ABSTRACT
We reviewed forty patients with forty-two extremities having ipsilateral fracture of femur and tibia at Christian Medical College Ludhiana. Patients were grouped according to type of injury and the method of treatment Three percent femoral and ten percent tibial fractures developed delayed union out of which bone grafting was done in two femoral and seven tibial fractures. Three(7.2%) tibial fractures developed infected gap non union which were subsequently managed by distraction osteoneogenisis. Eight (29.1%) patients had stiffness of knee with range of movement less than 90 degree. Bad results were found in patients having compound injuries and in juxta articular involvement of both fractures. In our study external fixator was the mainstay of treatment in operative group comprising of ten(23%) femoral and twentythree( 55%) tibial fractures because of compound nature of injury and many limbs were salvaged which otherwise could have amputated. Patients in whom rigid internal fixation was used to treat both fractures produced excellent results.
Subject(s)
Adolescent , Age Factors , Amputation, Traumatic/epidemiology , Child , Child, Preschool , Female , Finger Injuries/epidemiology , Hand Injuries/epidemiology , Humans , India/epidemiology , Infant , Male , Prospective Studies , Seasons , Sex Factors , Soft Tissue Injuries/epidemiology , Time Factors , Wounds, Nonpenetrating/epidemiology , Wounds, Penetrating/epidemiologyABSTRACT
A rare case of a mediastinal enterogenic cyst with an intraspinal extension through a anterior vertebral defect presenting with paraplegia in a 10 year boy is presented. Laminectomy and the trans-thoracic excision of the cyst resulted in the complete recovery of the neural deficit.
Subject(s)
Abnormalities, Multiple/diagnosis , Child , Diagnosis, Differential , Humans , India , Laminectomy , Male , Mediastinal Cyst/complications , Paraplegia/etiologyABSTRACT
Epidural steroid therapy is one of the useful conservative modalities of treatment of low back pain with sciatica. Epidural injection of a mixture of 80 mg (2 ml) of methylprednisolone, 25 ml of normal saline and 10 ml of 2% lignocaine hydrochloride through sacral route produced excellent to good results in 83% of patients of low back pain with sciatica with subacute symptoms of less than 3 months duration, when evaluated after 3 months of injection. When evaluated after one year of injection the success rate came down to 64.8%.