ABSTRACT
Thumb is the most important part of human hand both functionally and cosmetically. The reconstruction of lost thumb is always challenging for the surgeons. The aim of study is to evaluate the results of micro - vascular reconstruction of thumb by toe transfer. B. Victoria hospital Bahawalpur from January 1998 to December 2008. Both male and female patients who presented to the orthopedic Department with traumatic amputation of thumb were included in the study. All ten thumbs survived with minor complication as for as functionally and cosmetically are assessed. Dominant hand was involved in eight cases. Results of Microvascular reconstruction are much better as compared to conventional methods. This is single stage procedure and early rehabilitation of hand is possible. Cosmetically and functionally this is far superior to conventional methods.
ABSTRACT
To find outcome of the diabetic foot disease. This study included the 50 patients of both male and females with diabetic foot disease. These patients were divided into three categories according to the status of disease [based on Wagner classification of diabetic foot disease]. These patients underwent the debridement. Blood Sugar level was kept control. Initially antibiotic was advised and then readjusted according to culture and sensitivity report if required. 43 patients [86%] were managed by serial debridement while 7 patients [14%] ended up in amputation. Higher no. of amputation found in patients [Category III] who had deep ulcer on foot associated with osteomyelitis. Most of the complications of disease can be avoided by early recognition of infection, controlling the blood sugar level, proper use of antibiotics, prompt excision of dead necrotic tissue, care of vascular insufficiency and neuropathy along with the better foot care