RESUMEN
Background: Fracture shaft of femur is one of the most common fractures encountered in orthopaedic practice. Fracture shaft of femur is major cause of morbidity and mortality in patients who sustain high energy trauma. Methods: This prospective study was performed at Department of Orthopaedics, Varun Arjun Medical College, Banthra, Shahjahanpur, U.P, India. All patients aged 20 years or above, who presented with comminuted femur fracture and were treated with interlocking nailing was included in the study. Various clinical and radiological parameters were collected during the course of treatment. Results: N=30 patients were included in the study; 76% males. 88% aged 50 years or less. Road traffic accident was the most common mode of injury and 54% of patients had fracture in the middle one-third femur. 76% of the patients presented within 24 hours of injury. 52% of the patient’s demonstrated clinical union of the fracture in 12 to 14 weeks and majority showed radiological union in 16 to 18 weeks. Partial weight bearing was started in 38% patients in 10 weeks and full weight bearing in 48% patients in 16 weeks. Majority of the patients stayed in hospital for 10 to 14 days and the functional outcome as measured by Klemm and Borner criteria was excellent in 69% patients. Conclusions: In our experience, interlocking nailing had very low complication rate and excellent functional outcome in two thirds patients of comminuted femur fracture.
RESUMEN
Background: OA (Osteoarthritis) knee incidence is rising by increasing average age of general population. Osteoarthritis (OA) is a common disease found in old aged population. Therefore, this study was conducted to examine the prevalence and risk factors for knee osteoarthritis in elderly men and women. Methods: The study was conducted in the Department of Orthopaedics, Varun Arjun Medical College, Banthra, Shahjahanpur, U.P, India from February 2016 to July 2016. On the basis of inclusion and exclusion criteria, 125 patients were randomly selected from OPD and IPD of Hospital. The interview was structured as follows. Data was recorded on a standardized predesigned and a pre-tested questionnaire. Questionnaire focused on Socio-demographic profile and assessment of possible risk factors (age, family history, obesity, physical activity, and occupational knee bending and knee injury). Measurements like height, weight and body mass index (BMI) were recorded. Results: A complete interview was possible in 102 subjects (58.62% response rate). Participation was poorer among men and there was a slightly higher prevalence of radiographic changes of OA in women than in men. However, there was a significantly higher proportion of women with symptomatic disease (14% of all women versus 9% of all men; P = 0.003). Conclusions: : In our study, we observed that there is association between age, sex and BMI with OA. The incidence of OA increased as the age advances; hence it is likely that if preventive measures can be taken in the earlier age groups OA can be prevented.