ABSTRACT
To determine the outcome of cannulated screw fixation of intra capsular fracture neck of femur in terms of union rates and complications. Retrospective case series study. This study was carried out at the DHQ Teaching hospital Abbottabad and Gilani hospital Abbottabad from March 2008 to March 2011. Twenty four patients with intracapsular fractures neck of femur younger than 65 years of age including Garden I-1V, were fixed with cannulated screws, and included in this study. All cases were done by one surgeon and were followed for twenty four months. Union was recorded in twenty one patient's i.e. 87.5%. One patient from Garden III and two patients from Garden IV went in to non-union and were converted in tohemiarthoplasty. Combined Union rate of Garden III and IV was 78.57%. Cannulated Screw fixation of intracapsular fracture neck of femur is a safe and effective method
ABSTRACT
Primary Hyperparathyroidism [HPT] is an inappropriate hyper secretion of parathyroid hormone [PTH]. Primary HPT is caused by parathyroid adenoma in 80-85% of patients. Clinical manifestations are kidney stones, abdominal groans, painful bones, psychic moans, and fatigue overtones. Ultrasonography is widely used in suspected cases for localization of parathyroid adenoma. There is considerable intra-observer variation and it is difficult for ultrasound alone to differentiate parathyroid lesion form that of thyroid. Dual phase Tc-99m MIBI scinitigraphy for detection of parathyroid adenomas has sensitivity and specificity values ranging from 82% to 100% and from 89% to 100%, respectively. Percutaneous ethanol injection for parathyroid glands can be applied effectively in selected cases when surgery is unadvisable either for technical reasons e.g., recurrence of hyperplastic glands in the neck after subtotal surgery or intrathyroideal parathyroid tumors or the poor clinical state of the patient