Background and objective: Wounds are a major source of morbidity, lead to considerable disability, and are associated with increased mortality; therefore, they have a significant impact on public health and the expenditure of healthcare resources [1] . Vacuum-assisted closure (VAC) uses negative pressure to assist wound healing. Negative pressure drains fluid from the wound, thus removing the substrate for growth of microorganisms. Negative pressure may also accelerate granulation tissue formation and promote angiogenesis. The mechanical stimulation of cells by tensile forces may also play a role by increasing cellular proliferation and protein synthesis. Negative pressure wound therapy (NPWT) involves the use of a negative pressure therapy or suction device to aspirate and remove fluids, debris, and infectious materials from the wound bed to promote the formation of granulation tissue. Materials and Methods: A total of 30 post-operative infected wound cases presented in between December 2019 to August 2021 were taken for study. Each case was examined clinically in systematic manner as per the proforma drafted. VAC dressing was done and all cases were followed up to discharge and subsequently for a follow up on 10 th day. Results: In our clinical study of 30 cases managed by VAC dressing, 30% of the cases were of postoperative infected wounds of radius & ulna, 13.3% humerus, 23.3% femur, 23.3% tibia, 3.3% spine, 3.3% calcaneum, 3.3% metatarsals. By the completion of VAC therapy none of the cases required a revision surgery or implant removal. There is a progression of healthy healing in all the cases (100%). Commonest organisms isolated were Staphylococcus, Pseudomonas and Proteus. Interpretation and conclusion: In our study VAC therapy enhanced granulation tissue formation leading to better wound healing, and faster recovery. VAC is thus a promising new technology in the field of wound healing with multiple applications in a variety of wounds and can be used in both acute and chronic wounds, salvage procedures or as an adjuvant therapy to improve the results of various surgical procedures.
Background: In the supra and intercondylar fractures of femur particularly with intra articular extension, patient may develop stiffness of knee, shortening, rotational deformities, internal derangement of knee with instability, varus and valgus deformities which affect patient's routine lifestyle. If these cases were treated with locking compression plate, the results obtained were successful, superior, timesaving providing early ambulation and least disability improving the functional outcome. Materials and Methods: This is a prospective interventional study. This study includes 25 supracondylar and intercondylar fractures of femur (both Muller's Type 'A', Type B and Type 'C' fractures) treated with open reduction and internal fixation by Locking Compression Plate in the
Background: Hip femoral neck fracture (FNF) accounts for 50% of all geriatric patient's hip fractures. Elderly femoral neck fractures are common with a significant health concern. PPF surgical care can be physically demanding due to severe inflammation, dislocation, and intraoperative fractures, with a high risk of complications. There were some prosthetic designs recorded. Aim and Objective: The aim of study was to evaluate the clinical and radiological outcome of intracapsular fracture neck of femur in elderly treated with cemented bipolar prosthesis Methodology: A prospective study to analyze the outcome of management of intracapsular fracture neck of femur in elderly treated with cemented bipolar prosthesis. Twenty cases of elderly patients with fractured neck of the femur above the age of 56 years with management of intracapsular fracture neck of femur in elderly treated by cemented bipolar prosthesis in the Department of Orthopaedics between September 2018 to April 2020. The short-term functional results were analyzed by using a modified Harris hip scoring system. Results: The patients considered were in the age group of 56 to 78 years with a mean average age of 65.25. The majority of the fractures were sub capital fractures. Our study recorded all the research participants with prosthesis as Cemented bipolar. However, even after using a Cemented bipolar prosthesis, the majority of the study participants (70%) did not experience any complications after the surgery. The medication of choice for femoral neck fractures in patients older than 60 years is cemented bipolar prosthesis. The minimal utility of bipolar hemiarthroplasty has been shown. The cemented bipolar prosthesis should be carried out in a decent setting with a medium to wide trauma or orthopedic center by a professional surgeon. The utilization of an anterior solution to the hip encourages the patient to use it. Conclusion:We conclude that management of intracapsular fracture neck of femur is a good option in elderly treated with cemented bipolar prosthesis. No mortality was observed during the study. The morbidity is not high; the operative procedure is simple, complications are less disabling.
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