ABSTRACT
Background-Present prospective study is intended to compare role of Teriparatide and Zoledronic acid in osteoporosis as well as in pathological fracture due to osteoporosis so as to help elderly postmenopausal women to combat with osteoporosis & complications arising due to it. Material & Methods-This study is carried out in Pacific Medical College & Hospital,Udaipur in the department of orthopedics from Dec. 2107 to June 2019.Total of 100 women were included at the time of beginning but 20 women were lost in the follow up due to various reasons.51 patients of group 1 were given Zoledronic acid & 29 patients were given Teriparatide.Patients were evaluated upto 12 months at regular intervals. Serial DEXA scans were done,assessment & comparison were done accordingly. Conclusion-Treatment of osteoporosis is multimodal with no definitive single molecule available.This study compared Zoledronic acid & Teriparatide.Although T-score has nearly the same value but our study resulted in increase BMD score & fewer side effects by the use of Teriparatide so it is concluded that patient with very low BMD requires treatment with Teriparatide.
ABSTRACT
Background: The objective of the present study is to analyze & compare various modalities available for management of fracture supracondylar humerus in pediatric population. Methods: The present prospective study was conducted in the department of Orthopaedics and Traumatology Ananta institute of medical sciences and research centre, Rajsamand from December 2015 to April 2018. Results: In our study we found that in Grade II and III supracondylar fracture of humerus in children closed reduction is difficult to achieve and is complicated by slippage of reduction leading to fixation with k-wires in early presentation or malunion deformity in cases of late presentation and vascular comprise if excessive flexion is done to hold reduction. While Grade I fracture can effectively be managed with closed reduction & cast with caution of maintaining reduction. Conclusions: In this study we found that results of displaced supracondylar fracture of humerus presenting can be effectively best treated by closed reduction with percutaneous pinning because patients who were treated conservatively developed deformities more than closed reduction and internal fixation group. Patients with cross k-wire fixation from either condyle has better outcome as compared to lateral entry cross k-wire fixation.
ABSTRACT
Background: Ongoing study is an effort to find out, do timelyintervention & to treat patients of DVT in patients undergoinglower limb arthroplasty as the complication could be disastrous.Material & Method: This prospective study was carried out inthe department of Orthopedics & center of joint replacement inAnanta Institute of Medical sciences from Sept 2016 to Aug2017 with assistance from department of Radiodiagnosis. Totalof 40 patients were included in the study who have undergonetotal or hemi replacement. On the day of admission duplexultrasound scanning with color Doppler was done & repeatedafter the desired procedure. Pre & post-surgery scan werecompared & outcome of the comparison was evaluated.Conclusion: In our study very few patient developed DVT &none had pulmonary embolism & other serious adverse effectof DVT. Although no serious complication happened but it hasa potential of producing life threatening complication so all theprecious life specially elder, have to be closely monitored& necessary action i.e. prior color Doppler, anticoagulation,immediate post-surgery physiotherapy, DVT pump, should betaken before & after major lower limb orthopedic procedure.
ABSTRACT
Background: Present prospective study is an effort to find out outcome of procedures opted for the fixation of the extracapsular hip fractures. Basic objective of the study is to search best mode of fixation for intertrochanteric fracture so that the patients especially older are benefitted the most. Methods: The present study is carried out in two medical college concomitantly. Total 80 patients have been included in this study. Patients were divided in two groups A, B (40 patients in each group). Surgical intervention of group ‘ A ‘was done in RNTMC, Udaipur with 32 mm threaded lag screw DHS plate & other 40 patients of group ‘B’ were managed surgically in AIMS & RC in Rajsamand with intramedullary nailing. Extracapsular hip fracture classified according to AO & fixed accordingly to their group plan. Functional status evaluated with Salvati & Wilson assessment score. Result-Both groups were evaluated up to 12 months minimum. At the end of 12 months result of group ‘B’ (treated with IMN) were quite superior & promising as compared to group ‘A’ (treated with 32 mm threaded lag screw DHS plate). Conclusion: Although there is no difference in long term follow up but early results in terms of convalescence, rehabilitation, early return to pre fracture level was found better in group ‘B ‘so the IMN should be considered as preferable mode of fixation in intertrochanteric fracture in all age groups.