Objective:To compare the short-term functional outcome between resection and reconstruction in Mason Type II and Type III radial head fractures using Broberg and Morrey score. Methods: A prospective cohort study was conducted in the Department of Orthopedic Surgery of SMS Medical College and attached Hospitals. A total of 29 patients (15 in resection group, 14 in reconstruction group) between the age group of 20-60 years with Mason Type II and Type III fresh closed radial head fractures were included in the study. The functional outcome including the range of motion, extension lag and Broberg Morrey score were determined and compared between two groups. Results: The mean age of resection group was 44.5±6.6 years and mean age of reconstruction group was 37.1±6.2 years. The baseline characteristics . At 12-months follow-up, in Mason type II fracture, radial head reconstruction group with mean extension lag of 9.4±4.1 and mean Broberg Morrey score of 94.9±5.1 showed better results compared to radial head resection group with mean extension lag of 15.7±4.1 (p=0.022) and mean Broberg Morrey score of 88.3±5.1 (p=0.045) respectively. In Mason type III fractures, radial head resection with mean supination of 79.4±4.7, mean pronation of 74.4±4.1 and mean Broberg Morrey score of 89.8±6 showed better results when compared with radial head reconstruction group with mean supination of 64.2±4 (p<0.001), mean pronation of 59.2±8.4 (p=0.003) and mean Broberg Morrey score of 81.9±5 (p=0.031).
Conclusion:The procedure suggested in Mason type II, is reconstruction of radial head. In Mason type III due to difficulty in achieving anatomical reduction results were not good with reconstruction when compared with resection. We recommend radial head excision in Mason type III fractures where anatomical and stable fixation is not possible.
Background: In developed countries, cardiovascular diseases (CVDs) are responsible for up to 50% of the total deaths. There is evidence that job characteristics may be associated with CVDs, independently of the social status. Bank employees who deal with various types of customers, involves economic liabilities, high levels of accountability, greatly reduced physical activity, and sedentary mode of functioning may predispose for the development of various diseases like hypertension, obesity, and diabetes mellitus which are major risk factors for the CVDs. The easy and rapid calculation of a Framingham CVD risk score may assist the clinician and patient in demonstrating the benefits of treatment. Thus present study is carried out. Methods: A cross-sectional study was conducted during January 2014 to December 2015 to study the prevalence of risk factors for CVDs and to assess the cardiovascular risk among the bank employees in Western Maharashtra. By using multistage sampling method, total 340 bank employees from 40 branches were included in the study after fulfilling the inclusion and exclusion criteria. After all ethical considerations, the data were collected by using pre-designed, pre-tested and semi-structured questionnaire and then analysed using MS Excel, SPSS-22 and Primer of Biostatistics.
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