Pauwel's osteotomy and osteosynthesis in patients. with non-union of femoral neck fractures

To evaluate the results of Pauwel's ostetotomy and oseosynthesig in patients with non union of femoral neck fractures. This Study was conducted in the Orthopaedic Unit, Nishtar Hospital, Multan during the period of 1989-1998. A total of 30 patients were included in the study. Thirty cases of neglected fracture neck of femur treated in Nishtar Hospital Multan from 1989-1998. Five patients were treated first with traction where greater trochanter migrated a way up to bring it down to the proper level. Then osteotomy was done. In 25 cases Pauwels' osteotomy was primarily done and fixed with 120-degree osteotomy plate. This is a reliable method of dealing with non-union of the Fracture neck of the femur in young adults

Supracondylar fractures; comparison of medial and lateral approach for fixation of humerus in children

To determine the surgical approach most suited in our setup and evaluate the results based on the functional and cosmetic outcome especially in the range of motion, the subsequent deformity, if any, and the carrying angle. Setting Orthopaedic surgery, Nishtar Hospital, Multan. Duration Two years. Study design Quasi experimental type of study. Thirty patients. Sampling technique Non-probability technique. Results The age of the patients included in our study ranged from 4-10 years with a mean age of 5.93 years in group A and 6.66 years in group B. Out of 30 patients in group-A, 3 [20%] males and 4[26.6%] in group-B had fracture on right side where as 12[80%] females in group-A and 11[73.3%] in group-B had fracture on left side. Majority of the patients i.e. 12[80%] in group-A and 11[73.3%] in group-B got injured due to fall from height. One [6.66%] patients from group-A and B had superficial wound infection. Pin tract infection was found in 1[6.66%] in group A and 2[13.33%] patients in group-B. This technique was easy to perform and proved to be safe, although hospitalization time was minimum in both groups. So we recommend medial approach for open reduction and internal fixation of all displaced supra-condylar fractures of humerus in children with appropriate indications