BACKGROUND: Elastic stable intramedullary nailing for the treatment of Pediatric Femur diaphyseal fractures was introduced by Pr´evot and colleagues in 1979. The technique offers several advantages, including better reduction, dynamic axial stabilization, shorter hospitalization with early rehabilitation and low rate of complications. OBJECTIVES: To study the union rates and functional outcome of closed reduction and internal fixation of pediatric diaphyseal fractures of femur with TENS.
Introduction: Lumbar Canal Stenosis is developmental or congenital narrowing of the spinal canal that produces compression of the neural elements before their exit from the neural foramen. The narrowing may be limited to a single motion segment or it may be more diffuse spanning two motion segments or more. The spinal canal demonstrates narrowing, attributed most frequently to acquired degenerative or arthritic changes such as hypertrophy of the articulations surrounding the canal, intervertebral disc herniation or bulges, hypertrophy of the ligamentum flavum, osteophytes formation and degenerative spondylolisthesis. The classic presentation of Lumbar Canal Stenosis is neurogenic claudication. Aims and Objectives: To study the outcome of microdecompression by unilateral laminotomy in lumbar canal stenosis Methodology: This is institutional based prospective study of 36 patients, aged 20 to 80 years, with diagnosed lumbar canal stenosis treated with bilateral microdecompression of lumbar canal stenosis by unilateral laminotomy using microscope, surgical magnifying loops and microsurgery tools at Dr. Shankarrao Chavan Govt. Medical College Vishnupuri, Nanded. Statistical analysis done by chi-square test. Result: There was an rapid decrease in the leg pain scores from 8.94 In the pre-operative period to 1.36(SD±1.13) one month after operation. At 1 month follow up patients with no pain (VAS + 0) were 9 (25.00%). Conclusion: Unilateral laminotomy with bilateral micro decompression method is one of the excellent method for decompression of lumbar canal stenosis with early functional outcome as unilateral laminotomy preserves posterior midline structures with sparing of spinous process, opposite side lamina and paraspinal muscles.
Introduction:The arthroscopic method offers several advantages, including smaller incisions, access to the gleno-humeral joint for the inspection and treatment of intra-articular lesions, no need for detachment of the deltoid, and less soft-tissue dissection. However, these advantages must be considered against the technical difficulty of the method, which limits its application to surgeons who are skilled in both open and arthroscopic procedures on the shoulder. Methodology: A total number of 49 repairs were performed in our institute of which 45 patients available for follow up were included in the study. All patients meeting the following inclusion and exclusion criteria had a pre-operative assessment which included the shoulder rating system of American Shoulder and Elbow Surgeons (ASES) and the Constant and Murley scoring questionnaires Results: There was no significant difference in the outcome scores of American Shoulder and Elbow Surgeons and Constant and Murley between traumatic and degenerative tears at the latest follow-up visit. Conclusion: There was significant difference in the mean improvement of scores post operatively between the two groups.
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