Outcome of Plaster Splintage in the Management of Closed Extraarticular Fracture of Distal Radius

2021 ◽  
Vol 15 (9) ◽  
pp. 2382-2383
Author(s):  
Akbar Shah ◽  
Shaheryar Aziz ◽  
Muhammad Usman Aslam ◽  
Syed Wasif Ali Shah

Aim: To determine the outcome of extra-articular distal radius fracture treated with plaster splintage. Methodology: This descriptive case series study was done in the Department of Orthopaedic Surgery, at Jinnah Hospital, Lahore from 01-08-210 to 31-01-2011 which includes 50 patients who fulfill the inclusion criteria of age 40-80 years of either sex. After the approval of Hospital Ethical Committee, informed consent taken from every patient. Results: The average age was 63.70±11.64 years. Seventeen (34%) patients were male and 33 (66%) patients were female. On visual analogue scale of pain, 23 (46%) patients had no pain and 27 (54%) patients had mild pain. Forty six percent patients shows excellent results and 54% patient shows good results. Conclusion: Closed reduction and plaster splintage was used to assess the functional outcome in distal radius extraarticular fractures. Overall results were excellent in 64% cases and good in 54% cases in the distal radial extraarticular fractures treated with plaster splintage. Keywords: Distal radius extraarticular fractures, Plaster splintage, Visual deformity, Pain and grip strength.

2014 ◽  
Vol 32 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Giuseppa Bilello ◽  
Antonella Fregapane

Background Many patients avoid dental appointments because of severe gagging when they have work performed, such as taking impressions. There are several methods known to alleviate gagging, and some studies have suggested that acupuncture may be effective in reducing gag reflex. The aim of the present study therefore was to evaluate whether acupuncture can produce a reduction of the gag reflex. Methods A total of 20 patients, aged between 19 and 80 years, with history of gag reflex on taking dental impressions, were recruited. All patients fulfilling the inclusion criteria had an upper and lower dental alginate impression taken without acupuncture, and a second upper and lower alginate impression taken immediately after acupuncture based on traditional Chinese medicine. After each impression, the patients recorded their emetic sensation using a visual analogue scale (VAS). Results The results showed a significant (p<0.05) reduction in the gag reflex scores after acupuncture. For upper impressions, they fell from 6.8 (1.1) to 1.1 (1.1); and for lower impressions, from 5.45 (1.0) to 0.4 (0.7) (mean (SD)). Conclusions The findings from our study suggest that acupuncture may be useful for preventing and treating gag reflex, and justifies further study.


Author(s):  
Almas Almas ◽  
Naushaba Rizwan ◽  
Syed Farhan Uddin

Postpartum preeclampsia is the occurrence of hypertension and proteinuria after delivery. Preeclampsia plus seizures after delivery is defined as postpartum eclampsia. Objective: To determine the frequency of mortality in patients with post-partum eclampsia; To determine the obstetrical factors leading to maternal mortality in patient with postpartum eclampsia. Methodology: The descriptive case series study was carried out in the department of Department of obstetrics and gynecology LUMHS Hospital Hyderabad from 1st January 2018 to 30 June 2018. All patients who fulfilled the inclusion criteria were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. All patients of postpartum eclampsia with increase blood pressure and proteinuria admitted through out-patient department or emergency within 48 hours of delivery will be included in the study. Patient will be followed for 10 days. All the collected data were entered into the proforma attached at the end. Results: Mean ± SD of age was 27.88±7.77 with C.I (27.02…….28.74) years. Mean ± SD of systolic B.P and urine protein was 161.46±22.09 mmhg and 1432.59±967.33 mg respectively. Out of 369 was occurred mortality in 190 (60%) women. Conclusion: It is to be concluded that mortality is most in eclampctic women followed by patients with Pre-eclampsia. However a study design comprising multiple centers, and a higher number of patients over a longer period of time will be more representative.


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.


2020 ◽  
pp. 112067212095016
Author(s):  
Stefano Ranno ◽  
Massimiliano Serafino ◽  
Paolo Nucci

Purpose: To compare the four-petal evisceration technique and the standard evisceration technique. Methods: In this retrospective, comparative case series study, sixteen charts of patients fulfilled the inclusion criteria and were were reviewed. Orbital implant exposition and complication rates between the two surgical techniques were evaluated. Results: A total of 16 eye of 16 patients fulfilled the inclusion criteria and were included in the analysis (eight in the four petal group and eight in the standard evisceration group). During postoperative follow-up there were no cases of implant exposure or migration in the four-petal group and two cases (25%) of implant exposure in the standard evisceration group. Exposed orbital implants dimension were both 16 mm and patients eviscerated for phtisis bulbi All surgeries were uneventful, and there were no serious complications during the study. Conclusion: Four petal evisceration technique seems particularly useful in patients with phtisis bulbi because it allowed the placement of an implant significantly larger than the standard technique with low rate of esposition.


Author(s):  
Payam Vezvaei ◽  
Soroosh Alizadeh ◽  
Saeed Reza Mehrpour ◽  
Leila Oryadi-Zanjani

Background: Complex regional pain syndrome (CRPS) is a painful syndrome with signs such as swelling, restriction of motion, and discoloration of the skin and bone. CRPS is divided into two types based on neurological injuries. Type 1 CRPS (CRPS-I), which is more common, has no nerve damage. In this study, we used the Budapest Criteria to investigate the incidence of CRPS. We also evaluated the risk factors for the incidence of CRPS. Methods: This single-center case series study was performed at Shariati Hospital of Tehran University of Medical Sciences, Tehran, Iran, during 2018-2019. We evaluated CRPS-I, two and six weeks after treatment based on Budapest Criteria. The inclusion criteria included distal radius fracture confirmed by clinical and radiographic investigations. The exclusion criteria were patients with fractures in another part of the body, associated nerve damage, vascular injury, and an open fracture. Results: Sixty-two patients with distal radius fracture who underwent casting or surgical treatment enrolled in the study. A total of 9 (14.5%) patients had CRPS-I after distal radius fracture. In 5 (8.1%) patients, CRPS-I occurred within two weeks after fracture. Also, 4 (6.5%) patients had CRPS-I after six weeks from fracture. There was no significant difference between the two sex groups in terms of CRPS (P = 0.345). This complication was significantly higher in the surgical group than in the casting group (P = 0.004). Conclusions: Given the significant incidence of CRPS and its impact on patient's quality of life, further studies are recommended to explore solutions to reduce this complication.


2018 ◽  
Vol 19 (3) ◽  
pp. 237-242
Author(s):  
Miroljub Trifunovic ◽  
Ljubica Zivic ◽  
Marija Draskovic ◽  
Milena Corbic ◽  
Jasmina Sretenovic

Abstract Chronic tinnitus is often associated with hearing impairment, but it cannot be asserted that only hearing loss causes tinnitus. Audiograms of patients with tinnitus show that hearing loss occurred more often at high frequencies than at low frequencies. The aim of this study was to analyse the audiogram shapes of patients with chronic tinnitus and to identify the relationship between the shape of the audiogram and intensity and duration of tinnitus. This investigation was a cross case series study conducted at a general hospital in Kraljevo on patients with chronic subjective tinnitus. The study included 43 patients of both genders and of different ages. We used audiometry (measuring the threshold of hearing for frequencies from 250, 500, 1000, 2000, 4000 and 8000 Hz) and tympanometry. Each patient reported the intensity of tinnitus in each ear on a visual analogue scale (VAS1) and stated the duration of tinnitus for each ear. Our research showed that patients with chronic tinnitus had a characteristic audiogram with progressive hearing loss to high frequencies. Th is difference was significantly increased starting from lower to higher frequencies, and the most hearing-decreased range (“edge”) was between 2000 and 4000 Hz. We did not find a strong link between the tinnitus intensity measured by the visual analogue scale and tinnitus duration on one side and hearing loss in the studied patients and audiogram shape on the other side. The duration of tinnitus was most associated with hearing loss at 2000 Hertz, but even that was not significant.


2010 ◽  
Vol 17 (01) ◽  
pp. 101-104
Author(s):  
HAJI KHAN KHOHARO ◽  
F ATI MA QURESHI ◽  
SHUAIB ANSARI ◽  
Rizwan Javed

Objective: The study was conducted to determine the frequency of Chloroquine-resistant Plasmodium falciparum. Subjects& Methods: This was a descriptive case series study conducted at Muhammad Medical College Mirpurkhas & Liaquat University HospitalHyderabad/ Jamshoro, from January 2007 to December 2007. Total 160 patients with acute attack of fever were selected & studied who fulfilledthe inclusion criteria. The WHO extended test was done by giving 25 mg/kg body weight of Chloroquine base over 3 days. The interpretationof the test was done as per criteria laid down by WHO. Results: Out of one hundred sixty, 110 (68.75%) were males and 50 (31.25%) werefemales with ratio of 2.2:1. The age range 16-45 years with mean 28±12 years. Seventy one patients (44.375%) were Chloroquine sensitive.Chloroquine-resistance (CQR) Rl, Rll & both Rl Rll noted were 28.125%, 15.645% & 43.75% respectively. The CQR- R III was not observedin our study. Conclusions: In view of this situation, more organized and thorough studies must be conducted to elucidate the epidemiology,geographic-distribution & degree of Chloroquine resistance. And the local strategies be made to overcome this problem and to assess the needfor changing the first line drug.


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

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