scholarly journals Anaesthetic management of a case of pulmonary thromboembolism with pulmonary artery hypertension posted for bipolar hemiarthroplasty

2021 ◽  
Vol 8 (4) ◽  
pp. 619-623
Author(s):  
Utkarsha Pradeep Bhojane ◽  
Neha Amey Panse ◽  
Phalke Tejaswini
Keyword(s):  
Venous Thromboembolism ◽  
Pulmonary Artery ◽  
General Anesthesia ◽  
Lower Limb ◽  
Pulmonary Thromboembolism ◽  
Bone Fractures ◽  
Anaesthetic Management ◽  
Pulmonary Artery Hypertension ◽  
Long Bone ◽  
Bipolar Hemiarthroplasty

Lower limb long bone fractures are vulnerable for venous thromboembolism leading to pulmonary thromboembolism. Here, we present a case of preexisting pulmonary thromboembolism with pulmonary artery hypertension posted for bipolar hemiarthroplasty.In hemodynamically stable patients it is better to operate the underlying fracture early to avoid recurrence and worsening of pulmonary thromboembolism. This case was successfully managed under general anesthesia.

Prevention of posttraumatic hypoxaemia in isolated lower limb long bone fractures with a minimal prophylactic dose of corticosteroids

Injury ◽  
2004 ◽  
Vol 35 (3) ◽  
pp. 309-317 ◽  
Author(s):  
George A Babalis ◽  
Christos K Yiannakopoulos ◽  
Konstantinos Karliaftis ◽  
Emmanuel Antonogiannakis
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Long Bone ◽  
Prophylactic Dose ◽  
Long Bone Fractures

Percutaneous plating of lower limb long bone fractures

Injury ◽  
2006 ◽  
Vol 37 (6) ◽  
pp. 543-553 ◽  
Author(s):  
Eve W.Y. Wong ◽  
Edison W.K. Lee
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Long Bone ◽  
Long Bone Fractures

scholarly journals Delayed healing of lower limb fractures with bisphosphonate therapy

2015 ◽  
Vol 97 (5) ◽  
pp. 333-338 ◽  
Author(s):  
B Yue ◽  
A Ng ◽  
H Tang ◽  
S Joseph ◽  
M Richardson
Keyword(s):  
Lower Limb ◽  
Bone Fractures ◽  
Operative Management ◽  
Delayed Union ◽  
Bisphosphonate Therapy ◽  
Long Bone ◽  
Non Union ◽  
Lower Limb Fractures ◽  
The Mean ◽  
Limb Fractures

Introduction Bisphosphonate therapy (BT) is used commonly in the management of osteoporosis. A systematic review was conducted investigating delayed union of lower limb, long bone fractures in patients on BT. We specifically assessed whether BT increases the risk of delayed union or non-union in lower limb, long bone fractures. Methods A literature search was conducted in the PubMed and Embase™ on 4 November 2014. Articles that investigated lower limb fractures, history of BT and fracture union were included in the review. Results A total of 9,809 papers were retrieved and 14 were deemed suitable for this review. The mean time to union in patients on BT was 8.5 months. A longer time to union was reported in a study investigating BT users versus controls (6.5 vs 4.8 months respectively). The mean rate of delayed or non-union for BT associated atypical fractures was 20% per fracture. Specifically in one study, delayed union was more common in the cohort with more than three years of BT (67%) than in the group with less than three years of BT (26%). Surgical fixation was associated with improved outcomes compared with non-operative management. Conclusions BT has been described to be associated with multiple adverse outcomes related to atypical fractures. Current evidence recommends operative management for this patient group. Further investigation is required to evaluate the exact effects of BT on lower limb fractures, in particular typical femoral fractures.

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 Evaluation of surgical fixation of paediatric diaphyseal long bone fractures in lower limb with elastic stable intramedullary nailing (Esin)

2017 ◽  
Vol 3 (4g) ◽  
pp. 501-504
Author(s):  
Dr. Kamal Kumar Arora ◽  
Dr. Simranjit Singh ◽  
Dr. Priti Chaudhary ◽  
Dr. Rajesh Kapila ◽  
Dr. Rajan Sharma ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Lower Limb ◽  
Bone Fractures ◽  
Elastic Stable Intramedullary Nailing ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Surgical Fixation

Anaesthetic Management of a Case of Severe Pulmonary Artery Hypertension for Excission of A Vulval Mass

2018 ◽  
Vol 5 (6) ◽  
pp. 1063-1066
Author(s):  
Brijmohan Nayyar ◽  
◽  
Arun G. Pai ◽  
Ramlaa Malallah Al ◽  
◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Anaesthetic Management ◽  
Pulmonary Artery Hypertension

scholarly journals Study of incidence and cause of delay for treatment of long bone fractures of the lower limb in tertiary care hospital

2019 ◽  
Vol 6 (9) ◽  
pp. 3170
Author(s):  
Elizabeth C. Sada ◽  
Firdaus Bhot ◽  
Rohit Kanishetty
Keyword(s):  
Lower Limb ◽  
Tertiary Care Hospital ◽  
Bone Fractures ◽  
Tertiary Care ◽  
Final Outcome ◽  
Long Bone ◽  
Care Hospital ◽  
Medical Reason ◽  
Delayed Surgery ◽  
Long Bone Fractures

Background: Musculoskeletal trauma represents a considerable global health burden. Lower limb long bone fractures are seen as a serious concern at the individual and population level. So the purpose of the study was to find incidence and cause of delay for treatment of long bone fractures of the lower limb in tertiary care hospital.Methods: All adult patients (more than 18 years) reporting to Emergency Medicine Department of a tertiary care hospital with long bone fractures of lower limb were included in the study. Effects on the final outcome on the lifestyle of the patients were evaluated against the interventions and management at all stages of the course of the illness. Delay of surgery: in our study delay of surgery means if surgery occurs after one day (24 hours) of admission. The entire data is statistically analysed using SPSS software. P values less than 0.05 are considered to be statistically significant.Results: 74 operated cases. 60 cases (81.10%) had delayed surgery, 14 cases (18.9.0%) did not have delayed surgery. 33 cases (55%) had medical reason for delay, 19 cases (31.7%) had financial reason for delay, 5 cases (14.3%) had infrastructure issues (unit system/non availability of implant), 3 cases (5.0%) had plan of surgery as causes of delay.Conclusions: These factors have an effect in the final outcome of the cases. The final outcome is dependent on multiple factors. Adequate attention to each and every one of them was long way to get the patient to the pre-incident stage. 

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