scholarly journals Illizarov’s technique outcome in non-union tibial fracture

2021 ◽  
Author(s):  
Anuranjan Dubey ◽  
Ashish Kumar Ragase
Keyword(s):  
Bone Fractures ◽  
Cross Sectional Study ◽  
The Body ◽  
Long Bone ◽  
Cross Sectional ◽  
Non Union ◽  
Ring Fixator ◽  
Medical College ◽  
Present Cross Sectional Study ◽  
Ilizarov Ring Fixator

<p class="abstract"><strong>Background:</strong> Tibia being a superficial bone of the body and vulnerable to trauma, often becomes fractured among all long bone fractures. Tibial surface is subcutaneous most of its length so open fractures are common.</p><p class="abstract"><strong>Methods: </strong>The present cross sectional study was conducted on 20 patients attending the outpatient department Of Orthopedics, Government Medical College and Hospital, Ambikapur, Sarguja (C.G) India between September 2020 to February 2021. Patients within the age group of 18-60 years, having fracture of any duration with gap non union and those having duration of fracture more than 36 weeks without bony gap were included in the study. Details of Patient’s characteristics concerning primary injury and treatment were recorded and evaluation of results were based on Paleys criteria.</p><p class="abstract"><strong>Results: </strong>In bone/radiological results, seven were classed as excellent, eleven as good with the remainder of 2 being fair and poor each. Functionally nine were graded as excellent, nine as good and two as fair and poor each.</p><p class="abstract"><strong>Conclusions:</strong> It was found that Ilizarov ring fixator is an excellent treatment modality for tibial non-union with infection. However the technique requires long treatment follow up. Multiple interventions may be necessary to overcome the difficulties which come across the treatment.</p>

Dysmenorrhoea among Adolescent Females Attending a Suburban Medical College in West Bengal, India

2021 ◽  
Vol 10 (29) ◽  
pp. 2171-2175
Author(s):  
Shelley Seth
Keyword(s):  
Adolescent Girls ◽  
School Health ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Adolescent Females ◽  
The Body ◽  
Female Adolescents ◽  
Self Medication ◽  
Cross Sectional ◽  
Medical College

BACKGROUND Dysmenorrhoea is the most common gynaecological problem. Almost half of the female adolescents suffer from it resulting in a major cause of school / college absenteeism. We tried to find out the prevalence of dysmenorrhoea among female adolescents in a suburban population and investigate a potential association between the body mass index, dietary habits and behavioural factors and its correlation with absenteeism. METHODS A cross sectional study was done on 270 adolescent females attending outpatient department of a suburban medical college. We interviewed the selected adolescent girls using a pretested semi structured questionnaire after obtaining their or their parents consent. Statistical analysis was done using frequencies, percentages and chi square test with statistical software package SPSS version 20. RESULTS Total 270 unmarried adolescent girls were interviewed. Among them 51.1 % girls suffered from dysmenorrhoea. 58.7 % patients suffered from mild dysmenorrhoea whereas 27.5 % and 13.8 % suffered from moderate and severe dysmenorrhoea respectively. 59.02 % of girls with normal BMI and 54.55 % of obese girls suffered from dysmenorrhoea. Only 16 % patients with mild dysmenorrhoea were absent from their school or college whereas 63.1 % and 84.2 % of patients with moderate to severe dysmenorrhoea had school or college absenteeism respectively. 74.47 % of patients used to take self-medication. CONCLUSIONS Dysmenorrhoea was a significant cause of absenteeism and habit of self-medication was prevalent. Introduction of a school health program for menstrual health might improve the issues. KEY WORDS Menstruation, Dysmenorrhoea, Adolescents

Clinicopathological characterization of long bone non-union: a prospective cross-sectional study

2018 ◽  
Vol 3 (4) ◽  
pp. 101 ◽  
Author(s):  
Joel Galindo-Avalos ◽  
Avelino Colín-Vázquez ◽  
LuisDario Bernal-Fortich ◽  
Juan López-Valencia ◽  
Rafael Grajales-Ruiz ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Long Bone ◽  
Sectional Study ◽  
Cross Sectional ◽  
Non Union

scholarly journals The Scenario of Acute Poisoning in Jashore, Bangladesh

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
G. K. Acherjya ◽  
M. Ali ◽  
A. B. M. S. Alam ◽  
M. M. Rahman ◽  
S. G. M. Mowla
Keyword(s):  
Organophosphorus Compounds ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Acute Poisoning ◽  
Cross Sectional ◽  
Medical College ◽  
Background Population ◽  
Present Cross Sectional Study ◽  
Suicidal Intention ◽  
Female Subjects

Background. Acute poisoning is a common scenario in the emergency department of any general hospital globally, but its pattern may vary in different parts of the world and even may be a different regional variation in the same country. Objective. Our recent study aims to assess the demographic characteristics, psychological aspect, pattern, and treatment outcome in different acute poisoning. Method. The present cross-sectional study was conducted in the medicine department of Jashore Medical College and Hospital from 1st January to 30th June 2018, which recruited 487 eligible cases of admitted acute poisoning patients. Results. The study reveals that the total incidence of acute poisoning in Jashore, Bangladesh, is 17.1 per 100,000 populations over a 6-month period. The mean age of our study population was 27 ± 11 (SD) years with having significant female preponderance in acute poisoning (female: 253/52% and male: 234/48%; p = 0.002). Female subjects were significantly younger than male (p <0.001). Moreover, the total suicidal intension of acute poisoning in our study was 97.3%, whereas the female subjects were more committed to suicidal attempts (p = 0.027). Organophosphorus compounds (OPCs) were the significant leading agents (66.1%, p = 0.029) of acute poisoning, and even, it had been significantly used as suicidal intention of poisoning substance (65.1%, p <0.001) in our observation. Muslim (97.5%, p = 0.005), 10–29 year age group (68.0%, p = 0.002), rural (99.2%), unmarried (51.3%), middle class (50.1%), students (48.9%), and secondary educational background population (76.4%) were more victimized of acute poisoning. Among different factors, familial disharmony constituted of 56.1% cases of suicidal attempt in acute poisoning. Finally, we had observed that the death incidence by acute poisoning in Jashore, Bangladesh, was 1.9 per 100,000 population over a 6-month period. Conclusion. The recent study reveals that there is high incidence of acute poisoning in Jashore, Bangladesh, with a significant amount of death toll. Organophosphorus compound is the most common agent of deliberating self-poisoning in our study due to its easy availability in our agriculture-based community.

scholarly journals STRESS RESPONSE;

2017 ◽  
Vol 24 (09) ◽  
pp. 1398-1402
Author(s):  
Ghazala Jawwad ◽  
Humaira Fayyaz Khan ◽  
Amanat Ali
Keyword(s):  
Heart Rate ◽  
Cortisol Level ◽  
Low Frequency ◽  
Cross Sectional Study ◽  
The Body ◽  
Cross Sectional ◽  
Medical College ◽  
Stressed Group ◽  
Autonomic Disturbances ◽  
As Stress

Introduction: Psychological stress activate two axes: Hypothalamic- Pituitary-Adrenal axis and Sympathoadrenal axis leading to production of cortisol and catecholamines.Autonomic disturbances in the body can be evaluated by estimating heart rate variability.Study Design: Cross sectional study. Setting: Islamic International Medical College. Period:June 2014 to December 2014. Materials and Methods: Subjects were labeled as stress andcontrol on basis of DASS questionnaire proforma. Morning Cortisol level of all the subjectswas measured by quantitative ELISA method. Heart rate variability recording of all the subjectswas done. Results: Low frequency in absolute and normalized unit and low to high frequencyratio was significantly higher in stressed group, compared to control (p≤ .05, p ≤ .001, pp ≤.001 respectively). High frequency in normalized was significantly lower in stressed subjects,compared to control (p ≤ .001). Cortisol level was significantly higher in the stressed group incomparison with control (p ≤ .05). Conclusion: Stress can lead to increase morning cortisollevel and can cause autonomic disturbances which can be evaluated by measuring heart ratevariability.

scholarly journals Management of infected non-union of lower limb long bone fractures using ilizarov technique: a study of outcomes

2017 ◽  
Vol 3 (3) ◽  
pp. 557 ◽  
Author(s):  
Hrishikesh Pande ◽  
Chander Mohan Singh ◽  
Anjan Prabhakara ◽  
Vivek Mathew Philip ◽  
Mohd Shezan Iqbal ◽  
...  
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Lower Limbs ◽  
Long Bone ◽  
Long Bones ◽  
Ilizarov Technique ◽  
Infected Nonunion ◽  
Ring Fixator ◽  
Long Bone Fractures ◽  
Ilizarov Ring Fixator

<p class="abstract"><strong>Background:</strong> Nonunion of long bone fractures is a common condition treated by an orthopaedic surgeon. Many nonunions can be treated effectively by internal fixation with or without bone grafting but, an infected nonunion can prove to be a tough challenge. The Ilizarov method is effective in managing infected nonunion of long bones. This study aims to assess the outcome of management of infected nonunions of long bones of lower limb with Ilizarov Ring fixator using bone and functional results as per Association for the Study and Application of Methods of Ilizarov (ASAMI) Scoring System.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analysed 18 patients (16 Male: 2 Female; Mean age 43.2 years) managed with Ilizarov technique for an infected tibial or femoral nonunion between 01 January 2013 and 31 December 2014. They were followed up for an average of 25.4 months after removal of fixator. They were assessed for functional and Bone (radiological) outcomes using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> 17 limbs were salvaged and union could be achieved. One limb required amputation due to severe persistent intractable infection. None required any additional skeletal stabilisation after removal of fixator frame except casting in a few patients for a period of 6 weeks. Mean time to union was 211.83 days (range 136 - 320days/median 184) or 7.01 months. As per the ASAMI score, Bone results were excellent in 10, good in 5, fair in 2 and poor in 1. Functionally 7 were graded as excellent, 6 as good, 3 as fair and 1 as poor and 1 patient underwent amputation.</p><p><strong>Conclusions:</strong> The Ilizarov’s method remains one of the most versatile and successful means of achieving bone healing in infected nonunions of long bones of lower limbs with additional benefits of correcting bone defects, deformities and limb length inequalities. </p>

scholarly journals Local Platelet-rich plasma (PRP) injection for the treatment of Delayed Union after Internal Fixation in Fractures of Long Bones

2020 ◽  
Vol 23 (1) ◽  
pp. 30-36
Author(s):  
Tanup Prasai ◽  
Sashmit Sharma ◽  
Kiran Prasad Rijal ◽  
Krishna Raj Khanal
Keyword(s):  
Internal Fixation ◽  
Bone Fractures ◽  
Platelet Rich Plasma ◽  
Delayed Union ◽  
Long Bone ◽  
Non Union ◽  
Medical College ◽  
Long Bone Fractures ◽  
Usual Solution ◽  
Without Bone Graft

Introduction: Long bone fractures are among the most common orthopaedic injuries encountered. A fracture that fails to progress to union despite appropriate fixation and absence of complications presents a treatment dilemma to the surgeon. The usual solution of re-fixation with or without bone graft constitutes repeat exposure to surgery and its risks, as well as added morbidity and cost. Recent advances in molecular biology suggest Platelet rich plasma (PRP) may have bone forming potential. This study was done to determine whether PRP has any beneficial role in patients with delayed healing of long bone fractures. Methods: A prospective interventional study was done on patients arriving at the department of orthopaedic surgery of Kathmandu Medical College with delayed union of long bone fractures after internal fixation between January 2014 and January 2017. Patients were treated with local injection of group-matched PRP directly into the fracture gap and were followed-up for six months to check for radiological signs of fracture union. Results: A total of 10 fractures were included in 10 patients that involved four humeri, three tibiae, and three femora. Eight out of the 10 fractures united at a median time of three months after the injection. Two had non-union that required revision surgery. Conclusion: Local Platelet rich plasma injection may constitute a ‘nothing to lose, everything to gain’ intermediate option before a decision for major reoperation on such patients is made.

scholarly journals Analysis of results of nonunion tibial fractures Ilizarov external fixation

2018 ◽  
Vol 4 (5) ◽  
pp. 698 ◽  
Author(s):  
Pandillapalli Devanatha Reddy ◽  
Koramutla Harsha Kumar
Keyword(s):  
Bone Fractures ◽  
Bone Transport ◽  
The Body ◽  
Long Bone ◽  
External Fixators ◽  
Average Hospital ◽  
Non Union ◽  
Long Bone Fractures ◽  
Consolidation Phase ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Tibia is most exposed bone in the body and vulnerable to trauma and therefore its fractures are common among the long bone fractures. Tibia is the common site of non-union in long bone fractures. Management of non-union in long bone fractures is a challenging problem for orthopedic surgeons. When the defect is more than 4 cm then it needs bone transport.</p><p class="abstract"><strong>Methods:</strong> Materials of this study comprised 20 cases of nonunions of tibia treated over 2½ years period from June 2006 to December 2009 in the Department of Orthopedics at Narayana Medical College, Nellore, Andhra Pradesh. This was a prospective study of nonunions of tibia treated by Ilizarov ring external fixators and incidental surgery.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 20 tibial non-unions, in 15 patients the fixator has been removed. In 4 patients the fracture had united but the fixators are in situ and they are in consolidation phase and the remaining 1 patient is in various stage of follow up. The results of the 15 patients in whom the fixators have been removed are studied. The hospitalization time from 15 days to 120 days. The average hospital duration is 44.04 days. The total time ranged from 4 months to 15 months. Average time is 9.25 months.</p><p class="abstract"><strong>Conclusions:</strong> From this study we conclude that Ilizarov external fixator is a reliable, versatile and effective treatment for the treatment of tibia nonunion fractures.</p>

scholarly journals A cross sectional study to evaluate the clinical presentation in multisystem inflammatory syndrome in children

2021 ◽  
Author(s):  
Ambika Sood ◽  
Pancham Kumar ◽  
Rakesh Sharma ◽  
Deepak Sharma ◽  
Sanya Sharma
Keyword(s):  
Clinical Presentation ◽  
Cross Sectional Study ◽  
Study Data ◽  
The Body ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Multiple Organs ◽  
Gandhi Medical College ◽  
Inflammatory Syndrome

Background: MIS-C as a disease has varied symptoms and signs that affect multiple organs and systems in the body. The present study aimed to describe the clinical presentation among children admitted as a case of multisystem inflammatory syndrome in children in Indira Gandhi Medical College, Shimla.Methods: We conducted a cross sectional study of children with MIS-C from January to July 2021, in the pediatric ward of Indira Gandhi Medical College Shimla in Himachal Pradesh. All children admitted with a diagnosis of MISC were included in the study. Data regarding clinical presentation was extracted and analyzed using Epi Info V7 software.Results: In the present study, a total of 31 children diagnosed and admitted as a case of multisystem inflammatory syndrome in children (MIS-C) were included. Mean age of these children was 7.12±4.78 years. Among the total 16 (51.6%) were males while 15 (48.4%) were females. All 31 patients had presented with fever and 13 (41.9%) patients had fever with rash. 5 (16.1%) had cough, 1 (3.2%) child presented with hematemesis, 18 (58.1%) had tachypnea at presentation and 15 (48.4%) patients had respiratory distress. 16 (51.6%) children had complaints of vomiting, 1 (3.2%) presented with bleeding diathesis and 12 (38.7%) had hematuria, 5 (16.1%) had seizures and 8 (25.8%) presented with encephalopathy. 19 (61.3%) children had hypotension, 15 (48.4%) had hepatomegaly and 15 (48.4%) had splenomegaly.Conclusions: It is very essential to characterize this syndrome to fully understand its spectrum, therefore we need to be continuously watchful for its varied clinical presentations, both for ensuring an early diagnosis and treatment of patients suffering from MIS-C.

scholarly journals A study on postnatal care and its correlates among recently delivered women visiting to BRD medical college Gorakhpur

2017 ◽  
Vol 4 (5) ◽  
pp. 1548 ◽  
Author(s):  
Harish Chandra Tiwari ◽  
Sudhir Kumar Gupta
Keyword(s):  
Sample Size ◽  
Postnatal Care ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Cross Sectional ◽  
Lower Middle Class ◽  
Medical College ◽  
Maximum Sample Size ◽  
Present Cross Sectional Study ◽  
Allowable Error

Background: Postnatal care is crucial in maintaining and promoting the health of the woman and the newborn baby. Despite the known benefits of the postnatal care, there are many access and utilization barriers to care. The present study was conducted on postnatal care and its correlates among recently delivered women visiting to BRD Medical College Gorakhpur. Methods: For present cross-sectional study recently delivered women (RDW) defined as a post natal woman who had a baby between two months to six months of age at the time of data collection were taken as the study subjects. Complete post natal care was considered if RDWs had received post natal check-up (Post natal day -1, day-3, day-7,) along with immunization of child with BCG, OPV and three doses of DPT/Pentavalent vaccine. Sample size was calculated as 275 by using the formula 4PQ/L2 with an allowable error (L) of 20% including 10% extra for non/incomplete responders. The proportion of women receiving postnatal care was considered as 50.0% as by this proportion maximum sample size is arrived. Results: A total of 269 recently delivered women (RDW) were taken as the study subjects. They belonged to age group 19-29 year (Mean age 23.7±6.7 year), either educated up to 12th standard and only few were graduate or post graduate. Majority of them belonged to middle or lower middle class. Conclusions: Postpartum care utilization was associated with socioeconomic status, antenatal care received or not, planned pregnancy or not. Interestingly, access to care was not perceived as a top reason for not obtaining PPC. 

Knowledge of Medical Students and Faculties of a Medical College Towards Human Body and Organ Donation: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (234) ◽  
Author(s):  
Poonam Singh ◽  
Naveen Phuyal ◽  
Sagar Khadka ◽  
Minani Gurung
Keyword(s):  
Nursing Students ◽  
Organ Donation ◽  
Human Body ◽  
Cross Sectional Study ◽  
The Body ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Body Donation

Introduction: The study of clinical anatomy is inseparable from cadaveric dissection. However, scarcity of cadavers is observed all over the world. So, body donation is propounded and is a major source of cadavers worldwide. However, nowadays, there is a scarcity of cadavers for the body dissection in the medical course & also due to the rise in the number of medical institutions in Nepal. This research aimed to find out the knowledge of medical and nursing students at a medical college regarding human body and organ donation. Methods: A descriptive cross-sectional study was conducted among 400 medical and nursing students in a tertiary care hospital of Kathmandu valley. After obtaining ethical approval, a semistructured questionnaire was used to collect the data. Data were analyzed using Statistical Package for Social Sciences version 20.0. Results: Most of the respondents, 360 (90%) knew that organs could be donated from living donors as well as cadavers. A majority of the respondents 374 (93.5%) said that bodies could be donated for educational and learning purposes. The eyes were the most commonly donated organ. One hundred seventy five (43.5%) of the respondents were motivated to donate their bodies or organs. Self-motivation followed by motivation through media by celebrities, family members, and faculties were seen among the participants. Conclusions: We need a proper voluntary body donation act to facilitate medical teaching with the proper motivation of people for this generous gift to further the knowledge and expand the field of medical science.

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