Background:High-velocity trauma, associated injuries, risk of iatrogenic devascularization of fragments and need for maintaining alignment upto union make comminuted fracture in pediatric femur a formidable fracture to treat. This comparative study was conducted to evaluate the outcomes of two modes of management in such cases: titanium elastic nailing supplemented with external fixator and submuscular bridge plating (BP).Materials and Methods:Thirty eight children (aged 6–12 years) with comminuted fracture shaft femur who were randomized into two groups underwent systematic evaluation. One group was operated with titanium nailing with temporary external stabilization by fixators (titanium nailing with external [TNE] group) for 4 weeks. The other underwent submuscular BP with locked plates (BP group). Clinical and radiological outcomes, operative time, blood loss, radiation exposure, difficulties in removal and complications were evaluated.Results:Both groups achieved union (10.7 ± 1.9 weeks BP, 11 ± 1.6 weeks TNE), satisfactory knee flexion (138.2 ± 6.4° BP, 136 ± 7.3° TNE), and painless weight bearing (7.3 ± 0.9 weeks vs. 7.3 ± 1.4 weeks) in acceptable alignment. Functional outcomes were excellent in majority of both BP (15 of 19) and nail external fixator groups (15 of 18). Operating time and radiation exposure (69.5 ± 14.5 s vs. 50.9 ± 12.9 s) were more in TNE than in BP (P < 0.01). However, implant removal was more difficult in BP (56.4 ± 12.4 min in BP vs. 30.1 ± 8.8 min TNE). Pin-tract infections (n = 3) and hardware prominence (n = 2) in TNE group and deep infections (n = 2) in BP group were notable complications.Conclusion:Two groups were similar in radiological and functional outcomes. Inserting elastic nails and external fixator was a more exacting surgery, while removal was more difficult in BP group. Both techniques had acceptable success and complication rates.
Background: Radial neck fractures in children are a rare injury, and the timing of surgery as well as the surgical technique will determine how well they respond to treatment. When the tilt surpasses 60 degrees, radial neck fractures in children are signicant injuries with frequent after effects. In these situations, conservative treatment is frequently insufcient, and open reduction may result in iatrogenic consequences. Retrograde intramedullary nailing of the radius is one method of treating dislocated radial neck fractures in children (the Metaizeau technique). Aim: The purpose of this study was to evaluate the functional outcome of Metaizeau technique. Methodology: After taking proper consent and ethical clearance a prospective study was conducted in 16 cases of closed radial neck fractures in children aged 6-12 years without any neurovascular decit. Patients were treated by Metaizeau technique at Jorhat medical college and Hospital from 2021-2022 and were followed up at 2 weeks, 4 weeks, 6 weeks, 10weeks and 12 weeks. Result: In this study, it is found that this technique is safe and effective in treating radial neck fracture in children. The fracture should be reduced within 7 days of injury. Later on, fracture reduction will be difcult because of brosis and fracture healing. In our study, average age was 9 years. Males were affected more than females and the common mode of injury was fall on outstretched hand. All cases achieved radiological and clinical union by 6 weeks. All cases achieved comparable exion-extension of elbow, supination-pronation of the forearm (as compared to healthy side). Average MEPS was 82.19 which was quite remarkable. Only one patient developed entry site pressure necrosis by cut end of TENS nail. The other disadvantage of this technique was need of second surgery for tens removal. Metaizeau technique is a minimally Conclusion: invasive technique with easy learning curve, minimal tissue damage, and reduced chance of elbow stiffness and osteonecrosis of radial head. Our results are within the acceptable range of satisfactory outcomes, if not more towards the better end of the outcomes quoted in literature.
Cerebral malaria is a clinical syndrome that is marked by the asexual parasitic form, 'plasmodium falciparum.' Early diagnosis can help in avoiding fatal and long-lasting neurological outcomes, such as severe psychosis, metabolic acidosis, and hypoglycemia. Therefore, the developed model aims to detect the same for narrowed down symptoms associated with the same. The design is divided into the following functions: the recognition of potential seizures in the patient and the identification of parasitic blood cells. In the first half, the deep-learning algorithm consists of a Neural Network Sequential model to grasp the exclusive electroencephalogram (EEG) features of epileptic seizures and also reveal the correlation between data samples that are successive to each other. The latter work focuses on inspecting the decompressed blood cells images that are fed into a deep convolutional neural network to distinguish parasitized cells from healthy cells. With this, the transfer of medical findings is also made effortless since compression of images is done without loss of valuable information.
In this world of digitization, Social Media Marketing is a vogue that is sweeping across the whole world. The trend of Social Media Marketing is growing day by day with the concepts of Internet marketing which is turning into an important platform for Social Media Marketing. Companies incorporating innovative Social Media Marketing techniques have created a niche market. In fact, social media is now seen as one of the main conventional forms of marketing. Social Media Marketing is going to be top on the agenda of many marketers, and they might be looking for innovative ways to market online, reduce cost per lead, increase click-through rates and conversion rates, and discover what’s hot in Social Media Marketing.
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