Résumé
Background: Intertrochanteric fractures are the most commonly treated fractures by Orthopedic surgeon. Many techniques are described in literature but internal fixation with Dynamic Hip screw is most efficient method. Aim: The present study was conducted to compare the results of conservative methods and internal fixation with dynamic hip screw in management of intertrochanteric fractures of the femur. Materials and methods: This study included 40 patients of intertrochanteric fractures of the femur, out of which 30 patients were treated by conservative methods considered as Group I and 10 patients were treated by internal fixation with Dynamic Hip Screw (DHS) considered as Group II. All the results were evaluated by using Kyle’s criteria. Results: In Group I, 4 (13.3%) cases had excellent results, 6 (20%) case had good results, 20 (66.6%) cases had poor results. In Group II, 8 (80%) cases had excellent results, 6 (20%) cases had good results. In Group I, 73.3% of cases had unstable fractures and in Group II, 80% of cases had unstable fractures Conclusion: The quality of results was better with internal fixation with dynamic hip screw (DHS) as compared to conservative methods
Résumé
Background: In modern era, Osteoporosis is become a major public health problem, associated with substantial morbidity and socio-economic burden. Osteoporosis is a disorder having the characteristic features of low bone mass and structural degeneration, promoting the development of brittleness of the bones. An early detection can help in reducing the fracture rates and overall socio-economic burden. Aim: To find out the prevalence of osteoporosis and the associated risk factors and to find out the impact of intervention on osteoporosis with reference to education, diet supplement and yoga. Materials and methods: A total 940 members were selected for prevalence study, among them 92 subjects were selected for the intervention study. All subjects were divided in to four groups and parameters used to manage osteoporosis were education, diet and yoga. Results: The prevalence of osteopenia was 26% and osteoporosis 14% along with 60% of normal among women. As the age increased the prevalence of osteoporosis also increased. The prevalence of osteopenia and osteoporosis (low BMD) was found to be high (73%) among women in the age group of 51-60 years compared with that of 41- 50 years (27%). improvement of knowledge in all the groups, physical performance in the EDY and EDDY group. Conclusion: The assessment of risk factors related to low bone density revealed that age, educational status, menopause, duration of menopause, height (short) and exercise of women were significantly associated with low bone mineral density resulting in osteopenia or osteoporosis.