Introduction:Fishing is a leisure activity for some people around the world. Accidently the fish hook can get hooked in the hand. If the hook is barbed, removal becomes difficult. We report a case of such a injury in the hand and discuss the technique for its removal with a brief review of the literature.Case Presentation:A thirty-two year old male accidently suffered a fishhook injury to his hand. He came to the orthopaedic ward two hours after the incident with pain; the fish hook was hanging from the hand. Unsuccessful attempts to remove it were made by his relatives. A push-through and cut-off technique was used for removal of barbed hook.Discussion:Barbed hooks are to be removed atraumatically with controlled incision over properly anaesthetised skin. Proper wound management and prophylactic antibiotics suitable for treatment of Aeromonas species should be initiated to prevent complications.
Background:Management of distal radius fractures (DRFs) is still controversial and may be influenced by the initial fracture classification. Even though numerous classification systems have been proposed in this regard, the evaluation and management of this fracture has remained problematic.Objectives:The purpose of this study was to evaluate the functional outcome of DRF managed on the basis of a new classification. This classification named as Barzullah Working Classification represents a modification of Melone classification, which is based on fracture stability.Patients and Methods:A total of 310 DRFs of patients skeletally matured referred to a tertiary care hospital at a period of 18 months were classified as per the new classification system into four types; metaphyseal stable, metaphyseal unstable, radiocarpal stable, and radiocarpal unstable fractures. They were managed and followed over a mean period of 15.10 ± 5.4 months, and the results were recorded at the final follow-up.Results:The mean age of the patients was 51.22 ± 20.58 years. Most of the patients were females (n=189, 64.19%). The minimal follow up was 6 months with a mean of 15.10 ± 5.4 months. Mean mayo wrist scores were 95 ± 4, 80 ± 7.4, 75 ± 7.4, and 70 ± 6.9, for stable metaphyseal fractures, unstable metaphyseal radial, stable radiocarpal fractures and unstable radiocarpal fractures, respectively. The overall mean mayo wrist functional score was 80.58 ± 12.3 (good results) at final follow up.Conclusions:Various modalities of treatment used differentially in different types of DRFs based on the Barzullah Working Classification give good results in spite of conflicting literature.
Introduction:The characteristic morphology of the proximal extremity of the femur and the muscle balance of the hip are factors that make weight bearing possible among patients. Restoration of neck shaft angle is as important as union because if neck shaft angle is not restored, it can lead to disability. Recent studies have been conducted with the intention of showing the relationship between fracture of the proximal extremity of the femur and the anatomical configuration of the hip. This study was a prospective one to evaluate neck shaft angle after DHS fixation in intertrochanteric fractures. Patients and Method: Prospective study done on 25 (13males and 12 females) patients who were operated by a single surgeon. Evaluation of neck shaft angle in non-fractured side and the restoration/change in neck shaft angle on the operated side after surgical fixation with DHS, radiographs taken with both hips in 15 degrees of internal rotation. Result: All fractures got united, average age of patients was 58 years, varus malunion in 2 cases and valgus in 4 cases. Average NSA on normal side was 136±4 and on operated side it was 126±4 degrees. Conclusion:The neck-shaft angle is the most important parameter after fixation of intertrochanteric fracture by DHS, we must preserve the near normal angel after fixation to avoid valgus and varus malunion.
Introduction: Fracture neck of femur has always presented a great challenge to the Orthopaedic surgeons. Results depend upon adequacy of reduction and stable fixation. Fixation with cannulated cancellous screws is usually adequate for femoral neck fractures. The aim of the study was to analyze the results of treatment of fracture neck of femur with cannulated cancellous screw fixation using BDSF method. Materials and Methods: This prospective study was carried out in the postgraduate Department of Orthopaedics, Govt. Bone and Joint Hospital, an associated hospital of Govt. Medical College Srinagar from 2019-2021. A total of 25 patients who presented in the department with femoral neck fractures and qualified the inclusion criteria were included in the study. Results: Among 25 patients 12 (48%) patients achieved excellent results, 8 (32%) patients achieved good results, 3 (12%) patients achieved fair results and 2 (8%) patients achieved poor results. 80% of the patients achieved either excellent or good result. Conclusion: BDSF is a novel method of fixation of femoral neck fractures, associated with higher axial fixation strength and union rate compared to conventional fixation methods. It employs bi-plane positioning of three cannulated screws placed at steeper angles to the diaphyseal axis.
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