A total 40 patients with fresh intertrochanteric fracture femur (within 15 days) were included in this study. 20 underwent DHS and 20 underwent PFN procedure. After evaluation at 10, 14, 18 weeks for radiological union and at 6 months for Harris Hip score, we found PFN and DHS to be equal in perioperative and post-operative complications, long term union. But PFN is better in terms of less blood loss, early mobilization, duration of surgery.
We conclude that the PC coated drains may be of importance in cases where prolonged drainage is anticipated otherwise they have no significant advantage.
Background: Lateral epicondylitis (tennis elbow), a familiar term used to describe myriad of symptoms around the lateral aspect of elbow mainly due to intra-tendinous degeneration assosciated with ageing, repetitive movement and vascular compromise. Activated platelet-rich plama (PRP) and Autologous whole blood (AWB) injections represent new therapeutic options for chronic tendinopathies including tennis elbow. But from the literature, no firm conclusions can be drawn about the effectiveness of PRP versus AWB or the superiority of one method over the other. Our aim of study was to compare the effectiveness and functional outcome of both modalities. Methods: 50 patients with chronic lateral epicondylitis (>3 months) with restricted ROM were included in this study and randomized into 2 groups. Group 1 was treated with a single injection of 2 mL of autologous PRP (4.8 times of plasma) with 1ml of calcium chloride as activator and group 2 with 2 mL of AWB injection followed by elbow-strap, stretching and strengthening exercises for both groups. Pain and functional outcomes were assessed using visual analogue scale (VAS) and NIRSCHL staging (NS) at 0, 4, 8 weeks, 6 months and 12 months. Results: Pain variables including VAS and Nirschl scores improved significantly in both groups at short and intermediate duration but on long term follow up intervals PRP showed better improvement between groups regarding pain severity, functional improvement and recurrence rates. Conclusion: Both PRP and AWB injections are effective to treat chronic lateral epicondylitis but for longer duration the efficacy persisted with PRP seems to be superior than AWB.
Introducation: Tuberculosis remains a threat to global public health and is the top infectious cause of death globally. The burden of extrapulmonary tuberculosis (EPTB) is high, ranging from 15-20% of all TB cases in HIV negative patients while in HIV positive people, it account for 40-50% of new TB cases. Abdominal TB cases makes up about 3 % of all EPTB cases in India. In abdominal tuberculosis, Ileocaecal region is most commonly affected; solid organs like kidney, spleen and liver get involved with Tuberculosis much more commonly than the pancreas. Pancreatic tuberculosis is very rare even in regions with high prevalence of tuberculosis. Pancreatic tuberculosis most commonly aficts the region of the head and the uncinate process of the pancreas. It is often misdiagnosed due to low index of suspicion and masquerading of its symptoms as pancreatic malignancy. Case Presentation: A 67 years old male presented to the physician with a history of pain abdomen in umbilical region. Ultrasound whole abdomen demonstrated mildly bulky pancreas with ill dened hypoechoic lesion in the body region. Endoscopic ultrasound-guided ne needle aspiration (EUS-FNA) of the lesion was performed and cytology revealed numerous acid fast bacilli with necrotic material in background of red blood cells. Abdominal computed tomography (CT) scan was done which was suggestive of well- dened non enhancing multiloculated lesions of body of pancreas with evidence of necrotic lymph node in pre and left para-aortic region. Antitubercular treatment was started accordingly. Conclusion: Pancreatic tubercuklosis may present as pancreatic abscess, pancreatitis,or acystic or solid pancreatic mass. The use of EUS-FNA has become essential tool in the evaluation of pancreatic lesion.
Background: Arterial hypoxaemia is the common complication, since respiratory depressant drugs are used for premedication, and the airway is also partially occluded by the bronchoscope. The study is therefore designed to nd out the changes in arterial oxygen tension and PFTduring FOB. Objectives: To nd out the changes in arterial oxygen tension and pulmonary function tests during FOB. Methods: One hundred patients aged 20 years above undergoing FOB were evaluated for the arterial oxygen tension and pulmonary function tests changes at KNCH, Jodhpur. Results: All patients developed a fall in PaO2 following FOB but hypoxemia was noted only in 18 cases. Bronchial washing, punch biopsy and brush biopsy did contribute to hypoxemia signicantly. The pulmonary functions which include change in V.C, FVC, FEV1 and PEFR after FOB, no statistical difference could be observed on statistically comparison. Conclusion: All patients showed a decline in arterial PaO2 after FOB which was highly signicant. FOB itself does not cause any signicant or serious complications.
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