Tibial plateau fractures involve the intra-articular portion of the proximal tibia with or without metaphyseal extension. Here, we present the case of a 25-year-old male patient presented with Schatzker type 6 tibial plateau fracture associated with a lateral femoral condyle fracture and a vertical patella fracture fixed with a combination of hybrid ring fixator, cannulated cancellous screws, and a knee spanning frame in Gustilo-Anderson type 3 B injury. The purpose of this case report is to highlight the surgical challenges faced in such types of cases that include the Gustilo and Anderson type 3 B injury with complicated fracture morphology, the implant to be used with his current economic status, and the limited investigations available.
There have been few studies in English literature identifying the potential association and clinical significance of MATN-3 rs8176070 (SNP6) polymorphism in patients with primary knee Osteoarthritis Knee. Objective of this paper was to evaluate the association of matrilin gene-3 and primary osteoarthritis of knee through systematic review of these studies. We did an extensive literature using relevant keywords .3 eligible studies were included for systematic review. Two studies showed significant association, in which Patients with the B\b genotype had worse clinical and radiological findings than those with B\B and b\b genotype. The third study in Indian population did not find any correlation. On the basis of this systematic review we can safely suggest that there is dearth of such studies in literature therefore more of such studies with wider and larger study population shall be undertaken to find Correlation of genetic in this multifactorial disorder and possible cure.
Background: Surgical Site Infection (SSI) is defined as pain associated with erythema, induration, local tenderness, pus discharge or any culture positive or negative discharge from a surgically created wound.
Methods: Hospital based Descriptive type of Observational study conducted on Patients in the department of Orthopaedics in teaching hospitals attached to S.M.S Medical College and hospital.
Results: 6.2% patients have wound infection. Gram positive 87.5% patients have found with Staph. Aureus and Gram negative 12.5% patients have found with Pseudomonas.
Conclusion: Infection in closed fractures with implants was quite high. Th e adverse outcome of SSIs related to a clean orthopedic surgical procedure can be associated with significant morbidity, cost, and even mortality.
Keywords: Infection, Closed, Implants
Background: In this study, we studied the pattern of bacterial isolates in all cases of open fractures of extremities that came to our hospital.
Methods: This descriptive study was to be conducted on open orthopaedic injuries being admitted to the orthopaedic department, from June 2019 to June 2020 after obtaining institutional ethical committee clearance.
Results: Culture analysis showed an increase in growth of Gram-negative bacteria, namely Pseudomonas aeruginosa (26.3%) and Escherichia coli (10.5%) while Gram-positive bacteria were Staphylococcus aureus (52.6%) and Klebsiella pneumoniae (10.5%).
Conclusion: Unlike surgery in other orthopedic areas, the predicting factors for infection in fracture patients were found to be significantly influenced by open fracture rather than the underlying disease or anatomical features of the patient. However, only the correlation with simple open fracture has been confirmed. Therefore, further studies on the cause of open fracture and the mechanism of open fracture are necessary to determine the risk of infection.
Keywords: Infection, Orthopaedics, Open surgery
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