Hydatid disease is helminthic infection caused by tape worm echinococcus granulosis. It commonly involves liver (65-75%) and the lungs (25 to 30%). Involvement of bones and skeletal muscle is very rare, i.e. 3 to 5%. This is the report of a 21-year girl, city resident, presented with mass involving left proximal thigh. The mass was painless and had gradually increased in size over three years. MRI revealed solid cum cystic lesion in vastus medialis muscle. Tru-Cut needle biopsy of the lesion revealed necrotic material. Intraoperative findings were of different sized cystic lesions, typical of hydatid cyst. The cysts were removed intact. No recurrence was seen in 11-month follow-up. Hydatid cyst involving skeletal muscle is very rare entity, but should be considered while making differential diagnosis of soft tissue mass.
Objective: The objective of the study was to determine the knowledge, attitude and practices of surgical interns, residents and surgeons in the time of COVID-19.Methods: A cross-sectional study was conducted on surgical interns, trainees, registrar and consultants working in public and private sector tertiary care hospitals of Karachi. The non-Convenience sampling technique is used. A total of 184 patients were included. The study was performed on assessing patients' demographics, basic knowledge and awareness of COVID 19 and individuals' practices toward COVID 19 in their professional routines. Data were stored and analyzed using IBMSPSS version 23.0. Pearson Chi Square test was used to test the association outcomes, awareness and attitude items on COVID-19 between private and public sector hospitals. P-values less than 0.05 were considered statistically significantResults: The study comprised a total of 184 participants. Mostly from public 115(63%) rest 69(37%) belonged private sector hospitals. Most respondents 122(66.3%) were aware of COVID 19 incubation, symptoms and the detection of patients at risk and modalities of transmission in operating rooms.Results showed among public vs Private sector hospitals (81.7% / 68.1%) were treating corona virus, there were (35.7% / 46.3%) screening and admitted the cases, (56.5% / 62.4) tentative numbers of COVID-19 cases reported range from 0-25, (40.9%/ 11.6%) surgeons were assigned additional duties for COVID -19 by hospital management found statistically significant with "p<0.01".Conclusion: It is concluded after this study that the surgeons in Pakistan are well aware of the situation, have adequate knowledge of the risk factors and symptoms of COVID-19. But statistically, probably because of limited resources and workload, there is a substantial gap in practices between public and private sector surgeons. There is also a dire need to develop local guidelines related to preventive measures in our health care systems according to our demands and supply.
Background: To determine the frequency of tibial diaphyseal fractures among patients presenting with motorcycle accidents. It was a cross-Sectional Study, conducted at Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi between May to December, 2020. Methods: All patients irrespective of gender, between ages 18–60 years who suffered from a motorcycle injury with a single bone involvement were eligible for the study. All patients who refused to take part in the study, had head injury, or had multiple fractures were excluded from the study. The data included patient's age, sex, associated bones involved and types of injury. The fractures were classified according to whether it was open or closed. Results: A total of 174 patients were included in the study with a mean±SD age of 43.7±12.4. Tibial diaphyseal fracture was found to be in 111 (63.8%) patients as shown. Duration of fracture, gender, side of fracture, type of fracture was done with respect to Tibial diaphyseal fracture among patients. Insignificant difference was noted in age group (p=0.346), duration of fracture (p=0.087), gender (p=0.672), and type of fracture (p=0.063) whereas significant difference was found in side of fracture (p=0.0001). Conclusion: We highlighted the importance of tibial diaphyseal fractures in middle aged men who use motorcycles as a means of transport in Karachi, Sindh which is a frequent finding among these patients. Efforts should be made at both the community and government levels to increase awareness regarding traffic rules and consequences of reckless driving.
Objective: To compare the functional outcomes of close reduction percutaneous pinning versus open reduction internal fixation with pinning in children with Gartland type-III supracondylar fracture of the humerus. Study Design: Quasi-experimental study Place and Duration of the Study: Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Center, Karachi Pakistan,from Sep 2019 to Aug 2020. Methodology: A total of 98 patients aged of 2 to 15 years, of either gender, with Gartland type III supracondylar fracture were included in the study. By blocked randomization, patients were randomly assigned into two groups (49 each), Group-A (CRPP) and Group-B (ORIF). All of the patients were prospectively followed up after six months, assessed for the functional outcome according to Flynn's criteria, and classified as satisfactory and unsatisfactory based on functional and cosmetic factors. Results: The mean age in our study population was 8.2±3.4 years and 7.1±2.3 years in ORIF and CRPP Groups, respectively.The right arm was shown to be more commonly involved than the left arm in our population demographics, and RTA was determined to be the most frequent cause of supracondylar fractures. Functional outcomes were satisfactory for 68 individuals (69.4%), out of which 40(40.8%) belonged to the ORIF Group, and 28(28.6%) belonged to the CRPP Group, respectively. Conclusion: It is to be concluded that a significant difference was noted in terms of satisfactory outcomes between CRPP versus ORIF in the treatment of supracondylar fracture of humerus in children and that ORIF can be considered a valid firstline treatment for Type III supracondylar humer........
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