ABSTRACT
Objective: To assess the efficacy of platelet rich plasma intra-lesional injection in patients having planter fasciits
Methods: This descriptive case series study was conducted at department of orthopedic surgery, Services Hospital, Lahore for 10 monthes [ November 2015 to august 2016]. The non- probability: consecutive sampling technique was used. Demographic profile was also obtained. Intensity of pain was checked through visual analog pain scale. Then the patients were injected with 3 ml of autologous platelet rich plasma. The pain was noted using VAS scale after every 6 weeks up to 24 week. If pain was score on VAS, then efficacy was labeled. All the data was entered and analyzed on SPSS version 16
Results: In our study the mean age of the patients was 47.19 +/- 8.47 years and the male to female ratio of the patients was 1.6: 1. The mean age of the patients VAS score at 24th week was 1.38 +/- 1.41. In our study the efficacy achieved in 89[89%] patients
Conclusion: our study results concluded that is the use of platelet rich plasma intra- lesional injection is an effective management for pain control in patients with plantar fasciitis
ABSTRACT
Objective: To compare the mean increase in vitamin D level after treatment with daily versus monthly mega dose for long bone fracture
Methods: This study was simple randomized control trial done in Department of Orthopedic Surgery and Traumatology, Mayo Hospital, Lahore. Sample of 200 cases was collected with non-probability purposive sampling. Patients were randomized in two equal groups through lottery method. In group A, daily dose of vitamin D with Calcium and in group B; injectable monthly mega dose of 200000 IU of vitamin D with calcium were given. Patients were followed up on lst, 4th, 6th and 8th week post-operative period. Laboratory reports were assessed to measure the increase in vitamin D level in serum
Results: The mean age of patients was 27.42 +/- 10.48 years. There were 31.5% males and 68.5% females. The mean vitamin D level at baseline was 16.53 +/- 3.60mg/dl which was increased to 32.73 +/- 4.57ng/dl after 4 weeks. The mean increase in vitamin D level in daily dose groups was noted as 14.31 +/- 2.22ng/dl whereas the mean value in Monthly dose group was noted as 18.17 +/- 2.27ng/dl, 9p-value=0.000]
Conclusions: The study results showed that monthly mega dose of vitamin D is more effective and beneficial as compared to daily slow dose
ABSTRACT
All the data was retrieved from hospital records and supplemented by continuing follow up. They were divided into 2 groups on the basis of method of fixation used. Among those, 25 were treated by interlocking intramedullary nailing and 22 with MIPO. A total of 47 patients of closed comminuted femoral shaft fractures were studied. They included 39 males and 8 females - a ratio of 4.87:1. The mean age was 33.6 years [range 16 to 68]. Most of the fractures were in age group of 21 to 40 years [96.6%]. Most common sight was middle 1/3 [24 cases] followed by distal 1/3 [13 cases] and proximal 1/3 [10 cases]. Most common cause was road side accidents [74.4%] followed by motorcycle and auto pedestrian accidents. In these 13 fractures were of type II, 17 of type III and 17 of type IV comminution. The average hospital stay was 12.8 days in nailing and 15 days in MIPO. The mean anaesthesia time for operative procedure in nailing was 116.6 minutes and in MIPO it was 83.4 minutes. At follow up, there were 2 cases of implant failure, one with broken interlocking screw and the other with loosened screw in MIPO. There was deep infection in 3 cases, 1 with nailing and 2 with MIPO. Knee stiffness was noted in 4 cases of MIPO and 2 cases in nailing but <100 degree in one case with MIPO. Delayed union was observed in 2 cases with nailing and 3 with MIPO group, in which we went for bone marrow injection and bone grafting in one case of nailing and MIPO each. Shortening of 2 cm in 1 case of nailing and 2 in MIPO was observed. Implant failure with loosened screws occurred after fall in one case of MIPO which required repeated fracture fixation. The mean fracture healing time in nailing was 16.88 weeks but in MIPO it was 19.82 weeks. According to Nicholas and McCoy score, there were 10 excellent, 9 good and 3 poor results and no failure. In nailing group 15 excellent, 8 good and 2 poor results but no failure. Closed interlocked I/M nailing is an excellent method of treating closed comminuted femoral shaft fractures, with advantages of lower complication rate and early weight bearing. MIPO is an acceptable method of treatment with advantages of being less expensive and short operative time