scholarly journals Open reduction and internal fixation of talar fractures using various approaches and its outcome: A case series study

Author(s):  
A. Sudharsan ◽  
1970 ◽  
Vol 8 (3) ◽  
pp. 147-151
Author(s):  
Pashupati Chaudhary ◽  
N Karn ◽  
BP Shrestha ◽  
GP Khanal ◽  
R Rijal ◽  
...  

Background: Various treatment options have been described in the literature for treatment of lateral end of clavicle with no single method is superior to another. Objectives: To assess fracture stabilty, pain at fracture site and functional outcome. Methods: This is retrospective interventional (case series) study done in the department of Orthopaedics at B.P.Koirala Institue of Health Sciences, Dharan from January 2007 to December 2009 over a period of 2 years.The study enrolled 11 patients aged 18-35 years who had presented with fracture lateral end of clavicle. All patients underwent open reduction and internal fixation of fractures with coracoclavicular screw and stainless steel wire. Results: The study was comprised of 8 men and 3 women. Average patient.s age was mean ±SD 27.2 years (range: 18-35 years). The common mechanism of injury was a fall on outstretched hand with the shoulder in extension and abduction (6 patients) followded by direct violence (5 patients). Most of the patients were right handed. All patients were returned to the pre-injury work level with no pain or dysfunction. There was no pseudoarthrosis, infection, neurovascular damage, or skin necrosis or implant failure. Conclusion: Coracoclavicular screw/ SS wire fixation is a relatively simple, reliable, and safe technique of indirect open reduction and internal fixation of the type II distal clavicle fracture with a low complication rate. Key words: clavicle; coracoclavicular screw; steinless steel wire DOI: 10.3126/hren.v8i3.4206Health Renaissance, September-December 2010; Vol 8 (No.3);147-151


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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