PurposeBoth cannulated cancellous screw (CCS) and sliding hip screw (SHS) are used in femoral neck fracture fixations, but which is superior is yet to be determined. This study was aimed to compare the clinicoradiological outcome of femoral neck fracture treated with SHS or CCS in young adults.MethodsAdults (16–60 years) with femoral neck fracture were divided into Group 1 fixed with SHS and Group 2 fixed with three CCS after closed reduction. Pain relief, functional recovery and postoperative radiographs at 6 weeks, 3 months, 6 months and then yearly for upto 4 years were analyzed.ResultsGroup 1 (n = 40) achieved radiological union at mean of 7.6 months, with the union rate of 87.5% (n = 35), avascular necrosis (AVN) rate of 7.5% (n = 3) and mean Harris Hip Score (HHS) of 86.15 at the end of 4 years. In Group 2 (n = 45) these parameters were union at 7.1 months, union rate of 82.22% (n = 37), AVN rate of 6.67% (n = 3) and HHS of 88.65. Comparative results were statistically insignificant.ConclusionThere is no significant difference in clinicoradiological outcome between the two implants.
Aims and Objectives: Traumatic dental injuries (TDIs) of the permanent anterior teeth among the schoolchildren are quite prevalent but often the neglected problem. The objective of the present study was to assess the prevalence of the TDIs of the permanent anterior teeth among 11-15 years schoolchildren attending government and private schools of Bhopal city. Methodology: Descriptive cross-sectional study was conducted among 1518, 11-15 years old schoolchildren of Bhopal city. Andreasen's epidemiological classification (2004) for assessing the TDIs, Angle's classification with Dewey's modification for assessing the occlusal relationship, and the World Health Organization Basic Oral Health Survey (1997) guidelines for measuring the overjet were used. Data were tabulated and statistically analyzed using and Chi-square, Mantel-Haenszel common odds ratio (OR), and binary logistic regression for adjusted OR. Results: The prevalence of TDIs was 10.7%. Falls (56.4%) were the most common cause of TDIs, mainly at home (54.6%). Boys were more affected than girls. There was no statistically significant association between TDIs and socioeconomic status. The adjusted results revealed that TDIs were significantly associated with overjet (OR = 5.5, 95% confidence interval [CI]: 3.66-8.23) and lip coverage (OR = 1.78, 95% CI: 1.28-2.48). Conclusion: Overall the study results showed lower but significance prevalence of TDIs of permanent anterior teeth compares to previous studies, but there was considerable negligence in seeking care for these injuries.
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