ABSTRACT
Objective: To evaluate thefracture union in patients with subtrochanteric femoral fractures managed with dynamic condylar screw. Material and methods: This was a case series study and was conducted at Department of Orthopedic Surgery, Sahiwal Medical College, Sahiwal from June 2016 to May 2017. Total 90 patients with closed subtrochanteric fractures (within the 1 week of fracture), having age from 20-70 years either male or female were selected. Results: Mean age of the patients was 39.53 ± 15.08 years. Mean duration of fracture was 4.10 ± 1.99 days. Out of 90 patients with subtrochanteric fracture, union was noted in 71 (79%) patients. In age group 20-45 years, union rate was 53 (85.48%) and in age group 46-70 years and union rate was 18 (64.29%). Union of fracture was seen in 5 (29.41%) patients, 39 (92.86%) patients and 27 (87.17%) patients respectively in Type A, B and C fractures. Union was strongly (P = 0.000) associated with type of fracture. Higher number of union was noted in type B fracture. Conclusion: A higher rate of fracture union was observed in cases of subtrochanteric femoral fractures treated by fixation with dynamic condylar screw system. Findings of present also revealed that fracture union is not associated with gender. But significant association of fracture union with age group, duration of disease and type of fracture.
ABSTRACT
Background: Congenital anomalous origins of the coronary arteries are a rare but well-described cause of myocardial ischemia and sudden death
Objective: To determine the frequency of coronary artery anomalies in adult patients undergoing coronary angiography for ischemic heart disease
Methodology: A total of 493 consecutive patients with diagnosed Ishemic Heart Disease [IHD] visiting Department of Cardiac Catheterization, Ch. Pervaiz Elahi Institute of Cardiology, Multan were included in this cross sectional study from 15[th] June to 15[th] December 2014. Diagnostic coronary angiography was carried out. The outcome variable i.e. coronary anomalies as defined in operational definition were noted on the performa
Results: There were 493 patients. Males were 293 [59.4%] while females were 200 [40.6%]. Mean age of the patients was 54.45 +/- 13.02 years ranging in age from 18 to 70 years. Coronary artery anomaly was identified in 8 [1.6%]. Separate left anterior descending and left circumflex artery was observed in 2 [0.4%], Left circumflex artery arising from right coronary sinus was observed in 1 [0.2%], Right coronary artery arising from left coronary sinus was observed in 2 [0.4%], left coronary artery arising from right coronary sinus was observed in 1[0.2%] while myocardial bridging was observed in 3 [0.6%]. One of the patients with myocardial bridging also has left coronary artery arising from right sinus
Conclusion: Myocardial bridges were the most frequently encountered problem followed by separate origins of LAD and left circumflex and then right coronary artery arising from the left coronary