IF NEEDED TO BE SURGICALLY INTERVENED UPON, IN THE PAEDIATRIC DIAPHYSEAL FRACTURES, WHICH IS THE BETTER AMONG THE AVAILABLE FIXATION DEVICES-A CASE SERIES CONSIDERATION.

2021 ◽  
pp. 45-48
Author(s):  
Arun Kumar.C ◽  
Vibishek Raj ◽  
Sathish Babu ◽  
Venkatachalam K ◽  
Danial Arun ◽  
...  
Keyword(s):  
Plate Osteosynthesis ◽  
Excellent Result ◽  
Case Series ◽  
P Value ◽  
Dash Score ◽  
Age Group ◽  
Fixation Devices ◽  
Paediatric Age ◽  
Diaphyseal Fractures ◽  
Radiographic Grading

Humeral fractures, in the paediatric age group, have two peaks of incidence. It has a high incidence in babies below three years of age, and again also in children, above 10 years of age. The objective of our study, was to compare the most popular operative techniques for handling humeral diaphyseal fractures, in the paediatric age group, such as Plate Osteosynthesis (Locking Compression Plate), Elastic Stable Intramedullary Nailing System (ESIS), and the External Fixation devices (EF). This prospective study was conducted at Chettinad Hospital and Research Institute (CH&RI), Kelambakkam, from July 2017 to June 2020. A total of 15 patients were a part of this study, of which, 8 were males and 7 were females. The functional outcomes were assessed using the DASH, the Borberg and Morrey scoring system and the radiographic assessment was done using Stan's Radiographic Grading system, in all the three methods of treatment. The Follow up period was for a minimum of twelve months. The Broberg and Morrey Score points were 88.4 (74-95) for LCP, 80.67 for ESIS (70- 91) and 83.87 (80-87) for EF (p value>0.05). In the DASH score, the average was 19.2 in the LCP group, 21.17 and 21.10, respectively, in the ESIS and EF groups. Stan's Radiographic Grading showed Grade 2 to 3 fracture union status, in all the xation modalities of our study. The prudence of the surgeon, his surgical experience, the age of the patient, the geometry of the fracture and the nature of the humeral diaphyseal fracture, all needs to be carefully weighed, analyzed and on a case-to-case basis, the decision has to be taken, regarding which xation device is best suited for that very particular fracture. All the three modalities have been showcased to highlight their pros and cons, not with-standing the fact that, all the three modalities have faired superiorly in giving good to excellent result outcomes.

scholarly journals Functional outcome of diaphyseal fractures of forearm in adolescents treated with TENS

2019 ◽  
Vol 5 (3) ◽  
pp. 69
Author(s):  
Divyanshu Goyal ◽  
S. L. Sharma ◽  
Laxmikant Meena ◽  
Ravindra Lamoria ◽  
Mahesh Bansal
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Case Series ◽  
Age Group ◽  
Forearm Fractures ◽  
Retrospective Case ◽  
Superficial Infection ◽  
Fractures In Children ◽  
Case Series Study ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> A retrospective case series study was done on forearm diaphyseal fracture in adolescents treated with TENS (titanium elastic nailing system). Purpose of the study was analysis of functional outcome of TENS in forearm diaphyseal fractures in children between 12-18 year age group.</p><p class="abstract"><strong>Methods:</strong> We retrospectively evaluated 30 patients operated by same senior surgeon during the period from March 2014 to February 2015 with closed diaphyseal forearm fractures in age group 12–18 years treated with TENS in whom closed reduction could not be achieved. Nail diameter taken as 33-40% of narrowest diameter of diaphysys were introduced proximally in ulna and distally in radius under image intensifier in closed manner. Postoperatively, patients encouraged for active shoulder, elbow and finger movements and suture removal done after 2 weeks. Patients were followed up for minimum period of one year.  </p><p class="abstract"><strong>Results:</strong> In terms of union and range of motion using Anderson et al criteria 24 patients had excellent results, 4 patients had satisfactory results and one patient had poor result having non-union of ulna. Two patients had superficial infection at the nail entry site which eventually resolved. One patient lost for follow up.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that TENS in both bone forearm fractures in adolescent age group in terms of union and range of motion is a minimally invasive and effective method of fixation.</p>

scholarly journals Prospective study of tens in femoral diaphyseal fractures among paediatric age group

2018 ◽  
Vol 4 (4) ◽  
pp. 881-884
Author(s):  
Dr. Akshay Yadav D ◽  
Dr. Madhukar . ◽  
Dr. Vijay Narasimman Reddy
Keyword(s):  
Prospective Study ◽  
Age Group ◽  
Paediatric Age ◽  
Diaphyseal Fractures

Spinal osteosarcoma in the paediatric age group: Case series and literature review

2019 ◽  
Vol 63 (2) ◽  
pp. 122-131
Author(s):  
R.M. Egea-Gámez ◽  
V. Ponz-Lueza ◽  
A. Cendrero-Torrado ◽  
C. Martínez-González ◽  
J.A. Certucha-Barragán ◽  
...  
Keyword(s):  
Literature Review ◽  
Case Series ◽  
Age Group ◽  
Group Case ◽  
Paediatric Age

scholarly journals Knowledge, Attitudes and Practices of Waterpipe Smokers in Sulaimani City/ Kurdistan Region of Iraq

2018 ◽  
pp. 72-79
Author(s):  
Bestun Ibrahim Hama Rahim ◽  
Abdulrahman M. Ibrahem ◽  
Niaz Mustafa Kamal
Keyword(s):  
Age Distribution ◽  
Case Series ◽  
Health Concern ◽  
P Value ◽  
Age Group ◽  
Waterpipe Smoking ◽  
Attitudes And Practices ◽  
Middle East Countries ◽  
Case Series Study ◽  
Level Of Significance

Waterpipe smoking is a global phenomenon, particularly among youths and young adults. This practice is rising in the Middle East countries.  Waterpipe comprises many chemical toxins as cigarette smoke. Waterpipe smoking can cause several health problems. A descriptive case-series study was performed from 10th of October 2017 to 20th of December 2017 in eight waterpipe cafeterias in Sulaimani city. The current study involved 230 waterpipe smokers. A structured questionnaire was used to collect data. P-value ≤0.05 was used to show a level of significance. The age range of the waterpipe smokers was 16-39 years with the mean age was 24.63 years.  The age distribution was a sharp peak in the age group of 21 to 25 years, over two fifths (40.9%) of the study subjects lay in this age group. The waterpipe smoking was higher in the individuals with high education level (52.2%). Regarding the participants’ occupations, the frequency of the waterpipe smoking was higher among self-employment. Over two-thirds of participants (68.7%) were unmarried. The main motives for waterpipe smoking were life pressures, pleasurable experience, and habit (31%, 27%, and 25% respectively). The majority of participants had a good knowledge about the negative health effects of waterpipe smoking. Approximately half of the participants (48.3%) possessed waterpipe at home, over two thirds (68.3%) of subjects preferred smoking waterpipe with their friends, half of the respondents (50.0%) preferred smoking waterpipe at the cafeteria. Likewise, over half of participants (51.3%) smoked waterpipe every day. The main reason for the intention to quit waterpipe was a health concern.

scholarly journals OBESE PRIMIGRAVID WOMEN;

2017 ◽  
Vol 24 (08) ◽  
pp. 1147-1151
Author(s):  
Raheela Rani Junejo ◽  
Rabail Rani Junejo ◽  
Raheel Sikandar ◽  
Shahla Baloch ◽  
Mehrunnisa Khaskheli
Keyword(s):  
Case Series ◽  
Categorical Variables ◽  
P Value ◽  
Antenatal Visit ◽  
Age Group ◽  
Chi Square ◽  
Case Series Study ◽  
Pregnancy And Delivery ◽  
Chi Square Test ◽  
To Come

Objectives: To determine the frequency of macrosomia in obese primigravidwomen. Study Design: Case series study. Period: Six months. Setting: Department ofGynecology and Obstetrics Department Jamshoro. Patients and Methods: The inclusioncriteria of the study were primigravida women between age 18 to 35 years with singletonpregnancy and gestational duration of 37 to 42 weeks, and during labour with BMI 30 or >30kg/m2 and All booked women who were primigravid during antenatal visit try to come and BMIcalculated by weight in kg and height in meter square. The variables include post-delivery ifthe weight of baby is 4.5 kg is macrosomic and mode of the delivery. The data was analyzed inSPSS version 17, the frequency and percentage was calculated while the chi-square test wasapplied on categorical variables and the p-value ≤0.05 was considered as significant. Results:During six months study period total 203 pregnant obese ladies were observed for macrosomicbabies. Age group was analyzed which shows that in age group between 18-25 years were105(52.00%) women, in age group of 26-30 years were 62 (30.69%) women and age group of30 years and above were 35 (17.31%) women with mean age ± SD of ladies was 24.6 ±6.2years. Regarding modes of delivery shown 132 (65.02%) ladies had C-section and 71 (34.97%)ladies had vaginally delivery. Weight of the babies was assessed which shows 27 (13%) wereborn with less than 2.5 Kg, babies having weight between 2.6-3 Kg were 71 (35.3%) , babieswere having weight 3 kg to 4.5kg 38 (18.7%) and babies having more than 4.5kg which shows67 (33%). Neonatal complications observed were macrosomic babies 67 (33.1%). Frequencyof macrosomic babies was higher in women with BMI more than 3.5kg/m2 44(21.67%) andin women with BMI between 30 to 35kg/m2 25(12.31%). Conclusion: Obesity responsible forcomplications during pregnancy and delivery for both mother and babies. Fetal complicationsare macrosomia and these obese ladies should motivate for maintenance of weight.

scholarly journals Hydrostatic reducibility of intussusception among different age groups in paediatric population-a descriptive study

2017 ◽  
Vol 4 (2) ◽  
pp. 732
Author(s):  
Sreejith Haridas ◽  
Vineed S. ◽  
K. Sivakumar
Keyword(s):  
Tertiary Care ◽  
Age Groups ◽  
Descriptive Study ◽  
Favourable Effect ◽  
P Value ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Duration Of Symptoms ◽  
Hydrostatic Reduction ◽  
Paediatric Age

Background: Intussusception is one of the most frequent causes of bowel obstruction in infants and toddlers. In children, it is often an idiopathic condition and treated non-surgically by radiologic reduction. Primary aim of study was to analyse the outcome of hydrostatic reduction of intussusception across different paediatric age group patients admitted in a medical college hospital.Methods: This is a hospital based descriptive study conducted in tertiary care centre for one year duration in 2014-2015. 90 patients admitted with diagnosis of intussusceptions for hydrostatic reduction were interviewed with the proforma and details were collected. The procedural detail of hydrostatic reduction was also collected. Patients were followed up for a period of 48 hours post successful hydrostatic reduction.Results: Hydrostatic reducibility of intussusception was 63.3% in less than 3 months age group compared to 93.3% each in other two groups. Overall hydrostatic reducibility was of 83.3%, while 16.7% went for laparotomy. First group had 36.7% cases gone for laparotomy. Analysis of each of the study variables was done to find out their association with hydrostatic reducibility. Only duration, bleeding per rectum, lethargy, dehydration, side of lesion and total count were found to have a statistically significant p value. Logistic regression analysis of the above five variables revealed that only the ‘duration of symptoms’ had a statistically significant independent association with hydrostatic reducibility of intussusception ,with a p value of 0.033 and odds ratio 12.477. 5.3% of cases of first group had recurrence within 48 hours of hydrostatic reduction, while 10.7% and 21.4% of cases from second and third group respectively had recurrence within 48 hours of reduction. Overall recurrence of intussusception within 48hours is 13.3%.Conclusions: Hydrostatic reduction of intussusception is more successful in paediatric age group > 3 months compared to < 3 months. Shorter duration of symptoms, especially < 48 hours may have a favourable effect on hydrostatic reducibility of pediatric intussusception. Rate of recurrence of intussusception within 48 hours of successful hydrostatic reduction is 13.3 per 100 paediatric cases.

Effectiveness of Characteristic Keynote Prescription of Homeopathic Medicines in Acute Nasopharyngitis in Paediatric Age Group - A Prospective, Longitudinal Observational Study

2021 ◽  
Vol 10 (1) ◽  
pp. 609-617
Author(s):  
Saket Kumar Singh ◽  
◽  
Vikrant Tripathi ◽  
Keyword(s):  
Observational Study ◽  
Common Cold ◽  
School Age Children ◽  
P Value ◽  
School Age ◽  
Age Group ◽  
Upper Respiratory Tract ◽  
Longitudinal Observational Study ◽  
Paediatric Age ◽  
Prospective Longitudinal

Acute Nasopharyngitis is a common upper respiratory tract infection caused by adenoviruses, influenza, rhinovirus, parainfluenza or respiratory syncytial viruses. This prospective, longitudinal, observational study was conducted at SKHMC, Jaipur for a period of 1 year (April 2018 to March 2019), aiming to ascertain the effectiveness of characteristic keynote prescription of homoeopathic medicines in the cases of Acute Nasopharyngitis in paediatric age group. In this study, 59 cases of Acute Nasopharyngitis were treated with homoeopathic medicines prescribed on the basis of totality of the symptoms along with characteristic keynote symptoms. Treatment outcomes were assessed using Common Cold Questionnaire. Out of 59 patients, 36 patients (61.0%) were improved; 15 patients (25.5%) were at status quo, and 08 patients (13.5%) became worse. Maximum patients were found to be in the age group of School Age children (n=27; 45.8%) and Pre-School children (n=21; 35.6%). Males were observed to be affected more as compared to females. Paired ttest was conducted on the CCQ scores obtained before and after treatment and the result showed that p value was < 0.05 & t = 8.404, which was statistically significant which concluded that characteristic keynote prescription of homoeopathic medicines was effective in cases of Acute Nasopharyngitis. Keywords Homeopathy; Common Cold; School age children; Observational study

scholarly journals ICD INSERTION AND MANAGEMENT IN PAEDIATRIC AGE GROUP- A CASE SERIES.

2018 ◽  
Vol 6 (9) ◽  
pp. 834-838
Author(s):  
G Hariharan ◽  
◽  
V Gomathi ◽  
AAjay Kumar ◽  
VarshaM Totadri ◽  
...  
Keyword(s):  
Case Series ◽  
Age Group ◽  
Paediatric Age ◽  
Group A

scholarly journals Comparing titanium elastic nailing and plate osteosynthesis in treating both bone diaphyseal fractures of forearm in children

2021 ◽  
Vol 7 (6) ◽  
pp. 1117
Author(s):  
Debanga S. Barua ◽  
Anuj Joon ◽  
Vaisakh A. ◽  
Tirupati S. Shirdinayak ◽  
Hari K. N. G. ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Plate Osteosynthesis ◽  
Study Groups ◽  
P Value ◽  
Forearm Fractures ◽  
Medical College ◽  
Duration Of Hospital Stay ◽  
Titanium Elastic Nailing ◽  
Diaphyseal Fractures ◽  
Operative Findings

<p class="abstract"><strong>Background:</strong> The present study aimed to compare the outcome of fixation of diaphyseal fractures of both bones of forearm using plate osteosynthesis (PO) and titanium elastic nail (TEN).</p><p class="abstract"><strong>Methods:</strong> This comparative non-randomized clinical trial was done on children aged 5 to 15 years, with diaphyseal fractures of both bone forearm fractures, operated and managed at the department of orthopedics, Assam Medical College and Hospital, Dibrugarh. Intra- and post-operative findings were compared between PO and TEN group patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> Duration of hospital stay was significantly lower in patients in the TEN group (44.75±6.38 minutes) as compared to those in the PO group (69.71±5.91 minutes), p value &lt;0.01. Similarly, duration of hospital stay was significantly lower in patients in the TEN group (5.01±0.67 days) as compared to those in the PO group (8.32±1.44 days), p value &lt;0.05. Based on price criteria, 80% of the patients in the PO group and 85% in TEN group had excellent functional outcome. Radiological union time, maximum radial bow and location of maximal radial bow were found to be statistically similar in the two groups. Complication rate was similar in the two study groups.</p><p class="abstract"><strong>Conclusions:</strong> Based on the results of the present study, we conclude that both PO and TEN are be safely performed in children with diaphyseal both bone forearm fractures. With comparable functional and radiological outcomes, future studies are required before one technique can be recommended over the other.</p>

A PROSPECTIVE STUDY : CLINICAL OUTCOME OF TIBIA DIAPHYSEAL FRACTURE IN PEDIATRIC AGE GROUP MANAGED WITH TITANIUM ELASTIC NAILING SYSTEM

2021 ◽  
pp. 10-12
Author(s):  
Hemeshwar Harshwardhan ◽  
Vijendra Gahnolia ◽  
Priyanka Nayak
Keyword(s):  
Clinical Outcome ◽  
Tibial Fractures ◽  
Safe Procedure ◽  
Age Group ◽  
Diaphyseal Fracture ◽  
Titanium Elastic Nailing ◽  
Early Return ◽  
Common Location ◽  
Paediatric Age ◽  
Diaphyseal Fractures

Introduction : 1 Pediatric tibial fractures are the third most common pediatric long bone fracture after the femur and forearm . They representing 2 15% of all pediatric fractures . The most common location of tibia fractures is in the distal third of the tibia (50-70%) followed by middle and then proximal (less common) thirds. This study was performed to nd out clinical outcome of tibia diaphyseal fracture in paediatric age group managed with titanium elastic nailing system. Material And Methods : This hospital based prospective, randomized, single centre study was conducted in the Department of Orthopaedics, JLN Medical College & Hospitals, Ajmer during the December 2018 to December 2020. These cases including close, open grade 1 and 2 paediatric tibia diaphyseal fractures and fractures with inability to achieve close reduction. Results & Observations : In our study, 32 patients of paediatric age group with tibia diaphyseal fractures were managed with TENS. According to FLYNN'S criteria the nal outcome was excellent in 84.35% (27 out of 32), satisfactory or good in 12.5 % (4 out of 32) cases and poor outcome was reported in 1 case (3.15%) only. Conclusion : TENS which is safe and effective method to maintain the reduction of displaced tibial fractures including length and rotation. It is simple, rapid and safe procedure with advantages of early union, early mobilization and early return to function with minimum complications. Elastic medullary nailing advantages make it a valuable choice to consider in managing children shaft tibial fractures.

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