ABSTRACT
Objective: to determine the normal liver, spleen, and renal parameters in adult patients with no comorbidities
Study Design: cross-sectional study
Place and Duration of Study: dow Institute of Radiology, Ojha Campus, LEJ Campus, and Al-Mustafa Hospital Karachi, from October 2016 to March 2017
Methodology: a total of 3,136 study participants with more than 16 years of age of either gender underwent ultrasound examination. All individuals with morbid conditions like hypertension [HTN], diabetes mellitus [DM], liver cirrhosis, hydronephrosis, renal cyst, and liver mass were excluded. Ultrasound scan was performed and longitudinal and transverse sections were obtained of both kidneys [in full inspiration], spleen and liver
Results: a significant positive correlation was observed between age and spleen size of the individuals [r=0.053, p=0.012]. The correlation of BMI and liver size was also found significantly positive [r=0.237, p <0.001]. The correlation of age and kidney size was found significantly negative in between age and right kidney [r=-0.074, p <0.001] and left kidney [r=-0.087, p <0.001]. Similarly, the correlation of BMI and renal size was found significantly weak positive between BMI and right kidney [r=0.206, p <0.001] and BMI and left kidney [r=0.227, p <0.001]
Conclusion: BMI was found significantly positively correlated with liver size and both kidneys in study participants. Moreover, spleen was found directly and renal size inversely correlated with age of the individuals
ABSTRACT
Objective: To evaluate the result of open reduction and internal fixation in tibial plateau fractures in accordance with Rasmussen's criteria of knee pain, range of motion and stability
Methods: Ninety two patients of tibial plateau fractures of either sex between 20-60 years of age participated in this study. We used open reduction and internal fixation in patients depending on Schatzker's tibial plateau fractures classification. This study was conducted during June 2014 to June 2015 at Dow University Hospital [DUH], Civil Hospital Karachi [CHK], Baqai Medical University Hospital [BMUH], Jinnah Post Graduate Medical Center [JPMC]. Patients were followed for 6 months and outcome was compared with objective Rasmussen's criteria
Results: The results were established upon the type of fractures. Majority of the satisfactory results were in type-I, II, III and IV; however type-V and VI showed grave and poorer results. Overall range of motion of knee joint was more promising in type I, II, III and IV as compared to Type-V and VI. The results also depended upon the type of fracture
Conclusion: Fractures of tibial plateau are affliction of a major weight bearing joint. In case the fracture is displaced with joint instability, treatment by open reduction and internal fixation with appropriate fixation devices is the treatment of choice. However, early knee range of motion exercises, quadriceps rehabilitation and delayed weight bearing are mandatory for a good final outcome
ABSTRACT
Objective: To determine the post operative complications when distal femoral fractures in adults is fixed using dynamic condylar screw
Study design: Observational study
Place and duration of study: Study conducted in Orthopedics department, Dow OJHA Hospital and Civil Hospital Karachi, from July 2014 to December 2015
Methodology: Although patients' with simple and closed supracondylar fractures of the femur were treated by dynamic condylar screw system, however for this study inclusion criteria was patients having closed supracondylar fracture of the femur of either gender aged between 20 to 65 years and presented earlier. Follow up of all these patients was done. Data was analyzed by using SPSS statistical package version 20
Results: Out of 46 patients, 41[89.13%] patients were males and 5[10.86%] were females. Mean age of the patient in this study was 31.1+/-3.5 years. 33[71.73%] patients sustained injury following Road Traffic Accident [RTA], 7[15.21%] presented with history of assault and 6 [13.04%] patients sustained injury following fall. The post operative complications observed in this study was infection in 4[8.69%], shortening in 3[6.52%], deformities in 3[6.52%] cases, nonunion in 1[2.17%] case and implant failure in 2[4.34%] cases
Conclusion: Dynamic condylar screw may confidently be used in the management of supracondylar fractures. The procedure is technically manageable with minimum post operative complications