Outcome of minimally invasive fixation of distal extra-articular femur fractures with locking plates in patients of age 60 years and above seems to be good with high union rate despite high prevalence of osteoporosis and comminution.
Background Intertrochanteric fractures are fractures of elderly population and are known for morbidity and mortality. Early stabilization with minimal surgical trauma is important for early mobilization to prevent recumbence-related complications.
Methods This prospective study was conducted on 50 stable intertrochanteric fractures that were managed by fixation with a small two-hole dynamic hip screw –(DHS) side plate using a minimally invasive technique. The surgical time, intraoperative blood loss, length of the skin incision, duration of hospital stay, time to full weight bearing and fracture union, and complications were recorded.
Results The mean age of the patients was 60.2 years with 64% belonging to male sex. The mean operative time, average blood loss, and mean incision length were 35.6 minutes, 68.4 mL, and 3.7 cm, respectively. Time to bone healing ranged from 10 to 16 weeks (mean 13 weeks). Two patients had hip screw backout but that did not interfere with failure of fixation.
Conclusion Stabilization of stable intertrochanteric fractures with two-hole DHS using minimally invasive approach is a viable option with negligible complication rate related to failure of small DHS side plate.
BACKGROUND:
Iodine deficiency is a major cause of brain damage in childhood which can be prevented. Dietary deficiency of iodine is mainly responsible for iodine deficiency. This study was done to determine the prevalence of goiter among school-aged group of 6–12 years in district Ganderbal.
MATERIALS AND METHODS:
This was a cross-sectional study done among children of 6–12 years in district Ganderbal.
RESULTS:
Out of 2700 children examined, Grade 1 goiter was found in 90 (3.3%) children and Grade 2 goiter was found in 6 (0.3%) with a total goiter rate (sum of grade first and grade second) of 3.6%. On analyzing the urine samples, about 19.1% of the children had mild to moderate iodine deficiency.
CONCLUSION:
The study showed mild goiter prevalence in school-aged children of 6–12 years in the Ganderbal district of Kashmir valley. Continuous periodic surveys to assess the magnitude of the iodine deficiency disorders (IDD) should be undertaken to ensure that we achieve sustainable elimination of IDD in India.
Introduction: Pediatric femoral neck fracture is an uncommon injury with a high complication rate, regardless of the appropriate diagnosis and management. The bony anatomy and blood supply of the proximal femur in a skeletally immature patient differs from those in adult patients. Pediatric femoral neck fractures are categorized using the Delbert classification system. This classification guides management and aids clinicians in determining the risk of avascular osteonecrosis. Aim and Objective: Aim of this study was to develop a guideline for the management of femoral neck fracture in children rapidly and accurately with fewer complications based on the best available scientific evidence. Materials and Methods: Thirteen children with fractures of femoral neck were included in this study. The enrolled patients presented in the emergency department of Bone and Joint Hospital, an associated hospital of Govt. Medical College Srinagar from June 2019-May 2020. Results: Using the clinical and radiological assessment by the Ratliff system, 9 (69.23%) patients had a good clinical outcome and 4 (30.77%) had fair outcomes. We did not encounter any patients with a poor outcome in our series. Of the 4 patients with fair outcomes, 3 had AVN and coxa Vara and 1 had a deepseated infection of the hip leading to arthritic changes of the hip.
Conclusion:In the management of pediatric femoral neck fractures, the early closed reduction and fixation may be effective to improve results and prevent long-term complications.
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