scholarly journals Extruded talus treated with reimplantation and primary tibiotalocalcaneal arthrodesis

2017 ◽  
Vol 99 (4) ◽  
pp. e125-e127 ◽  
Author(s):  
HR Mohammad ◽  
J A’Court ◽  
A Pillai
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Weight Bearing ◽  
Transverse Process ◽  
High Energy ◽  
Tibiotalocalcaneal Arthrodesis ◽  
Cortical Screw ◽  
Neck Fracture

Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw. A hindfoot nail was used to fuse the calcaneus, talus and tibia. Follow-up at two years showed solid tibiotalocalcaneal fusion, with no evidence of avascular development, and the patient was fully weight bearing without pain. We believe this is the first published case of successful primary tibiotalocalcaneal fusion for extruded talus injuries.

An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis

2017 ◽  
Vol 2 (1) ◽  
pp. 47-50
Author(s):  
A Dokania ◽  
Y Rizvi ◽  
Surabhi Sinha
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Surgical Mesh ◽  
Road Traffic ◽  
Muscle Attachment ◽  
Artificial Eye ◽  
Polyglactin 910 ◽  
Orbital Implant ◽  
Ocular Discomfort

ABSTRACT Orbital implants replace the volume lost by enucleated eye, impart motility to the prosthesis, and maintain cosmetic symmetry with the fellow eye. They include nonintegrated, synthetic semi-integrated, integrated, bio-integrated, and biogenic varieties. The much favored hydroxyapatite (bio-integrated) implant, due to its rough surface, needs to be wrapped in donor sclera or other wrapping materials (like polyglactin-910 mesh, polytetrafluoroethylene sheet, etc.) to which the muscles could be directly sutured. Cost factor of such wrappings is often prohibitive that add to the expense of such implants. Purpose To highlight monofilament polypropylene surgical mesh commonly used for herniorrhaphy as an alternative implant wrapping for achieving augmented implant volume and enabling easier extraocular muscle attachment in postenucleation reconstruction of artificial eye. Materials and methods Following enucleation of a nonfunctional eye in a patient who met with a road traffic accident, a 14 mm hydroxyapatite ball was used to replace the globe. The ball was wrapped with a monofilament polypropylene surgical mesh used in herniorrhaphy and sutured. The patient achieved a satisfactory cosmesis and movements of the implant for different gazes. No ocular discomfort or implant extrusion was reported following 6 months of follow-up. Conclusion Monofilament polypropylene mesh can be used safely as an orbital implant wrapping, economizing the implant cost. How to cite this article Sinha S, Rizvi Y, Dokania A. An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis. Int J Adv Integ Med Sci 2017;2(1):47-50.

scholarly journals EVALUATION OF RESULTS OF INTERNAL FIXATION OF CLOSED, DISPLACED, RECENT FRACTURE SHAFT OF HUMERUS BY MIPPO TECHNIQUE

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Alok Sobhan Datta ◽  
S. Velagada ◽  
A. Haque
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
High Energy ◽  
Time Interval ◽  
Shaft Fractures ◽  
Recent Fracture ◽  
Humerus Shaft

BACKGROUND: The humerus shaft fracture is the second most common fracture of the upper extremity. The predominant causes of humerus shaft fractures include low energy trauma such as fall from a standing height in older population, while in the younger population it is caused by high energy trauma. Aims and Objectives - To investigate the effectiveness of economical MIPPO technique and to determine the radiological and functional significance of MIPPO technique in the patients undergoing treatment for recent fracture shaft of humerus. MATERIALS AND METHODS: A prospective study had been carried out from December 2012 to August 2014 in the Orthopaedics Department of SSKM Hospital, Kolkata, West Bengal, India. Thirty three patients, who presented with fracture shaft of humerus and underwent fixation of humeral shaft fractures by MIPPO technique were included in this study. Complete history was taken and full clinical examination was carried out. RESULTS: The average age group in our study is 35.3 years. Of them 85% are male and 15% are female. In majority cases, mode of injury was road traffic accident. 85% cases had middle 1/3rd fracture shaft of humerus and the average time interval between the injury and surgery was 8.54 days. CONCLUSION: The results obtained in this study have shown that the MIPPO technique is safe, convenient and effective, since there was minimal soft tissue injury with no major complications. KEYWORDS: Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO); Road Traffic Accident (RTA).

scholarly journals CONSERVATIVE MANAGEMENT OF SIGNIFICANT EXTRA-DURAL HAEMATOMA : CASES AND LITERATURE REVIEW

2019 ◽  
pp. 1-3
Author(s):  
Dilraj Kadlas ◽  
Meghna Kinjalk
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Ct Scan ◽  
Conservative Management ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
History Of

OBJECTIVE: Study of natural history of significant extra dural haematoma resolution. BACKGROUND: Traumatic brain injury is one of the leading causes of death. There are various modes of injury like road traffic accident, assault, fall and others.The traumatic brain injury can range from scalp laceration to intracranial haemorrhage.The line of management is decided upon considering several factors like age, co morbidities, Glasgow coma scale neurodeficiency,CT scan findings,other associated injury. CASE REPORT: A 24-year-old gentleman sustained head injury following road traffic accident. CT scan (head) was suggestive of extradural haematoma.Patient was subjected to decompressive craniotomy and evacuation of extra dural haematoma. On 2nd post-operative day, CT Scan (head) was done which was suggestive of right frontal and right posterior parietal extra dural haematoma. The relatives did not give consent for surgery .Conservative management was done. Patient improved and haematoma resolved. A 42 year old male presented to the emergency with history of head injury . CT Scan was suggestive of extra dural haematoma. Conservative management was done as surgery was refused by the relatives.Patient was monitored.Patient was asymptomatic after discharge and during follow up period. CONCLUSION:We report two unusual cases of extradural haematoma with a good outcome and uneventful follow up period.

scholarly journals Intra Cranial Dislocation of Mandibular Condyle—10 Year Follow up of a Case and Review of Literature

2021 ◽  
Vol 6 ◽  
pp. 247275122110059
Author(s):  
Vimalambiga Ramani ◽  
Kannan Balaraman ◽  
R Ravindra Bharathi ◽  
S Raja Sabapathy
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
English Literature ◽  
Rare Event ◽  
Mandibular Condyle ◽  
Middle Cranial Fossa ◽  
Long Term Follow Up ◽  
Cranial Fossa

Dislocation of the mandibular condyle into the middle cranial fossa is a rare event with only 59 cases having been reported in the English literature. The common etiology is road traffic accident. Epidemiology wise this injury is found commonly in children and young adults. This has been attributed to the undeveloped condyle being small and rounded. In this report we present a case of central dislocation of the mandibular condyle into the middle cranial fossa in a 20 year old female patient sustained in a road traffic accident. Computed tomography helped in early diagnosis and treatment of the patient. We also stress upon the need for long term follow up of the patient to prevent secondary complications of ankylosis.

scholarly journals Lumbar Fractures Involving Five Vertebrae: A Case Report

2011 ◽  
Vol 19 (3) ◽  
pp. 389-391 ◽  
Author(s):  
Prithee Jettoo ◽  
Himanshu Sharma ◽  
John R Andrews ◽  
Paul L Sanderson
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Corrective Osteotomy ◽  
High Energy ◽  
High Energy Trauma ◽  
Instrumented Fusion ◽  
Post Traumatic ◽  
Lumbar Fractures ◽  
Complex Injuries

We report a 20-year-old man who sustained lumbar fractures involving 5 vertebrae following a road traffic accident. He was initially treated non-operatively to allow multiple pedicles to heal. He developed post-traumatic kyphosis for which corrective osteotomy and posterior spinal instrumented fusion was performed. He achieved a good functional outcome. We emphasise the need for careful radiological evaluation in patients with high-energy trauma, and the option of treating such complex injuries by non-operative means. If post-traumatic kyphosis develops, it can be dealt with later and the most mobile segments of the lumbar spine can be preserved.

scholarly journals Clinical profile of patients with intertrochanteric fractures of hip attending tertiary care hospital

2018 ◽  
Vol 4 (4) ◽  
pp. 547
Author(s):  
Srivanth Dasari ◽  
Mirza Shahrukh Baig ◽  
Anoop Nippuleti ◽  
Raviteja Rudraraju
Keyword(s):  
Traffic Accident ◽  
Road Traffic ◽  
Weight Bearing ◽  
Tertiary Care ◽  
Young Patients ◽  
Hospital Treatment ◽  
Care Hospital ◽  
Common Mode ◽  
The Road

<p class="abstract"><strong>Background:</strong> The hip joint is ball and socket joint. In weight bearing the pressure forces are transmitted to the head and neck of the femur at an angle of 165 degrees to 170 degrees regardless of position of pelvis. The plane of the force coincides with strongly developed trabeculae that lie in the medial portion of the femoral neck and extend upwards through the supero-medial aspect of the femoral head. These trabeculae are in line with similar pressure trabeculae that start at acetabulum and run upwards and medial to sacro-iliac joint.</p><p class="abstract"><strong>Methods:</strong> After the patient with intertrochanteric fracture was admitted to our hospital, all the necessary clinical details were recorded in the proforma prepared for this study. After the completion of the hospital treatment patients were discharged and called for follow-up to outpatient department at regular intervals (6 weeks, 12 weeks, 6 months, 12 months) for clinical and radiological evaluation.<strong></strong></p><p class="abstract"><strong>Results:</strong> The most common age group was in the range of 60 to 70 yrs. Most common mode of injury was trivial fall in this series. 56% of the patients having type II BOYD and GRIFFIN fracture.</p><p><strong>Conclusions:</strong> Most common mode of injury in young patients is the road traffic accident while most common mode of injury in older patients is the simple fall (domestic fall). </p>

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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