Objective. Repair of injured Achilles tendon in neglected cases is one of the difficult and challenging procedures for surgeon. Here, we share our experience with the use of two innovative techniques for repair of chronic rupture of Achilles tendon. Design. Prospective Study. Setting. Tertiary care hospital. Patients. Twelve patients with chronic Tendo Achilles rupture were followed up over a period of three to five years. Intervention. Patients were divided in two groups, A and B. In Group A, the repair was done with Gastroc-soleus turndown flap and weaving with Plantaris tendon graft and in Group B, with modified Kessler’s technique strengthened with the free plantaris tendon graft. Outcome Assessment. Clinically and by Modified Rupp Scoring system. Results. At an average follow-up of 4 years (Group A, 3.7 and Group B, 4.4 years), the majority of the patients had excellent to good results as assessed with Modified Rupp Scoring with few minor complications in both the groups. There was no significant difference in the baseline variables such as age and gender and also in the Rupp’s score between the two groups. Conclusion. The two techniques are novel and simple and have been found to be useful for repair of chronically ruptured Achilles tendon.
Congenital club foot is the most common congenital deformity of the foot. Its characteristics presentation of equinus, varus, adductus and cavus deformities makes it easily recognizable. The estimated ratio is 1 or 2 per 1000 live births.It is a complex deformity that is difficult to correct. The goal when treating idiopathic clubfoot is achieve a foot with appearance and function that are nearly normal. There various types of treatment options for correction of the foot. (1) conservative, (2) surgery. The most frequently used surgical approach is posterio medial release which has many variation. However, long term follow up studies showed that the results of surgical treatment are disappointing. Ignacio Ponseti MD is the man who changed the previous treatment plan of club foot. Ponseti developed his method of club foot manipulation based on his understanding of normal anatomy of subtalar joint. In OPD of Rajshahi Medical College Hospital we studied 262 patients with congenital club foot, in which 188 were male and 74 were female. Total number of tenotomy undertaken 172, patients using braces 200. In our short term follow up our result is encouraging.
TAJ 2011; 24(1): 26-29
Background: Objective of the study was to determine the posterior segment findings in cases of Acute Encephalitic Syndrome(AES) in patients attending the paediatrics department of Assam Medical College.Methods: A prospective study of 36 cases of AES attending the paediatrics department of Assam Medical College during a period of 6 months was taken into consideration.Results: 36 cases of AES were studied during a period of 6 months. The maximum number of cases was around 5 years (41.6%).The number of cases in males were more than in females (63.8%vs 36.1%) .The posterior segment findings were papilledema (44.4%), optic disc hyperemia (52.7%),and retinal hemorrhages(3%).Conclusions: Analysis of posterior segment findings helps in early detection and preventing the sequalae and complications and therefore helps in saving the eye.
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