Background: Management of fractures of distal end radius has remained a controversial issue. They are treated via a variety of methods, but the best of treatment has not been defined yet. This study was performed to evaluate functional and radiological outcomes of volar locking plate in surgical management of such fractures. Material and Methods: In this prospective study 30 patients aged above 18 years of fracture distal end radius were treated with open reduction and internal fixation with volar locking plates, followed by early mobilization. Patients were followed up regularly and functional assessment were done at 3 weeks, 3 months and 6 months using modified Mayo wrist score. Results: Radiologically all patients had union at 3 months. 66.67% patients had excellent, 23.33% good and 10% showed satisfactory results on modified Mayo wrist score. No major complications were observed in the present study. One patient developed superficial infection which was resolved with serial dressing and broad spectrum antibiotics. Two patients developed hypertrophic scars. Two other patients developed asymptomatic hardware prominence (plate on radial border).
Conclusion:Locking compression plate provides stable fixation for early mobilization of patient, leading to early resumption to pre trauma functional level of an individual with minimal complications.
Objective: To compare the results in patients of nasal polyposis undergoing endoscopic sinus surgery with or without the use of microdebrider.
Materials and methods:The study was conducted on 40 patients of either sex in age group 15 to 60 years with nasal polyposis. They were divided into two groups (20 each), in group A microdebrider was used and in group B it was not used. Symp-tom scoring of each patient was done on the basis of nasal blockage, headache, olfactory disturbance, nasal discharge and trigeminal pressure pain. Similar scoring was followed for diagnostic endoscopy in which the scoring was done on the basis of extent of polyps, edema of middle turbinate and secretions in middle meatus. Both the left and right sides were examined and scored separately.Results: The symptom and endoscopy scores were significantly higher (p < 0.02 and < 0.0001 respectively) in group B post-operatively on 14th day and after 3 months as compared to group A.
Conclusion:Microdebrider assisted endoscopic sinus surgery gives better results.
<p class="abstract">Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare form of skin lymphoma that primarily is localized to the subcutaneous adipose tissue and accounts for less than 1% of all peripheral T-cell lymphomas. It presents with multiple subcutaneous nodules or plaques on extremities and has poor prognosis if accompanied by hemophagocytic syndrome. Differential diagnosis is panniculitis, lupus panniculitis and leprosy. We report such a rare case of a female with lupus erythematosus (LE) panniculitis like presentation with favourable outcome to oral steroids in pregnancy.</p>
To compare the functional outcomes of double-bundle anterior cruciate ligament (ACL) reconstruction with and without use of dedicated zig for femoral and tibial tunnel preparation. Materials and Methods: Forty patients with ACL deficient knees fulfilling the inclusion criteria were selected and after careful alternate randomization, twenty each underwent ACL reconstruction surgery with and without using dedicated zig for tibial and femoral tunnel preparation respectively. Post operatively patients were followed up regularly with clinical evaluation based on IKDC (International Knee Documentation Committee) and modified Lysholm's score and knee stability tests viz. anterior drawer, lachman's and pivot shift tests. Final evaluation was done at 6 months and results were compared between the two techniques. Results: Forty patients ranging from 18 to 42 years, with mean age of 26.4 years in zig group and 24.6 years in freehand group with complete ACL tear included in study. All cases in both groups were males and sports injury being the most common mode of injury in both groups. Post operatively none of patient shows frank laxity in both groups. Average IKDC and modified Lysholm's score at 6 month were 74.6/92.2 and 73.67/93.9 respectively. No major complication was noted and functional results were comparable between two groups. Conclusions: Functional results with both techniques are good and comparable and choice depends on surgeon's skills and preference.
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