Objective: To know the prevalence of hypertension and diabetes mellitus among people seeking cataract surgery in the rural population. Study Design: Cross sectional study. Setting: Study was carried out at G.S.L.
Fractures of proximal femur and hip are relatively common injuries in elderly individuals. The incidence of peritrochanteric and intertrochanteric fracture is also increasing among young population, who sustain high energy trauma Rigid Internal fixation and early mobilization has been the standard method of treatment. A combination of orthopaedic surgery and early postoperative physiotherapy and ambulation is the best approach. The overall goal in the treatment of hip fractures is to return the patient to pre-morbid level of function. AIMS & OBJECTIVE: To analyse the anatomical and functional outcome of the treatment with LCP-Proximal femur. METHODOLOGY: The present study consists of 12 adult patients of peritrochanteric factures of femur satisfying the inclusion criteria, treated with Proximal Femoral Locking Compression Plate at S. V. R. R. Govt. General Hospital, Tirupati during the period of nov 2013 to Oct 2015. INCLUSION CRITERIA: Age >18years, comminuted trochanteric and sub trochanteric fractures, Signed written informed consent. EXCLUSION CRITERIA: Inter trochanteric fractures involving piriformis fossa, Compound fractures. Pathological fractures. Any displacement of a femoral neck fracture. Associated malignancy. RESULTS: Average age incidence in the present study was 62.7 years., Predominantly males (75%) were affected., Most cases occurred after a fall 10 (50%) cases which was statistically significant, Right side involvement was more common., Average post-operative stay was 13.5 days., Out of the 12 cases, evaluated using Salvati-Wilson scoring: 3 cases (25%) had good, 8 cases (66.67%) fair, 1 case (8.33%) had poor score, Average weight bearing time was14.5 weeks, Average union rate was 19.45 weeks.
Fractures of proximal femur and hip are relatively common injuries in elderly individuals. Incidence has increased primarily due to increasing life span and more sedentary lifestyle brought by urbanization. In younger population, Inter trochanteric fracture is usually the result of high-energy injury, such as motor vehicle accident or fall from height. All treatment modalities are aimed at preventing malunion and deformity. This study consist of 56 cases of comminuted intertrochanteric fractures & sub trochanteric fractures, selected randomly and treated by PFN (intramedullary device) and evaluation of their clinical outcome. MATERIALS AND METHODS: The present study consists of 56 elderly patients with intertrochanteric & sub trochanteric fractures of femur who were treated with PFN in Department of Orthopaedics S.V.R.R.G.G.H, Tirupati during the period of Oct 2010 to Sep 2015. This study was carried out to study the results of intertrochanteric & sub trochanteric fractures treated with PFN. All the 56 patients were followed up at regular interval. Inclusion Criteria included Adult Patients with comminuted trochanteric & sub trochanteric fractures. Exclusion Criteria include, Open fractures, Pathological fractures, Pediatric fractures, Patients associated with polytrauma. CONCLUSION From the study, we consider PFN as better option in the treatment of comminuted intertrochanteric & sub trochanteric fractures but is technically difficult procedure and requires more expertise. As learning curve of PFN procedure is steep, with experience gained from each case operative time, radiation exposure and intraoperative complications can be reduced in each case of PFN.
BACKGROUND Corneal blindness has been a significant visual disability in developing countries like India. Corneal ulcer contributes mainly as the leading cause for monocular blindness. Considering the common condition, the studies and literature have been surprisingly less when it comes to corneal ulcer and their management. But with the advent of therapeutic penetrating keratoplasty (TPK), the scenario and prevalence of corneal blindness can be reduced. Hence this study was done to know the importance of therapeutic penetrating keratoplasty in case of non-healing infective and perforated corneal ulcers. The objectives were to assess the clinical outcome in a non-healing and perforated corneal ulcer, reduction in symptoms and signs of infection, anatomical or structural integrity of the globe and also evaluate the visual outcome following therapeutic penetrating keratoplasty. METHODS Data were obtained from 30 patients operated at our institute for therapeutic penetrating keratoplasty. Patients with less than one year of follow up, paediatric cases, PL negative cases were excluded. The outcome was assessed based on maintenance of structural integrity, reduction in infective load, improvement in visual acuity and graft survival and its correlation with corneal vascularisation, previously failed grafts, donor tissue quality, graft size and type of surgery. RESULTS Structural integrity was maintained in 93.3 % of the cases, reduction of infective load in 90 % of cases and optically clear grafts in 46.7 % of cases and vision was better than 6/60 in 30 % of cases. CONCLUSIONS The study proved that in the case of non-healing and perforated corneal ulcers, therapeutic penetrating keratoplasty had a good prognosis in reducing infective load, maintaining structural integrity without which eye could have been lost. KEYWORDS Therapeutic Penetrating keratoplasty, Perforated corneal ulcer, non-healing corneal ulcer, corneal blindness, TPK
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