scholarly journals An audit on open tibia fracture management at a tertiary level ortho-plastic center in Sri Lanka: are we following current guidelines?

2021 ◽  
Vol 39 (1) ◽  
pp. 18
Author(s):  
D. K. T. Kuruwitaarachchi ◽  
Y. Mathangasinghe ◽  
D. Munidasa
Keyword(s):  
Sri Lanka ◽  
Tibia Fracture ◽  
Tertiary Level ◽  
Fracture Management ◽  
Open Tibia Fracture ◽  
Current Guidelines

scholarly journals Escherichia hermannii as the sole cause of osteomyelitis in a patient with an open tibial shaft fracture

2019 ◽  
Vol 12 (11) ◽  
pp. e231206
Author(s):  
Jocelyn Compton ◽  
Malynda Wynn ◽  
Michael C Willey ◽  
Poorani Sekar
Keyword(s):  
Shaft Fracture ◽  
Open Reduction Internal Fixation ◽  
Fracture Site ◽  
Tibia Fracture ◽  
Tibial Shaft Fracture ◽  
Primary Wound Closure ◽  
Irrigation And Debridement ◽  
Open Tibia Fracture ◽  
Monomicrobial Infection

Escherichia hermannii is a rare monomicrobial cause of infection in humans. E. hermannii has never before been reported as the sole isolate from an infected open tibia fracture. We present a case of E. hermannii infection after a type III open tibia fracture. The patient was initially treated with irrigation and debridement, open reduction internal fixation and primary wound closure. However, after 8 weeks, he developed a draining wound and infection at the fracture site. He required a repeat debridement, hardware removal, external fixation and 6 weeks of intravenous ceftriaxone for treatment. At 2-year follow-up, he remains infection free, asymptomatic and continues to work with excellent functional outcomes. This case adds to the growing literature that evidences E. hermannii as an organism that can be pathogenic, virulent and cause monomicrobial infection.

Osteoporotic hip fracture management in a foundation trust hospital: Compliance with current guidelines

Bone ◽  
2009 ◽  
Vol 44 ◽  
pp. S444-S445
Author(s):  
S. Wimsey⁎ ◽  
R. D'Assuncao ◽  
C. Corbin ◽  
I. Abdulkareem ◽  
C. Rennie ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Osteoporotic Hip Fracture ◽  
Trust Hospital ◽  
Fracture Management ◽  
Current Guidelines

scholarly journals Developing a Framework for Understanding Lecturer-Student Interaction in English-Medium Undergraduate Lectures in Sri Lanka: First Step Towards Dialogic Teaching

2020 ◽  
Vol 10 (6) ◽  
pp. 395
Author(s):  
A. M. M. Navaz
Keyword(s):  
Sri Lanka ◽  
Language Development ◽  
Language Proficiency ◽  
Teaching And Learning ◽  
Analytical Framework ◽  
Student Interaction ◽  
Tertiary Level ◽  
Teacher Student ◽  
Dialogic Interaction ◽  
Delivery Style

This study focuses on developing a framework to identify dialogic interaction in English-medium science lectures in a small faculty of a Sri Lankan university. In Sri Lanka, English-medium instruction was introduced with an objective of developing language proficiency of students along with the content delivery. It is asserted that teacher-student interaction in ESL content classes would help develop language proficiency of students. However, generally, lectures in English-medium undergraduate courses in Sri Lanka tend to be monologic, leaving the language development a question. The lecture delivery style, along with other reasons, affects students’ language development in English-medium classes. Although increased dialogic interaction could help change this situation, few studies have examined the occurrence of dialogic interaction in tertiary-level ESL science classes. The main objective of this study is to develop a framework by analysing the lectures given at the faculty in a method that contextually suits the lecture delivery style in the Asian countries. Data were collected from transcribed recordings of 12 hours of lectures, involving four lecturers. The interactional episodes in the lectures were the basis of developing the analytical framework, which refines and extends the MICASE corpus interactivity rating in a contextually-focused way, was especially designed to categorise the lecture discourse along a monologic-interactive/dialogic continuum. This paper also suggests how this framework could be adopted to analyse the lecture deliveries from a practitioner’s point of view. Within the scope of this paper it is explained how this framework was designed focusing attention to interactional episodes. It can be envisaged that the proposed framework can make a concrete contribution to teaching and learning in higher education, mainly to the concept of developing language through dialogic lecture delivery at tertiary level ESL content classes.

scholarly journals Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture: Treatment with Acute Deformity and External Fixation

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Chelsea E. Minoughan ◽  
Adam P. Schumaier ◽  
Frank R. Avilucea
Keyword(s):  
Soft Tissue ◽  
Wound Closure ◽  
Distal Tibia ◽  
Soft Tissue Defect ◽  
Fracture Site ◽  
Tibia Fracture ◽  
Primary Wound Closure ◽  
Tissue Healing ◽  
Intramedullary Canal ◽  
Open Tibia Fracture

Case. A 31-year-old male was involved in a dirt bike accident and sustained an isolated type II open mid-distal tibia fracture. The patient underwent suprapatellar intramedullary nailing and subsequently developed knee sepsis. Conclusion. This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closure. After soft tissue healing occurred, the frame was used to correct the intentional deformity and maintain reduction until full healing occurred.

scholarly journals A cost-of-illness analysis of β-Thalassaemia major in children in Sri Lanka – experience from a tertiary level teaching hospital

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hamish Reed-Embleton ◽  
Savinda Arambepola ◽  
Simon Dixon ◽  
Behrouz Nezafat Maldonado ◽  
Anuja Premawardhena ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Teaching Hospital ◽  
Cost Of Illness ◽  
Tertiary Level ◽  
Thalassaemia Major

Open Tibia Fracture with Compartment Syndrome

1981 ◽  
Vol &NA; (160) ◽  
pp. 175???184 ◽  
Author(s):  
JESSE C. DELEE ◽  
JAMES B. STIEHL
Keyword(s):  
Compartment Syndrome ◽  
Tibia Fracture ◽  
Open Tibia Fracture

scholarly journals Acute Septic Arthritis Following Supra-Patellar Nailing of an Open Diaphyseal Tibia Fracture in an Immune Compromised Patient

2018 ◽  
Vol 1 (3) ◽  
pp. 130-134
Author(s):  
Henry Goodnough L ◽  
◽  
E Hall Kimberley ◽  
E Krygier Jeffrey ◽  
P Comstock Curt ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Tissue Injury ◽  
Rare Complication ◽  
Soft Tissue Injury ◽  
Chronic Phase ◽  
Tibia Fracture ◽  
Femur Fractures ◽  
Tibia Fractures ◽  
Open Tibia Fracture ◽  
Review Current

The supra-patellar approach represents one approach to intramedullary nailing (IMN) of diaphyseal tibia fractures. Violation of the knee joint utilizing an intra-articular start point represents a risk for septic arthritis of the knee in the post-operative period. Previous retrospective studies of open tibia and femur fractures demonstrated that post-operative knee sepsis is rare, occurs in the chronic phase after injury, and due to extent of soft tissue injury rather than immune compromise. Here, we review current literature on post-operative knee sepsis, and present a case of acute septic arthritis of the knee following supra-patellar nailing of an open tibia fracture in a patient on chronic immune suppression. In this unique case, co-morbid patient factors likely led to this manifestation of a rare complication.

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