Discoloration of tooth can be extrinsic or intrinsic based on its etiology, site, appearance, and severity. It poses esthetic problem which could be a prime concern for many patients, especially in anterior region of teeth that may be compromised due to previous trauma, caries, or failed restorations. Bleaching is a more conservative approach which is noninvasive as compared with other prosthodontic options like crowns or veneers. Among various bleaching techniques, "Walking bleach technique" is preferred, as it provides better cosmetic outcome with limited side effects. However, some modifications of it were also introduced. This article aims at presenting a case series on walking bleach method performed on endodontically treated teeth showing good prognosis and superior esthetic results (with no reversal of tooth discoloration).
Background: The frozen shoulder is very common problem in India and usually could occur as idiopathic or trivial injury. Management modality is usually conservative and physiotherapy because of self-limiting nature of disease. Role of corticosteroid injection are usually effective for short period time but newer Orthobiologic agent like PRP injection are equally effective and minimal and no side effect. Material and method: In our study, total 50 patients were taken of adhesive capsulitis in period October 2018 to February 2020 and divided into groups randomly and PRP injection and corticosteroid injection was given and clinical outcome was recorded. Result: In our study, female are more affected then male, usually occur in age 40 to 60-year age group. The final outcome at 3 month post injection 20% patients with excellent, 48% with good and 32% with poor outcome with PRP injection group and for CS injection group this was found as 16% excellent, 36% good and 48% poor outcome. Conclusion:We concluded PRP and MPS showed efficacy and strong evidence in support significant effect of PRP, where steroid contraindicated or refused by patient in the treatment of frozen shoulder. However, inj. Methylprednisolone has sudden onset of action because of anti-inflammatory action with respect to inj. PRP, so has better result at 1 week follow up post injection but in long term (at 3 months follow up) inj. PRP has better effect in compared to injection MPS.
Introduction: Intertrochanteric femur (IT) fracture is a common fracture in old age. The cause of long morbidity and mortality in I/T femur is malunions, nonunions, respiratory tract infection and bed sores etc., As we routinely do treatment modality like DHS and PFN are time tested but with availability of better cemented modular bipolar techniques and implant mortality and morbidity can be reduced. Aims and objectives:To study functional outcome of cemented modular bipolar for management of unstable intertrochanteric fracture femur in elderly osteoporotic patients. Method and Materials: 60 yrs. and above 30 patients who were admitted and operated between november 2017 to march 2019 and had fulfilled the inclusion criteria were enrolled for this study. Cemented modular bipolar was done, Total numbers of patient 30, of mean age of 70.2 yrs and F:M ratio is 19:11. A follow up period of total 1 years. Follow up was done at 6 week, 3 months, 6 months and at 1 year by Harris Hip Scoring System assessed post operatively. x ray and bone scan was done to asses osteoporosis. Result: For result assessment and evalution we use, Harris hip score, Chi-square test, T-test, and statistical analysis. Our P value< 0.05 was considering significant. In our study we get 1 had superficial wound infection, no one had deep infection or pulmonary infection. Over all very less post operative complication and early mobilisation and ambulation was done, excellent result at the end of 1 yr patient who follow up all had good to excellent results. Conclusion: Functional recovery and early post operative Harris hip score were excellent in osteoporotic patients treated with cemented modular bipolar as compared to routine internal fixation group. Post operative complications were more with DHS and PFN due to osteoporotic bone than cemented modular bipolar group and were comparable with other studies. Thus in conclusion, primary cemented modular bipolar does provide a stable, pain-free, and early mobile joint with acceptable less complication rate as seen in our study; however a larger prospective randomised study comparing the use of dynamic hip screwand proximal femur nail devices against primary cemented modular bipolar for unstable intertrochantric fractures in osteoporosis will be needed.
Introduction: Globally, Clubfoot is the most serious cause of physical disability among congenital musculo skeletal defects. Etiology and risk factor are unknown but there is female predominance and increased prevalence in monozygotic twins. The goal of study to provide a brief knowledge regarding management of clubfoot via Ponseti mesthod i.e. simple manual correction of Deformity and plaster cast application and to reduce the need of extensive surgery for the clubfoot. Aims and Objectives:To analyze the efficacy of Ponseti's method in management of CTEV and To evaluate the outcome of Ponseti's method for treatment of clubfoot and to compare the result between two age group i.e. less than 3 months of age and between 3 months to 1 year of age. Material and Methods: For study purpose two groups were made with 50 babies in each group with congenital idiopathic clubfoot. Group A 50 babies from birth to upto 3 months of age and Group B of 50 babies from 3 months-1 year of age were selected from outdoor patient department at Depts of Orthopaedics, RNTMC & Hospital, Udaipur from 1st July 2017 to 31st May 2019. Results: Group-A Required less number of casts (1.2) as compared to group B(1.6) for Cavus correction, Required less number of cast (2.6) as compared to group B(3.2) for correction of Varus & Adduction, Required no surgical correction or procedure except than Percutaneous Tenotomy. Conclusion: At the end of study all babies were free from deformity and having flexible, plantigrade, cosmetically acceptable foot which implies that Ponseti method can be used easily up to 1 year of age. The Ponseti method is very useful in our country which having less resources and huge patient load.
<h2>Background: Management of high energy tibial plateau fractures along with extensive soft tissue damage is still challenging to many orthopaedic surgeons. This study evaluates the purpose of hybrid external fixator intreating high energy tibial plateau fractures with minimal invasion and accurate reduction.</h2><h2>Methods: Twenty patients with high energy Schatzker type V and VI tibial plateau fractures with severe soft tissue injury were enrolled into the study in RNT medical college, Udaipur.</h2><h2>Results: The results- bony union, range of movements and associated complications were assessed. All fractures united in an average time period of 20 weeks. Ten patients developed knee stiffness, five patients developed delayed union andthreenon-union.15 patients required split skin graft. Final outcome showed excellent score in 53 patients.</h2><h2>Conclusions: Hybrid external fixation is a safe option for managing complex high energy tibial plateau fractures by simultaneously providing adequate fracture stabilization and necessary protection to soft tissue healing to achieve bony union.</h2>
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