scholarly journals Functional Outcome of Talar Fracture Following Internal Fixation by using Cannulated Cancelous Screw: A Case Series Study

Author(s):  
S. Abdul Ajees ◽  
2015 ◽  
Vol 22 (10) ◽  
pp. 1245-1249
Author(s):  
Mohammad Saeed ◽  
Muhammad Inam ◽  
Imran Khan ◽  
Alamzeb Durrani ◽  
Abdul Satar

Objectives: The objective of the study is to find out functional outcome inpatients with distal radius fractures irrespective of radiographic deformities after close reductionand cast splint age. Design: Case series study. Setting: Department of Orthopedics and SpineSurgery, Hayatabad Medical Complex Peshawar. Period: May 2010 to April 2015. Materialsand Methods: 28 consecutive patients of either sex with age above 40 years, having distalradius fracture. Functional outcome was assessed with disability of arm, shoulder and hand(DASH) and Patient Rated Wrist/Hand Evolution (PRWHE) questionnaire. Results: Out of 28patients male were 12(42.9%) and female were 16(57.1%). minimum age was 40 maximum81 and average was 50. Right side was involved in 17 (60.7%) while left side was involved in11(39.3%). The DASH Score Record shows that no Disability was seen in 13(46.4%), MinimalDisability in 7(25%), Mild Disability in 5(17.9%), Moderate Disability in 1(3.6%) and SevereDisability in 2(7.1%) patients. While the PRWHE Score Record shows that no Disability wasseen in 14(50%), Minimal Disability in 6(21.4%), Mild Disability in 5(17.9%), Moderate Disabilityin 1(3.6%) and Severe Disability in 2(7.1%) patients. Conclusion: A majority of the distal radiusfractures can achieve good results after treatment by closed reduction and cast immobilization,for which conservative treatment should be the first choice. Deformity of the distal radius cannotaffect the functional outcome of the wrist and hand.


Author(s):  
Amir Moeintaghavi ◽  
Negar Azami ◽  
Mohammad Sadegh Zohrevand ◽  
Farid Shiezadeh ◽  
Hamid Jafarzadeh ◽  
...  

2018 ◽  
Vol 45 (4) ◽  
pp. 261-266
Author(s):  
Jorge Luis Alfredo Herrera Ariza ◽  
Mario Alejandro Villabón ◽  
Ángela Carolina Rojas Ruiz ◽  
Iván Fernando Moncada

Objetivo: Determinar los agentes microbianos más frecuentes en pacientes de UCI con diagnóstico de sinusitis nosocomial en el Hospital de San José, período de dos años. Diseño: Estudio observacional tipo serie de casos. Materiales y métodos: Se incluyeron pacientes mayores de 18 años con una estancia hospitalaria mayor a 48 horas, que desarrollaron sinusitis nosocomial de acuerdo a los criterios de los Centers for Disease Control (CDC). Uso de dos técnicas: punción y lavado de seno maxilar. Resultados: 19 pacientes que cumplen los criterios de sinusitis nosocomial. Edad promedio 55 años, predominio sexo masculino. El 94.7% tuvo sonda orogástrica, 89.5% intubación orotraqueal y 89.5% ventilación mecánica. Hubo aislamiento polimicrobiano de gram positivos, gram negativos, anaerobios y hongos. La mortalidad en UCI fue 32%. Conclusiones: Se presenta una adecuada sensibilidad al tratamiento con vancomicina y piperacilina tazobactam en esta patología. El rendimiento diagnóstico es igual al realizar lavado y punción del seno maxilar.Objetive: To determine the microbial agents on UCI patients who have beendiagnosed with nosocomial sinusitis at the San Jose Hospital, (Bogota, Colombia) in a two-year period. Design: Case series study. Materials and methods: Patients who were older than 18-year olds, with a hospitalization longer than 48 hours who developed nosocomial sinusitis, according to the criteria established by the Centers for Disease Control (CDC) were included. Two techniques were employed for data collection: puncture and maxillary sinus wash. Results: 19 patients fulfill the criteria requirements for nosocomial sinusitis. Average age was 55 years old. Population mostly was composed by male individuals. 94.7% had a gastric tube intervention; 89.5% had tracheal intubation 89.5% mechanical ventilation. Polymicrobial isolation with gram positive, gram negative, anaerobic and fungi were identified. Mortality in critical care unites was 32%. Conclusions: An adequate sensitivity to treatment with vancomycin and piperacillin tazobactam was evidenced in this pathology.To perform a washing or maxillary sinus puncture had the same efficiency fordiagnosing this disease.


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