ABSTRACT
Introduction: Treatment of adult tibiofibular fractures, especially severely comminuted fractures, is technically challenging dueto the lack of reduction markers and difficulty in restoring the alignment. Fixation of the fibula can facilitate the reduction of thetibia fracture and restoration of the lower extremity alignment.Aim: This study aims to study the functional outcome of internal fixation of fibula by closed tens nailing in addition to tibia indistal both bone leg fractures.Materials and Methods: Patients with distal both bone leg fractures for whom fibular fixation was done in addition to tibia nailing inGovernment Rajaji Hospital, Madurai from July 2016 to September 2018 with a minimum 1-year follow-up were included in the study.Results: In this study among 15 patients, 9 patients did not have any angulation, 6 patients had varus angulation with mean varusof 2°, and none of the patients had valgus angulation. The mean range of movements in patients with fibula fixation was 96%. Themean time of union in these patients was 5 months (minimum of 4 months and a maximum of 7 months). Johner and Wruch’s criteria:Among the 15 patients, 12 patients (80%) had excellent results and 3 (20%) had good results. There were no fair and poor results.Conclusion: Treatment of distal third both bone leg fractures by fixation of fibula by closed tens nailing in addition to the tibia isuseful in anatomical reduction of tibia and reduced malalignment of tibia with good ankle functions. Further randomized controlstudies are needed to assess the long-term functional outcome in these patients.
ABSTRACT
Tumors are either benign or malignant. The thyroid nodule, which is usually a clinical manifestation of most of the thyroid disorders, is one among them which has been the subject of controversies with divergent opinions and views. Clinical presentation of thyroid nodules varies widely ranging from solitary nodules to benign and malignant tumors. Thyroid nodules accounts up to 8% of the adult population having palpable nodules. However studies on its incidence in the population residing near seacoast are limited. Hence, the present study is carried in an aim to evaluate the clinico-pathological correlation of solitary thyroid nodule and the incidence of malignancy in the population residing at sea coast. The study is conducted in the Narayana Medical College & Hospital (NMCH), which is situated within 10-15 km radius of the seacoast in Nellore district of Andhra Pradesh, India. In this study, 73 subjects were selected who presented with thyroid swelling which was clinically confirmed as solitary thyroid nodule. Out of 73 cases, 12 cases (16.5%) were found to have malignant lesions with remaining 61 cases (83.5%) being benign lesions. The incidence of malignancy among solitary thyroid nodule subjects is up to 16.5% in the population residing near seacoast. Thus the present study warrants people to consult surgeons for early diagnosis and adequate treatment without being passive as most of these swellings are asymptomatic for long duration.