Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.06
Madhukrishna Reddy Dandolu, Praneeth Jagarlamudi
Introduction: Low back pain is a common condition comprising a major health problem worldwide & will eventually affect almost everyone in life, men and women equally. In the present generation Overweight and obesity a major health hazard and predisposing to major non communicable disease. Young adults between 20-30yrs presenting with low back ache were taken and measured BMI with standard method. Results: In our the study correlation of low back pain in relation to the duration and BMI was analyzed, in which we observed as the BMI increases the duration of LBA also increases. Conclusion: our study the strong association of body mass index in relationship with development of low back ache in young adults of both genders is greatly implicated.
{"title":"Observational study to correlate BMI with low back pain in young adults","authors":"Madhukrishna Reddy Dandolu, Praneeth Jagarlamudi","doi":"10.17511/ijoso.2019.i02.06","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.06","url":null,"abstract":"Introduction: Low back pain is a common condition comprising a major health problem worldwide & will eventually affect almost everyone in life, men and women equally. In the present generation Overweight and obesity a major health hazard and predisposing to major non communicable disease. Young adults between 20-30yrs presenting with low back ache were taken and measured BMI with standard method. Results: In our the study correlation of low back pain in relation to the duration and BMI was analyzed, in which we observed as the BMI increases the duration of LBA also increases. Conclusion: our study the strong association of body mass index in relationship with development of low back ache in young adults of both genders is greatly implicated.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121408670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.09
R. K. Misra, A. Batra, Hemant Khajja, K. Raja
Aims and Objective: Adhesive capsulitis of shoulder (frozen shoulder) is a condition characterized by pain, stiffness and restriction of movement of shoulder joint. The present study was carried out to assess the role of manipulation under anaesthesia along with intracapsular steroid injection in treatment of frozen shoulder. Material and Methods: The present study is a prospective study carried out in the department of Orthopedics, Ananta Institute of Medical Sciences, Rajsamand, Rajasthan during the period of 6 months from October 2018 to March 2019. 30 patients of unilateral idiopathic adhesive capsulitis (Frozen shoulder) who were symptomatic and not responding to physiotherapy were included in the study. All the patients underwent manipulation under anaesthesia and then intracapsular steroid injection was given via posterior approach. Patients were followed up regularly and reassessment using VAS (Visual analogue scale) scale and PROM (Passive Range of Motion) was done at 3 months after the procedure. Results: Out of 30 patients included in the study, 18 (60%) were female and 12 (40%) were male. The age of the patients ranges from 20 years to 70 years with the mean age of 46.81 years. Non dominating hand was involved in 23 cases (76.66%). VAS score and degree of PROM were measured before and 3 months after the treatment. Conclusion: In present study, VAS score as well as PROM were significantly improved 3 months after the treatment of frozen shoulder with manipulation under anaesthesia along with intracapsular steroid injection. So, this treatment modality can be used as a safe and effective method to reduce pain and stiffness in frozen shoulder.
{"title":"Manipulation under anaesthesia with local intracapsular steroid injection in treatment of frozen shoulder","authors":"R. K. Misra, A. Batra, Hemant Khajja, K. Raja","doi":"10.17511/ijoso.2019.i02.09","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.09","url":null,"abstract":"Aims and Objective: Adhesive capsulitis of shoulder (frozen shoulder) is a condition characterized by pain, stiffness and restriction of movement of shoulder joint. The present study was carried out to assess the role of manipulation under anaesthesia along with intracapsular steroid injection in treatment of frozen shoulder. Material and Methods: The present study is a prospective study carried out in the department of Orthopedics, Ananta Institute of Medical Sciences, Rajsamand, Rajasthan during the period of 6 months from October 2018 to March 2019. 30 patients of unilateral idiopathic adhesive capsulitis (Frozen shoulder) who were symptomatic and not responding to physiotherapy were included in the study. All the patients underwent manipulation under anaesthesia and then intracapsular steroid injection was given via posterior approach. Patients were followed up regularly and reassessment using VAS (Visual analogue scale) scale and PROM (Passive Range of Motion) was done at 3 months after the procedure. Results: Out of 30 patients included in the study, 18 (60%) were female and 12 (40%) were male. The age of the patients ranges from 20 years to 70 years with the mean age of 46.81 years. Non dominating hand was involved in 23 cases (76.66%). VAS score and degree of PROM were measured before and 3 months after the treatment. Conclusion: In present study, VAS score as well as PROM were significantly improved 3 months after the treatment of frozen shoulder with manipulation under anaesthesia along with intracapsular steroid injection. So, this treatment modality can be used as a safe and effective method to reduce pain and stiffness in frozen shoulder.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128128672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.02
Anil J. Nayak, Mahesh Khandelwal
Background and Aim: One of the most common human skeleton fractures is middle shaft clavicular fracture. it had been traditionally treated non operatively. The present study was undertaken to study the part of surgical treatment in fresh displaced or communited clavicular fracture. Materials & Methods: A total of 25 patients with midshaft clavicular fractures were included in the study. All the patients were planned to be treated with locking compression plates and screws. Results: Of the total 25 patients; 20 patients had direct injury to the clavicle as the cause of the fracture whereas 5 patients had indirect injury to the clavicle. The functional outcome of the treatment: 85% had excellent outcome, 10% had good functional outcome and 5% had fair outcome. Conclusion: This study shows rigid fixation with locking compression plate and screws for fresh displaced or comminuted middle third clavicle fracture gives immediate pain relief and prevents the development of shoulder stiffness and non union
{"title":"Management of midshaft clavicular fracture with help of locking plates: a prospective study","authors":"Anil J. Nayak, Mahesh Khandelwal","doi":"10.17511/ijoso.2019.i02.02","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.02","url":null,"abstract":"Background and Aim: One of the most common human skeleton fractures is middle shaft clavicular fracture. it had been traditionally treated non operatively. The present study was undertaken to study the part of surgical treatment in fresh displaced or communited clavicular fracture. Materials & Methods: A total of 25 patients with midshaft clavicular fractures were included in the study. All the patients were planned to be treated with locking compression plates and screws. Results: Of the total 25 patients; 20 patients had direct injury to the clavicle as the cause of the fracture whereas 5 patients had indirect injury to the clavicle. The functional outcome of the treatment: 85% had excellent outcome, 10% had good functional outcome and 5% had fair outcome. Conclusion: This study shows rigid fixation with locking compression plate and screws for fresh displaced or comminuted middle third clavicle fracture gives immediate pain relief and prevents the development of shoulder stiffness and non union","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"47 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134363649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.01
S. Arora, Jabalpur Mp India Mpmsu, S. Parashar, S. Datey, R. Sharma, A. Lunawat
Background: Urethral injuries account for 3.4% of the children admitted with traumatic injuries of the genitourinary tracts. Most of the urethral injuries are usually associated with bony injury. Very few of such cases reported without any association with bonetraum. Here, we report a rare case of isolated bladder neck injury without pelvic fracture. Case report: The patient was a 12-year old boy admitted with a history of road traffic accident. Ultrasonography was suggestive of mild free fluid in perivesical region, cystogram was performed and an extravasation near the bladder neck was detected. CT urography revealedinjury at bladder neck and prostate region with contrast extravasation. On exploratory laparotomy there was evidence of Complete transaction of bladder neck present. Primary Vesicourethral end to end anastomosis was done. The post-operative course and follow-up was uneventful as patient had satisfactory urine flow rate with continence intact. Conclusion: The present study highlights our experience with early repair of bladder neck trauma in a child with excellent outcome.
{"title":"Isolated complete bladder neck transaction without pelvic fracture in a child: a rare presentation","authors":"S. Arora, Jabalpur Mp India Mpmsu, S. Parashar, S. Datey, R. Sharma, A. Lunawat","doi":"10.17511/ijoso.2019.i02.01","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.01","url":null,"abstract":"Background: Urethral injuries account for 3.4% of the children admitted with traumatic injuries of the genitourinary tracts. Most of the urethral injuries are usually associated with bony injury. Very few of such cases reported without any association with bonetraum. Here, we report a rare case of isolated bladder neck injury without pelvic fracture. Case report: The patient was a 12-year old boy admitted with a history of road traffic accident. Ultrasonography was suggestive of mild free fluid in perivesical region, cystogram was performed and an extravasation near the bladder neck was detected. CT urography revealedinjury at bladder neck and prostate region with contrast extravasation. On exploratory laparotomy there was evidence of Complete transaction of bladder neck present. Primary Vesicourethral end to end anastomosis was done. The post-operative course and follow-up was uneventful as patient had satisfactory urine flow rate with continence intact. Conclusion: The present study highlights our experience with early repair of bladder neck trauma in a child with excellent outcome.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134296966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.08
S. Kalia, Orthopaedics Drpgmc Tandakangra India Professor, Shalini Sharma, M. Sehgal, Sachin Kanwar, Anaesthesia Drpgmc Tandakangra India Professor, Orthopaedics Drpgmc Tandakangra India Resident
Introduction : Tibial meta-diaphysealfractures are challenging injuries because of subcutaneous anteromedial surface of bone and frequent soft tissue complications. Ideal management requires stable fixation with minimal soft tissue handling. Locking compression plate (LCP) applied as an external fixator fulfills these criteria and can be an important tool in the armamentarium of an orthopaedic surgeon. Objective of the study is to evaluate the result of this technique. Methods: 23 patients with meta-diaphyseal fractures of tibia with compromised soft tissue treated by this technique were evaluated retrospectively interms of union, maintenance of reduction, complications and final outcome using KSS (Knee society scoring) for proximal fractures and AOFAS (AO Ankle and Foot scoring) for distal fractures. Average follow up duration was 9.4 months (6-14 months). Results: There were fifteen males, eight females with fourteen open fractures and nine cases of closed fractures with tscherne grade 2 or 3 soft tissue injury. Five fractures were in proximal tibia and eighteen were in distal tibia, all fractures united with an average of 21.7 weeks period maintaining acceptable reduction. There were 3 cases of infection, one deep and two superficial treated successfully by debridement and antibiotics. Average knee society scores were 74 and 78.6 for open and close proximal metadiaphyseal fractures respectively. Average AOFAS scores were 81.9 and 84 for open and close distal tibial metadiaphyseal fractures respectively. Conclusion : we found this technique to be more biological, simple to do surgery, effective in maintaining reduction till union, more patient friendly in comparison to traditional large, bulkyfixators and with minimal complications.
{"title":"Supracutaneous plating in tibial metadiaphyseal fractures with compromised soft tissue using LCP as an external fixator","authors":"S. Kalia, Orthopaedics Drpgmc Tandakangra India Professor, Shalini Sharma, M. Sehgal, Sachin Kanwar, Anaesthesia Drpgmc Tandakangra India Professor, Orthopaedics Drpgmc Tandakangra India Resident","doi":"10.17511/ijoso.2019.i02.08","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.08","url":null,"abstract":"Introduction : Tibial meta-diaphysealfractures are challenging injuries because of subcutaneous anteromedial surface of bone and frequent soft tissue complications. Ideal management requires stable fixation with minimal soft tissue handling. Locking compression plate (LCP) applied as an external fixator fulfills these criteria and can be an important tool in the armamentarium of an orthopaedic surgeon. Objective of the study is to evaluate the result of this technique. Methods: 23 patients with meta-diaphyseal fractures of tibia with compromised soft tissue treated by this technique were evaluated retrospectively interms of union, maintenance of reduction, complications and final outcome using KSS (Knee society scoring) for proximal fractures and AOFAS (AO Ankle and Foot scoring) for distal fractures. Average follow up duration was 9.4 months (6-14 months). Results: There were fifteen males, eight females with fourteen open fractures and nine cases of closed fractures with tscherne grade 2 or 3 soft tissue injury. Five fractures were in proximal tibia and eighteen were in distal tibia, all fractures united with an average of 21.7 weeks period maintaining acceptable reduction. There were 3 cases of infection, one deep and two superficial treated successfully by debridement and antibiotics. Average knee society scores were 74 and 78.6 for open and close proximal metadiaphyseal fractures respectively. Average AOFAS scores were 81.9 and 84 for open and close distal tibial metadiaphyseal fractures respectively. Conclusion : we found this technique to be more biological, simple to do surgery, effective in maintaining reduction till union, more patient friendly in comparison to traditional large, bulkyfixators and with minimal complications.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133603968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.03
V. Kane, C. D. Dhandore
Background: Trauma, in particular, blunt abdominal trauma, associated with vehicular accidents and railway accident, has become major cause of morbidity and mortality for working population in developing and industrial nations of world. Hence the present study was undertaken to assess the surgical management and outcome of Blunt abdominal trauma. Method: 49 cases of blunt abdominal trauma studied during study period in a tertiary care hospital. On admission a relevant history with nature of accident, time of occurrence and injuries sustained were noted. A detailed examination of the patient was done, which included general examination with appropriate recording of pulse, blood pressure, and respiratory rate at time of admission, and systemic examination of chest abdomen and central nervous system. Details of external, skeletal and other associated injuries were noted. Presence or absence of hematuria was also recorded. Result: Predominantly younger population (21-30) is affected by trauma with male (10-1) preponderance. Vehicular accident was the commonest cause (48.4%). Blind abdominal tap was 53% sensitive for hemoperitoneum while USG 90%. CT was almost 100% sensitive for abdominal injuries. Spleen (53.08%) and liver (22.44%) were the common organs injured. Associated injuries were present in 42.85% cases. Mortality was higher in those operated beyond one hour. Conclusion: Prevention and measures to decrease morbidity and mortality from abdominal trauma is essential to avoid loss of productive years of life. Trauma registry with documentation of care delivered, assessment of outcome and implementation of necessary changes would help in providing better care.
{"title":"Analysis of surgical management and outcome of Blunt abdominal trauma","authors":"V. Kane, C. D. Dhandore","doi":"10.17511/ijoso.2019.i02.03","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.03","url":null,"abstract":"Background: Trauma, in particular, blunt abdominal trauma, associated with vehicular accidents and railway accident, has become major cause of morbidity and mortality for working population in developing and industrial nations of world. Hence the present study was undertaken to assess the surgical management and outcome of Blunt abdominal trauma. Method: 49 cases of blunt abdominal trauma studied during study period in a tertiary care hospital. On admission a relevant history with nature of accident, time of occurrence and injuries sustained were noted. A detailed examination of the patient was done, which included general examination with appropriate recording of pulse, blood pressure, and respiratory rate at time of admission, and systemic examination of chest abdomen and central nervous system. Details of external, skeletal and other associated injuries were noted. Presence or absence of hematuria was also recorded. Result: Predominantly younger population (21-30) is affected by trauma with male (10-1) preponderance. Vehicular accident was the commonest cause (48.4%). Blind abdominal tap was 53% sensitive for hemoperitoneum while USG 90%. CT was almost 100% sensitive for abdominal injuries. Spleen (53.08%) and liver (22.44%) were the common organs injured. Associated injuries were present in 42.85% cases. Mortality was higher in those operated beyond one hour. Conclusion: Prevention and measures to decrease morbidity and mortality from abdominal trauma is essential to avoid loss of productive years of life. Trauma registry with documentation of care delivered, assessment of outcome and implementation of necessary changes would help in providing better care.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"641 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116412730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.07
R. Roat, Mahendra Damor
Objective: surgical site infections (SSIs) are substantial cause of morbidity and mortality among the hospitalized patients. The present study was performed to analyze the incidence of SSIs and to evaluate the risk factors for SSI following abdominal surgeries at a tertiary healthcare centre. Material & Methods: The present study is a prospective study carried out in the Department of general surgery, Dungarpur Medical College & Hospital, Rajasthan during the period of 1 year from January 2018 to January 2019. A total of 100 elective and emergency cases of abdominal surgeries were included in the study. Results: 76 patients were male and 24 were female. Age of the patients ranges from 15 to 70 years with the mean age of 52.2 years. Out of 100 procedures, 38 were emergencies and 62 were elective procedures. 11 cases of SSIs were encountered during the study period. Exploratory laparotomy was the surgery most commonly associated with SSIs (4 cases), followed by bowel resection (3 cases) and cholecystectomy (2 cases). Conclusion: Post operative surgical site infections causes substantial increase in morbidity and mortality associated with the disease and also increase the healthcare cost. Meticulous surgical techniques, minimizing the duration of operation, proper sterilization, hygienic operation theatres and ward environments are few of the habits which can reduce the risk of SSIs.
{"title":"Evaluation of risk factors for surgical site infection following abdominal surgeries","authors":"R. Roat, Mahendra Damor","doi":"10.17511/ijoso.2019.i02.07","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.07","url":null,"abstract":"Objective: surgical site infections (SSIs) are substantial cause of morbidity and mortality among the hospitalized patients. The present study was performed to analyze the incidence of SSIs and to evaluate the risk factors for SSI following abdominal surgeries at a tertiary healthcare centre. Material & Methods: The present study is a prospective study carried out in the Department of general surgery, Dungarpur Medical College & Hospital, Rajasthan during the period of 1 year from January 2018 to January 2019. A total of 100 elective and emergency cases of abdominal surgeries were included in the study. Results: 76 patients were male and 24 were female. Age of the patients ranges from 15 to 70 years with the mean age of 52.2 years. Out of 100 procedures, 38 were emergencies and 62 were elective procedures. 11 cases of SSIs were encountered during the study period. Exploratory laparotomy was the surgery most commonly associated with SSIs (4 cases), followed by bowel resection (3 cases) and cholecystectomy (2 cases). Conclusion: Post operative surgical site infections causes substantial increase in morbidity and mortality associated with the disease and also increase the healthcare cost. Meticulous surgical techniques, minimizing the duration of operation, proper sterilization, hygienic operation theatres and ward environments are few of the habits which can reduce the risk of SSIs.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"79 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130782347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.10
S. Dr.Venkatesh, S RKruthi, S. Kulkarni, S HanumanthaiahK
Background: Postoperative hypocalcemia is a common complication following total thyroidectomy. Various risk factors lead to damage of parathyroid gland or its blood supply or accidental removal of gland. Early identification and supplementation with calcium and Vitamin D reduces the severity of symptoms and morbidity to the patients. Aim: The study aims to identify the incidence of hypocalcemia in patients undergoing total thyroidectomy. Materials and Methods: Prospective analysis was made in 50 patients undergoing total thyroidectomy for benign thyroid disorders, to identify the incidence of hypocalcemia by measuring Serum calcium levels postoperatively at 24 hours, on day 3, day 14 and after 6 months. Results: Incidence of 22% of hypocalcemia, with transient hypocalcemia in 20% and permanent hypocalcemia in 2% of cases were noted. Conclusion: Meticulous surgical technique to preserve parathyroid gland, early identification of hypocalcemia, with adequate supplementation with calcium and vitamin D reduces the morbidity in patients undergoing total thyroidectomy. KeywordsHypocalcemia, Hypoparathyroidism, Total Thyroidectomy ...................................................................................................................................................
{"title":"Prospective study of postoperative hypocalcemia after total thyroidectomy","authors":"S. Dr.Venkatesh, S RKruthi, S. Kulkarni, S HanumanthaiahK","doi":"10.17511/ijoso.2019.i02.10","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.10","url":null,"abstract":"Background: Postoperative hypocalcemia is a common complication following total thyroidectomy. Various risk factors lead to damage of parathyroid gland or its blood supply or accidental removal of gland. Early identification and supplementation with calcium and Vitamin D reduces the severity of symptoms and morbidity to the patients. Aim: The study aims to identify the incidence of hypocalcemia in patients undergoing total thyroidectomy. Materials and Methods: Prospective analysis was made in 50 patients undergoing total thyroidectomy for benign thyroid disorders, to identify the incidence of hypocalcemia by measuring Serum calcium levels postoperatively at 24 hours, on day 3, day 14 and after 6 months. Results: Incidence of 22% of hypocalcemia, with transient hypocalcemia in 20% and permanent hypocalcemia in 2% of cases were noted. Conclusion: Meticulous surgical technique to preserve parathyroid gland, early identification of hypocalcemia, with adequate supplementation with calcium and vitamin D reduces the morbidity in patients undergoing total thyroidectomy. KeywordsHypocalcemia, Hypoparathyroidism, Total Thyroidectomy ...................................................................................................................................................","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121895499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.04
S. V. Tumbal, Swapnil Kothadia
Background: Due to the large number of accidents, femur and tibia for Ipsilateral injuries eventually occur; floating injuries are likely to take place. The study was conducted to evaluate the results of surgery for adults with ipsilateral femoral and tibial fractures. Methodology: The study included 15 patients aged 20 to 60. According to Fraser et al, fractures are classified as Type I (5), IIa (3), IIb (4) and IIc (3). Femur fractures were treated using locked intramedullary nails plate-screws, or dynamic condylar screws.Tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The average follow-up period is 2.1 years. Investigations for chest, pelvis, affected lower limbs, including joints and other bone injury were investigated by x-ray. Result: The mean age of the study group was 39.46 years. The time taken from admission to surgery is 2 days (1 to 11 days). The average followup time was 23.5 months (from 20 to 25 months). Most of the cases showed better results (66.7%) in extent of bonyunions, followed by good (20%), acceptable (6.7%) and poor (6.7%), according to the criteria of Karlstrom. Conclusion: Injury and fractures (openness, straightening, congestion) are predictive factors in the floating knee. The complete adequacy of critical injury-related conflicts includes fractures and post-surgical rehabilitation.
{"title":"Surgical outcome of ipsilateral fracture of the femur and tibia in adults (floating knee)","authors":"S. V. Tumbal, Swapnil Kothadia","doi":"10.17511/ijoso.2019.i02.04","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.04","url":null,"abstract":"Background: Due to the large number of accidents, femur and tibia for Ipsilateral injuries eventually occur; floating injuries are likely to take place. The study was conducted to evaluate the results of surgery for adults with ipsilateral femoral and tibial fractures. Methodology: The study included 15 patients aged 20 to 60. According to Fraser et al, fractures are classified as Type I (5), IIa (3), IIb (4) and IIc (3). Femur fractures were treated using locked intramedullary nails plate-screws, or dynamic condylar screws.Tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The average follow-up period is 2.1 years. Investigations for chest, pelvis, affected lower limbs, including joints and other bone injury were investigated by x-ray. Result: The mean age of the study group was 39.46 years. The time taken from admission to surgery is 2 days (1 to 11 days). The average followup time was 23.5 months (from 20 to 25 months). Most of the cases showed better results (66.7%) in extent of bonyunions, followed by good (20%), acceptable (6.7%) and poor (6.7%), according to the criteria of Karlstrom. Conclusion: Injury and fractures (openness, straightening, congestion) are predictive factors in the floating knee. The complete adequacy of critical injury-related conflicts includes fractures and post-surgical rehabilitation.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116423316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-30DOI: 10.17511/ijoso.2019.i02.05
R. C. Reddy, M. A. Kumar
Introduction: Aim was to compare the time taken for clinical and radiological union between intramedually nailing versus plating in the management of diaphyseal both-bone forearm fractures among adults. Materials and Methods: This retrospective study compared two different procedures used as a part of routine care in treatment of both bones fractures of forearm. The functional outcomes were radiological union and range of motion. The fractures were stratified according to AO/SIF classification. The patients were assessed using the Grace-Eversmann criteria. Results: A total of 65 participants were included in the study with 36 participants in plating and 29 in IMN group. The mean age in plating group was 43.2 ± 4.8 years and 44.78 ± 5.34 years in IMN group. There was no significant difference in the basic demographic characteristics between the groups. The mean time taken for radiological union in plating group andIMN group was 11.23 ± 2.16 weeks and 13.87 ± 3.32 weeks. There was a statistically significant differencebetween the groups with regard to mean operating time, radiological union and mean supination (P Value<0.05). In plating group, 27 (75%) participants had excellent, 6 (16.66%) participants had good and 3 (8.33%) participants had acceptable functional outcome. In IMN group, 23 (82.75%) participants had excellent, 4 (13.79%) participants had good, 1 (3.44%) participant had acceptable functional outcome and 1 (3.44%) participant had unacceptable functional outcome. Conclusion: Radiological union was lesser and the range of motion was more for plating group. However, both modalities of treatment provided equally satisfactory results.
{"title":"A retrospective comparative study of intramedually nailing versus plating in the management of diaphyseal both-bone forearm fractures among adults","authors":"R. C. Reddy, M. A. Kumar","doi":"10.17511/ijoso.2019.i02.05","DOIUrl":"https://doi.org/10.17511/ijoso.2019.i02.05","url":null,"abstract":"Introduction: Aim was to compare the time taken for clinical and radiological union between intramedually nailing versus plating in the management of diaphyseal both-bone forearm fractures among adults. Materials and Methods: This retrospective study compared two different procedures used as a part of routine care in treatment of both bones fractures of forearm. The functional outcomes were radiological union and range of motion. The fractures were stratified according to AO/SIF classification. The patients were assessed using the Grace-Eversmann criteria. Results: A total of 65 participants were included in the study with 36 participants in plating and 29 in IMN group. The mean age in plating group was 43.2 ± 4.8 years and 44.78 ± 5.34 years in IMN group. There was no significant difference in the basic demographic characteristics between the groups. The mean time taken for radiological union in plating group andIMN group was 11.23 ± 2.16 weeks and 13.87 ± 3.32 weeks. There was a statistically significant differencebetween the groups with regard to mean operating time, radiological union and mean supination (P Value<0.05). In plating group, 27 (75%) participants had excellent, 6 (16.66%) participants had good and 3 (8.33%) participants had acceptable functional outcome. In IMN group, 23 (82.75%) participants had excellent, 4 (13.79%) participants had good, 1 (3.44%) participant had acceptable functional outcome and 1 (3.44%) participant had unacceptable functional outcome. Conclusion: Radiological union was lesser and the range of motion was more for plating group. However, both modalities of treatment provided equally satisfactory results.","PeriodicalId":267909,"journal":{"name":"Surgical Update: International Journal of Surgery and Orthopedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132073190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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