Background Complementary and Alternative Medicine (CAM)are used for health promotion and disease treatment. Many options of CAM are exist. Methods Comparative cross-sectional studyamong residents of Yoruba and Hausa ethnicity in Ibadan, Nigeria.WHO modified cluster sampling technique wasused to select 800 respondents, 400 from each study groups. Data were collected using semi-structured, interviewer administered questionnaire. Results Lifetime CAM use was reported by 88.5% of Yoruba and 95.8% of Hausa respondents (p < 0.05) while 75.0% of Yoruba and 88.0% of Hausa were current CAM users (p < 0.05). The most commonly used CAM were unprocessed herbal preparations by 64.0% of Yoruba and 79.5% of Hausa respondents (p < 0.05). Conditions for which respondents used unprocessed herbal preparation included febrile illnesses (Yoruba 45.1%, Hausa 41.9%), gastrointestinal conditions (Yoruba 4.9%, Hausa 4.7%), musculoskeletal conditions (Yoruba 2.8%, Hausa 2.2%) as well as for health promotion (Yoruba 4.9%, Hausa 1.6%); there was no statistical difference. Predictors of lifetime CAM use were: being currently married [OR 2.22; 95% CI 1.46-3.39], Islamic religion [OR 1.63; 95% CI 1.02-2.62] and Hausa ethnicity [OR 2.24; 95% CI 1.02-4.93]. Similarly, the predictors of current CAM use were being currently married [OR 2.77; 95% CI 1.49-5.16], Islamic religion [OR 2.70; 95% CI 1.35-5.41] and Hausa ethnicity [OR 1.38; 95% CI 1.00-2.13]. Conclusion A high prevalence of CAM use was reported in both study groups. The conditions for which CAM was used were not significantly different.
Genu varum deformity in children remains a major worry for parents. Children with pathologic genu varum deformities usually undergo corrective osteotomy to correct the deformity. Several methods of osteotomy which include closing wedge lateral tibial osteotomy, dome osteotomy, opening wedge medial osteotomy have been employed. Objective: Objective of the study was to determine the usefulness of autologous fibular strut graft as a substitute for other iliac crest graft, bone substitutes and implants as graft to fill the void and maintain the patency of the open wedge and correction. Methods Seventeen children underwent opening wedge osteotomy and the ipsilateral fibular strut was harvested to maintain patency of the open wedge and fill the void. Result 15 of the 17 children had their deformities corrected with radiological union showing callus which incorporated the strong fibular strut in serial radiograghs.at 6weeks and 12weeks. All expect 2 children bore full weight at 16 weeks with satisfactory correction of the deformity. One patient has deep infections and opted for another referral facility at 16 weeks. Conclusion: Autologous fibular strut graft is a very good if not a better graft for open wedge medial tibial osteotomy due to its strength, durability in maintaining correction, its cost effectiveness, the convenience of graft harvest and limited sites of wound and pain.
Tibialization of the fibularis a procedure that requires medialization of the fibular in whole or in part to replace the function of the tibia. This could be as a result of large tibia defect due to trauma, infection or congenital loss. We report two cases of tibialization of the fibularby modifying the Huntington's procedure. Only one stage of the procedure was used to tibialize one end of the fibular in each case and then the outcome observed. Patient A is a 32year old man who hadinfected fragments of remaining right tibiafollowing gunshot injury a year prior to presentation. He underwent excision of sinus riddled skin and scars and excision of the infected segment, and tibialization of the proximal end of the fibular to the distal end of the proximal tibia prepared for it while still maintaining its natural articulation on the distal tibiofibular joint. He also had flap cover and skin grafting. Tibialization and fibular hypertrophy was noted over 1year to4year period. Patient B is a 50year old woman who was a victim of motorcycle crash. She sustained Gustillo and Anderson type 3B open distal lefttibia fracture withmuscle andskin loss. She was resuscitated and underwent an emergency tibialization of the fibular, had muscle advancement flap cover and skin grafting.Follow up for 3years showed fibular hypertrophy and painless ambulation. Conclusion: Modification of Huntington's procedure is effective in the treatment of tibial bone gap.
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