectively. Features of intestinal obstruction resolved in 60% patients with conservative management. Adhesions, abdominal tuberculosis and malignancy counted for majority of patients with sub-acute obstruction.  Emergency surgery was done in 32% of patients and 36.5 % of patients were discharged non-operatively. Planned Surgery after successful expectant management was done in 24 % patients. Most frequently seen complication was wound site collection (72.5%) followed by respiratory tract infections (49%). Total mortality in our study was 12.6% of which 41% was post-operative mortality and 59% mortality seen in patients who expired during conservative management.    Conclusions: This study demonstrates that intra-abdominal adhesions and abdominal tuberculosis account for most cases of intestinal obstruction in countries like India. A watchful expectant management can be tried in patients with prior operative history and those with history of tuberculosis.

scholarly journals A Prospective Study of Closed Comminuted Osteoporotic Metacarpal Shaft Fractures Treated with Locking Mini Plates in a Tertiary Care Hospital

2021 ◽  
Vol 4 (3) ◽  
pp. 67-71
Author(s):  
Venkataramana Rao M ◽  
Manjunath J ◽  
Kore Aditya Basawaraj ◽  
Sachin S Nimbargi ◽  
Pavan Patil ◽  
...  
Keyword(s):  
Prospective Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Shaft Fractures ◽  
Metacarpal Shaft ◽  
A Prospective Study

Management of Acute Appendicitis in Covid Pandemic- A Prospective Study of 25 Cases

2020 ◽  
pp. 7-11
Author(s):  
Dr. Abhishek Mahadik ◽  
Dr. Meena Kumar ◽  
Dr. Nida Khan ◽  
Dr. Manish Kumar ◽  
Dr. Meenal Mapari
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Conservative Management ◽  
Poor Response ◽  
Surgical Team ◽  
Lower Abdomen ◽  
Open Appendicectomy ◽  
Alvarado Score ◽  
Multimodality Approach ◽  
A Prospective Study

Acute Appendicitis is a surgical emergency. Patients present with pain in right lower abdomen, with other symptoms like nausea/vomiting, fever, diarrhoea, urinary symptoms. Diagnosis is based on a multimodality approach that includes, clinical, radiological and pathological findings. Alvarado Score helps determine the severity of infection, confirm diagnosis and guide further management. Management is either conservative with antibiotics or surgical depending on severity. However approach to surgical management has changed with the ongoing Covid-19 pandemic. It has necessitated categorisation of surgical procedures into essential and non essential to limit risk to both patient and surgical team and also for prioritization of resources to the rising, continued spread of Covid-19. We present a prospective study of 25 cases of appendicitis presenting during the Covid Pandemic between 15th March and 30th May to our hospital, with an intent to try conservative management for all patients except in the presentations with complications like perforation, abscess or the presence of fecolith or poor response to conservative management.Patients not amenable to conservative management were treated by Open appendicectomy.

Sign in / Sign up

Export Citation Format

Share Document