Purpose: To compare the result of mid-shaft fracture radius and ulna treated by small DCP and LCP. Methods: Prospective interventional study, done in the Department of Orthopaedic Surgery, 250 Bedded General Hospital, Tangail from January, 2017 to December, 2018. The study was carried out with sample size 30 patients of mid-shaft fracture of radius and ulna. Out of them 15 were treated by DCP and screws and 15 patients were treated by LCP and screws. Results: In this study mean age in group I was 32.63±9.42 and in group II was 37.54+7.12. Male patients were 17 and female were 13 in number. Motor vehicle accident was the commonest cause of fracture found in 60% in group-I and 73.33% in group-II. In group-I, out of 15 cases all cases (100%) united with mean time of 15.87 ± 3.89 weeks. In group-II, out of 15 cases all (100%) cases united with the mean time of 14.0 ± 2.27 weeks. There was no major complication in both groups. Regarding the final outcome, excellent results in group-I were achieved with 11 (73.33%) cases while in group-II with 12 (80.00%) cases. Satisfactory results were seen in 04 (26.67%) cases in group-I and 03 (20.00%) cases in group-II. Conclusion: On the statistical point of view there was no significant difference between dynamic compression plate group and locking compression plate group for the treatment of mid-shaft fracture radius and ulna. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 106-109
Introduction: Distal tibial fractures are common orthopedic injury. These fractures involve distal tibia, sometimes with ankle joint. Distal tibial fracture may range from injuries with little or no displacement to complex fractures with significant associated injuries. Stability of these injuries depends on a combination of boney and associated ligamentous injuries. Surgical management includes MIPO/Open procedure by distal tibial locking plate and screw, this may include distal fibula fracture. The surgical management steps far superior in different aspects of outcome for the patient as the patient needs early mobilization. Methods: This prospective study was conducted in Dept. of Orthopaedic and Trauma Surgery, Shaheed Monsur Ali Medical College and Hospital, Dhaka, Bangladesh from January 2021 to December-2022. During this study we have operated on total of seven patients with distal tibial fracture sometimes involving distal fibula. All of these patients came to ER with acute injuries following RTA, fall from height etc. All of these patients were assessed pre and post operatively. All of these cases were classified according to AO classification. Results: Total seven patients included. The mean age of the patients was 32.62± 2.24 years. Maximum study patient were injured from RTA. All of them were treated by minimally invasive and open procedure. Patients were kept on follow up at regular interval. All of the patient’s plasters were removed at around after 28th POD. On consequent follow up patients could walk after brief period of physiotherapy and active exercise. There was no significant difference in the distribution of AO/OTA classification, age, gender, AOFAS score, time from injury to operation, follow-up, bone union time, delayed union, malunion and infection (p>0.05). The operation time was significantly longer in the open group than in the MIPO group: 69.59±7.21 min. for the ORIF, and 61.14±5.61 for the MIPO group (p<0.01). The hospitalization .....
Introduction: Tibia fractures are the most common long bone fractures encountered by the orthopedic surgeons and distal tibia fractures have the second highest incidence of all tibia fractures after the middle third of tibia the distal tibial fractures are unique and are considered as most challenging fractures to treat due to its proximity to the ankle joint and its superficial nature. The objective of this study is to compare two osteosynthesis systems developed for surgical treatment of distal tibia fractures: the intramedullary nailing and the MIPO technique. Methods: The study was conducted between Jan 2018 to Dec 2019. 30 patients with extraarticular distal tibia fracture treated with intramedullary nailing and MIPO technique were reviewed retrospectively and clinical outcome was evaluated according to American Orthopaedic Foot and Ankle Score. Results: 15 patients were treated with intramedullary nail and 15 with MIPO technique. Fibular fixation was done in cases where fibular fracture was at or below the level of tibial fractures. We found no difference in terms of time for fracture union, mal-union, non-union, duration of surgery and amount of blood loss. But there was significant difference in terms of infection and duration of hospital stay. Also weight bearing was possible much earlier in intramedullary group as compared to the MIPO group. Conclusion: Thus we conclude that intramedullary nailing is better choice of implant in patients with extra- articular distal tibia fractures and helps in early weight bearing and ambulation of patient with fewer complications. J Shaheed Suhrawardy Med Coll, December 2020, Vol.12(1); 33-37
Background: Gall stones are the most common biliary pathology. Subclinical hypothyroidism is not an uncommon problem in the population with thyroid disease, several explanations for a possible relation between hypothyroidism and lipid metabolism with gall stone formation proved that prevalence of gall stones is increased in patients with hypothyroidism. Objective: To find the prevalence and correlation between the subclinical hypothyroidism and gall stone disease. Methods: This is a cross-sectional study was done in the Unit-II of department of Surgery of Shaheed Suhrawardy Medical Hospital between July 2018 to June 2019, where 80 patients presented with gall stones. All the patients were assessed and prepared for cholecystectomy by detailed history, clinical examination, thyroid function test, abdominal ultrasound and others investigation needed for general anaesthesia. Results: Among 80 patients, 78.57% were in 40–59 year age group, 56 (70%) of them were female and 24 (30%) were male. Of the total number of patients, 14 of them (17.5%) had subclinical hypothyroidism and 66 (82.5%) were euthyroid. Most of patients in the subclinical hypothyroid group were showing female gender predominance with 78.57%. While the prevalence among males were found 21.43%. Dyslipidemia was present among 81.25% patients (p=0.03) having subclinical hypothyroidism and gall stones. Besides single stone was common (57.14%) among this hypothyroid group and all stones of this group were >1 cm. Conclusion: There is a gender speciûc relationship between subclinical hypothyroidism and gall stone disease. As this study sharing statistically significant in the prevalence of the subclinical hypothyroidism among females in age groupe³40 years, dyslipidemia and single gall stone. This subset of patients should be assessed for thyroid dysfunction. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 130-133
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