Background: Tibial plateau fractures are serious injuries resulting frequently in functional impairment. Low and high-energy tibial plateau fractures usually result from axial loading in combination with valgus stress forces, present a variety of soft tissue and bony injuries that can produce permanent disabilities. Since there are various modalities for fixation of these fractures with satisfactory results, but there is no general consensus as to which modality is the best in terms of functional outcome and proving the superiority of one over the other. Aim of the study: The aim of this study was to evaluate the functional outcome of surgical management of tibial plateau fractures. Methods: It was a prospective observational study and it was conducted in the Department of Orthopaedics & Traumatology, TMSS Medical College, Bogura, Bangladesh during the period from January 2018 to December 2018. The total of cases included in the study was 56 in number. More than 20 years old patients of both sexes with tibial plateau fractures attended to the mentioned hospital during the first six months of the study were selected as the study population. All simple or Gustilo Anderson Grade I fractures of tibial plateau presenting in patients requiring open or closed reduction and internal fixation to restore the articular anatomy were finalized for this study. Result: In this study among total 56 participants 37 were male which was 66.07% and 19 were female which was 33.93%. On the other hand in this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. Final end result as per Rasmussen's criteria was excellent in 34 (60.71%), good in 9 (16.07%), fair in 7 (12.50%) and poor in 6 (10.71%) patients. Conclusion: In this study we found satisfactory outcome in 50 patients which was 89.29% and not satisfactory in 6 patients which was 10.71% among all the participants. These findings may be helpful for the future researchers for any further research in the same issue.
Background: Anaemia is a major public health problem throughout the world especially in developing countries and it is the most common nutritional deficiency disorder in the world. High prevalence of anaemia among pregnant women persists despite the availability of effective and low-cost interventions for prevention and treatment. Objective: The aim of this study was to evaluate the adverse maternal and fetal outcome in women diagnosed with moderate anaemia at term pregnancy. Methods: This Descriptive type of observational cross-sectional study was conducted in the department of Obstetrics & Gynaecology, Dhaka Medical College Hospital; from 16th September 2021 to 15th March 2022. Samples were collected by purposive sampling. Sample size was 96. Detailed demographic data were collected from the hospital case records in structured data collection form. History, clinical examination, and investigations were done meticulously. Then all information were collected in data collection sheet. Data processing work consist of registration schedules, editing computerization, preparation of dummy table, analyzing and matching of data by number of SPSS version 24. Results: This study was attempted to observe the feto-maternal outcome of moderate anaemia. Among 96 study patients, majority (37.5%) were between 21-25 years age group. There was rural predominance with 66.56%. Socio-demographic data showed that 45.8% came from lower class and 40.6% from lower middle class. Majority patients (59.28%) were housewives. According to level of education, 42.64% had only school education followed by 37.44% had no education. Among the patients, 89.6% were Muslims and 9.4% were Hindus. Among the 53 multiparous women, 21 patients (39.62%) had no history of fetal loss, 16 patients (30.18%) had history of previous abortion & 5 (9.43%) had previous ectopic pregnancies. According to the type of anaemia 81.12% had normocytic normochromic anaemia, 79.04% had Iron deficiency, 8.32 & had folic acid def
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