This prospective descriptive study aims to assess the importance of the immediate hip spica in a fracture of the femoral shaft in children at the Orthopedic Department of Liaqat University of Medica and Health science Jamshoro, Pakistan, for a one-year duration from June 2019 to June 2020. All children 1 to 5 years of age with femoral fractures who were admitted to the Orthopedic department within seven days of injury were included in the study. A total of 35 children, 24 (68.6%) boys and 11 (31.42%) girls, with a mean age of 3.8 years, were treated with an immediate hip spica cast. Their ages ranged from 1 to 5 years. The time of immobilization of the Spica cast ranged from 4 to 6 weeks (mean 5.4 weeks). In the second week, seven (22.85%) children had spica wetting, and breakage and reinforcement of spica was done, and 5 (14.28%) children had a spica wedging, and casting was applied to fix the angulation. No extension or hypertrophy was observed in the fractured limb. We concluded that immediate hip spica casting is a safe, inexpensive and definitive treatment of femoral shaft fractures in children aged 1-5 years.
Aim: To assess the efficiency of intra-articular platelet-rich plasma (PRP) injection in grade I and grade II osteoarthritis in the knee joints Study design: A longitudinal study Place and Duration: This study was conducted at Murshid Hospital and Health Care Center Karachi Pakistan from January 2021 to June 2021. Methodology: The ages of the patients were between 35 years and 65 years. All the patients were diagnosed with osteoarthritis of grade I and grade II. A total of 3 injections of PRP were injected intraarticular in the knees at an interval of 4 weeks. Patients were asked to come for a follow-up in the outpatient department. They were assessed for physical mobility and pain related to arthritis using the WOMAC score. The assessment was done when the treatment was given and after 6 months. Results: A total of 250 patients were considered in the present study. The mean age of the patients was 55.63±5.65 years. The ratio of disease in females to males was 3:1. A total of 178 patients had grade I osteoarthritis and 72 patients had grade II osteoarthritis according to Kellgren–Lawrence classification. A total of 210 patients had reported experiencing symptoms for less than 2 years and the remaining 40 had been experiencing the symptoms for more than 2 years. The mean WOMAC score was 82.9 before the treatment was started and it was 39.15 after 6 months of the treatment. The improvement of WOMAC score was more in the patients having symptoms for less than 2 years. Minor hyperemia was seen in 4 patients and those patients were managed conservatively by ice application and activity limitation. None of the patients showed signs of infection. Conclusion: The intraarticular injection of PRP proved to be beneficial and effective in the treatment of grade I and grade II early osteoarthritis. Keywords: Osteoarthritis, Platelet-rich plasma, PRP, knee joint
Objective: To determine the treatment outcome of the closed diaphyseal humeralfracture treated with dynamic compression plate at Liaquat university hospital Hyderabad.Materials and methods: Total 30 patients having displaced diaphyseal humeral fracture wereincluded in the study. All the patients having fracture of less than 10 days and between the ages15 – 45 years were selected. All the patients selected after counseling and diagnosed as a caseof closed diaphyseal humeral shaft fracture on the basis of clinical examination and X-rays.In this study dynamic compression plates (DCP) were used for stabilization of humeral shaftfracture as assessed by pre operative workup, operative findings and outcomes were recordedwith postoperative complications. To avoid the radial nerve palsy it is isolated during operativeprocedure. Results: Present study was comprises of 30 patients with humeral fracture with themean age of 30.29±8.92 years and male/ female ratio of 7:3. On the radiological findings mostcommon type of fracture was oblique in 54%. From the complications, postoperative pain wasfound in 6.6% of the cases along with postoperative Infections in 10%. 90% fractures unitedwhile 10% fractures found with non union. Excellent result were seen in 60% of the cases, while30% cases were noted with satisfied results and very poor results were found in 10% of thecases. Conclusions: It is concluded that DCP is the good option for the fixation of diaphysealhumerus fracture. Radial nerve palsy is less likely if isolated during operation.
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