Introduction: Teaching learning in the times of Covid 19 pandemic needs to be revamped in order to follow norms of social distancing. Therefore, online classes are a necessity now.Methodology: We registered our institution on Microsoft Teams under educational institutes. Entire college faculty was registered along with undergraduates and post graduate students. E- classes were planned after a professional demonstration.Results: The feedback of e classes given by students was encouraging. They were satisfied by the teacher’s way of delivering lecture. The students felt, on line classes are almost similar to offline classes. The main hinderance in e-classes was internet connection.Conclusion: The e classes helped to continue the teaching learning activities during restrictions because of Covid19 pandemic
Background:Displaced intraarticular distal humerus fracture has been conventionally treated operatively with various triceps disrupting approaches. These approaches are associated with several complications, such as triceps weakness, nonunion or delayed union of osteotomy, implant prominence, and delayed mobilization of the elbow. We present the functional outcome of intraarticular distal humerus fracture fixation using a triceps-sparing paratricipital approach which allows early elbow mobilization and preserving triceps strength.Materials and Methods:Twenty five patients with intraarticular distal humerus fracture were operated using triceps-sparing paratricipital approach with orthogonal plate construct. There were 16 male and 9 female patients and average age was 42.16 years (range 23-65 years). The mechanism of injury was fall from height (n = 8), road traffic accident (n = 13) and ground level fall (n = 4). Clinical, radiological, and functional assessment with Mayo Elbow Performance Index (MEPI) were obtained at follow up period.Results:All fractures united primarily. At the mean follow up of 13.58 months (range 6-22 months), mean elbow flexion was 121.08° (range 94°–142°) and mean motion arc was 114.92°(range 65°-140°). The mean MEPI score was 94.40 points (range 70–100) with 17 excellent, five good, and three fair results. The mean flexion deformity or extension loss was 6.16° (range 5°–15°).Conclusion:Open reduction and internal fixation of intraarticular distal humerus fractures with triceps-sparing paratricipital approach provide adequate exposure with no adverse effect on triceps muscle strength and allows early initiation of elbow motion. We analyzed, age and injury to surgical interval with relation to functional range of elbow using Z-test which is insignificant.
Introduction: Surgical site wound closure plays vital role in post-operative success. The use of either sutures or staples for skin approximation is a frequently debated issue. We compared the outcome of using staples versus sutures in elective orthopedic surgical procedures. Material and Methods: Study was conducted in tertiary care teaching hospital in central India over a period of 2 years which included all patients aged between 18 to 80 years undergoing elective open surgeries. Computer generated random number randomized them in two groups. Skin closure was done by either monofilament nylon or metallic staples. The wounds were assessed for infection, wound dehiscence, pain during removal on the basis of VAS pain scale. Follow up was done in the 6th week in terms of patient satisfaction using visual analogue scale (VAS) and validated cosmesis scoring system Hollander Wound Evaluation Score (HWES). Results : Total 503 wounds were included in this study (262 in suture and 241 in staple groups), 14 (5.3%) wounds were culture positive in the suture group within 8th postoperative day as compared to 36(14.9%) in staples group with χ2 9.65 and (p=0.002) which is significant. 320 wounds with >10cms incision were analyzed (166 in suture and 154 in staple group) out of which 12 (7.22%) were infected in suture group and 24 (15.5%) in staple group with χ2 was 7.6 and (p=0.006) that statistically significant. Conclusion:We found a statistically significant higher incidence of superficial wound infection following skin closure by metallic staples as compared to monofilament nylon.
Background: Since December 2011, a non-governmental organization (NGO) has been associated with our clubfoot clinic. Debates related to the effectiveness of NGOs in clinical milieu have raged on for a long time. The aim of this study was to analyze the effectiveness of an NGO in supporting the running of a clubfoot clinic in a tertiary care center. Methods: A descriptive, observational study was conducted from October to December 2014. The three main conceptualizations of effectiveness namely goals, resources and reputation were evaluated for this study, and to analyze them, we compared our treatment data with other published reports, and devised a ten-point questionnaire looking into the working of the NGO. This questionnaire was given to all parents (49) of children with clubfoot attending the clinic and also to an independent observer who was present at the time of patients’ interactions with the counselor. The significance of patients’ and observers’ response was tested by Wilcoxon matched-pairs signed-rank test. Results: 138 cases with 228 feet were registered in the clubfoot clinic till the end of our study. The average number of visits by the patients was 6.67 and 69.47% of cases required tenotomy during the course of treatment. Of the 49 patients, 33 (67.35%) graded the role of the NGO as excellent, while the rest showed a good response; 28 observers (57.14%) responded as excellent. The average score of parents towards role of the NGO was significantly higher than the observer’s score. Conclusions: The NGO associated with our clubfoot clinic successfully supported formal health care professionals.
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