<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Humerus shaft fractures account for 3% of all orthopaedic injuries. Many modalities of treatment are available. Conservative treatment has been the mainstay of treatment. But now due to improvements in anaesthesia, implant design many patients having fracture shaft of humerus are operated.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We compared the operative and non operative modalities of treatment in this prospective randomised controlled trial. In 40 patients, twenty patients were treated surgically and twenty were treated non surgically between May 2012 to June 2014 in Hindu Rao Hospital, New Delhi</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Our results show faster union in non-operative patients but functional DASH scores are significantly better in operated patients. Complications are comparable in both groups. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Operative treatment for fracture shaft humerus gives better functional results in this study. Dynamic compression plating of humerus is better method than conservative method and avoids prolonged immobilization. Larger multicentric trials comparing functional cast bracing and plating are needed.</span></p>
Background: Osteonecrosis represents the death of cellular elements in the marrow which progresses in stages resulting in collapse of the femoral head and its treatment is stage specific. The aim of this study was to evaluate the role of Core decompression in the management of early osteonecrosis of the femoral head. Methods: 15 patients with Stage 1 and 2 osteonecrosis of the femoral head were studied between January 2010 to January 2013 and were followed up for a period of 3 years. Results: Mean age of the patients was 36.3 years ranging from 29 to 41 years. There was a male preponderance seen in our study. Chronic alcoholism was the most common etiological factor followed by idiopathic and steroid induced. The average pre-operative Harris hip score was 52 which significantly increased to 79.8 in the post-operative period. All patients reported excellent relief of pain in the immediate post-operative period due to resolution of bone marrow edema. Follow up MRI revealed resolution of necrosis in 10 hips with progression seen in 1 hip. Conclusion: Core decompression is a safe, inexpensive procedure which gives good functional results in terms of pain relief and improvement in the quality of life for the patient if done in the early stages of Osteonecrosis before the onset of mechanical collapse of the femoral head.
Background: Dislocations of the shoulder are injuries frequently seen in the emergency department with the anterior type being the most common. Various methods are available in the reduction of these dislocations. The aim of this study was to evaluate the role of the External rotation method (ERM) in the reduction of these dislocations and to compare the results with that of other authors as available in literature. Methods: 45 patients with anterior dislocation of the shoulder who presented between January 2013 to January 2015 reduced by the external rotation method were included in our study. Results: There was a male preponderance seen in our study with the right side being most commonly affected. The most common mode of injury was slip and fall followed by sports injuries. There were 41 primary and 4 cases of recurrent shoulder dislocations. Sub coracoid type was the most common type seen. 3 patients had associated greater tuberosity fractures out of which one patient required fixation with cannulated cancellous screws. The time taken for reduction ranged from 1.5 to 5 mins with most of the cases reduced within 2 minutes. We had a success rate of 93.3% with no complications encountered in our study. Conclusion:We conclude that the ERM is a simple, safe and easily reproducible procedure for the reduction of shoulder dislocations. It does not cause much discomfort to the patient and gives consistent reductions without the risk of iatrogenic complications associated with other methods of reduction.
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