Elbow dislocations are treated in emergency. Neglected elbow posterior dislocations are very rarely seen and the treatment for neglected cases is more complicated than acute cases. We present a case of. Neglected posterior dislocation of the elbow treated with open reduction and hinged external fixator. 23-year-old male patient presented with neglected posterior dislocation of left elbow without neurological deficit following fall from height. Patient was initially treated by an osteopath for two months and came to our hospital . Patient underwent open reduction of left elbow and hinged external fixator application under general anaesthesia. Post-operative rehabilitation was started after 6 weeks and after 3 months of surgery patient attained full range of movements in left elbow without any residual instability. The treatment for neglected elbow dislocation is quite challenging. Open reduction and hinged external fixation have satisfactory results with the possibility of early rehabilitation. This method can be considered as an option for such cases.
Introduction: Pain in the cervical region is one of the major orthopaedic problem. It causes unhappiness to surgeon and patient both. This study is to analyse the different non-operative treatment modalities for the cervical pain. Purpose of the study: To compare the clinical outcome of cervical spondylosis treated with different non-operative methods. Methods: The study conducted between October 2018 to April 2019 involve patients with cervical pain visiting orthopaedic OPD. Patients were divided into 3 groups involving a) Neck muscle strengthening exercises (NMS) b) Pharmacological regime c) Combined muscle strengthening and drug regime (CMD).Results: On analysis of results with 90 patients each in group a, b, and c, the patient relief was higher in group c planned for CMD regime followed by group b and group a in decreasing order of response rate. Conclusion: Neck pain being one of the very common disease and its nonresponse to treatment is the reason not to trust the doctor by the patient. We concluded that among the different methods, combined muscle strength and drug regime given best results in majority of cases. And also this CMD regime is easy to follow and cheap compared to other nonoperative treatment modalities.
Introduction: Osteoarthritis (OA) is a painful chronic degenerative joint. As of now, there are less options available for patients with mild to moderate arthritis. Most of the approaches are palliative and address the symptoms rather than influencing the biochemical environment of the joint or the disease process.PRP is a newer treatment option emerging in the recent times and its efficacy needs to be examined in our population and hence the study. Materials and Methods: It is a prospective, observational, time bound, hospital-based study conducted from November 2017 to May 2019, after obtaining institutional Ethical committee approval. 60 primary OA knee joints, included in this study, selected from R L Jalappa Hospital and Research centre, Department of Orthopaedics, Kolar. Autologous PRP prepared and infiltration was done under strict aseptic conditions. Patients assessed with WOMAC scoring &VAS for pain, before giving the PRP injection & after giving the injection at periods of 1 month, 3 & 6 months. The decrease in WOMAC & VAS scores was suggestive of improvement in patient's condition. Results: Significant difference was observed in mean VAS and WOMAC total scores. No local or systemic complications noted during the study period. The mean VAS score at baseline was 7.08 ± 0.79 and the decrease in mean VAS score continued up to six months follow-up that is 2.78 ±1.22 (P value <0.001). The mean WOMAC Total at baseline was 66.20 ±7.63 and the decrease in mean WOMAC Total continued up to six months follow-up that is 19.95 ±11.69 (P value <0.001).
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