ABSTRACT
Background: The incidence of bone fracture is impacted by many factors including age and gender. Every third child is expected to sustain a fracture before age 17. Hence; we assessed the prevalence of fractures among children of known population. Methods: A total of 100 patients who reported with bone fracture were included in the present study. Complete demographic details of all the patients were obtained. Detailed information in relation to the pattern and type of injury was also obtained. All the results were recorded in Microsoft excel sheet and were analyzed. Results: There were 63 males and 37 females. Incidence of fractures was significantly higher in males in comparison to females. Radius was the most common bone to be fractures, found to be present in 27 males and 15 females. Conclusion: Fractures among pediatric population are significantly more common in males, with radius being the most common bone to be fractures.
ABSTRACT
Background: Trauma may differ from low velocity to high tovery high velocity varying the radiological and clinicalprofile in each case. Implant failure elevates patient’smorbidity, prolongs the healing process and increases themanagement cost. The aim of the present study was topatients associated with implant failure in orthopaedic surgery.Materials and Methods: The subjects presenting to OPD ofDepartment of Orthopedics, Government S K Hospital, Sikar,Rajasthan (India) with the complain of fractures of longbones managed in past, in cases where the primary implantunderwent failure to achieve the concerned outcome andrepeated surgery was needed were enrolled in the study. Thesubjects were categorized into three groups- plate, unlockednail and locked intermedullary nails. The data thus obtainedwas arranged in a tabulated form and analyzed using SPSSsoftware.Results: Out of these there were 30 cases amongst males and20 cases amongst females. The mean age of the subjects was37.22+/-5.3 years. There were 21 cases (42%) of failed plates,17 cases (34%) of unlocked nails and 12 cases (24%) oflocked nails.Conclusion: In this study there were 50 cases of implantfailure. The maximum failure incidence was that seen with theplates due to their superficial location.
ABSTRACT
Background: Chronic plantar fasciitis is the commonest cause of foot complaints in India. The incidence of plantar fasciitis peaks in people between the ages of 40 to 60 years with no bias towards either sex. Numerous methods have been advocated for treating plantar fasciitis, including rest, non-steroidal anti-inflammatory medication, night splints, foot orthosis, stretching protocols and extracorporeal shock wave therapy. The aim of this study to compared the functional outcome of Local Steroid and PRP in Plantar Fasciitis. Methods: A prospective randomized control trial done on 63 patients with complaint of plantar fasciitis coming to SMS Medical College & Hospitals, Jaipur, who were attain the inclusion criteria in the study. Patient coming to OPD were randomly allocated C.R. number. Patients with Odd C.R. number were given PRP and those with even number were given Steroids. Patients were followed at 12 weeks and 24 weeks after the injection to look for the effect of PRP and corticosteroid. Then the results were obtained on mean VAS score and AOFAS score in both the groups. Results: The present study showed that the mean age was 40 years in group I and 39 years in group II. Maximum females were housewife (41.26%) in both groups. The difference of mean in between groups, VAS score & AOFAS was insignificant in first visit (P=0.8642 & P=0.3400) and statistical significant after 12 weeks (P<0.0001*** each) and 24 weeks (P<0.0001***each). Conclusions: We believe that PRP injection is safe and can be an excellent alternative to corticosteroid injection in plantar fasciitis, not responsive to conservative means. The findings of this preliminary study can be very relevant in clinical practice.