Clinical Experience of Close Reduction and Internal Fixation of Displaced Intra-articular Fractures of Calcaneum

Background: Displaced intra-articular fractures of calcaneum require conventional surgical treatment using open reductionand plate screw fixation which are technically demanding and result in several soft tissue complications and morbidity.Aims and Objectives: An attempt has been made to adopt close reduction and internal fixation without opening the fractureunder fluoroscopic control avoiding the complications of open reduction.Materials and Methods: A total of 30 patients presented with displaced calcaneum fractures of age varied from 19 years to60 years, of which 25 males and 5 females were operated between December 2013 and August 2015. Under spinal anesthesia,in prone position, K-wires were passed through calcaneum and talus for Joshi’s External Stabilisation System (JESS) distraction.Some patients required elevation of subtalar articular fragment by a small window from the lateral side. After restoring thearticular anatomy, three CHSs passed under fluoroscopic control. Then, distracters were removed. Some patients needed anadditional lateral-to-medial screw fixation for holding sustantaculamtali fragment. Conventional post-operative regimen wasfollowed with weight bearing after 3 months.Results: The patients were followed for 8 months to 1.5 yrs. The patients were studied using clinico-radiologicalparameters - wound status, Bohler’s angle, the American Orthopedic Foot and Ankle Society score, and Allmacher grade. Allpatients recovered satisfactory functions in longest follow-up.Conclusion: This method is technically easy, soft tissue friendly with least complications and may be advocated for the provisionof surgical treatment for displaced intra-articular calcaneum fractures.

Influence of inorganic n fertilizer on plant characters, yield generation and the incidence of yellow stem borer scirpophaga incertulas, walker in the field of local scented paddy cultivar tulaipanji.

To determine the effect of inorganic N fertilizer on the incidence of yellow stem borer (YSB), Scirpophaga incertulas Walker and on grain yield, yield attributes and bio-chemical characters of local paddy cultivar Tulaipanji, a field experiment for three consecutive years (2007-2009) was carried out by randomized block design in pesticide untreated field. Treatments comprised of seven different dose of inorganic N fertilizer viz 20,40,60,80,100,120,140 kg/ha respectively. Field with no fertilizer application was considered as control. In all the cases higher the doses of inorganic N fertilizer, higher would be the incidence of adult YSB population and accordingly the extent of damage was intensified. Incidence of dead heart (DH) and white head (WH) was 175.74% and 206.72% higher than the control field when the field was fertilized by 140 kg N/ha. Yield attributing characters differed considerably among the treatments. Maximum panicle length (1.71cm), Effective tiller number/ hill (62.01), filled grain number/ panicle (66.12), tiller number/hill (11.27), leaf number/hill (48.11) and leaf width (9.11 mm) was noted when the field was fertilized with 100 kg N. But no significant improvement of yield attributing characters except the number of filled grain number/ panicle was noted when the dose of fertilizer was increased after 100 kg N/ha. Insignificant variation of grain amylose and protein content, total phenol and ortho-dihydroxy phenol (OD phenol) amount under different fertilizer treatment was noted. Plant moisture content, however, was increased as the dose of N fertilizer was improved. Field application of 100 kg N/ha is thus suggested for Tulaipanji cultivation.