ABSTRACT
Introduction:Ankle injuries comprise a major group of lower limb trauma. Many of these injuries can be treated by manipulative reduction and conservative treatment and some of these yield satisfactory results, so present study was undertaken to know the effectiveness of surgical management of ankle fractures. Method:42 surgically treated dis-placed fractures are included and studied in detail of age, sex, occupation, type of fracture, mode of injury, type of treatment, Clinical evidence of fracture union, Radiological evidence of fracture union, Relation of talus in the ankle mortise, Range of mobility of the ankle, Residual disability and pain, Ability to walk and time of return to duty and complications were noted. Result:42 cases were surgically treated, most of the patients were operated on an emer-gency basis within 24 hours of injury. Based on the mechanism of injury Pronation-External Rotation (30.9%) and Based on Ao Classification Type B -B2 (53.3%) were the major type of fractures. In the majority of cases, Malleolar screws type of implants used.In overall the final status of patients is good (ability to walk).Conclusion:Displaced ankle fractures need accurate open reduction and internal fixation and postoperative immobilization for 6 weeks. This will suffice to get good results. Post-operative rigid immobilization and protected weight bearing for 12 weeks is mini-mal to achieve good union followed by physiotherapy to restore the maximum range of movements
ABSTRACT
Background: The estimates of Diabetic Peripheral Neuropathy prevalence vary widely from 9.6 to 78% in different populations. this study was undertaken to study the prevalence of peripheral neuropathy in diabetes mellitus type-2 pateints and to find the association between biochemical parameters like blood sugar (Fasting, PP), HbA1c, lipid profile, 24-hours urinary albumen excretion with diabetic peripheral neuropathy. Methodology: This observational study was conducted among randomly selected outdoor and indoor Diabetes Mellitus type-2 patients of GSVM Medical College Kanpur. Diagnosis of diabetes peripheral neuropathy was made on the basis of history, clinical examination and vibration perception. Multivariate regression analysis was used to find the predictors of Diabetic peripheral neuropathy. Results: Majority of patients were aged 60 years and above (57.84%). Prevalence of diabetic neuropathy was 60.7%. Significant association between high blood sugar and peripheral neuropathy was found (<0.05). Conclusion: Screening of Diabetes mellitus and Diabetic peripheral neuropathy can be useful in its early detection and prompt treatment.