Interlocked intramedullary nailing of long bones

Intramedullary interlocking nailing is the recommended procedure of fixation of long bones fracture. This type of fixation allow the patient to walk independently in few days time, but unlikely there are only few centers in our country which are doing this practice. In Mansoor Orthopedic Hospital and Sandeman Civil Hospital Quetta we started this type of fixation from November 2001 and we have done 15 femoral [13 closed and 2 open GII] and 15 tibial [11 closed and 4 open GI and GII]. Interlocking nails up till now. Our early results revealed 0% infection rate, breakage of nail in one case and bending of one distal locking screw. Inspite this in both cases fracture healed without any surgical intervention. Patient had nearly full range of movements of both knee and hip joint. We recommend close Intramedullary in interlocking nailing is an excellent technique to treat long bone fracture regarding good healing minimum complication shorter hospital stay and early functional rehabilitation

Sonographic determination of foetal sex

In order to determine foetal sex antenatally, 300 patients were examined sonographically over a period of two years [June 1993 - May 1995] using a 3.5 MHz sector probe. Gestational age ranged between 26 - 30 weeks. Foetal scrotum, penis and labia majora were identified to establish the foetal gender. Of 258 ladies who reported back after confinement, diagnosis was correct in 214 [82.9%]. There were 111 [43%] males and 103 [40%] females. In 44 [17%] of our cases sex could not be ascertained. Main factors contributing to unsuccessful outcome were breech presentation [38%], multiple gestation [23.8%], oligohdramnios [11.9%], and non-optimal foetal position [26.2%]. There were only two false positive results. Foetal hydrocele was noticed in three cases