ABSTRACT
Background: Adolescence period is crucial position in the life, characterized by rapid rate of growth. It is a need to study risk factors among this group so applicability of primary prevention can be planned. It is essential to know that whether future care providers are having any risk of acquiring life style disorders as they will be the future role models of society. Objectives: To study the dietary and other risk factors for acquiring life style related disorders and to correlate various anthropometry measurements with these risk factors. Methods: A cross-sectional study. All medical, physiotherapy and nursing students from Government Medical College, Surat having met with age criteria of adolescent (17-19) as per WHO were included in the study. Pre tested structured self-administered questionnaire was used. It was having questions on various risk factors of acquiring life style related disorders and having anthropometry measurements to correlate. Data were entered and analyzed in MS excel. Results: Total 290 participants were enrolled, out of them 240 (82.76%) were females and 50 (17.24%) were males. Out of those, 153 (52.75%) were having a habit of eating outside the home at least once in a week. 80 (27.5%) participants reported that they never play outdoor games, 18 (6.21%) reported that they never do exercise. 21 (7.24%) were having BMI ≥25, From this total 21 participants, 17 (5.86%) were females and 4 (1.38%) were males. Out of total 240 females, 20 were having Waist Hip Ratio (WHR) >0.85, while no male is having WHR >1. Conclusion: Primary preventive measures for dietary change should be applied among future care providers. Life style change should also be advised to reduce the risk for life style disorders.
ABSTRACT
Background: Basicervical fracture is a fracture through the base of femoral neck at its junction with the intertrochanteric region. Due to this location, it represents an intermediate form between femoral neck, usually fixed with multiple cancellous screws, and the intertrochanteric fracture, fixed with a sliding screw device. Previous studies recommended treating basicervical fractures as intertrochanteric fractures with the dynamic hip screw (DHS). However, because basicervical fractures have greater instability than stable intertrochanteric fractures, poor functional outcome may be expected when the DHS used alone. Aims & Objective: To evaluate the outcome of fixation of basicervical and related fractures using DHS with DRS. Materials and Methods: We prospectively studied 42 patients in order to identify a group of proximal femoral fractures having liability for axial and rotational instability, and to present results of their fixation using the dynamic hip screw (DHS) with derotation screw (DRS). Results: At 12 months postoperatively, patients were functionally evaluated and the radiological outcome was analysed. All fractures united within an average period of 11.5 weeks. The mean sliding distance was 5.5 mm and mean shortening of the limbs was 2 mm. According to the criteria of Kyle et al. (J Bone Joint Surg [Am] 61-A:216–221), 39 patients obtained excellent results, two good and one fair. Conclusion: We conclude that the AO types B2.1, A1.1, A2.1, A2.2 and A2.3 have a common instability denominator and therefore should be treated alike. The sliding component of the DHS allows solid fixation of the two major fragments in two planes and the DRS in the third plane.