V-Y Plasty in the Treatment of Fingertip Injuries

2020 ◽  
Vol 33 (2) ◽  
pp. 107-112
Author(s):  
Md Ismail Hossain ◽  
Mohammad Salim ◽  
Md Insanul Alam ◽  
Habibul Hasan ◽  
Shahnaj Khatun
Keyword(s):  
Postoperative Complications ◽  
Observational Study ◽  
Return To Work ◽  
Functional Outcome ◽  
Prospective Observational Study ◽  
Emergency Physicians ◽  
Nail Bed ◽  
Fingertip Injury ◽  
Finger Tip

Background: Hand is a highly specialized organ as it has grasping, pinching and hooking function. The hand is prone to domestic and industrial trauma with fingertips being the most frequently injured portion of the hand. Fingertip injuries are commonly seen by emergency physicians Objectives: To see the functional outcome after V-Y flap in fingertip injuries. Methods: Prospective, observational study carried out for 2 years at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR). Fifteen patients of fingertip injuries were selected for V-Y flap. Results: V-Y plasty was performed in 15 patients who suffered from a transverse amputation of the finger tip. Out of 15 patients, functional outcome was satisfactory (good) in 13(86.7%) cases and unsatisfactory (fair plus poor) in 2 cases (13.3%). 3 patients had postoperative complications. The results showed that V-Y plasty is indicated in transverse amputations through the distal one-third to one-half of the nail bed. Conclusion: Fingertip injury can achieve almost normal sensibility and satisfactory motion by V-Y flap and patients can expect to return to work on average approximately 3 weeks after operation. TAJ 2020; 33(2): 107-112

Clinical spectrum, aetiology and predictors of acute febrile encephalopathy at a tertiary hospital in south India – A prospective observational study

2020 ◽  
pp. 004947552096791
Author(s):  
Manoj Job ◽  
Alice J Mathuram ◽  
Vijay P Turaka ◽  
Ronald AB Carey ◽  
Ramya Iyyadurai ◽  
...  
Keyword(s):  
Observational Study ◽  
Functional Outcome ◽  
Prospective Observational Study ◽  
South India ◽  
Altered Mental Status ◽  
Tertiary Hospital ◽  
Emergency Physicians ◽  
One Year ◽  
The Tropics ◽  
Infectious Aetiology

Acute febrile encephalopathy is a common syndrome in the tropics with high mortality encountered by emergency physicians. In order to study the aetiology of acute febrile encephalopathy and its mortality and functional outcome over one year, data on all patients >18 years of age with short duration of fever (<14 days) and altered mental status were collected and followed up until one month after discharge. Non-infectious aetiology, found in 29%, portends a poor outcome.

scholarly journals Paramedic Recognition of Sepsis in the Prehospital Setting: A Prospective Observational Study

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Robert S. Green ◽  
Andrew H. Travers ◽  
Edward Cain ◽  
Samuel G. Campbell ◽  
Jan L. Jensen ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Screening Tool ◽  
Tertiary Hospital ◽  
Emergency Physicians ◽  
Likelihood Ratios ◽  
True Negative ◽  
Predictive Values ◽  
Study Team ◽  
Sepsis Screening

Background. Patients with sepsis benefit from early diagnosis and treatment. Accurate paramedic recognition of sepsis is important to initiate care promptly for patients who arrive by Emergency Medical Services.Methods. Prospective observational study of adult patients (age ≥ 16 years) transported by paramedics to the emergency department (ED) of a Canadian tertiary hospital. Paramedic identification of sepsis was assessed using a novel prehospital sepsis screening tool developed by the study team and compared to blind, independent documentation of ED diagnoses by attending emergency physicians (EPs). Specificity, sensitivity, accuracy, positive and negative predictive value, and likelihood ratios were calculated with 95% confidence intervals.Results. Overall, 629 patients were included in the analysis. Sepsis was identified by paramedics in 170 (27.0%) patients and by EPs in 71 (11.3%) patients. Sensitivity of paramedic sepsis identification compared to EP diagnosis was 73.2% (95% CI 61.4–83.0), while specificity was 78.8% (95% CI 75.2–82.2). The accuracy of paramedic identification of sepsis was 78.2% (492/629, 52 true positive, 440 true negative). Positive and negative predictive values were 30.6% (95% CI 23.8–38.1) and 95.9% (95% CI 93.6–97.5), respectively.Conclusion. Using a novel prehospital sepsis screening tool, paramedic recognition of sepsis had greater specificity than sensitivity with reasonable accuracy.

scholarly journals Impact of plate Osteosynthesis on Functional Outcome in displaced midshaft Clavicular Fractures: a prospective observational study

2015 ◽  
Vol 3 (4) ◽  
pp. 366-371 ◽  
Author(s):  
Dr Ashish Kumar Gohiya ◽  
◽  
Dr Sushan Singh Bhasin ◽  
Dr Pulak Sharma ◽  
Dr Sanjiv Gaur ◽  
...  
Keyword(s):  
Observational Study ◽  
Functional Outcome ◽  
Prospective Observational Study ◽  
Plate Osteosynthesis

scholarly journals Functional outcome of displaced mid shaft clavicular fractures treated by plate fixation: a prospective observational study

2021 ◽  
Vol 7 (5) ◽  
pp. 996
Author(s):  
Junaid Ebrahim ◽  
Abdul Asraf Variyathodi ◽  
Mohamed Shakeeb Kannan Thody Uppil Thody ◽  
Nithin Chandrasekharan
Keyword(s):  
Observational Study ◽  
Functional Outcome ◽  
Prospective Observational Study ◽  
Plate Fixation ◽  
Shoulder Girdle ◽  
High Energy ◽  
Young Males ◽  
Clavicle Fractures ◽  
Radiological Union

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong><span lang="EN-US"> Clavicle fractures are one of the commonest injuries to the shoulder girdle. Traditionally these fractures are treated conservatively. This study was to assess the functional outcome of displaced mid shaft clavicular fractures treated with plate fixation.</span></p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> This was a single center prospective observational study conducted at department of orthopaedics M.E.S medical college Perinthalmanna between the period January 2018 to December 2018 in patients with displaced mid shaft clavicle fractures treated by plate fixation. Out of 51 patients 35 patients were males and 16 were females with mean age of 37.7 years (range 19-59). All patients included in this study were included under Allman group 1. All Patients were treated with plate fixation. Post op follow done at 1 1/2 ,3 and 6 months. During follow up clinical and radiological union were checked. Final functional outcome was assessed at 6 months follow up by Constant-Murley Score.</span></p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong><span lang="EN-US"> Out of 51 patients with displaced mid shaft clavicle fractures treated with plate fixation 43 patients (84.3%) showed excellent functional outcome 8 patients (15.7%) showed good functional outcome. None of the patients showed moderate or poor outcome. The radiological union was attained at 9.35 weeks. No complications in 83.4% of patients.</span></p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong><span lang="EN-US">Mid shaft clavicle fractures are more common in young males sustaining high energy trauma, and those fractures treated with plate fixation has a better functional outcome in terms of pain relief, activities of daily living and range of motion.</span></p>

scholarly journals The effect of osteoarthritis on functional outcome following hemiarthroplasty for femoral neck fracture: a prospective observational study

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Christoph Kolja Boese ◽  
Benjamin Buecking ◽  
Christopher Bliemel ◽  
Steffen Ruchholtz ◽  
Michael Frink ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Observational Study ◽  
Functional Outcome ◽  
Femoral Neck Fracture ◽  
Prospective Observational Study ◽  
Neck Fracture
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