Congenital club foot is the most common congenital deformity of the foot. Its characteristics presentation of equinus, varus, adductus and cavus deformities makes it easily recognizable. The estimated ratio is 1 or 2 per 1000 live births.It is a complex deformity that is difficult to correct. The goal when treating idiopathic clubfoot is achieve a foot with appearance and function that are nearly normal. There various types of treatment options for correction of the foot. (1) conservative, (2) surgery. The most frequently used surgical approach is posterio medial release which has many variation. However, long term follow up studies showed that the results of surgical treatment are disappointing. Ignacio Ponseti MD is the man who changed the previous treatment plan of club foot. Ponseti developed his method of club foot manipulation based on his understanding of normal anatomy of subtalar joint. In OPD of Rajshahi Medical College Hospital we studied 262 patients with congenital club foot, in which 188 were male and 74 were female. Total number of tenotomy undertaken 172, patients using braces 200. In our short term follow up our result is encouraging. TAJ 2011; 24(1): 26-29
Tennis elbow is a common and well defined clinical entity. It is an extra articular affection characterised by pain and acute tenderness at the origin of the mainly extensorcarpi radialis brevis, but can involve the tendons of the extensorcarpi radialis longus and the extensor digitorum communis. It is also called lateral epicondylitis. Various types of treatment option for this disease that is conservative and operative. An injection of autologus blood might provide the necessary cellular and humoral mediators to induce a healing cascade. The purpose of the study was to evaluate result of epicondylitis treated with autologus blood injection.Total 19 patients with tennis elbow treated in this study.Among the patients 9 were male and 10 were female.Age of the patients were 25yrs – 60yrs, average 41.63yrs. All patients had failed previous non-surgical treatment. Duration of the pain 1 month to 6 months. All the patients got autologus blood injected every 21 days interval (one or three times). Before autologus blood injection average pain score was 6.2 and average Nirschi score was 5.8. After autologus blood injection pain score and Nirschi score decreases 2.2 and 2 respectively. Average follow-up period was 7 months.TAJ 2013; 26: 79-81
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